Outpatient Registered Nurse - RN

Fresenius Medical Care•Duluth, MN

12d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient-care staff and participating as a member of the End Stage Kidney Disease (ESKD) health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position delivers and coordinates safe, effective hemodialysis care in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Duties are performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. No previous dialysis experience is needed; on-the-job training is provided. The Spirit Valley clinic is open Monday through Saturday from 4:30 a.m. to 5:00 p.m. and closed Sunday. The role works rotating days. The work environment is a health care facility with controlled air temperature and moderate noise levels. Direct patient care involves physical activity, and the position may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Meet the practice requirements in the state of employment.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Must complete Fresenius Kidney Care education and training requirements for new employees before being assigned oversight as a Team Leader or Nurse in Charge.
For Team Leader or Nurse in Charge oversight: at least 9 months of RN experience and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
Ability to stand for frequent, prolonged periods and bend over.
May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff or physician as needed.
Assess and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with patient-care and ancillary staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and new-staff orientation as assigned.
Ensure proper laboratory collection, processing, and shipping; reschedule missed or insufficient laboratory collections.
Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment-modality options.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting the stated qualifications, provide oversight of Patient Care Technicians, LPNs/LVNs, and RNs as a Team Leader or designated Nurse in Charge.