Outpatient Registered Nurse - RN

Fresenius Medical Care•Fairfield, OH

11d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. It may include delegating appropriate tasks to direct patient care staff. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes assessing patients before, during, and after hemodialysis; documenting patient care; coordinating treatment and education; administering prescribed medications; responding to emergencies; supporting staff training; and collaborating with the Interdisciplinary Team on patient assessments and care plans. Completion of CAP requirements is required for advancement. The position provides direct patient care in a health care facility and involves frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. Assistance may be available from equipment or coworkers. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Work also includes desk and computer tasks and interaction with patients, facility and hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same conditions.

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 Registered Nurses with less than two years of nephrology nursing experience.
To receive assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: successfully complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
Able to perform the physical demands of direct patient care, including frequent prolonged standing, bending, lifting, moving patients, and assisting with ambulation; may need to move equipment weighing up to 200 pounds with assistance and lift solutions weighing up to 30 pounds to five feet.
May be required to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical leaders or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or according to approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource to the health care team and participate in staff training and new-staff orientation as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient 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 for advancement.
Perform other duties assigned by the Supervisor.