Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Camas, WA

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient-care staff. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decision-making, patient education, leadership, quality improvement, and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance from clinical educators, preceptors, or other RNs. The RN provides safe and effective hemodialysis care, monitors and documents patients’ status before, during, and after treatment, and updates care plans in collaboration with the Interdisciplinary Team. The position may include oversight of Patient Care Technicians and other nursing staff after required training and experience are completed. The role involves direct patient care and may require travel to training sites or other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Minimum of 2 years of nephrology nursing experience for entry-level RNs.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving frequent, prolonged standing and bending, heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
Ability to move machines or equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis; modify treatment plans as indicated and notify appropriate clinical staff or physicians.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient-care staff, the daily delivery of safe and effective hemodialysis therapy.
Administer prescribed medications or medications under approved algorithms and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure proper 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.
Participate in facility- and area-level education and quality-improvement projects as directed by the Supervisor.
May serve as a preceptor to new employees.
Complete CAP requirements to maintain or advance within the Clinical Advancement Program.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting required training and experience conditions.
Perform other duties assigned by the Supervisor.