Outpatient Registered Nurse - RN

Fresenius Medical Care•Georgetown, TX

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 is part of the End Stage Kidney Disease (ESKD) health care team and contributes to decision-making, patient and family education, leadership, and quality improvement. Appropriate tasks may be delegated to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. 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 the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility. Work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The employee may travel to training sites or other facilities and may be asked to perform the role at other locations. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Physical work regularly involves heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending are required. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of 5 feet. Equipment and coworkers may assist with physical tasks. Reasonable accommodations may be made for qualified individuals with disabilities.

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 of the state in which employed.
For entry-level RNs, a minimum of 2 years of Nephrology Nursing experience.
To receive assigned oversight duties as a Team Leader or designated Nurse in Charge: successfully complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; occasional assisted movement of equipment up to 200 pounds and lifting solutions up to 30 pounds to 5 feet.
Ability to work in a healthcare environment with possible exposure to infectious and contagious diseases or materials.

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 personnel 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are collected, processed, and shipped correctly; 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 in the Clinical Advancement Program.
After meeting stated training and experience conditions, provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge.
Perform other duties assigned by the Supervisor.