Outpatient Registered Nurse - RN

Fresenius Medical Care•Sebastian, FL

13d•Onsite

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 be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. The nurse may delegate appropriate tasks to direct patient care staff and participates 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. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and 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 may include oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completion of required education and training and at least three months of chronic or acute hemodialysis experience as an RN. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Physical demands include frequent prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation. 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 as high as five feet. The employee may be exposed to infectious and contagious diseases or materials. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation requires a minimum of two years of Nephrology Nursing experience.
For assigned oversight as Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of the position, including direct patient care, frequent prolonged standing, bending, lifting and moving patients, and assisting with ambulation.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings in medical records, adjusts treatment plans as indicated, and notifies appropriate clinical staff or physicians as needed.
Assesses, collaborates on, and documents patients’ and families’ basic learning needs to provide initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensures laboratory specimens are correctly collected, processed, and shipped, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance in the program.
Performs other duties assigned by the Supervisor.