Outpatient Registered Nurse - RN

Fresenius Medical Care•Knoxville, TN

1d•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. As part of the End Stage Kidney Disease (ESKD) health care team, the RN contributes to clinical decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN delivers safe and effective hemodialysis care in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position works under a Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. It may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. After completing required training and meeting the experience requirement, the RN may oversee these staff as Team Leader or designated Nurse in Charge. The work takes place in a health care facility and involves direct patient care, collaboration with facility and hospital staff and physicians, and desk and computer work. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations. The work may involve exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience for entry-level RNs.
To provide assigned oversight as Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the essential physical functions of the job, including frequent prolonged standing and bending; direct patient care regularly involves heavy lifting, moving patients, and assisting with ambulation.
May occasionally need to move machines and 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

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings and adjusts or modifies treatment plans as indicated, notifying appropriate clinical personnel as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
Ensures correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient laboratory 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.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.