Outpatient Registered Nurse - RN

Fresenius Medical Care•Port Orange, FL

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to direct patient care staff, such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease health care team, the RN participates in clinical decision-making, patient teaching, leadership functions, and quality improvement activities to enhance 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 RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position involves direct patient care and coordination of safe, effective hemodialysis treatment, patient and family education, medication administration, and collaboration with the Interdisciplinary Team. The RN must complete CAP requirements to advance. The work takes place in a health care facility with controlled air temperature and moderate noise. It includes desk and computer work and interaction with patients, facility or hospital staff, and physicians. The role may involve exposure to infectious and contagious diseases or materials, travel to training sites or other facilities, and providing essential functions at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation for registered nurses with less than 2 years of Nephrology Nursing experience.
To be assigned oversight as Team Leader or designated Nurse in Charge: successfully complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care that regularly involves heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may assist.
Ability to stand for frequent, prolonged periods and bend over.
May 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.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform ongoing, systematic collection and analysis of patient data before, during, and after hemodialysis treatment; document findings, 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer medications as prescribed or in accordance with approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and orientation of new staff 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 for assigned patients in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.
When assigned as Team Leader or designated Nurse in Charge and after meeting the stated qualifications, oversee Patient Care Technicians, LPNs/LVNs, and RNs.