Outpatient Registered Nurse - RN

Fresenius Medical Care•Waco, TX

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient-care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care 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 role provides direct patient care and may require travel to training sites or other facilities. After meeting specified training and experience requirements, the nurse may oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

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 in the state of employment.
Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To provide assigned oversight as a 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 the position’s physical functions, including frequent prolonged standing, bending, and direct patient-care tasks that regularly involve heavy lifting, moving patients, and assisting with ambulation. The role may also involve moving equipment with assistance and lifting chemical and water solutions as described in the posting.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

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 under 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; reschedule missed or insufficient laboratory 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.
Provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after satisfying the stated training and experience requirements.