Outpatient Registered Nurse - RN

Fresenius Medical Care•Blue Springs, MO

23d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may involve 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 RN participates in decision-making, patient teaching, leadership functions, 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 applicable state and federal regulations. The RN works under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The role provides direct hemodialysis patient care, supports patient and family education, coordinates with the interdisciplinary team, and contributes to staff training and facility operations. The RN must complete CAP requirements to advance.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Entry-level RN designation for RNs with less than 2 years of nephrology nursing experience.
To be assigned oversight as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care 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 regularly perform heavy lifting, move patients, and assist with ambulation, with equipment or coworker assistance as available.
Ability to stand for frequent, prolonged periods and bend over.
Ability, occasionally with assistance, to move machines and equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to perform desk and computer work and interact with patients, facility or hospital staff, and physicians.
May be required to travel to training sites or other facilities and to perform essential functions at other locations.
May be exposed to infectious and contagious diseases or materials.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect, analyze, and document patient data before, during, and after hemodialysis treatment; adjust or modify treatment plans as indicated and notify the appropriate clinical personnel or physician as needed.
Assess 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 prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource to the health care team and participate in staff training and new-staff orientation 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 for advancement.
Perform other duties assigned by the Supervisor.
After meeting specified training and experience requirements, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.