Outpatient Registered Nurse - RN

Fresenius Medical Care•Noblesville, IN
•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. 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 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, teaching, leadership functions, and quality improvement activities to enhance patient care outcomes and facility operations. All duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Fresenius Medical Care maintains a drug-free workplace and is an equal opportunity employer.

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.
  • For assigned oversight as Team Leader or Nurse in Charge: 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.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans when indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
  • Coordinate and provide, 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, documenting 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 new-staff orientation as assigned.
  • Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment modality options.
  • Complete Clinical Advancement Program (CAP) requirements to advance.
  • Perform other duties assigned by the Supervisor.
  • Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
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