Outpatient Registered Nurse - RN

Fresenius Medical Care•Jackson, MI

24d•Onsite

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease 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 and procedures, nursing practice standards, and applicable state and federal regulations. The role provides direct patient care and includes collecting and analyzing patient data before, during, and after hemodialysis; documenting and updating assessments and care plans; educating patients and families; coordinating safe hemodialysis treatment; administering medications; responding to emergencies; and supporting staff training and orientation. No previous dialysis experience is needed, and on-the-job training is provided. The clinic is open Monday, Wednesday, and Friday from 5:00 a.m. to 10:30 p.m., and Tuesday, Thursday, and Saturday from 5:00 a.m. to 6:00 p.m.; it is closed Sunday. Days and shifts rotate, and shifts are typically 8–14 hours. The position involves direct patient care, frequent prolonged standing and bending, and regular heavy lifting or moving of patients. Work takes place in a healthcare facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases or materials may occur. Travel to training sites or other facilities may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Entry-level RN designation for nurses with less than 2 years of nephrology nursing experience as a Registered Nurse.
No previous dialysis experience is needed; on-the-job training is provided.
To receive assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs 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.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical leaders or physicians as needed.
Assess and document patients’ and families’ 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 medications as prescribed or according to approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the healthcare 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 laboratory 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 requirements to advance.
Perform other duties assigned by the Supervisor.