Outpatient Registered Nurse - RN

Fresenius Medical Care•Manning, SC

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 for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse may delegate appropriate tasks to direct patient care staff and, as a member of the End Stage Kidney Disease health care team, participates in decision-making, teaching, leadership, and quality improvement activities to enhance patient outcomes and facility operations. Duties are performed according to Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position provides direct patient care and may involve travel to training sites or other facilities. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge is possible after the specified training and experience requirements are met.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level role for Registered Nurses with less than 2 years of nephrology nursing experience as an RN.
  • To be assigned oversight as Team Leader or Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
  • Ability to perform direct patient care involving regular 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, with assistance, machines and equipment weighing up to 200 lbs., 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

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans as indicated, and notifies appropriate team members or physicians as needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Coordinates and provides safe, effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the health care team and participates in staff training and orientation of new staff as assigned.
  • Ensures correct laboratory collection, processing, and shipping procedures and reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes Clinical Advancement Program requirements to advance.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
  • Performs other duties as assigned by the Supervisor.
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