Outpatient Registered Nurse - RN

Fresenius Medical Care•Mililani, HI

5d•Onsite

About The Position

The Outpatient Registered Nurse (RN) 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. 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 RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. This position is assigned to the Hawaii Regional Float Pool. Employees must float to all Hawaii Region facilities based on critical staffing needs, with assignments that may vary from month to month. Float assignments are issued one month at a time, and travel is required for a minimum of one month per assignment, with possible extension up to three months depending on staffing and regional coverage needs. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities. Physical demands include regular heavy lifting, moving patients and assisting with ambulation; frequent, prolonged standing and bending; occasional movement, with assistance, of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Day-to-day work includes desk and computer work and interaction with patients, facility or hospital staff, and physicians.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level RN designation for nurses with less than two years of Nephrology Nursing experience as a Registered Nurse.
To provide oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of RN experience in chronic or acute hemodialysis.
Able to meet the physical demands of the position, including regular heavy lifting, moving patients and assisting with ambulation, frequent prolonged standing and bending, and the described occasional lifting and equipment-moving demands.
Able to travel to Hawaii Region facilities for float assignments, with each assignment lasting at least one month and potentially extending up to three months.

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 systematically before, during, and after hemodialysis treatment; document findings in the medical record, adjust or modify treatment plans as indicated, and notify the Team Leader, Charge Nurse, Supervisor, or Physician when 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 medications as prescribed or in accordance with 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 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 for assigned patients 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.
Float to all Hawaii Region facilities according to critical staffing needs and travel for float assignments as required.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified education, training, and experience requirements.