Outpatient Registered Nurse - RN

Fresenius Medical Care•Humble, TX

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, the nurse contributes to 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 nurse works under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position provides direct patient care, including hemodialysis treatment, patient and family education, medication administration, emergency response, and coordination with the interdisciplinary team. The nurse is expected to complete CAP requirements to advance and may be assigned other duties by the Supervisor. The work takes place in a health care facility with controlled air temperature and moderate noise. Work includes patient interaction, desk and computer work, and interaction with facility or hospital staff and physicians. The role may involve exposure to infectious or contagious diseases and materials, travel to training sites or other facilities, and work at other locations under the same described conditions. Direct patient care regularly involves heavy lifting, moving patients, and assisting with ambulation. The employee frequently stands for prolonged periods and bends over; with assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Equipment or coworkers may assist with physical tasks, and reasonable accommodations may be made for qualified individuals with disabilities.

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 position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To receive assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated 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.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or collaborating Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as 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.
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 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 CAP requirements to advance.
Perform other duties assigned by the Supervisor.
After meeting specified education, training, and experience criteria, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.