Outpatient Registered Nurse - RN

Fresenius Medical Care•Waco, TX

20h

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. It may include delegating 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 RN participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. Work is performed under the direction of a Supervisor and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities.

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 the practice requirements in the state of employment.
Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For assigned oversight 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.
Ability to meet the position’s physical demands, including regularly lifting and moving patients and assisting with ambulation; frequent, prolonged standing and bending; occasionally moving machines and equipment of up to 200 lbs. with assistance; and lifting chemical and water solutions of up to 30 lbs. as high as 5 feet.

Nice To Haves

Chronic/acute hemodialysis experience.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust the treatment plan as indicated, and notify the appropriate team member or physician when 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications 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 orientation of new staff 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 (CAP) requirements to advance.
Perform other duties as assigned by the Supervisor.
After meeting the stated training and experience requirements, may provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.