Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Roanoke, VA

15h

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients receiving hemodialysis. The role includes patient assessment, care planning, intervention, and evaluation, and may involve delegating appropriate tasks to direct patient care staff. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family education, leadership, 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The position may include oversight of Patient Care Technicians and licensed nursing staff after the specified training and experience requirements are met. This role involves direct patient care in a healthcare facility, with regular patient handling and physical activity. Travel to training sites or other facilities may be required, and the RN may be asked to perform the position’s essential functions at other locations under similar conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current CPR BLS certification or successful completion of certification.
For entry-level RNs, a minimum of 2 years of Nephrology Nursing experience.
To receive assigned oversight duties as Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 pounds; and lifting chemical and water solutions weighing up to 30 pounds as high as 5 feet.
Ability to work in a healthcare facility environment with moderate noise and possible exposure to infectious or contagious diseases and materials.
Ability to perform desk and computer work and interact with patients, facility and hospital staff, and physicians; travel to training sites or other facilities may be required.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis treatment; document findings and adjust treatment plans as indicated, notifying the appropriate clinical lead or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Direct and provide, in collaboration with patient care and ancillary staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees at the facility and area level.
Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor for new employees.
Complete CAP requirements to maintain or advance in the Clinical Advancement Program.
Perform other duties assigned by the Supervisor.