Outpatient Registered Nurse - RN

Fresenius Medical Care • Tacoma, WA

5d

About The Position

The Outpatient Registered Nurse works as part of the hemodialysis healthcare team to provide quality daily patient care in accordance with Fresenius Medical Care policies, procedures, and training. The nurse supports the company’s mission, values, quality improvement activities, and compliance requirements. The role provides and coordinates chronic hemodialysis care, educates patients and families about end-stage renal disease and related care, monitors treatment responses, and maintains complete and accurate clinical documentation. The nurse also supports safe facility operations, staff competency, emergency readiness, and continuous quality improvement.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and ability to meet practice requirements in the state of employment.
• Successfully complete a training course in the theory and practice of hemodialysis.
• Successfully complete CPR certification.
• Meet applicable state requirements.
• Complete Ishihara’s Color Blindness test as a condition of employment; the posting states that failing the test does not preclude employment and that reasonable accommodation may be considered.
• Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation; may need to move equipment up to 200 pounds with assistance and lift chemical and water solutions up to 30 pounds to a height of 5 feet.

Nice To Haves

• At least one year of medical-surgical nursing experience.
• Hemodialysis experience.
• ICU experience.
• ICD-9 coding training.
• Nurses Technical Training.

Responsibilities

• Direct and delegate patient-care tasks to Patient Care Technicians, LVN/LPNs, Dialysis Assistants, and other direct-care staff; monitor staff techniques and compliance with facility procedures.
• Assess daily patient-care needs and develop appropriate care assignments; participate in staff training, new-staff orientation, and required meetings.
• Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment compliance, adequacy measures, transplant and modality options, and catheter reduction.
• Provide and monitor safe hemodialysis care, implement prescribed treatment and modeling prescriptions, assess patient responses, and adjust care as indicated by the prescribing physician.
• Communicate patient concerns, treatment issues, and abnormal findings to the Team Leader, physician, and healthcare team; coordinate care with physicians and other team members.
• Initiate and complete nursing assessments and ongoing evaluations; participate in all stages of hemodialysis treatment, including access care and post-treatment evaluation.
• Intervene when patient adequacy status or access flow issues are identified, including issues flagged by OLC/AMP monitoring.
• Administer and document prescribed medications, PRN medications, and interdialytic transfusions; monitor responses and report adverse reactions; maintain controlled-substance records as required.
• Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; prepare lab requisitions, collect and process specimens appropriately, package specimens according to DOT procedures, and report abnormal results to physicians.
• Ensure complete and accurate patient records, treatment sheets, physician orders, laboratory results, vital signs, treatment parameters, and other patient data in the Medical Information System.
• Maintain safe and effective shift operations, act as a resource for staff, and communicate regularly with the Clinical Manager about personnel and patient-care matters.
• Maintain emergency-procedure competency, verify emergency equipment availability, and initiate CPR and emergency measures when required.
• Ensure appropriate vaccinations, immunizations, and annual TB testing; assist patients with prescription refills and transportation coordination as needed.
• Maintain a clean, safe, and sanitary treatment area; ensure stations, machines, and chairs are clean and properly placed, and address blood spills according to company policy.
• Ensure competency in operating dialysis equipment and compliance with opening, closing, admission, transfer, and discharge procedures.
• Initiate, document, and complete ongoing CQI activities, including monthly reports; complete nurses’ progress notes, care plans, nursing histories and assessments, long-term programs, and annual standing-order reviews as required.
• Review transplant status and follow established procedures; perform additional duties as assigned.
• Provide coverage at area facilities as required by management.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Potential performance-based bonuses, depending on company and individual performance, for bonus-eligible positions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree