Outpatient Registered Nurse - RN

Fresenius Medical Care•Kalamazoo, MI

25d

About The Position

The Outpatient Registered Nurse 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 and, as a member of the End Stage Kidney Disease health care team, participates in decision-making, patient and family education, leadership functions, 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 nurse performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes collecting and analyzing patient data before, during, and after hemodialysis; documenting findings and adjusting or escalating care as indicated; coordinating safe hemodialysis treatment; administering prescribed medications; and supporting emergency response. The position also involves patient education, laboratory specimen handling, care planning with the Interdisciplinary Team, and helping patients understand transplant and treatment modality options. CAP requirements must be completed for advancement. The position provides direct patient care and involves frequent, prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. With assistance, the employee may move machines and equipment weighing up to 200 pounds and may lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment is a health care facility with controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the position’s essential functions at other locations.

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 role for RNs with less than two years of Nephrology Nursing experience as a Registered Nurse.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least nine months of experience as an RN, and at least three months of experience in chronic or acute hemodialysis as an RN.
Ability to perform the described physical functions, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance may be available for equipment and patient movement.
Ability to work in the described health care environment, including possible exposure to infectious or contagious diseases or materials.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation, for an assigned group of patients.
Collect and analyze patient data before, during, and after hemodialysis; document findings, make indicated treatment-plan adjustments, and notify the Team Leader, Charge Nurse, Supervisor, 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 direct and ancillary patient care staff, the daily safe and effective delivery of 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 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 requirements to advance.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the specified training and experience requirements.