Outpatient Registered Nurse - RN

Fresenius Medical Care

11d•Onsite

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After meeting specified training and experience requirements, the RN may be assigned oversight of patient care staff as a Team Leader or designated Nurse in Charge. The role involves direct patient care in a health care facility. It includes regular heavy lifting, moving and assisting patients, frequent and prolonged standing, and bending. The employee may sometimes move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has controlled air temperature and moderate noise levels, and may involve exposure to infectious or contagious diseases and 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 essential functions at other locations.

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 CPR BLS Certification.
Entry-level RN designation for nurses with less than two years of Nephrology Nursing experience as a Registered Nurse.
To be assigned staff oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least nine months of RN experience, and at least three months of chronic or acute hemodialysis experience as an RN.
Ability to perform the physical demands of direct patient care, including regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of equipment up to 200 pounds and lifting of solutions up to 30 pounds as high as five feet.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans when indicated, and notifies the appropriate clinical personnel or physician as needed.
Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
Directs and provides, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and orientation of new staff when assigned.
Ensures laboratory specimens are collected, processed, and shipped correctly, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Completes Clinical Advancement Program (CAP) requirements to advance.
Performs 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 required training and experience qualifications.