Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Jonesboro, GA

About The Position

The professional registered nurse Outpatient RN CAP 2 may be an entry-level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or may be attained through advancement from RN CAP 1. The position is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. This 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 nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and state and federal regulations. The nurse provides and coordinates hemodialysis care, educates patients and families, administers prescribed medications, supports emergency response, and collaborates with the Interdisciplinary Team. After completing specified training and experience requirements, the nurse may oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge. The role involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. Work includes frequent, prolonged standing and bending. The employee may occasionally move machines or equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials is possible. Daily work includes desk and computer work 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 role at other locations under the same conditions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successfully completed CPR BLS Certification.
Meet the practice requirements in the state of employment.
Minimum of 2 years of Nephrology Nursing experience.
For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and a minimum of 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform the described physical demands, including frequent prolonged standing and bending, heavy lifting and patient movement, and occasional movement of equipment with assistance.
Complete CAP requirements to maintain or advance.

Responsibilities

Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs; provide initial and ongoing education.
Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective 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, leader, coach, mentor, and role model for new and incumbent employees.
Ensure correct laboratory collection, processing, and shipping procedures; 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.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance.
Perform other duties as assigned by the Supervisor.
After meeting required training and experience criteria, provide assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge.