RN II

Fresenius Medical Care•Houston, TX

About The Position

The Outpatient RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse may delegate 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, and quality improvement activities to enhance patient outcomes and facility operations. The position performs essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. Responsibilities are carried out in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN may provide oversight to Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the experience requirement. This role involves direct patient care in a health care facility, including frequent and prolonged standing, bending, and assisting with patient movement. The employee may occasionally move equipment with assistance and may travel to training sites or other facilities. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet the practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Minimum of 2 years of Nephrology Nursing experience for entry-level RN designation.
To qualify 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 at least 3 months of chronic or acute hemodialysis experience as an RN.
Ability to perform direct patient care involving frequent, prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
Ability, occasionally with assistance, to move machines and equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to perform desk and computer work and interact with patients, facility and hospital staff, and physicians.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings in the medical record, modifies treatment plans as indicated, and notifies appropriate clinical staff or physicians 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 delivery of safe and effective hemodialysis therapy to assigned patients.
Administers prescribed medications or medications in accordance with approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and incumbent employees.
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.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance within the Clinical Advancement Program.
May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.
Performs other duties assigned by the Supervisor.