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Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Philadelphia, PA

About The Position

The Outpatient Registered Nurse (RN) CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program (CAP) for qualifying new employees or may be attained through advancement from RN CAP 1. The RN may delegate appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, teaching, leadership, 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 state and federal regulations. The RN works under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The position involves direct patient care in a health care facility, including regular patient handling and possible exposure to infectious materials. Travel to training sites or other facilities may be required.

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.
  • Minimum of 2 years of Nephrology Nursing experience for the entry-level RN designation.
  • For assigned oversight as a Team Leader or Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, patient lifting and movement, and moving equipment with assistance as described in the posting.

Nice To Haves

  • Dialysis experience preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment, documents findings in medical records, adjusts treatment plans as indicated, and notifies appropriate clinical personnel 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 safe and effective delivery of 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 correct laboratory collection, processing, and shipping procedures 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 program.
  • May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting stated training and experience conditions.
  • Performs other duties assigned by the Supervisor.

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