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Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Lower Merion Township, PA
•Onsite

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 for qualifying new employees or attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in clinical decision-making, patient and family education, 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 applicable state and federal regulations, under the direction of a Supervisor and with guidance from clinical colleagues. The position provides direct hemodialysis patient care and may delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. After meeting specified training and experience requirements, the RN may oversee those staff as a Team Leader or designated Nurse in Charge. The role involves direct interaction with patients, colleagues, physicians, and facility or hospital staff in a healthcare facility, and may involve travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state nursing licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet the practice requirements of the state in which employed.
  • Minimum of 2 years of Nephrology Nursing experience.
  • To receive assigned oversight of staff 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.
  • Must complete CAP requirements to maintain or advance.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts treatment plans as indicated, and notifies the appropriate clinical personnel or physician as needed.
  • Assesses and documents patient and family learning needs and provides initial and ongoing education.
  • Coordinates and provides, 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.
  • Acts 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 collaborates with the Interdisciplinary Team to document and update nursing assessments and plans of care.
  • 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 in the program.
  • May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completing required education and training and meeting the stated hemodialysis experience requirement.
  • Performs other duties as assigned by the Supervisor.

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