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Dialysis Outpatient Registered - RN

Fresenius Medical Care•St Louis, MO
•Onsite

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 role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. Essential functions are performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position provides direct patient care in a healthcare facility and may involve travel to training sites or other facilities, or providing essential functions at other locations. The work includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. The environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Physical demands include frequent and prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. Equipment or coworkers may assist with physical tasks, and reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS Certification or successful completion of it.
  • Meet the practice requirements in the state of employment.
  • For entry-level RNs, a minimum of 2 years of Nephrology Nursing experience.
  • To receive assigned oversight duties as a Team Leader or designated Nurse in Charge, complete all FKC education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical personnel or physicians as needed.
  • Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
  • Initiate or assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
  • Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care for assigned patients 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 in the program.
  • May provide oversight of Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience criteria.
  • Perform other duties assigned by the Supervisor.

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