Outpatient Registered Nurse Jobs

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Outpatient Registered Nurse - RN

Fresenius Medical Care•Collierville, TN

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. It 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 support patient outcomes and facility operations. All duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The nurse works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes direct care and coordination of hemodialysis treatment, patient and family education, medication administration, emergency response, documentation, and collaboration with the Interdisciplinary Team. The nurse may provide oversight to other patient-care staff after meeting specified training and experience requirements. The work takes place in a health care facility and involves direct patient care, frequent and prolonged standing, bending, and regularly lifting, moving, and assisting patients with ambulation. The role may involve exposure to infectious or contagious diseases or materials, occasional movement of equipment with assistance, and travel to training sites or other facilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • Minimum of 2 years of Nephrology Nursing experience.
  • For 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.
  • Able to perform the stated physical functions, including frequent prolonged standing and bending, and direct patient-care activities involving heavy lifting, moving patients, and assisting with ambulation; assistance may be available from equipment or coworkers.
  • May need to 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.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts the treatment plan as indicated, and notifies appropriate clinical personnel or the physician as needed.
  • Assesses, collaborates on, and documents patients’ and families’ basic learning needs, providing 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 medications as prescribed or under approved algorithms, documenting 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 at the facility and area level.
  • Ensures laboratory specimens are collected, processed, and shipped correctly; 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.
  • May oversee 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 stated experience requirement.
  • Performs other duties assigned by the Supervisor.

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