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Outpatient Registered Nurse - RN

Fresenius Medical Care•Cape Girardeau, MO
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in the Clinical Advancement Program. The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role 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, patient teaching, leadership functions, 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. The nurse 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 and may require travel to training sites or other facilities, or work at other locations with similar physical demands and working conditions. Team Leader or designated Nurse in Charge oversight of Patient Care Technicians, LPNs/LVNs, or RNs may be assigned after completion of new-employee education and training requirements, at least nine months of RN experience, and at least three months of RN experience in chronic or acute hemodialysis.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS Certification.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care new-employee education and training requirements, have at least nine months of RN experience, and have at least three months of RN experience in chronic or acute hemodialysis.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing; and bending over.
  • Ability, occasionally and with assistance, to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians as needed.
  • Assesses, collaborates on, and documents patients’ and families’ basic learning needs, and provides initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary care staff, the daily delivery of safe and effective 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.
  • Serves as a resource for the health care team and participates in staff training and new-staff orientation when assigned.
  • 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.
  • Completes Clinical Advancement Program requirements to advance.
  • May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
  • Performs other duties assigned by the Supervisor.

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