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Outpatient Registered Nurse - RN

Fresenius Medical Care•Lima, OH

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegating appropriate tasks to direct patient-care staff. As part of the End Stage Kidney Disease health care team, the RN 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 RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. The position provides safe and effective hemodialysis care, evaluates and documents patient status and treatment, educates patients and families, administers medications, responds to emergencies, and supports laboratory procedures and care planning. CAP requirements must be completed for advancement. The role involves direct patient care in a health care facility, with frequent standing and bending and regular lifting, moving, and ambulation assistance for patients. Travel to training sites or other facilities may be required. The RN may be exposed to infectious or contagious diseases and materials.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Meet the practice requirements in the state of employment.
  • For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or Nurse in Charge: successfully complete all FKC education and training requirements for new employees.
  • For assigned oversight as Team Leader or Nurse in Charge: have at least 9 months of experience as an RN and at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Entry-level RN designation applies to RNs with less than 2 years of nephrology nursing experience.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Perform essential functions under the direction of the Supervisor, with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
  • Assess and document patients’ and families’ 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.
  • Initiate or assist with emergency response measures.
  • Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
  • Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment-modality options.
  • Complete CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.

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