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Outpatient Registered Nurse - RN

Fresenius Medical Care•Huntsville, AL

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse is responsible for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating appropriate tasks to direct patient care staff. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient education, 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 a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. The role includes assessment and documentation before, during, and after hemodialysis; coordinating safe and effective delivery of treatment; educating patients and families; administering medications; responding to emergencies; and collaborating with the Interdisciplinary Team on patient care plans. CAP requirements must be completed for advancement. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Physical demands include frequent and prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation. With assistance, the employee may sometimes 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. The work environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Day-to-day work also includes desk and computer work and interaction with patients, facility or hospital staff, and physicians.

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.
  • Entry-level role for Registered Nurses with less than two years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
  • Collect and analyze patient data systematically before, during, and after hemodialysis; 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.
  • Coordinate and provide, with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications in accordance with 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 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 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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