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Outpatient Registered Nurse - RN

Fresenius Medical Care•Milwaukee, WI
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in the Clinical Advancement Program (CAP). The position is accountable for coordinating and providing clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. No dialysis-specific experience is required; comprehensive on-the-job training is provided. The RN provides direct hemodialysis care in accordance with Fresenius Kidney Care policies, procedures, nursing standards, and applicable state and federal regulations. The role includes collecting and analyzing patient data before, during, and after treatment; coordinating care with the interdisciplinary team; administering medications; educating patients and families; and supporting safe and effective treatment delivery. CAP requirements must be completed to advance. Clinic hours are Monday, Wednesday, and Friday from 0445 to 2030, and Tuesday, Thursday, and Saturday from 0445 to 1530. Shifts are 10–12 hours. Every other Saturday is required; Sundays are off, and there is no on-call requirement. The clinic is located at 7795 W. Appleton Ave., Suite B, Milwaukee, WI 53222. The work takes place in a health care facility with controlled air temperature and moderate noise. The position involves direct patient care, frequent prolonged standing, bending, and regular heavy lifting, moving patients, and assisting with ambulation. The RN may occasionally move equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious or contagious diseases or materials is possible. Work also includes desk and computer tasks and interaction with patients, facility and hospital staff, and physicians. Travel to training sites or other facilities may be required.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state nursing licensure and compliance with 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 2 years of nephrology nursing experience as a Registered Nurse.
  • Must complete Fresenius Kidney Care education and training requirements for new employees before assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge.
  • For assigned oversight as Team Leader or designated Nurse in Charge: at least 9 months of RN experience and at least 3 months of RN experience in chronic or acute hemodialysis.
  • Every other Saturday is required; Sundays are off.
  • Able to perform the described physical functions, including frequent prolonged standing and bending, moving patients and assisting with ambulation, and occasional assisted movement of equipment weighing up to 200 pounds and lifting of solutions weighing up to 30 pounds as high as five feet.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Perform essential functions under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Coordinate and provide safe, effective hemodialysis therapy in collaboration with direct and ancillary patient care staff.
  • Administer prescribed medications or medications according to 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.

Benefits

  • Comprehensive on-the-job training.
  • Career Advancement Program (CAP) to advance nephrology career from novice to expert.
  • No on-call requirement.
  • Sundays off.

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