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Outpatient Registered Nurse - RN

Fresenius Medical Care•Union Springs, AL

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN may delegate 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 RN participates in decision-making, patient teaching, leadership functions, and quality improvement activities to 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, or in collaboration with other Registered Nurses. The position provides direct patient care in a health care facility and may require travel to training sites or other facilities. The role may also require providing essential functions at other locations with the same physical demands and working conditions.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successful completion of CPR BLS Certification.
  • Must meet the practice requirements in the state of employment.
  • Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To be assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic/acute hemodialysis experience as an RN.
  • The position involves regular heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
  • Requires frequent, prolonged standing and the ability to bend over.
  • May occasionally need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. to a height of 5 feet.

Nice To Haves

  • Chronic/acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, modifies treatment plans as indicated, and notifies the appropriate clinical personnel or physician when needed.
  • Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administers prescribed medications or medications in accordance with 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 orientation of new staff as assigned.
  • Ensures laboratory specimens are collected, processed, and shipped correctly; reschedules missed or insufficient collections.
  • Identifies expected outcomes and collaborates with the Interdisciplinary Team to document and update patient nursing assessments and plans of care.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes Clinical Advancement Program requirements to advance.
  • May oversee Patient Care Technicians, LPNs/LVNs, and 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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