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Outpatient Registered Nurse - RN

Fresenius Medical Care•Westlake, OH

About The Position

The Outpatient Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for new employees who meet RN CAP 2 criteria, or may be attained through advancement from RN CAP 1. The nurse may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease (ESKD) health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. Essential functions are carried out under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position includes direct patient care and may involve oversight of Patient Care Technicians, LVN/LPNs, or RNs after specified training and experience requirements are met. The work environment is a healthcare facility with controlled air temperature and moderate noise. Work includes patient interactions, desk and computer work, and may require travel to training sites or other facilities. Direct care regularly involves heavy lifting, moving patients, and assisting with ambulation; the position also requires frequent, prolonged standing and bending. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as five feet. Exposure to infectious or contagious diseases or materials may occur. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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.
  • At least 2 years of Nephrology Nursing experience for the stated entry level for RNs.
  • To serve in assigned oversight as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees and have at least 3 months of chronic or acute hemodialysis experience as an RN.
  • Complete CAP requirements to maintain or advance.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician as needed.
  • Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
  • Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
  • Initiate or assist with emergency response measures.
  • Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees at the facility and area level.
  • 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.
  • Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
  • May serve as a Preceptor to new employees.
  • Complete CAP requirements to maintain or advance in the program.
  • Perform other duties assigned by the Supervisor.
  • May oversee Patient Care Technicians, LVN/LPNs, or RNs as a Team Leader or designated Nurse in Charge after completing required employee training and meeting the stated hemodialysis experience requirement.

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