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Outpatient Registered Nurse - RN

Fresenius Medical Care•Dallas, TX

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role may include delegating 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, teaching, leadership functions, and quality improvement activities that support patient care 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. After meeting specified training and experience requirements, the RN may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The position provides direct patient care in a health care facility. Work includes standing for prolonged periods, bending, assisting with patient movement and ambulation, and occasionally moving equipment or lifting supplies. The employee may be exposed to infectious or contagious diseases and materials, and may need to travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and practice eligibility in the state of employment.
  • Current CPR BLS Certification or successful completion of CPR BLS Certification.
  • Entry-level position for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • For assigned Team Leader or Nurse in Charge oversight: 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.
  • Ability to perform direct patient-care duties involving heavy lifting, moving patients, assisting with ambulation, prolonged standing, and bending; assistance or equipment aids may be used.
  • May be required to move machines and equipment weighing up to 200 lbs with assistance and lift chemical and water solutions weighing up to 30 lbs as high as 5 feet.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical personnel or physicians when 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 medications as prescribed or 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 new-staff orientation as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
  • Identify expected outcomes and document and update nursing assessments and care plans in collaboration with the Interdisciplinary Team.
  • Ensure patients are aware of transplant and treatment-modality options.
  • Complete Clinical Advancement Program requirements for advancement.
  • Perform other duties assigned by the Supervisor.
  • When assigned as Team Leader or designated Nurse in Charge and after meeting the stated prerequisites, provide oversight of Patient Care Technicians, LPNs/LVNs, and RNs.

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