International Registered Nurse - AMN

PURPOSE AND SCOPE

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
• Collects and analyzes patient data pre-, during-, and post-hemodialysis treatment, documents in the patient medical record, adjusts or modifies treatment plan as needed, and notifies Team Leader, Charge Nurse, Supervisor or Physician as necessary.
• Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
• Ensures correct laboratory collection, processing, and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.

PHYSICAL DEMANDS AND WORKING CONDITIONS

• Frequent, prolonged periods of standing.
• Movement of patients and assisting with ambulation.
• Occasional movement of machines and equipment weighing up to 200 lbs., and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
• Work environment characterized by air temperature control and moderate noise levels.
• Exposure to infectious and contagious diseases/materials.
• Interaction with patients, facility/hospital staff, and physicians.
• May require travel to training sites or other facilities.

SUPERVISION

• Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge.
• Must meet the practice requirements in the state in which he or she is employed.

EDUCATION and LICENSURE

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• CPR BLS Certification.

EXPERIENCE and REQUIRED SKILLS

• Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• Chronic/acute hemodialysis experience (preferred).