Outpatient Registered Nurse - RN

About the Role

The Outpatient RN CAP 1 is an entry-level position within the Clinical Advancement Program (CAP). This role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. Responsibilities may include delegating tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) healthcare team, this position contributes to decision-making, teaching, leadership, and quality improvement activities to enhance patient care outcomes and facility operations.

Responsibilities

• Performs all duties in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, state, and federal regulations.
• Performs ongoing, systematic collection and analysis of patient data pre-, during, and post-hemodialysis treatment; documents findings in the patient medical record and adjusts or modifies the treatment plan as needed.
• Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education.
• Directs and provides, in collaboration with patient care staff, all aspects of safe and effective hemodialysis therapy delivery.
• Administers medications as prescribed or according to approved algorithms, documenting medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for the healthcare team and participates in staff training and orientation of new staff.
• Ensures correct laboratory collection, processing, and shipping procedures; reschedules missed or insufficient collections.
• Identifies expected outcomes, documents, and updates the nursing assessment and plan of care in collaboration with the Interdisciplinary Team.
• Ensures patient awareness of transplant and treatment modality options.
• Completes CAP requirements to advance in the program.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure as a Registered Nurse.
• Current or successful completion of CPR BLS Certification.
• Must meet state-specific practice requirements.

Qualifications

• Entry-level for RNs with less than 2 years of Nephrology Nursing experience.
• Chronic/acute hemodialysis experience preferred.

Physical Demands and Working Conditions

• Provides direct patient care involving heavy lifting, moving patients, and assisting with ambulation; equipment aids or coworkers may assist.
• Requires frequent, prolonged periods of standing and bending over.
• May occasionally move machines and equipment up to 200 lbs. with assistance.
• May lift chemical and water solutions up to 30 lbs. as high as 5 feet.
• Work environment is temperature-controlled with moderate noise levels; exposure to infectious and contagious diseases/materials is possible.
• Involves desk work, computer use, and interaction with patients, staff, and physicians.
• May require travel to training sites or other facilities.

Supervision

May oversee Patient Care Technicians, LPNs, LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the following requirements:

• Successful completion of all Fresenius Kidney Care education and training for new employees.
• Minimum of 9 months of experience as an RN.
• Minimum of 3 months of experience in chronic/acute hemodialysis as an RN.