Outpatient Registered Nurse - RN

Waconia clinic hours: Monday–Saturday 4:30 am–7:00 pm, closed Sunday. Must be flexible to float to sister clinics; schedule includes 20 hours per week at this location and 20 hours floating.

About the role

The professional registered nurse (Outpatient RN CAP 1) is an entry-level designation in the Clinical Advancement Program (CAP). This position is accountable for the provision and coordination of clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. Responsibilities may include delegation of appropriate tasks to direct patient care staff such as RNs, LVNs/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this role participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

No previous dialysis experience is required; on-the-job training is provided. Part-time opportunities are available for candidates with prior dialysis experience.

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 basic learning needs to provide initial and ongoing education.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of safe and effective hemodialysis therapy delivery.
• Administers medications as prescribed or in accordance with approved algorithms; documents medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for the healthcare team; 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.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet practice requirements in the state of employment.
• Entry-level for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
• 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 includes air temperature control and moderate noise levels; may be exposed to infectious and contagious diseases/materials.
• Involves desk work, computer work, and interaction with patients, facility/hospital staff, and physicians.
• May require travel to training sites or other facilities.

Supervision

May be assigned oversight of 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 requirements 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.

Pay

Hourly rate: $31–$52, depending on work location, qualifications, education, experience, skills, and competencies.

Benefits

• Comprehensive benefits package including medical, dental, and vision insurance.
• 401(k) with company match.
• Paid time off.
• Parental leave.