Outpatient Registered Nurse - RN

About the Role

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation into 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. This may include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) healthcare team, this role participates in decision-making, teaching, leadership functions, 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 in accordance with approved algorithms and documents 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.
• Current or successful completion of CPR BLS Certification.
• Must meet the 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.

Skills

• Ability to provide direct patient care, including heavy lifting, moving patients, and assisting with ambulation.
• Frequent, prolonged periods of standing and bending.
• Ability to occasionally move machines and equipment of up to 200 lbs. with assistance and lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• Ability to work in a healthcare environment with air temperature control and moderate noise levels; may be exposed to infectious and contagious diseases/materials.
• Desk work, computer work, and interaction with patients, facility/hospital staff, and physicians.
• May require travel to training sites or other facilities.

Supervision

May oversee Patient Care Technicians, LPNs, LVNs, and 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.