Outpatient Registered Nurse - RN - Dialysis

Purpose and Scope

The professional registered nurse Outpatient RN CAP 2 may be an entry‑level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. 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

• Perform all duties in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, and applicable state and federal regulations.
• Collect and analyze patient data pre‑, during, and post‑hemodialysis for assigned patients; document in the medical record; adjust or modify the treatment plan as indicated; and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
• Assess, collaborate with, and document patient/family learning needs; provide initial and ongoing education to patients and families.
• Direct and provide, in collaboration with direct and ancillary patient‑care staff, all aspects of the daily provision of safe and effective hemodialysis therapy to assigned patients.
• Administer medications as prescribed or according to approved algorithms; document medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees, demonstrating appropriate behavior, work habits, and attitudes toward patients, co‑workers, supervisors, and the company.
• Ensure correct laboratory collection, processing, and shipping procedures; reschedule missed or insufficient laboratory collections.
• Identify expected outcomes, document, and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensure patient awareness of transplant and treatment modality options.
• Participate in education and quality‑improvement projects at the facility and area level as directed by the Supervisor.
• May serve as a Preceptor to new employees.
• Complete CAP requirements to maintain or advance.
• Perform all other duties as assigned by the Supervisor.

Physical Demands and Working Conditions

• Direct patient care involves heavy lifting, moving patients, and assisting with ambulation; equipment aids and/or coworkers may provide assistance.
• Frequent, prolonged periods of standing; ability to bend over.
• Occasionally required to move, with assistance, machines and equipment up to 200 lb and lift chemical or water solutions up to 30 lb as high as 5 ft.
• Work environment typical of a health‑care facility with temperature control and moderate noise levels; potential exposure to infectious and contagious diseases/materials.
• Day‑to‑day tasks include desk work, computer work, and interaction with patients, facility/hospital staff, and physicians.
• May require travel to training sites or other facilities and may be asked to perform essential functions in other locations with similar physical demands.

Supervision

Assigned oversight of Patient Care Technicians, LVN/LPNs, and RNs as a Team Leader or designated Nurse in Charge, after meeting all of the following:

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

Education and Licensure

• 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.

Experience and Required Skills

• Entry‑level RN position requiring a minimum of 2 years of nephrology nursing experience.
• Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.