Registered Nurse - Outpatient Care

PURPOSE AND SCOPE : \n\nThe 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.\n\nPRINCIPAL DUTIES AND RESPONSIBILITIES : \n\nAll duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.\n\nPerforms all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.\n\nPerforms ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.\n\nAssesses, collaborates, and documents patient / family's basic learning needs to provide initial and ongoing education to patients and family.\n\nDirects 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.\n\nAdministers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.\n\nInitiates or assists with emergency response measures.\n\nServes as a resource for health care team, participates in staff training and orientation of new staff as assigned.\n\nEnsures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.\n\nIdentifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.\n\nEnsures patient awareness related to transplant and treatment modality options.\n\nRequired to complete CAP requirements to advance.\n\nPerforms all other duties as assigned by Supervisor.\n\nPHYSICAL DEMANDS AND WORKING CONDITIONS : \n\nThe physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.\n\nThe position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and / or coworkers may provide assistance.\n\nThis position requires frequent, prolonged periods of standing and the employee must be able to bend over.\n\nThe employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.\n\nThe work environment is characteristic of a health care facility with air temperature control and moderate noise levels.\n\nMay be exposed to infectious and contagious diseases / materials.\n\nDay to day work includes desk work, computer work, interaction with patients, facility / hospital staff and physicians.\n\nThe position may require travel to training sites or other facilities.\n\nMay be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.\n\nSUPERVISION : \n\nAssigned oversight of Patient Care Technicians / LPNs / LVNs / RNs as a Team Leader or designated Nurse in Charge, after meeting all the following : \n\nSuccessful completion of all FKC education and training requirements for new employees.\n\nMust have a minimum of 9 months experience as a RN.\n\nMust have a minimum of 3 months experience in chronic / acute hemodialysis as a RN.\n\nEDUCATION and LICENSURE : \n\nGraduate of an accredited School of Nursing.\n\nCurrent appropriate state licensure.\n\nCurrent or successful completion of CPR BLS Certification.\n\nMust meet the practice requirements in the state in which he or she is employed.\n\nEXPERIENCE AND REQUIRED SKILLS : \n\nEntry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.\n\nChronic / acute hemodialysis experience (preferred).\n\nACKNOWLEDGEMENT : \n\nI acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative.\n\nADDENDUM : \n\nFTN Group- International RN\n\nEDUCATION and LICENSURE : \n\nBachelor's degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required.\n\nCurrent appropriate state licensure.\n\nCurrent or successful completion of CPR BLS Certification.\n\nMust meet the practice requirements in the state in which he or she is employed\n\nFresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.\n\nEOE, disability / veterans