Outpatient Registered Nurse - RN

PURPOSE ANDSCOPE :

The professionalregistered nurse Outpatient RN CAP 1 is an entry level designationinto the Clinical Advancement Program (CAP).

This position isaccountable and responsible for the provision and coordination ofclinically competent care including assessment, planning,intervention and evaluation for an assigned group of patients.

Thismay include delegation of appropriate tasks to direct patient carestaff including but not limited to RNs, LVN / LPNs and Patient CareTechnicians.

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 activitiesthat enhance patient care outcomes and facilityoperations.

PRINCIPAL DUTIES AND RESPONSIBILITIES :

All duties andresponsibilities are expected to be performed in accordance withFresenius Kidney Care policy, procedures, standards of nursingpractice, state and federal regulations.

• Performs allessential functions under the direction of the Supervisor and withguidance from the Clinical Educator, Preceptor or in collaborationwith other Registered Nurses.
• Performs ongoing,systematic collection and analysis of patient data pre - during -post hemodialysis treatment for assigned patients and documents inthe patient medical record, makes adjustments or modifications totreatment plan as indicated and notifies Team Leader, Charge Nurse,Supervisor or Physician as needed.
• Assesses,collaborates, and documents patient / family's basic learning needsto provide initial and ongoing education to patients andfamily.
• Directs and provides, in collaborationwith direct and ancillary patient care staff, all aspects of thedaily provision of safe and effective delivery of hemodialysistherapy to assigned patients.
• Administersmedications as prescribed or in accordance with approvedalgorithm(s), and documents appropriate medical justification andeffectiveness.
• Initiates or assists withemergency response measures.
• Serves as aresource for health care team, participates in staff training andorientation of new staff as assigned.
• Ensurescorrect laboratory collection, processing and shipping proceduresare performed and reschedules missed or insufficient laboratorycollections.
• Identifies expected outcomes,documents and updates the nursing assessment and plan of care forassigned patients through collaboration with the InterdisciplinaryTeam.
• Ensures patient awareness related totransplant and treatment modalityoptions.
• Required to complete CAP requirementsto advance.
• Performs all other duties asassigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

The physical demands and work environment characteristicsdescribed here are representative of those an employee encounterswhile performing the essential functions of this job.

Reasonableaccommodations may be made to enable individuals with disabilitiesto perform the essentialfunctions.

The position providesdirect patient care that regularly involves heavy lifting, movingof patients and assisting with ambulation.

Equipment aids and / orcoworkers may provide assistance.

• This positionrequires frequent, prolonged periods of standing and the employeemust be able to bend over.
• The employee mayoccasionally be required to move, with assistance, machines andequipment of up to 200 lbs., and may lift chemical and watersolutions of up to 30 lbs. as high as 5feet.
• The work environment is characteristic ofa health care facility with air temperature control and moderatenoise levels.
• May be exposed to infectious andcontagious diseases / materials.
• Day to day workincludes desk work, computer work, interaction with patients,facility / hospital staff and physicians.
• Theposition may require travel to training sites or otherfacilities.
• May be asked to provide essentialfunctions of this position in other locations with the samephysical demands and working conditions as describedabove.
• Employees are required to take theIshihara's Color Blindness test as a condition of employment. Notethat : Failing the Ishihara Test for Color Blindness does notpreclude employment.

The Company will consider whether reasonableaccommodation can bemade.

SUPERVISION :

Assignedoversight of Patient Care Technicians / LPNs / LVNs / RNs as a TeamLeader or designated Nurse in Charge, after meeting all thefollowing :

• Successful completion ofall FKC education and training requirements for newemployees.
• Must have a minimum of 9 monthsexperience as a RN.
• Must have a minimum of 3months experience in chronic / acute hemodialysis as aRN.

EDUCATIONand LICENSURE :

• Graduate of anaccredited School of Nursing.
• Currentappropriate state licensure.
• Current orsuccessful completion of CPR BLSCertification.
• Must meet the practicerequirements in the state in which he or she isemployed.

EXPERIENCEAND REQUIRED SKILLS :

• Entry level for RNs with less than 1 year ofNephrology Nursing experience in the last two years as aRN.
• Minimum of 9 months experience as aRegistered Nurse (preferred).
• Chronic / acutehemodialysis experience(preferred).

ACKNOWLEDGEMENT :

Iacknowledge that I have read and accepted this job description. Iunderstand what is expected of me in this position, and I am ableto perform the essential functions as outlined with or withoutreasonable accommodation.

Furthermore, I understand that the dutiesand responsibilities listed in this job description are intendedonly as illustrations of the various types of work that may beperformed.

The omission of specific statements of duties does notexclude them from the position if the work is similar, related, ora logical assignment to the position.

If I have any questions aboutduties and responsibilities not specified in this job descriptionthat I am asked to perform, I should discuss them with my immediateSupervisor or my Human Resourcesrepresentative.

EO / AA Employer : Minorities / Females / Veterans / Disability / Sexual Orientation / GenderIdentity

Fresenius Medical Care North America maintains a drug-freeworkplace in accordance with applicable federal and statelaws.