Nurse Practitioner

1 month ago


Marysville, Washington, United States Fresenius Medical Care Holdings, Inc. Full time
Purpose and Scope:

The 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) healthcare 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:
  1. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
  2. Performs 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.
  3. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
  4. Directs 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.
  5. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
  6. Initiates or assists with emergency response measures.
  7. Serves as a resource for healthcare team, participates in staff training and orientation of new staff as assigned.
  8. Ensures correct laboratory collection, processing, and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
  9. Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
  10. Ensures patient awareness related to transplant and treatment modality options.
  11. Required to complete CAP requirements to advance.
  12. Performs all other duties as assigned by Supervisor.
Physical Demands and Working Conditions:

The 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.

The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation.

The 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.

The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.

May be exposed to infectious and contagious diseases/materials.

Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.

The position may require travel to training sites or other facilities.

May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment.



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