Nurse Practitioner

4 days ago


Palm Desert, California, United States Fresenius Medical Care North America Full time
Purpose and Scope:

The professional registered nurse (CAP RN 2) position is an entry-level designation for new employees who meet the CAP RN 2 criteria or have advanced through the CAP RN 1 level.

This role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients.

As a member of the Chronic Kidney Disease (CKD) healthcare team, the CAP RN 2 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Principal Duties and Responsibilities:
  • Performs all essential functions under the direction of the Clinical Manager and with guidance from the Educator, Preceptor, or a CAP RN 2, 3, 4, or 5 for the first 3 months of employment.
  • Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3.
  • 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, Clinical Manager, or Physician as needed.
  • Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
  • Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
  • Directs and provides all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
  • Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
  • Ensures correct laboratory collection, processing, and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
  • Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record.
  • Initiates or assists with emergency response measures.
  • Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.
  • Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
  • Promotes infection control, equipment, and environmental safety.
  • Assesses, collaborates, and documents patient/family's basic learning needs including direct and ancillary patient care staff to provide initial and ongoing education to patients and family.
  • Serves as a leader, coach, mentor, and role model for new and incumbent employees by setting examples of appropriate behavior, work habits, and attitudes towards patients, co-workers, supervisors, and the company at the facility and area level.
  • May serve as a Preceptor to new employees.
As a Preceptor:
  • Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.
  • Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.
  • Seeks opportunities for new employees and communicates progress to Clinical Manager.
  • Provides feedback about new employee's progress to the CM and the Education Department using evaluation tools and direct communication.
  • Completes all documentation in a timely manner.
  • Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and CM.
  • Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.
Supervision:

Assigned oversight of patient care technicians/LPNs as a Team Leader or designated Nurse in charge, after the following:

  • Successful completion of all FKC education and training requirements for new employees plus
  • Must have a minimum of 3 months experience in chronic hemodialysis plus
  • Achieve and maintain all CAP RN 2 level criteria.
Education:

Graduate of an accredited School of Nursing.

Current appropriate state licensure.

Must meet the practice requirements in the state in which he or she is employed.

Experience and Required Skills:

Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years.

Chronic hemodialysis experience (preferred).

Successful completion of FKC Education and Training requirements for new employees.

Successful completion and maintenance of CPR BLS Certification.

Meet all conditions of employment including Ishihara's Color Blindness Test.

Successful completion of all annual required education/training/competencies.

Successful completion of on-going training and education as assigned or required.


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