Nursing Professional

4 weeks ago


St Louis, Missouri, United States Fresenius Medical Care North America Full time
Job Summary

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.

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

Key Responsibilities
  • 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 plans as indicated and notifies Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
  • 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.
  • Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.
  • Serves as a resource for healthcare team, participates in staff training and orientation of new staff as assigned.
  • Ensures correct laboratory collection, processing, and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
  • Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

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. Equipment aids and/or coworkers may provide assistance.

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.

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.

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

  • Successful completion of all FKC education and training requirements for new employees.
  • Graduate of an accredited School of Nursing.
  • Entry-level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.

Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.



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