Outpatient Registered Nurse

3 days ago

Hickory, North Carolina, United States Fresenius Medical Care Holdings, Inc. Full time
Purpose and Scope:

The Outpatient Registered Nurse is an entry-level position in the Clinical Advancement Program (CAP). This role is accountable for providing and coordinating clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.

This position involves delegating tasks to direct patient care staff, such as RNs, LVNs/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) healthcare team, this role participates in decision-making, teaching, leadership, and quality improvement activities to enhance patient care outcomes and facility operations.

Principal Duties and Responsibilities:
  • 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.
  • Collects and analyzes patient data pre-, during-, and post-hemodialysis treatment for assigned patients and documents in the patient medical record, making adjustments or modifications to the treatment plan as indicated and notifying the 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.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the 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.
  • Ensures patient awareness related to transplant and treatment modality options.
  • Required to complete CAP requirements to advance.
  • 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. Equipment, aids, and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. 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. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

Supervision:

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.
  • Must have a minimum of 9 months experience as a RN.
  • Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
Education and Licensure:

Graduate of an accredited School of Nursing.

Current appropriate state licensure.

Current or successful completion of CPR BLS Certification.

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

Experience and Required Skills:

Entry-level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.

Minimum of 9 months experience as a Registered Nurse (preferred).

Chronic/acute hemodialysis experience (preferred).

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