Outpatient Registered Nurse - RN

2021 Americas Most Loved Workplaces by Newsweek For outpatient clinics NO: Overnight, Sundays or on-call shifts, major holidays off (Thanksgiving, Christmas & New Year’s Day) No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator 70,000 dedicated employees, 200,000 patients, 2,600 dialysis centers, 350 research sites across North America Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the countrys largest renal specialty laboratories Benefits & PTO accrual start after 30 days of employment Matching 401k up to 6% PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses

The CAP RN 1 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

As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations

PRINCIPAL DUTIES AND RESPONSIBILITIES: 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

Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment

Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the 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, in collaboration with direct and ancillary patient care staff, 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/familys basic learning needs to provide initial and ongoing education to patients and family

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 Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling

Checks availability of adequate emergency equipment and supplies as assigned Assists with medication tracking and inventory as assigned Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned

Participates in all required staff meetings as scheduled Supports and promotes the FMCNAs mission, vision, values, and customer service philosophy 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 and 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 health care 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 and 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 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 9 months experience as an RN plus Successful completion of 3 months experience in chronic hemodialysis.

Education

G raduate 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 less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years

Minimum of 9 months experience as a Registered Nurse (preferred) 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 Ishiharas Color Blindness Test Successful completion of all annual required education/training/competencies

Successful completion of on-going training and education as assigned or required Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors