Outpatient Registered Nurse

Position Overview

The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or have advanced from RN CAP 1. This position is accountable for the provision and coordination of clinically competent care – including assessment, planning, intervention, and evaluation – for an assigned group of patients. It may include delegating appropriate tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Key Responsibilities

• Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
• Systematically collect and analyze patient data pre-, during, and post-hemodialysis treatment, document findings, adjust treatment plans as indicated, and notify the appropriate team member or Physician as needed.
• Assess, collaborate, and document patients’ and families’ learning needs to provide both initial and ongoing education.
• Direct and provide, in collaboration with direct and ancillary patient care staff, safe and effective delivery of hemodialysis therapy.
• Administer medications as prescribed or in accordance with approved algorithms, ensuring documentation of medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
• Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient laboratory collections.
• Collaborate with the Interdisciplinary Team to document and update nursing assessments and plans of care for assigned patients.
• Ensure patient awareness regarding transplant and treatment modality options.
• Participate in education and quality improvement projects at the facility and area levels, as directed by the Supervisor.
• Serve as a Preceptor to new employees when required.
• Complete CAP requirements to maintain or advance within the program.
• Perform any other duties as assigned by the Supervisor in accordance with Fresenius Kidney Care policies, procedures, and standards.

Required Qualifications

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the state’s practice requirements.
• Entry level for RNs with a minimum of 2 years of Nephrology Nursing experience.
• For leadership roles, assigned oversight of Patient Care Technicians, LVN/LPNs, or RNs is expected after successful completion of all FKC education and training requirements and a minimum of 3 months’ experience in chronic/acute hemodialysis.
• Required to complete CAP requirements to maintain or advance.