Outpatient Registered Nurse - RN

Fresenius Medical Care; Detroit (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Fresenius Medical Care in Detroit is seeking an entry-level Registered Nurse for the Clinical Advancement Program (CAP). This CAP1 role provides and coordinates clinically competent care for an assigned patient group, including assessment, planning, intervention and evaluation during hemodialysis.

Under supervision, you will collect patient data, adjust treatment plans, educate patients and families, administer medications per protocol, and participate in team-based quality improvement.

Qualifications

• 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.
• Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

Responsibilities

• Provide and coordinate clinically competent care including assessment, planning, intervention and evaluation.
• Perform ongoing data collection and analysis during hemodialysis treatment and adjust care plan as needed.
• Educate patient and family on learning needs and treatment options.
• Administer medications as prescribed and document effectiveness.
• Direct and collaborate with staff to ensure safe delivery of dialysis therapy.

Skills

RN License

Patient Care

CPR/BLS Certification

Education

Graduate of an accredited School of Nursing

Job description

PURPOSE AND SCOPE:

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) health care team, this position 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 Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.

· 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, 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 health care 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 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, 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/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 2 years of Nephrology Nursing experience as a Registered Nurse.

· Chronic/acute hemodialysis experience (preferred).

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

• NW Detroit Clinic Address: 18944 Grand River Ave, Detroit, MI 48223

• Clinic Hours: Monday-Saturday, 5am-4:30pm, closed Sunday

• Rotating days/shifts

• No previous dialysis experience needed, on the job training is provided