Outpatient Registered Nurse - RN

Fresenius Medical Care; Town of Florida (NY); On-site; USD 85,000 - 105,000; Full time

Job summary

Fresenius Medical Care in the Orlando area is seeking a qualified Outpatient RN CAP 4 to deliver and coordinate clinically competent care for an assigned patient group. You will assess, plan, intervene and evaluate care, with potential delegation to RNs, LVN/LPNs and Patient Care Technicians.

You will participate in decision-making, teaching, leadership and quality improvement activities within the ESKD care team, and support CAP advancement through mentorship and education.

Qualifications

• Minimum of 7 years nephrology nursing experience as an RN.
• National certification in Dialysis Nursing (CDN), Nephrology Nursing (CNN) or CHN.
• Current state nursing licensure and CPR/BLS certification.

Responsibilities

• Performs essential functions under supervision with guidance from Clinical Educator or Nurse in Charge.
• Documents patient data during hemodialysis and adjusts treatment plans as indicated.
• Educates patients and families about learning needs and care plans; provides ongoing education.
• Delivers safe, effective chronic hemodialysis therapy and coordinates with direct care staff.
• Administers prescribed medications and documents justification and effectiveness.
• Responds to emergencies and serves as a resource for staff and patients.
• Leads education or quality improvement projects as directed by supervision.
• May serve as Preceptor to new staff.

Skills

Nephrology nursing

CPR/BLS

Education

Registered Nurse (RN)

Job description

PURPOSE AND SCOPE

The professional registered nurse Outpatient RN CAP 4 is a designation in the Clinical Advancement Program (CAP) and is attained through advancement from RN CAP 3. 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.

• Float RN for Orlando area
• float to other areas

PURPOSE AND SCOPE

The professional registered nurse Outpatient RN CAP 4 is a designation in the Clinical Advancement Program (CAP) and is attained through advancement from RN CAP 3. 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 the guidance from the Clinical Educator, Preceptor or in collaboration with another Registered Nurse.
• 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 chronic 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, area, region, and group level.
• 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.
• Serves as a lead for educational or quality improvement projects at the facility, area or regional level as directed or approved by the Supervisor.
• May serve as a Preceptor to new employees
• Required to complete CAP requirements to either maintain or 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:

• 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

• Minimum of 7 years Nephrology Nursing experience as a RN.
• National certification in Dialysis Nursing (CDN), Nephrology Nursing (CNN) or Certified Hemodialysis Nurse (CHN).
• Chronic/acute hemodialysis experience (preferred).

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

EOE, disability/veterans