Outpatient Registered Nurse - RN - Dialysis

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

Job summary

Fresenius Medical Care Goshen, IN seeks an experienced RN CAP 2 to provide and coordinate clinically competent care for an assigned group of patients undergoing hemodialysis. The role involves assessment, planning, intervention, and evaluation with collaboration across the care team.

The RN will educate patients and families, supervise or mentor staff, participate in quality improvement, and maintain documentation in the patient record.

Qualifications

• RN CAP 2 entry level designation into the CAP program or advancement from RN CAP 1.
• Includes assessment, planning, intervention, and evaluation for assigned patients.
• Demonstrates leadership in education, quality improvement, and teamwork.

Responsibilities

• Perform essential functions under supervision with guidance from educator or RN peers.
• Collect and analyze patient data during hemodialysis and adjust treatment plans accordingly.
• Educate patients and families on learning needs related to care and modalities.
• Deliver safe hemodialysis therapy with the care team and document in medical records.
• Administer medications per physician orders or approved algorithms and document.
• Initiate or assist with emergency response measures as needed.
• Serve as resource and mentor for new staff and support CAP requirements.
• Ensure proper lab collection, processing and shipping, rescheduling missed labs.

Skills

Nursing assessment

Care planning

Patient education

Medication administration

Emergency response

Team leadership

Documentation

Education

Graduate of an accredited School of Nursing

Current appropriate state licensure

CPR BLS Certification

Job description

PURPOSE AND SCOPE

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 attained through advancement from RN CAP 1. 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, 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, and area 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.
• Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.
• May serve as a Preceptor to new employees.
• Required to complete CAP requirements to 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 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//LVN/LPNs/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 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 minimum of 2 years of Nephrology Nursing experience

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

EOE, disability/veterans