Outpatient Registered Nurse - RN
Company: Fresenius Medical Care
Location: Salem
Posted on: May 13, 2022
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Job Description:
PURPOSE AND SCOPE: The professional registered nurse (CAP RN 2)
position may be an entry level CAP designation for new employees
that meet the CAP RN 2 criteria or attained through advancement by
the CAP RN 1. The CAP RN 2 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 2 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 and with the
guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for
the first 3 months of employment. Required to complete CAP program
requirements to either maintain the CAP RN 2 level or advance to
CAP RN 3. 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, 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 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/family's basic learning needs including direct and
ancillary patient care staff to provide initial and ongoing
education to patients and family. [Serves as a 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](). May serve as a Preceptor to new employees. As a
Preceptor fulfills the following: Demonstrates, reinforces, and
encourages attitudes and actions which are consistent with FKC
Mission and Core Values. Follows schedule established by the
Education Department to ensure that information presented in class
is applied in the clinical setting. Seeks opportunities for new
employees and communicates progress to Clinical Manager. Provides
feedback about new employee's progress to the CM and the Education
Department using evaluation tools and direct communication.
Completes all documentation in a timely manner. Maintains direct
supervision of the new employee until the employee is released to
work independently by the Education Department and CM. Encourages
the new employee to function independently within the constraints
of the training schedule and supplies positive feedback as well as
suggestions to improve knowledge and skills. Performs essential
functions of a Team Leader as assigned by the Clinical Manager or
Charge Nurse [Performs essential functions of a designated Nurse in
charge as assigned by the Clinical Manager.]() Collaborates with
the interdisciplinary team in the assessment and development of
patient plans of care. 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 daily as assigned. Assists with medication tracking and
inventory as assigned. Serves as a resource for health care team,
participates in staff training, orientation of new staff as
assigned. Participates in all required staff meetings as scheduled.
Supports and promotes the FMCNA's mission, vision, values, and
customer service philosophy. Provides education to staff members
regarding updates to policy and procedures as directed by
Supervisor. Participates in education and quality improvement
projects at the facility and area level as directed by Supervisor.
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 3 months
experience in chronic hemodialysis plus Achieve and maintain all
CAP RN 2 level criteria. EDUCATION: Graduate 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
2 years or more of nephrology nursing experience within the last
two years or BSN plus 1 year of nephrology nursing experience
within the last two years. 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 Ishihara's Color Blindness Test. Successful
completion of all annual required education/training/competencies.
Successful completion of on-going training and education as
assigned or required. EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
Identity Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care, Salem , Outpatient Registered Nurse - RN, Other , Salem, Oregon
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