Outpatient Registered Nurse - RN - Dialysis
Fresenius Medical Care · Houston, TX
- On site
- Full-time
- $75,000 / year
- Houston, TX
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Job highlights
- Provide direct patient care in an outpatient dialysis setting.
- Assess, plan, and coordinate patient treatment plans.
- Administer medications and monitor patient response.
- Educate patients and families on treatment options.
- Collaborate with a healthcare team and mentor colleagues.
About the role
Purpose and Scope
The Outpatient RN CAP 2 is an entry-level designation into the Clinical Advancement Program (CAP) for new employees or achieved through advancement from RN CAP 1. This role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned patient group. Responsibilities may include delegating tasks to direct patient care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, this position contributes to decision-making, teaching, leadership, and quality improvement activities to enhance patient care and facility operations.
Principal Duties and Responsibilities
All duties and responsibilities must be performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and state and federal regulations.
- Performs essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Conducts ongoing, systematic collection and analysis of patient data pre, during, and post-hemodialysis treatment for assigned patients. Documents findings in the patient medical record, makes adjustments to the treatment plan as indicated, and notifies the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assesses, collaborates, and documents patient/family basic learning needs to provide initial and ongoing education.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of daily hemodialysis therapy delivery for assigned patients, ensuring safety and effectiveness.
- Administers medications as prescribed or according to approved algorithms, documenting 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 exemplifying appropriate behavior, work habits, and attitudes.
- Ensures correct laboratory collection, processing, and shipping procedures are followed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes and documents/updates the nursing assessment and plan of care for assigned patients through Interdisciplinary Team collaboration.
- Ensures patient awareness regarding transplant and treatment modality options.
- Participates in education and quality improvement projects at the facility and area level as directed by the Supervisor.
- May serve as a Preceptor to new employees.
- Completes CAP requirements to maintain or advance.
- Performs all other duties as assigned by the Supervisor.
Physical Demands and Working Conditions
The physical demands and work environment characteristics described 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.
- Provides direct patient care, regularly involving heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- Requires frequent, prolonged periods of standing; the employee must be able to bend over.
- May occasionally be required to move, with assistance, machines and equipment up to 200 lbs, and lift chemical and water solutions 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.
- 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.
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
Key skills/competency
- Dialysis Nursing
- Registered Nurse
- Patient Assessment
- Care Planning
- Medication Administration
- Patient Education
- Nephrology Nursing
- CPR BLS Certification
- ESKD Care
- Clinical Advancement Program
Skills & topics
- Outpatient Registered Nurse
- RN
- Dialysis Nurse
- Nephrology Nurse
- Hemodialysis
- ESKD Care
- Patient Care
- Registered Nurse
- Fresenius Medical Care
- Nursing
How to get hired
- Tailor your resume: Highlight your RN experience, especially in nephrology or dialysis, and any experience with patient assessment, care planning, and medication administration for Outpatient Registered Nurse roles.
- Address the CAP program: Emphasize your interest in professional development and any experience relevant to the Clinical Advancement Program (CAP) criteria.
- Showcase relevant skills: Detail your proficiency in patient education, EKG monitoring, and emergency response measures, crucial for Dialysis RN positions.
- Prepare for technical questions: Be ready to discuss specific patient care scenarios in hemodialysis, including data collection, treatment adjustments, and medication protocols.
- Demonstrate teamwork: During interviews, provide examples of your collaboration with interdisciplinary teams and your ability to mentor or lead colleagues in a healthcare setting.
Technical preparation
Review hemodialysis procedures and protocols.,Practice patient assessment techniques.,Study medication administration and documentation.,Prepare for ECG interpretation scenarios.
Behavioral questions
Describe a time you handled a patient emergency.,How do you manage patient and family education?,Share an experience of collaborating with a team.,How do you handle heavy patient workloads?
Frequently asked questions
- What are the primary responsibilities of an Outpatient Registered Nurse at Fresenius Medical Care?
- The primary responsibilities of an Outpatient Registered Nurse at Fresenius Medical Care include providing direct patient care during hemodialysis treatments, assessing patient conditions, developing and implementing care plans, administering medications, educating patients and their families, and collaborating with the interdisciplinary healthcare team. You will also be involved in quality improvement initiatives and may mentor new staff.
- What is the Clinical Advancement Program (CAP) mentioned in the Outpatient Registered Nurse job description?
- The Clinical Advancement Program (CAP) is a professional development pathway for registered nurses at Fresenius Medical Care. The RN CAP 2 designation, as mentioned in the job description, can be an entry-level position for those meeting specific criteria or an advancement from RN CAP 1, focusing on developing comprehensive nursing skills and providing coordinated patient care.
- What kind of experience is required for the Entry-level Outpatient Registered Nurse role?
- While considered entry-level for the CAP program, this Outpatient Registered Nurse position requires a minimum of 2 years of experience in Nephrology Nursing. This ensures a solid foundation in kidney disease care before specializing further in dialysis.
- Does Fresenius Medical Care offer opportunities for professional growth for Outpatient Registered Nurses?
- Yes, Fresenius Medical Care offers significant opportunities for professional growth through its Clinical Advancement Program (CAP). This program allows nurses to advance their careers, gain new skills, and take on leadership roles, as indicated by the RN CAP 2 designation in the job posting.
- What are the physical demands of an Outpatient Registered Nurse at Fresenius Medical Care?
- The role of an Outpatient Registered Nurse involves direct patient care, which requires regular heavy lifting, moving patients, and assisting with ambulation. You'll also experience prolonged periods of standing and may need to bend over frequently. Occasional lifting of equipment up to 200 lbs and solutions up to 30 lbs is also part of the job, with reasonable accommodations available.
- How does Fresenius Medical Care support its Outpatient Registered Nurses in their roles?
- Fresenius Medical Care supports its Outpatient Registered Nurses through structured training, guidance from Clinical Educators and Preceptors, and a collaborative team environment. The company also maintains a drug-free workplace and adheres to EOE, disability/veterans guidelines, ensuring a supportive and safe working environment.