Outpatient Registered Nurse - RN at Fresenius Medical Care North America Houston, TX

Outpatient Registered Nurse – RN (Full‑time) – Houston, TX

Staff Registered Nurse (RN) within the hemodialysis team, responsible for supervising direct‑patient staff and delivering high quality care to patients undergoing chronic hemodialysis.

• Customer Service:
  • Drive the FMS culture through values and customer service standards.
  • Accountable for outstanding service to all external and internal customers.
  • Develop and maintain effective relationships through timely communication.
  • Respond to, resolve, and follow up on customer service issues promptly.
• Staff Related:
  • Direct patient–care technicians in safe and effective delivery of chronic hemodialysis therapy per facility policy and applicable regulations.
  • Delegate tasks to direct patient–care staff (LVN/LPN, patient‑care technicians, dialysis assistants).
  • Assess daily patient–care needs and develop appropriate assignments.
  • Monitor staff techniques and adherence to policy and procedures.
  • Participate in staff training and orientation of new staff.
  • Attend all required staff meetings as scheduled.
• Patient Related –
  
  Education:
  
  
  • Ensure patient and family educational needs regarding ESRD are met.
  • Provide ongoing education on renal disease, vascular access, dialysis therapy, and related health conditions.
  • Discuss diet, fluid, and medication compliance with patients.
  • Provide patient‑specific education on adequacy measures (OLC, AMP, UKM).
  • Ensure transplant and modality awareness and reduce catheter use.
  • Educate patients on laboratory values and their relationship to adequate dialysis therapy and treatment schedule.
• Patient Related – Dialysis Treatment:
  • Deliver safe, effective care to ESRD patients.
  • Accurately implement treatment prescriptions including sodium modeling and ultrafiltration modeling where appropriate.
  • Assess response to therapy, adjust plan as directed by physician.
  • Communicate problems or concerns to Team Leader or physician.
  • Initiate and conduct initial and annual nursing assessment and ongoing documentation of patient care needs per FMC policies.
  • Participate in pre‑evaluation, initiation, monitoring, termination, access, homeostasis, and post‑evaluation processes per FMC procedures.
  • Intervene for changes in adequacy status and troubleshoot access flow issues as identified by OLC/AMP.
  • Supervise and monitor hemodialysis access care.
  • Administer and document interdialytic transfusions, notify adverse reactions to physician and blood supplier.
  • Ensure accurate documentation by Patient Care Technician on hemodialysis treatment sheet.
• Laboratory Related:
  • Transcribe and enter physician lab orders into the Medical Information System.
  • Ensure preparation of lab requisitions for Spectra or alternate lab.
  • Use correct lab tubes and perform proper draw and processing procedures.
  • Follow up on missed labs and insufficient specimens per company policies.
  • Package specimens per DOT policies for shipment of blood or body fluids.
  • Direct labs to appropriate facilities.
  • Report abnormal lab results to physician, forward results as requested.
• General Duties:
  • Enforce all company policies, procedures, and regulations.
  • Maintain overall shift operation safely and efficiently.
  • Act as a resource for other staff.
  • Meet regularly with Clinical Manager to discuss personnel and patient status.
  • Collaborate with physicians and other health‑team members to interpret and coordinate patient care.
  • Provide assistance with prescription refills per FMCNA policies.
  • Ensure all physician orders are entered timely.
  • Oversee documentation and maintain facility drug list.
  • Maintain competency in emergency procedures; initiate CPR and other measures as needed.
  • Ensure verification and availability of emergency equipment; provide vaccinations, immunizations, and annual TB testing.
  • Administer medications per policy; document justification for controlled substances.
  • Assist with patient transportation coordination.
• Maintenance/Technical:
  • Maintain a clean, safe, sanitary dialysis treatment area.
  • Demonstrate competency in operating dialysis equipment.
  • Keep patient stations and machines clean and appropriately positioned.
  • Respond to blood spills per Bloodborne Pathogen Control Policies.
• Medical Records &…