Outpatient Registered Nurse - RN

Purpose and Scope

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). 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.

• Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
• Perform 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.
• Assess, collaborate, and document patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Direct and provide, 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.
• Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource for health care team, participate in staff training and orientation of new staff as assigned.
• Ensure correct laboratory collection, processing and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
• Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensure patient awareness related to transplant and treatment modality options.
• Be required to complete CAP requirements to advance.
• Perform all other duties as assigned by Supervisor.

• Provide direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• Requires frequent, prolonged periods of standing and the employee must be able to bend over.
• 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.
• 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.
• 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.

• Successful completion of all FKC education and training requirements for new employees.
• Must have a minimum of 9 months experience as an RN.
• Must have a minimum of 3 months experience in chronic/acute hemodialysis as an RN.

• 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.

• Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• Chronic/acute hemodialysis experience (preferred).

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

• Major holidays off!
• No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator
• 70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America
• Largest provider of renal care products and services in the nation, including state‑of‑the‑art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories
• Up to $4,400 tuition reimbursement per calendar year