Outpatient Registered Nurse, RN-Area Float
Company: Fresenius Medical Care
Location: Union City
Posted on: April 16, 2024
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Job Description:
POSITION FEATURES:2 years of Dialysis Nursing Experience
requiredArea Float-Float Differential PaidPURPOSE 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
CertificationMust 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
experienceACKNOWLEDGEMENT:I acknowledge that I have read and
accepted this job description. I understand what is expected of me
in this position, and I am able to perform the essential functions
as outlined with or without reasonable accommodation. Furthermore,
I understand that the duties and responsibilities listed in this
job description are intended only as illustrations of the various
types of work that may be performed. The omission of specific
statements of duties does not exclude them from the position if the
work is similar, related, or a logical assignment to the position.
If I have any questions about duties and responsibilities not
specified in this job description that I am asked to perform, I
should discuss them with my immediate Supervisor or my Human
Resources representative.Employee Name (Please Print):Employee
Signature:Date:ADDENDUM(S): -Clinical Advancement Program (CAP)
QualityCompetency demonstrated through fostering a Culture of
Patient Safety and quality as evidenced by Improved Patient Health
OutcomesPromotes, facilitates, and collaborates with all members of
the interdisciplinary team (IDT) and patient care team on the
application of quality improvement principles, activities in the
delivery of care, identification of risk areas and opportunities
for improvement, and root cause analysis (RCA)Promotes, advances,
and assists with implementation of FKC clinical, educational, and
quality initiatives.Mentors and trains team members to monitor the
effectiveness of their daily processes.Ensures documentation in
eQUIP and utilization of data, benchmarking, and graphical
representations in performance improvement activities.Analyzes,
manages, and reports data as needed to identify improvement
opportunities and measure the progress of improvement projects.Use
quality improvement tools to ensure adherence to QAI
activities.Facilitates program and annual regulatory review
auditsCollaborates with Regulatory to identify and recommend
systems and practices that would improve outcomesEmployee Name
(Please Print):Employee Signature:Date:Clinical Advancement Program
(CAP) PreceptorMaintains direct supervision of the new nurse until
graduated from new employee trainingCollaborates with team members
to identify learning opportunitiesCommunicates and collaborates
with supervisor and Education Department regarding progress of new
nurseContinues to mentor and support new nurses once released to
work independentlyMentors new RN PreceptorsEmployee Name (Please
Print):Employee Signature:Date:Clinical Advancement Program (CAP)
Multi-modality Cross TrainedCross trained to deliver patient care
across multiple modalitiesResponsible for maintaining skill set in
each cross-trained modality for the delivery of safe and effective
patient careCommunicates and collaborates with operational and
clinical leaders to support maintenance of skillsEnsures the
provision of safe and comprehensive care of patients within the
chosen modalities in accordance with all company policies and
proceduresEmbraces a commitment to patient satisfaction and
actively seeks opportunities to improve the overall patient
experience in alignment with established quality and regulatory
standardsEmployee Name (Please Print):Employee
Signature:Date:Transitional CareIn some designated programs, RNs
who have achieved a CAP 2 status may participate in our
Transitional Care Program.That program entails the
following:Following all newly admitted patients through their first
4 weeks of dialysis and coordinating their transitional dialysis
careCoordinating all education and care related matters as it
relates to the new patient; liaisons with appropriate FKC staff
members to provide the best patient experience and education to
include making sure all disciplines are scheduled to see patient
according to planDemonstrating and education on home dialysis
products to ensure patient understands the benefits of home and how
home dialysis can work for themAbility to set and perform a
treatment on all machines used in the transitional care unit. This
includes being able to demonstrate peritoneal dialysis set
upCoordinate transition to patient's permanent modality
choiceEmployee Name (Please Print):Employee Signature:Date:EO/AA
Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender IdentityFresenius Medical Care North America
maintains a drug-free workplace in accordance with applicable
federal and state laws."
Keywords: Fresenius Medical Care, Castro Valley , Outpatient Registered Nurse, RN-Area Float, Healthcare , Union City, California
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