RN Outpatient Full-time
Fresenius Medical Care

Outpatient Registered Nurse - RN

apartment Fresenius Medical Care location_onRoanoke, VA, US
Apply Now

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.

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 for health care team participates in staff training and orientation of new staff as assigned.
  • 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.
  • Required to complete CAP requirements to 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 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/LVNs/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 9 months experience as a RN.
  • 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 less than 1 year of Nephrology Nursing experience in the last two years as a RN.
  • Minimum of 9 months experience as a Registered Nurse (preferred).
  • Chronic/acute hemodialysis experience (preferred).

 

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

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Manager/Supervisor Outpatient Full-time
Centra Health

RN Clinic Supervisor-Bedford PACE-FT-Days

apartment Centra Health location_onBedford, VA
Job Description The Registered Nurse (RN) Clinic Supervisor, acting within his/her scope of practice, provides direct and indirect nursing care to assigned patients. He/she works under supervision of the Site Director or designee but is independent in the application of advanced nursing knowledge and skills. The Registered Nurse (RN) Clinic Supervisor manages complex clinical situations for which he/she is responsible and supervises both licensed and non-licensed personnel. Responsibilities Essential Duties and Responsibilities: Assists the PACE/Adult Day Center Site Director in developing a plan of care based on nursing process that incorporates the plans of other disciplines and continuing care needs; includes the patient/family in developing or revising the plan of care; makes referrals to multidisciplinary support service Assist the Medical Director and clinic staff in coordinating initial and periodic assessment as part of the interdisciplinary team Complies with expectations to meet staffing demands based on patient care needs Demonstrates understanding of age-related characteristics and needs of patients served Acts as coordinator of patient care with other health care personnel Performs nursing assessment using critical thinking skills Establishes a compassionate environment by providing emotional, psychological and spiritual support to patients and families Ensures that all care provided in the clinic by the clinic team conforms to accepted practice standards Identifies patients' problems/needs and set priorities Oversees the clinic team to ensure that all participant care needs are addressed Interprets and records latest diagnostic results Meets a standardized set of competencies for the specific position established by Centra and approved by the Centers for Medicare and Medicaid Services (CMS) before working independently Monitors unsafe working conditions Participates in the coordination of a hours care delivery for participants Provides correct treatments/procedures and other care as prescribed and according to patient care standards Recognizes inappropriate and/or ineffective patient care management resolves issues/problem and completes written reports Handles conflict resolution opportunities in an appropriate, timely, and consistent manner Ability to act as site director backup at the Adult Day Center Facility with appropriate training Other Functions May perform other duties as assigned or requested and job specification can be modified or updated at any time Supervisory Responsibilities This role directly supervises a varying number of clinic staff members and indirectly supervises facility certified nursing assistants Qualifications Required Qualifications: Graduate of an accredited nursing program with a current Virginia or multistate nursing license At least 2 years of nursing experience. Must have practiced nursing within the last 3 years Hold a current, active, American Heart Association Basic Life Support (AHA BLS) course completion card. Preferred Qualifications Bachelor's of Science Degree in Nursing (BSN) One (1) year of experience in supervision
RN ICU Full-time
Centra Health

Clinical Registered Nurse II - Specialty A-BMH ICU-FT/Variable Hours

apartment Centra Health location_onBedford, VA
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost-effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program if hired to Centra as a new graduate nurse Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Hold a current, active American Heart Association Basic Life Support (AHA BLS) course completion card.
RN OR Full-time
Centra Health

Operating Room & Endoscopy RN, PRN, BMH

apartment Centra Health location_onBedford, VA
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program (NRP) for new nurses with less than six (6) months of experience Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse
RN OR Full-time
Centra Health

Operating Room RN, PRN, BMH Clinical Registered Nurse II - Specialty B

apartment Centra Health location_onBedford, VA
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program (NRP) for new nurses with less than six (6) months of experience Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse
RN ER Full-time
Centra Health

Clinical Registered Nurse II - Specialty B-BMH Emergency Room-WEO B/7p-7a (EVERY OTHER WEEKEND)

apartment Centra Health location_onBedford, VA
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost-effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program if hired to Centra as a new graduate nurse Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Hold a current, active American Heart Association Basic Life Support (AHA BLS) course completion card.