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

Outpatient Registered Nurse – RN (Full‑time) – Houston, TX Role Overview Staff Registered Nurse (RN) within the hemodialysis team, responsible for supervising direct‑patient staff and delivering high quality care to patients undergoing chronic hemodialysis. Duties and Responsibilities 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 & Documentation: Ensure all relevant data (orders, lab results, vitals, parameters, status) is documented and entered into the Medical Information System. Verify accuracy of Patient Care Technician documentation. Review daily completion of treatment sheets. Follow opening and closing procedures; monitor safe exit of staff and patients. Initiate and complete continuous quality improvement reports and nurses’ progress notes. Ensure medical records completeness and proper notation (Addressograph label). Review transplant status as per procedure. Complete new patient care plans within 30 days of admission and monthly plans for unstable patients. Complete long‑term program documentation as due. Complete initial and annual nursing history and assessment physicals. Conduct annual standing order reviews with physicians as required. Other: Perform additional duties as assigned. Physical Demands and Working Conditions Physical demands include heavy lifting, moving patients, ambulation support, and frequent prolonged standing. Ability to bend, kneel, sit, and stand for periods up to 8 hours. Capacity to lift up to 200 lbs. with assistance, and lift chemical/water solutions up to 30 lbs. and 5 feet high. Work environment in a health‑care facility with controlled temperature and moderate noise. Exposure to infectious and contagious materials possible. Required Ishihara color‑blindness test; failure does not preclude employment if accommodations are possible. Education Graduate of an accredited School of Nursing. Current, appropriate state licensure. Meet practice requirements for the state of employment. Experience and Required Skills Minimum one year of medical–surgical nursing experience (preferred). Hemodialysis experience required. ICU experience preferred. Completion of training course in theory and practice of hemodialysis. CPR certification. Coverage at any/all area facilities as required. ICD‑9 coding training. Technical training for nurses. Meet appropriate state requirements (if any). Legal Statements Fresenius Medical Care is a drug‑free workplace in accordance with applicable federal and state laws. EOE, disability/veterans #J-18808-Ljbffr Hong Kong Study Skills Research Institute