Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Concord, NH

4d•Hybrid

About The Position

This entry-level Registered Nurse position within the Clinical Advancement Program (CAP) is responsible for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. The role involves delegating tasks to direct patient care staff and participating in decision-making, teaching, leadership, and quality improvement activities to enhance patient care outcomes and program operations. The position offers a structured 11-week paid training program with a preceptor and nurse educator, and no prior RN dialysis experience is required. The role primarily covers Manchester, NH locations (Concord and CMC), with potential needs at Keene, NH & Dartmouth.

Requirements

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 all states in which he or she is employed.
Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN
Minimum 9 months experience as a Registered Nurse, 12 months (preferred).

Nice To Haves

No prior RN dialysis experience required
6 months acute dialysis experience (preferred)
Hemodialysis and/or ICU experience (preferred).

Responsibilities

Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.
Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.
Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.
Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
Administers medications as prescribed and documents appropriate medical justification and effectiveness.
Initiates and assists with emergency response measures.
Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.
May be assigned to assist in an Outpatient facility on an as needed basis.
Required to complete CAP requirements to advance.
Performs all other duties as assigned by Supervisor.