Acute Inpatient Registered Nurse - RN

Fresenius Medical Care•Concord, NH

11d•Onsite

About The Position

The Inpatient Services Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may include delegation of appropriate tasks to patient-care staff and participation in clinical decision-making, patient and family teaching, leadership functions, and quality-improvement activities. This position primarily covers Manchester, New Hampshire-area locations, including Concord Hospital and Catholic Medical Center, and may cover Keene, New Hampshire, and Dartmouth as needed. The nurse works under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. No prior RN dialysis experience is required; the position includes 11 weeks of paid, structured training with an assigned Preceptor and Nurse Educator. The nurse may also be assigned to assist at an outpatient facility as needed. The role involves direct patient care in healthcare facilities and travel between assigned facilities and training or meeting sites. It includes an on-call rotation and may require night, weekend, or holiday work according to program needs. The position has regular physical demands, including prolonged standing, bending, assisting with patient movement and ambulation, and occasionally moving equipment or lifting solutions.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and must meet practice requirements in all states where employed.
Current CPR BLS certification or successful completion of the certification.
At least 9 months of experience as a Registered Nurse; 12 months is preferred.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as an RN.
Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by program needs.
Ability to travel to training and meeting sites and between assigned facilities.
Ability to perform the position's physical functions, with or without reasonable accommodation, including prolonged standing, bending, patient movement and ambulation assistance, and occasional movement of equipment and lifting of solutions.

Nice To Haves

Six months of acute dialysis experience.
Hemodialysis and/or ICU experience.

Responsibilities

Perform assigned essential functions under the direction of the Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse.
Collect and analyze patient data before, during, and after treatment; document findings; modify treatment plans as indicated; and notify appropriate personnel.
Assess, collaborate on, and document the basic learning needs of patients and families, and provide initial and ongoing education.
Recognize changes or implications in patient status and report or collaborate with appropriate members of the healthcare team.
Direct and provide safe, effective care for assigned patients in accordance with prescribed modality-specific treatment procedures.
Assess daily patient-care needs and collaborate with direct and ancillary patient-care staff as needed.
Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel to support continuity of care.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, including notifying the physician and blood supplier of adverse reactions as appropriate.
Administer prescribed medications and document medical justification and effectiveness.
Initiate and assist with emergency response measures.
Serve as a healthcare-team resource and participate in staff training and orientation of new staff as assigned.
Provide specialized nursing-care instruction to hospital or facility staff when contractually stipulated.
Assist in an outpatient facility when assigned.
Complete CAP requirements to advance.
Perform other duties assigned by the Supervisor.