Outpatient Registered Nurse - RN

Fresenius Medical Care • Salem, NH

1d • Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in the Clinical Advancement Program. The nurse provides and coordinates clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role is part of the End Stage Kidney Disease health care team and contributes to decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and facility operations.

The nurse works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. The role includes direct patient care and may include delegation and oversight of appropriate tasks for patient care staff. All work must comply with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. CAP requirements must be completed to advance.

The job involves direct patient care, including lifting and moving patients and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines or equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds as high as five feet. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases or materials may occur. Work includes desk and computer tasks and interaction with patients, facility or hospital staff, and physicians. Travel to training sites or other facilities may be required, and the employee may be asked to perform the role at other locations under the same conditions.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and ability to meet practice requirements in the state of employment.
• Current CPR BLS Certification or successful completion of CPR BLS Certification.
• Entry-level RN designation for nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• For assigned oversight as Team Leader or designated Nurse in Charge: successfully complete all FKC education and training requirements for new employees, have at least 9 months of RN experience, and have at least 3 months of chronic or acute hemodialysis experience as an RN.
• Ability to perform the described physical functions, including frequent prolonged standing and bending, and patient lifting, moving, and ambulation assistance; assistance or equipment may be used.

Nice To Haves

• Chronic or acute hemodialysis experience is preferred.

Responsibilities

• Collect and analyze patient data systematically before, during, and after hemodialysis; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical personnel or physician when needed.
• Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
• Direct and provide, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
• Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
• Initiate or assist with emergency response measures.
• Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
• Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
• Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
• Ensure patients are aware of transplant and treatment modality options.
• Complete CAP requirements to advance.
• Perform other duties assigned by the Supervisor.
• After meeting the stated qualifications, provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

Benefits

• 11 weeks of paid, structured training with an assigned Preceptor and Nurse Educator.
• Up to $4,400 in tuition reimbursement per calendar year.
• Major holidays off.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree