Outpatient Registered Nurse - RN

Fresenius Medical Care • Portsmouth, NH

2d • Onsite

About The Position

The Outpatient Registered Nurse 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 may include delegating appropriate tasks to direct patient care staff and participating as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations.

The position performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role provides direct hemodialysis patient care and may involve oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting specified training and experience requirements.

The role includes direct patient care in a health care facility and may require travel to training sites or other facilities. Physical demands include regularly lifting and moving patients and assisting with ambulation; frequent, prolonged standing and bending; and occasional assisted movement of machines or equipment weighing up to 200 pounds and lifting chemical and water solutions weighing up to 30 pounds as high as five feet. The work environment has air temperature control and moderate noise levels, and may involve exposure to infectious or contagious diseases or materials.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and compliance with practice requirements in the state of employment.
• Current CPR BLS Certification or successful completion of CPR BLS Certification.
• Entry-level position for Registered Nurses with less than 2 years of nephrology nursing experience as an RN.
• For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees, at least 9 months of RN experience, and at least 3 months of chronic or acute hemodialysis experience as an RN.
• Ability to perform the physical demands of direct patient care, including lifting and moving patients, assisting with ambulation, standing for prolonged periods, and bending.

Nice To Haves

• Chronic or acute hemodialysis experience.

Responsibilities

• Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify treatment plans as indicated, and notify the appropriate clinical staff or physician as needed.
• Assess, collaborate on, 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 medications as prescribed or according to approved algorithms, and document medical justification and effectiveness.
• 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 laboratory specimens are collected, processed, and shipped correctly; 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 Clinical Advancement Program requirements to advance.
• Perform other duties assigned by the Supervisor.
• After meeting the required training and experience criteria, 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 and 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