Outpatient Registered Nurse - RN

Fresenius Medical Care•Londonderry, NH
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level position in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease health care team, the RN contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The role includes paid, on-the-job training for 11 weeks to prepare for national certification. Training is Monday through Friday; after training, the stated clinic schedule is Monday, Wednesday, and Friday. No prior dialysis experience is required. Upon certification, the employee receives a pay increase and promotion. Major holidays are off. The posting also highlights tuition reimbursement of up to $5,200 per calendar year for RNs. Responsibilities are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The RN works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role may require travel to training sites or other facilities.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • To receive assigned oversight responsibilities as Team Leader or Nurse in Charge: 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 direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment weighing up to 200 lbs.; and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
  • May be exposed to infectious and contagious diseases or materials.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collects and analyzes patient data before, during, and after hemodialysis treatment; documents findings, adjusts or modifies treatment plans as indicated, and notifies appropriate clinical staff or physicians as needed.
  • Assesses and documents patients’ and families’ basic learning needs and provides initial and ongoing education.
  • Directs and provides, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
  • Administers prescribed medications or medications under approved algorithms, and documents medical justification and effectiveness.
  • Initiates or assists with emergency response measures.
  • Serves as a resource for the health care team and participates in staff training and orientation of new staff as assigned.
  • Ensures laboratory specimens are collected, processed, and shipped correctly; reschedules missed or insufficient collections.
  • Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
  • Ensures patients are aware of transplant and treatment modality options.
  • Completes Clinical Advancement Program requirements to advance.
  • Performs other duties assigned by the Supervisor.
  • May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated education, training, and experience requirements.

Benefits

  • Up to $5,200 in RN tuition reimbursement per calendar year.
  • Paid 11 weeks of on-the-job training.
  • Pay increase and promotion upon certification.
  • Major holidays off.
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