Outpatient Registered Nurse - RN

Fresenius Medical Care•Worcester, MA
•$33 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN provides care under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. Care and other duties must comply with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. The role is an entry-level position for RNs with less than two years of nephrology nursing experience. Chronic or acute hemodialysis experience is preferred. Candidates must graduate from an accredited School of Nursing, hold appropriate state licensure, and hold or successfully complete CPR BLS certification. The position offers an hourly rate of $33–$56, depending on work location and the candidate’s qualifications. Benefits include medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave, and potential performance-based bonuses depending on company and individual performance.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Meet the practice requirements in the state of employment.
  • Entry-level designation for Registered Nurses with less than two years of nephrology nursing experience.
  • For assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care education and training requirements for new employees, have at least nine months of RN experience, and have at least three 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 and prolonged standing; and bending.
  • Ability, occasionally with assistance, to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet.

Nice To Haves

  • Chronic or acute hemodialysis experience.

Responsibilities

  • Perform essential functions under the direction of the Supervisor and with guidance from the Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
  • 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 personnel or physician as 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, 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 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 Clinical Advancement Program requirements to advance.
  • Perform other duties as assigned by the Supervisor.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses depending on company and individual performance
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