Outpatient Registered Nurse - RN

Fresenius Medical Care•Springfield, MA
•$31 - $52

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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. As a member of the End Stage Kidney Disease 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 works under the direction of a Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. No prior dialysis experience is required; the posting describes 12 weeks of paid, structured training with an assigned Preceptor and Nurse Educator. The role requires completion of CAP requirements for advancement. The position may require travel to training sites or other facilities, and may include performing essential functions at other locations. Pay is $31.00–$52.00 per hour. The rate depends on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of it.
  • Meet the practice requirements in the state of employment.
  • Entry-level RN designation for registered nurses with less than two years of nephrology nursing experience.
  • Must complete the applicable Fresenius Kidney Care education and training requirements before assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.
  • For assigned oversight as a Team Leader or designated Nurse in Charge, a minimum of nine months of RN experience and three months of chronic or acute hemodialysis experience as an RN are required.
  • Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; prolonged standing and bending; and, occasionally with assistance, moving machines or equipment up to 200 pounds and lifting chemical or water solutions up to 30 pounds as high as five feet.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust or modify the treatment plan as indicated, and notify the appropriate clinical staff or physician as needed.
  • Assess and document patient and family learning needs and provide initial and ongoing education.
  • Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with direct and ancillary patient-care staff.
  • Administer medications as prescribed or according to approved algorithms, documenting 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 new-staff orientation 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 CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.

Benefits

  • 12 weeks of paid, structured training with an assigned Preceptor and Nurse Educator.
  • Up to $4,400 in tuition reimbursement per calendar year.
  • Medical insurance.
  • Dental insurance.
  • Vision insurance.
  • 401(k) with company match.
  • Paid time off.
  • Parental leave.
  • Major holidays off.
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