Outpatient Registered Nurse - RN

Fresenius Medical Care•Milford, NH

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The role is accountable for providing and coordinating clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. Duties may include delegating appropriate tasks to patient-care staff such as RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Work is performed under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The role includes care throughout hemodialysis treatment and patient and family education, and requires completion of CAP requirements for advancement. Assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or Nurse in Charge is possible after completion of the stated education and training requirements and experience thresholds. The job involves direct patient care in a health care facility. Physical demands include frequent and prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation. With assistance, the employee may occasionally move 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 has controlled air temperature and moderate noise levels and may involve exposure to infectious or contagious diseases and materials. Daily tasks also include desk and computer work 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 job’s essential functions at other locations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Entry-level position for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight as a Team Leader or 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.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Perform essential functions under the direction of the Supervisor, 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 Team Leader, Charge Nurse, Supervisor, 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 patient-care and ancillary staff, safe and effective hemodialysis therapy for assigned patients.
Administer prescribed medications or medications in accordance with 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 laboratory 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.