Outpatient Registered Nurse - RN

Fresenius Medical Care • Portsmouth, NH

5d • Onsite

About The Position

The Outpatient Registered Nurse (RN) 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, as a member of the End Stage Kidney Disease (ESKD) health care team, participating in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations.

The role includes 11 weeks of paid, structured training with an assigned Preceptor and Nurse Educator. No prior RN dialysis experience is required. Duties are performed in accordance with Fresenius Kidney Care policies, 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.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state nursing licensure.
• Current CPR BLS certification or successful completion of CPR BLS certification.
• Meet the practice requirements in the state of employment.
• Entry-level RN designation applies to RNs with less than 2 years of nephrology nursing experience.
• To provide assigned staff oversight as a Team Leader or designated Nurse in Charge: complete all Fresenius Kidney Care 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 frequent, prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance or equipment may be available.
• May need to move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds to a height of 5 feet.
• May be exposed to infectious and contagious diseases or materials.

Nice To Haves

• Chronic or acute hemodialysis experience.

Responsibilities

• Perform essential functions under the direction of the Supervisor and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses.
• Collect and analyze patient data before, during, and after hemodialysis treatments; document findings, adjust or modify treatment plans as indicated, and notify appropriate clinical staff or physicians as needed.
• Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
• Direct and provide, in collaboration with direct and ancillary patient care staff, the daily delivery of safe and effective hemodialysis therapy to assigned patients.
• 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 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 (CAP) requirements to advance.
• Perform other duties assigned by the Supervisor.
• After meeting specified training and experience requirements, 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, 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