Outpatient Registered Nurse - RN

Fresenius Medical Care•Conway, NH

About The Position

The Outpatient Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating clinically competent care—including patient 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 clinical decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The RN performs duties in accordance with Fresenius Kidney Care policies and procedures, standards of nursing practice, and applicable state and federal regulations. The position works under a Supervisor’s direction and with guidance from a Clinical Educator, Preceptor, or other Registered Nurses. Extensive travel for training is required during the first three months of education. No dialysis experience is required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS certification or successful completion of CPR BLS certification.
Must meet the practice requirements in the state of employment.
Entry-level position for Registered Nurses with less than two years of nephrology nursing experience.
Must complete required Fresenius Kidney Care education and training requirements before receiving assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.
To receive assigned oversight as a Team Leader or designated Nurse in Charge, must have at least nine months of RN experience and at least three months of chronic/acute hemodialysis RN experience.
Able to perform direct patient-care duties that regularly involve heavy lifting, moving patients, and assisting with ambulation, with equipment or coworker assistance as needed.
Able to stand for frequent, prolonged periods and bend over.
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 as high as five feet.
Extensive travel for training during the first three months of education is required.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collects and analyzes patient data before, during, and after hemodialysis; documents findings, modifies treatment plans as indicated, and notifies appropriate clinical personnel or physicians when needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Coordinates and provides safe, effective hemodialysis therapy in collaboration with direct and ancillary patient-care staff.
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 new-staff orientation as assigned.
Ensures proper laboratory collection, processing, and shipping, and 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.