Outpatient Registered Nurse - RN

Fresenius Medical Care•Newburyport, MA

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 is part of the End Stage Kidney Disease health care team and contributes to decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse delivers safe and effective hemodialysis care in accordance with company policies and procedures, nursing practice standards, and applicable state and federal regulations. The position works under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor and in collaboration with other Registered Nurses. New hires receive 11 weeks of paid, structured training with an assigned Preceptor and Nurse Educator; prior RN dialysis experience is not required. The role involves direct patient care in a health care facility and may require travel to training sites or other facilities. Physical demands include regularly lifting and moving patients and assisting with ambulation, frequent prolonged standing and bending, and occasional assisted movement of machines and equipment weighing up to 200 pounds. The employee may also lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment has controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases or materials. The listed pay rate is $37–$56; the actual rate depends on work location and the candidate’s qualifications. The benefits package includes medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave, and up to $4,400 in tuition reimbursement per calendar year. Major holidays are off.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of the certification.
  • Must meet the practice requirements in the state of employment.
  • The role is entry level for Registered Nurses with less than two years of nephrology nursing experience.
  • Must complete the required Clinical Advancement Program requirements to advance.

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 treatment plans as indicated, and notify the appropriate clinical staff or physician when needed.
  • Assess, collaborate on, 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 medications as prescribed or 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 new staff orientation 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 assigned by the Supervisor.

Benefits

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