Outpatient Registered Nurse - RN

Fresenius Medical Care•Concord, NH

12d

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is accountable for providing and coordinating 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 such as RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and facility operations. All duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The RN performs essential functions under the direction of a Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role provides direct patient care in a healthcare facility and may require travel to training sites or other facilities. A $7,500 bonus is mentioned.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level RN designation for RNs with less than 2 years of nephrology nursing experience.
To provide assigned 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 regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and, occasionally with assistance, moving machines or equipment weighing up to 200 lbs. and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
May be exposed to infectious and contagious diseases or materials.

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 treatment plans as indicated, and notify appropriate clinical personnel or physicians when needed.
Assess and document patients’ and families’ basic learning needs and provide initial and ongoing education.
Coordinate and provide, in collaboration with direct and ancillary patient care staff, the daily safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource for the healthcare 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 Clinical Advancement Program requirements to advance.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.