Outpatient Registered Nurse - RN

Fresenius Medical Care•Shrewsbury, MA
•$33 - $56

About The Position

The Outpatient Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The nurse is accountable for providing and coordinating 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 (ESKD) health care team and contributes to decision-making, patient and family education, leadership functions, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and 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 Registered Nurses. The position provides direct patient care, including monitoring patients before, during, and after hemodialysis treatment, coordinating safe and effective treatment, administering prescribed medications, responding to emergencies, and collaborating with the Interdisciplinary Team. The nurse may also serve as a resource for the health care team and participate in training and orientation of new staff. The position involves regular heavy lifting, moving and assisting patients, frequent and prolonged standing, and bending. Employees may occasionally 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. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases or materials may occur. Work includes desk and computer tasks and interactions 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 position’s essential functions at other locations.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet the practice requirements in the state where employed.
  • Entry-level designation for registered nurses with less than two years of Nephrology Nursing experience as a Registered Nurse.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.

Responsibilities

  • Collect, analyze, and document patient data before, during, and after hemodialysis treatment; adjust or modify treatment plans as indicated and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
  • Assess 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 delivery of safe and effective 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 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.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential for performance-based bonuses depending on company and individual performance (for bonus-eligible positions)
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