Outpatient Registered Nurse - RN

Fresenius Medical Care•Claremont, NH

13d

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, including RNs, LVN/LPNs, and Patient Care Technicians. As part of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other RNs. The role includes assessing patients before, during, and after hemodialysis; documenting care; coordinating treatment and education; administering prescribed medications; assisting with emergency response; supporting staff training; and contributing to interdisciplinary care planning. The position involves direct patient care in a health care facility and may include travel to training sites or other facilities. Physical demands include frequent standing, bending, heavy lifting, moving patients, and occasionally moving equipment or lifting chemical and water solutions. The employee may be exposed to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet practice requirements in the state of employment.
Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To receive assigned oversight as 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.
Must be able to perform direct patient-care duties involving regular heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of machines and 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.
May be required to travel to training sites or other facilities.

Nice To Haves

Chronic or acute hemodialysis experience is preferred.

Responsibilities

Collect and analyze patient data before, during, and after hemodialysis; document findings, make indicated treatment-plan adjustments, and notify the Team Leader, Charge Nurse, Supervisor, or Physician as needed.
Assess and document patient and family learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective hemodialysis therapy with direct and ancillary patient-care staff.
Administer prescribed medications or medications under 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.
May provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.