Outpatient Registered Nurse - RN

Fresenius Medical Care•Londonderry, NH
•Onsite

About The Position

The Outpatient Registered Nurse (RN CAP 1) is an entry-level designation in the Clinical Advancement Program (CAP). The role is responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse contributes to decision-making, patient and family education, leadership functions, quality improvement, and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The role includes 11 weeks of paid, on-the-job training. Training takes place Monday through Friday; after training, the stated clinic schedule is Mondays, Wednesdays, and Fridays. No prior dialysis experience is required. Employees are expected to complete CAP requirements to advance. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Major holidays are described as off.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and compliance with practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level RN role for candidates with less than 2 years of nephrology nursing experience as a Registered Nurse.
  • Complete required Fresenius Kidney Care education and training requirements for new employees.
  • Ability to meet the position’s physical demands, including regularly lifting, moving, and assisting patients with ambulation; frequent prolonged standing and bending; and occasionally moving equipment with assistance and lifting chemical and water solutions.
  • May be required to travel to training sites or other facilities.

Nice To Haves

  • Chronic or acute hemodialysis experience is preferred.
  • No prior dialysis experience is required; on-the-job training is provided.

Responsibilities

  • Collect and analyze patient data before, during, and after hemodialysis treatment; document findings, adjust treatment plans as indicated, and notify the appropriate team member or physician as needed.
  • Assess and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
  • Direct and provide the daily delivery of safe and effective hemodialysis therapy in collaboration with patient care and ancillary staff.
  • Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness as appropriate.
  • 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 CAP requirements to advance.
  • Perform other duties assigned by the Supervisor.

Benefits

  • 11 weeks of paid training.
  • Pay increase and promotion upon certification.
  • Up to $5,200 in RN tuition reimbursement per calendar year.
  • Major holidays off.
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