incenter RN

Fresenius Medical Care•Exeter, NH

12d•Onsite

About The Position

The Outpatient RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The registered nurse 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 a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in clinical decision-making, patient teaching, leadership functions, 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 nurse works under the direction of the Supervisor, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. After completing required education and training and meeting experience requirements, the nurse may be assigned oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge. The position involves direct patient care in a health care facility and may require travel to training sites or other facilities. Work includes desk and computer work, patient and staff interaction, prolonged standing, bending, and regularly lifting or moving patients. Assistance or equipment may be available for patient handling.

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 practice requirements in the state of employment.
Entry-level position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
To be assigned oversight as a Team Leader or designated Nurse in Charge, successful completion of all Fresenius Kidney Care education and training requirements for new employees is required.
To be assigned oversight as a Team Leader or designated Nurse in Charge, at least 9 months of experience as an RN is required.
To be assigned oversight as a Team Leader or designated Nurse in Charge, at least 3 months of chronic or acute hemodialysis experience as an RN is required.
Ability to meet the role’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 or water solutions.

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 the appropriate clinical personnel 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 safe and effective delivery of hemodialysis therapy to assigned patients.
Administer prescribed medications or medications in accordance with approved algorithms, documenting 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 orientation of new staff as assigned.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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.
Perform essential functions under the Supervisor’s direction and with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses.
May oversee Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge after meeting the stated education, training, and experience requirements.