Dialysis Registered Nurse, Home Hemo & PD

U.S. Renal Care, Inc.•Belo Horizonte, Florida

20h

About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality, including Peritoneal Dialysis or Hemodialysis. The role is accountable for delivering quality patient care and superior customer service while complying with applicable federal, state, and local regulations and nursing practice requirements. The nurse assesses patients and their home environments, coordinates care with physicians and other team members, documents nursing services in the Electronic Medical Record, supports infection control and emergency preparedness, manages supplies, monitors patient and program outcomes, obtains and communicates laboratory results, reviews medication profiles, and administers prescribed medications. The position also provides rotational on-call nursing coverage on nights and weekends as needed or assigned, and requires flexibility regarding staffing locations and hours. For Home Hemodialysis, the nurse coordinates home evaluations with technical services to confirm equipment-related electrical, plumbing, and drainage requirements, and ensures required water sampling is completed and results are monitored and reported.

Requirements

Current RN license in the applicable state, maintained in good standing.
At least 12 months of clinical experience providing nursing care.
At least 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except where state requirements are more stringent; Texas requires at least 6 months in the specific home modality.
CPR certification before patient care assignment.
Ability to distinguish all primary colors.
Successful completion of the Home Therapy Nurse Orientation program and annual demonstration of skills and competency for the assigned modality.
Working knowledge of English and ability to communicate verbally and in writing.
Basic computer skills and proficiency in all USRC clinical applications within 90 days of hire.
Meet any applicable state practice requirements.
Ability to meet applicable hiring standards, which may include additional background clearances and orientation requirements.

Nice To Haves

Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

Comply with federal, state, and local laws and regulations, including nursing practice requirements applicable to home dialysis and patient care.
Train patients and/or care partners in self-care Peritoneal Dialysis or Hemodialysis, as qualified under applicable regulations.
Conduct home visits to assess the home environment initially and at least annually, and perform additional assessments as needed.
Communicate patient assessment, reassessment, and monitoring results to physicians, team members, and others as appropriate.
Document nursing services in the Electronic Medical Record, including training, in-person interactions, and phone conversations, to support accurate records and continuity of care.
Participate in infection control monitoring, implementation, and recording as requested.
Understand emergency equipment and procedures, and regularly review emergency preparedness procedures with home patients.
Ensure clinic and patient supply inventory and usage are appropriate for prescriptions, and place orders in a timely manner.
Track and trend program and patient performance, use critical thinking and root cause analysis to improve outcomes, and assist with continuous quality improvement data collection.
Obtain routine and non-routine laboratory tests as ordered and promptly communicate critical values and urgent patient needs to the responsible physician or physician extender.
Complete and document monthly reviews of patient medication profiles and administer medications as ordered by the physician.
Provide rotational on-call nursing services on nights and weekends as needed or assigned.
Maintain flexibility regarding staffing locations and hours to accommodate patient and home program needs.
Maintain regular and reliable attendance.
For Home Hemodialysis, coordinate home evaluations with technical services to verify electrical, plumbing, and drainage requirements before patient acceptance into the home program.
For Home Hemodialysis, ensure required water sampling is completed and monitor and report water sample and culture results.