Dialysis Registered Nurse, Peritoneal RN

U.S. Renal Care, Inc.•Los Angeles, CA

About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality. Qualified under applicable federal and state regulations, the nurse provides quality patient care and superior customer service in internal and external interactions. The role requires compliance with applicable laws, regulations, and nursing practice requirements; maintaining accurate electronic medical records; supporting infection control and emergency preparedness; and contributing to continuous quality improvement. The nurse may provide home hemodialysis support in addition to peritoneal dialysis duties, including coordinating home evaluations and monitoring water sampling, as applicable.

Requirements

Current RN license in the applicable state, maintained in good standing.
At least 12 months of clinical nursing care experience and 3 months of experience in the specific modality for which home dialysis training will be provided; some states have more stringent requirements, such as Texas requiring 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 applicable state practice requirements and any applicable hiring, background clearance, and orientation requirements.

Nice To Haves

Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

Train patients and/or care partners in self-care peritoneal dialysis or hemodialysis in accordance with applicable federal and state requirements.
Conduct initial and at least annual home visits to assess the patient’s home environment, with additional visits as needed; routinely evaluate patient performance.
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, accurately reflecting patient status and interventions to support continuity of care.
Participate in infection control monitoring, implementation, and recording as requested.
Know 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 ordered routine and non-routine laboratory tests and promptly communicate critical results and urgent patient needs to the responsible physician or physician extender.
Review patient medication profiles monthly, document the reviews, and administer medications as ordered.
Provide on-call nursing services on a rotational basis as needed or assigned, including nights and weekends.
Be flexible with 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 ensure electrical, plumbing, and drainage requirements are met 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.