Home Therapies RN

Fresenius Medical Care • Erwin, TN

3d

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The registered professional nurse is responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The nurse assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols and communicates patient-related issues to the physician as needed. As a member of the End Stage Kidney Disease health care team, the nurse contributes to decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations.

The role performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. Work is performed under a Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position involves direct patient care and training patients or home partners to operate and maintain home dialysis equipment and supplies. It includes participation in on-call rotations and may involve travel to training sites, other facilities, or patient homes.

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 it.
• Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
• The stated Team Leader or nurse-in-charge oversight assignment requires completion of FKC education and training requirements for new employees, at least 12 months of RN experience, and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
• Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting and moving of equipment or patients, and assisting with ambulation. Assistance may be provided by equipment or coworkers.
• Ability to occasionally move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
• Ability to work in settings where exposure to infectious and contagious diseases or materials may occur.
• Availability for assigned coverage rotation and on-call participation, including nights, weekends, and holidays as required by program needs.
• Ability to travel to training sites, other facilities, or patient homes as the position may require.

Nice To Haves

• Minimum of 1 year of experience as a Registered Nurse (preferred).
• Home dialysis therapy experience (preferred).

Responsibilities

• Collect and analyze dialysis data on an ongoing, systematic basis; document findings, adjust treatment plans when indicated, and notify the Supervisor or physician as needed.
• Assess and document patient and family learning needs and provide initial and ongoing education.
• Coordinate and provide safe, effective dialysis therapy with the patient, home care partner, and direct and ancillary care staff.
• Administer prescribed medications or medications under approved algorithms, documenting 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 orientation as assigned.
• Ensure laboratory specimens are collected, processed, and shipped correctly; 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.
• Assist with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
• Assess barriers in candidates’ home environments and evaluate partner or family readiness and ability to perform home dialysis treatments.
• Train Home Dialysis patients and/or Home Partners in the safe and effective operation and maintenance of home dialysis equipment and treatment supplies through a formal training program.
• Complete CAP requirements to advance.
• Rotate coverage with other licensed home therapies staff as assigned and participate in the on-call rotation.
• Perform other duties assigned by the Supervisor.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level