Home Therapies RN

Fresenius Medical Care•Morristown, TN

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse is accountable for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role 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 part of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, 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 a Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position includes patient and family education, care coordination, staff support, home dialysis candidate assessment and training, and participation in coverage rotations and on-call duties. The work may involve patient homes, training sites, and other facilities.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Complete CAP requirements to advance.
Physical ability to perform patient-care tasks involving regular heavy lifting, moving equipment and patients, and assisting with ambulation; frequent prolonged standing and bending; occasional assisted movement of machines and equipment up to 200 lbs.; and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
Ability to work in a healthcare environment with possible exposure to infectious and contagious diseases or materials.
Availability for on-call rotation and night, weekend, or holiday work as program needs require; travel to training sites, other facilities, or patient homes may be required.

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 for assigned patients, document findings in medical records, adjust treatment plans as 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 and document 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 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.
Assist in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess home environment barriers and the readiness and ability of Home Dialysis candidates and their partners or families to perform home treatments.
Train Home Dialysis patients and/or Home Partners in the safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
Complete CAP requirements to advance.
Rotate coverage with other licensed home therapies staff and participate in the on-call rotation, including night, weekend, and holiday coverage as program needs require.
Perform other duties assigned by the Supervisor.