Dialysis Registered Nurse, Home Hemo & Peritoneal RN

U.S. Renal Care, Inc.•Arlington, VA

About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality. The role is accountable for providing quality care and superior customer service in internal and external interactions. The nurse must comply with applicable federal, state, and local regulations governing home dialysis and nursing practice. The position involves training patients and care partners in peritoneal dialysis or hemodialysis, evaluating patients and their home environments, communicating patient status to physicians and care teams, and maintaining accurate documentation in the Electronic Medical Record. The nurse also supports infection control, emergency preparedness, supplies and medications, laboratory testing, and continuous quality improvement activities. On-call nursing services may be required on a rotating basis, including nights and weekends, and flexibility with work locations and hours is expected. For home hemodialysis, the nurse coordinates a technical home evaluation and ensures required water sampling and reporting are completed. The role requires a current RN license, relevant clinical and modality experience, CPR certification, completion of the Home Therapy Nurse Orientation program, and proficiency with required clinical applications.

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; states with more stringent requirements may require more, 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 any applicable state practice requirements.
Ability to meet minimum hiring standards, which may include additional background clearances and orientation requirements for the assigned program.
Ability to perform the essential duties satisfactorily.

Nice To Haves

Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

Comply with federal, state, and local laws and regulations applicable to the home dialysis program and patient care.
Train patients and/or care partners in self-care peritoneal dialysis or hemodialysis in accordance with applicable regulations.
Conduct home visits to assess the patient’s home environment initially and at least annually, with more frequent evaluations as needed.
Communicate patient assessments, reassessments, and ongoing monitoring results to physicians, team members, and others as appropriate.
Document nursing services and patient status in the Electronic Medical Record to support continuity of care.
Participate in infection control monitoring, implementation, and recording as requested.
Learn emergency equipment and procedures and regularly review emergency preparedness procedures with home patients.
Ensure clinic and patient supply inventory and usage align with prescriptions, and place orders promptly.
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 lab values and urgent patient needs to the responsible physician or physician extender.
Review patient medication profiles monthly and administer medications as ordered by the physician.
Provide rotational on-call nursing services, including nights and weekends, as needed or assigned.
Be flexible with staffing locations and hours to meet patient and home program needs, and maintain regular and reliable attendance.
For home hemodialysis, coordinate a home evaluation with technical services to verify electrical, plumbing, and drainage requirements before patient acceptance into the program.
For home hemodialysis, ensure required water sampling is completed, and monitor and report water sample and culture results.