Registered Nurse - RN

Fresenius Medical Care•Dundee, MI

About The Position

The Home Therapies Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role assesses and manages patients’ responses to home dialysis training and treatment according to established protocols and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease health care team, the RN contributes to clinical decision-making, education, leadership, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. The RN serves as an onsite patient educator and case manager, empowering and training patients in peritoneal and home hemodialysis using formal training programs and equipment. The role includes direct patient care, coordination with patients and home care partners, and rotation of coverage with other licensed home therapies staff. Paid one-on-one training and education are provided. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN may provide assigned oversight of other clinical staff as a Team Leader or nurse in charge after meeting the specified education, training, and experience requirements.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS certification or successful completion of certification.
Meet the practice requirements in the state of employment.
Entry-level position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Must complete Fresenius Kidney Care education and training requirements for new employees before being assigned oversight of staff as a Team Leader or nurse in charge.
For assigned oversight of staff as a Team Leader or nurse in charge: at least 12 months of RN experience and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
Able to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting and moving equipment or patients, and assisting with ambulation.
Able to move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as 5 feet.
Able to participate in on-call rotations and work nights, weekends, or holidays as required by program needs.
Able to travel to training sites, other facilities, or patient homes as required.

Nice To Haves

At least 1 year of experience as a Registered Nurse.
Home dialysis therapy experience.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in the medical record, adjust treatment plans when indicated, and notify the Supervisor or physician as needed.
Assess and document the learning needs of patients and families and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapy with patients, home care partners, and direct and ancillary care staff.
Administer prescribed medications or medications according to 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 home environment barriers and the readiness and ability of a candidate’s partner or family to perform home dialysis treatments.
Train home dialysis patients and/or home partners in safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
Complete Clinical Advancement Program requirements to advance.
Rotate coverage with other licensed home therapies staff as assigned, including participation in the on-call rotation.
Perform other duties as assigned by the Supervisor.