Dialysis Registered Nurse, Home Hemo & Peritoneal RN

U.S. Renal Care, Inc.•Prince Frederick, MD

About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality, including peritoneal dialysis and hemodialysis. The role is accountable for providing quality patient care and superior customer service, while complying with applicable federal, state, and local regulations and nursing practice requirements. The nurse conducts and documents patient assessments, training, monitoring, and nursing interventions; coordinates with physicians and care teams; supports infection control and emergency preparedness; manages supplies and medications; and contributes to continuous quality improvement. For home hemodialysis patients, the nurse also coordinates home technical evaluations and monitors required water sampling. Rotational on-call work at nights and on weekends may be assigned, and the nurse must be flexible regarding staffing locations and hours.

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 home dialysis modality for which training will be provided; some states may require more, such as Texas, which requires at least 6 months in the specific home modality.
CPR certification before assignment to patient care.
Ability to distinguish all primary colors.
Successful completion of the Home Therapy Nurse Orientation program and annual demonstration of modality-specific skills and competency.
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 and hiring standards, including additional background clearances and orientation requirements where applicable.

Nice To Haves

Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

Comply with applicable federal, state, and local laws and regulations related to home dialysis and patient care.
Train patients and/or care partners in self-care peritoneal dialysis or hemodialysis, as qualified under applicable regulations.
Conduct initial and at least annual home visits to assess the patient’s home environment; perform additional assessments as needed.
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, to support accurate records and continuity of care.
Participate in infection control monitoring, implementation, and recording as requested.
Know emergency equipment and procedures, and review emergency preparedness procedures with home patients.
Ensure clinic and patient supply inventories and usage match prescriptions, and place orders in a timely manner.
Track and analyze 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 needs to the responsible physician or physician extender.
Review patient medication profiles monthly, document the reviews, and administer medications as ordered.
Provide rotational on-call nursing services at night and on weekends as needed or assigned.
Remain flexible regarding 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 confirm required electrical, plumbing, and drainage conditions before program acceptance.
For home hemodialysis, ensure required water sampling is completed, and monitor and report water sample and culture results.