Dialysis Registered Nurse, Home Hemo & Peritoneal RN

U.S. Renal Care, Inc.•Naples, FL

About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality, including peritoneal dialysis or hemodialysis. The role delivers quality patient care and superior customer service while complying with applicable federal, state, and local laws and regulations. The nurse is accountable for documenting care, supporting patient safety and emergency preparedness, monitoring clinical outcomes, and coordinating care with physicians and other team members. The position may require flexible staffing locations and hours, as well as rotational on-call nursing services at night and on weekends. Home hemodialysis responsibilities also include coordinating home technical evaluations and overseeing required water sampling.

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; states with more stringent requirements may require more, such as Texas requiring 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 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 applicable state practice requirements.
Meet applicable hiring standards, which may include additional background clearances and orientation requirements.
Regular and reliable attendance.

Nice To Haves

Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

Comply with applicable federal, state, and local laws and regulations concerning home dialysis programs and patient care.
Train patients and/or care partners in self-care peritoneal dialysis or hemodialysis, as qualified under applicable regulations.
Conduct home visits to assess the patient's home environment initially and at least annually, with additional assessments as needed.
Evaluate patient performance and communicate 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 continuity of care.
Participate in infection-control monitoring, implementation, and recording as requested.
Know emergency equipment and procedures, and regularly review emergency preparedness procedures with home patients.
Ensure clinic and patient supply inventories and usage align with prescriptions, and place orders in a timely manner.
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 results and urgent patient needs to the responsible physician or physician extender.
Review patient medication profiles monthly, document the reviews, and administer medications as ordered by the physician.
Provide rotational on-call nursing services at night and on weekends as needed or assigned.
Accommodate home program needs through flexibility in staffing locations and hours, and maintain regular and reliable attendance.
For home hemodialysis, coordinate a home evaluation with technical services to confirm 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.