Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care•Keene, NH

2d•Onsite

About The Position

The Home Therapies RN CAP 3 is a designation in Fresenius Kidney Care’s Clinical Advancement Program, attained through advancement from RN CAP 2. The position provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. It may include delegating appropriate tasks to direct patient care staff. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The RN provides safe and effective home dialysis care in accordance with company policies, nursing practice standards, and applicable state and federal regulations. The position includes patient and family education, home dialysis candidate assessment and training, coordination with the interdisciplinary team, and support for staff development and quality improvement. The RN may provide designated oversight of other care team members after meeting the stated experience requirement.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Meet the practice requirements in the state of employment.
Minimum of 5 years of Nephrology Nursing experience as an RN.
To provide designated oversight as Team Leader or Nurse in Charge, at least 3 months of experience in home dialysis therapies as an RN is required.
Complete CAP requirements to maintain or advance designation.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings, adjust treatment plans as indicated, and notify a Supervisor or physician as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapy in collaboration with patients, home care partners, direct care staff, and ancillary staff.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are correctly collected, processed, and shipped, 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.
Help identify, evaluate, select, and educate home dialysis candidates and home partners.
Assess home environment barriers and the readiness and ability of partners or family members to support home dialysis.
Train home dialysis patients and/or home partners in safe and effective therapy, including use and maintenance of home dialysis equipment and supplies.
Lead or participate in facility-, area-, or region-level education and quality improvement projects as directed or approved by a Supervisor.
May serve as a Preceptor to new employees.
Complete Clinical Advancement Program requirements to maintain or advance designation.
Provide assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians, and Home Care Team Assistants as Team Leader or designated Nurse in Charge after meeting the stated experience requirement.
Rotate coverage with other licensed home therapy staff and participate in the on-call rotation, including night, weekend, or holiday coverage as program needs require.
Travel to training sites, other facilities, or patient homes as required.
Perform other duties assigned by the Supervisor.