Registered Nurse - RN - Dialysis

Fresenius Medical Care•Reedley, CA

2d•$36 - $55•Hybrid

About The Position

This position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours. The Registered Nurse - RN - Dialysis is responsible for providing safe and effective training and oversight of the delivery of home dialysis therapies to patients. They will also educate patients and families regarding End Stage Renal Disease (ESRD) and the company's Kidney Options Program. The role involves assessing patients' home environment for suitability and providing ongoing education regarding their renal dialysis, access, and related health conditions. The nurse will also review and enter lab orders, ensure accurate documentation, and maintain competency with emergency procedures and medication administration.

Requirements

Graduate of an accredited School of Nursing (R.N.)
Current appropriate state licensure
Successfully complete a training course in the theory and practice of dialysis therapies.
Competent at operating all Home Therapies related equipment.
Successfully complete CPR certification with maintenance as required.
Icd-9 coding Training.
Demonstrated teaching abilities.

Nice To Haves

Minimum of one year medical-surgical nursing experience preferred
ICU experience preferred
Minimum of one year dialysis experience preferred
Peritoneal experience preferred

Responsibilities

Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
Rotates with other licensed staff to ensure adequate coverage.
Participates in staff training and orientation of new staff as assigned.
Participates in all required staff meetings as scheduled.
Provides outstanding quality of patient care, as defined by company quality goals and standards.
Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
Participates in all monthly CQI meetings.
Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients’ home environment.
Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
Assesses patient and family readiness and ability to perform dialysis treatments at home and patients’ home environment for suitability in the ongoing delivery of home dialysis therapy.
Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.
Provides safe and effective delivery of home therapy support care to patients with ESRD.
Assesses patients’ response to home dialysis treatment therapy by following predetermined protocols.
Communicates patient related issues to the physician as needed.
Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.
Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.
Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.
Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.
Admits all new patients and documents as needed.
Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
Completes all monthly and annual reporting as required by company policies and government regulations.
Performs other related duties as assigned