Registered Nurse - RN

Fresenius Medical Care • Lebanon, NH

5d

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program. The Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse assesses and manages patients’ responses to home dialysis training and treatment according to established protocols and communicates patient-related concerns to physicians as needed. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient and family teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations.

The position involves primary dialysis staffing at Springfield Center in Springfield, Vermont, on Mondays, Wednesdays, and Fridays, and at Fresenius Claremont and/or Lebanon clinics on Tuesdays, Thursdays, and Saturdays. Dialysis training and additional education specific to the role are provided. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The role may include assigned oversight of other nursing and patient care staff after completion of specified training and experience requirements.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and compliance with practice requirements in the state of employment.
• Current CPR BLS Certification or successful completion of the certification.
• At least one year of paid Registered Nurse experience is required, as stated in the posting.
• Must complete Fresenius Kidney Care education and training requirements before being assigned oversight of other staff.
• For assigned oversight as a Team Leader or nurse in charge: at least 12 months of RN experience and three months of RN experience in home peritoneal dialysis and/or hemodialysis, in addition to completion of required FKC education and training.
• Ability to perform direct patient care involving regular heavy lifting, moving equipment and patients, and assisting with ambulation.
• Ability to stand for frequent, prolonged periods and bend over.
• Ability, occasionally with assistance, to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.
• Ability to participate in an on-call rotation and work nights, weekends, and holidays as required by program needs.
• Ability to travel to training sites, other facilities, or patient homes as required.

Nice To Haves

• Dialysis experience preferred.
• Home dialysis therapy experience preferred.

Responsibilities

• Collect and analyze dialysis data for assigned patients, document it in medical records, 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, and care staff.
• Administer prescribed medications or medications under approved algorithms, and document 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 new staff orientation as assigned.
• Ensure correct laboratory collection, processing, and shipping procedures, and reschedule missed or insufficient collections.
• Identify expected outcomes and document and update nursing assessments and care plans 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 barriers in candidates’ home environments and evaluate partner or family readiness and ability to perform home dialysis.
• Train Home Dialysis patients and/or Home Partners in the safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
• Complete CAP requirements for advancement.
• Rotate coverage with other licensed home therapies staff as assigned, including participation in on-call coverage.
• Perform other duties assigned by the Supervisor.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level