Registered Nurse - RN - Dialysis

Fresenius Medical Care•Swarthmore, PA

13d

About The Position

The Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient and family teaching, leadership, and quality improvement activities to enhance patient outcomes and facility operations. The role may include delegating appropriate tasks to patient care staff and is performed in accordance with Fresenius Kidney Care policies, standards of nursing practice, and applicable state and federal regulations. The RN provides safe and effective home dialysis care, educates and trains patients and home partners, and collaborates with patients, caregivers, staff, physicians, and the interdisciplinary team. The position may include oversight of other care team members after completion of required training and experience. The work involves direct patient care in a healthcare facility and may also take place in patient homes or other facilities. The RN participates in an on-call rotation and may work nights, weekends, or holidays based on program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure.
Current CPR BLS certification or successful completion of the certification.
Must meet practice requirements in the state of employment.
At least 2 years of nephrology nursing experience as an RN within the last 2 years.
Must complete Fresenius Kidney Care education and training requirements for new employees before assigned oversight responsibilities.
At least 3 months of home dialysis therapy experience as an RN before assigned oversight responsibilities.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation.
Ability to stand for frequent, prolonged periods and bend over.
May need to move machines and equipment weighing up to 200 pounds with assistance and lift chemical and water solutions weighing up to 30 pounds as high as 5 feet.
Ability to work in a healthcare environment with possible exposure to infectious and contagious diseases or materials.
Availability for on-call rotation and, depending on program needs, night, weekend, or holiday coverage.
Ability to travel to training sites, other facilities, and patient homes as required.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings, adjusts treatment plans as indicated, and notifies a supervisor or physician when needed.
Assesses and documents patient and family learning needs and provides initial and ongoing education.
Coordinates and provides safe, effective dialysis therapies in collaboration with patients, home care partners, and direct and ancillary care staff.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource, leader, coach, mentor, and role model for new and current employees.
Ensures laboratory specimens are collected, processed, and shipped correctly, and reschedules missed or insufficient collections.
Identifies expected outcomes and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Educates patients about transplant and treatment modality options.
Assists with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assesses home environment barriers and the readiness and ability of candidates and their partners or families to perform home dialysis.
Trains home dialysis patients and Home Partners in the safe and effective use and maintenance of equipment and supplies through a standardized training program.
Participates in facility- and area-level education and quality improvement projects as directed.
May serve as a preceptor to new employees.
Completes CAP requirements to maintain or advance within the program.
May oversee RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as Team Leader or Nurse in Charge after meeting specified training and experience requirements.
Rotates coverage with other licensed home therapy staff and participates in the on-call rotation.
Performs other duties assigned by the supervisor.