Registered Nurse - RN - Dialysis

Fresenius Medical Care•Santa Fe, NM

8d•Onsite

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The role 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 by following established protocols and communicates patient-related issues to physicians as needed. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities to support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. It serves as an onsite patient educator and case manager for patients with varying shifts and work hours. The nurse trains patients and home partners in peritoneal and home hemodialysis using formal training programs and equipment. Duties are performed in accordance with Fresenius Kidney Care policies, standards of nursing practice, and applicable state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and compliance with practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Must complete Fresenius Kidney Care education and training requirements for new employees before assigned oversight of other staff.
At least 12 months of RN experience and three months of RN experience in home peritoneal dialysis and/or hemodialysis are required for assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a team leader or nurse in charge.
Entry-level designation for RNs with less than two years of nephrology nursing experience as a Registered Nurse.

Nice To Haves

At least one year of experience as a Registered Nurse is preferred.
Home dialysis therapy experience is preferred.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings, adjusts treatment plans when indicated, and notifies a supervisor or physician as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Coordinates and provides safe, effective dialysis therapy 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 for the health care team and participates in staff training and new-staff orientation as assigned.
Ensures laboratory samples are collected, processed, and shipped correctly, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and care plans in collaboration with the Interdisciplinary Team.
Ensures patients are aware of 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 home partners or family members to support dialysis treatments.
Trains home dialysis patients and home partners in safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
Completes Clinical Advancement Program requirements to advance.
Rotates coverage with other licensed home therapies staff and participates in on-call coverage as assigned.
Performs other duties assigned by the supervisor.