Registered Nurse - RN - Dialysis

Fresenius Medical Care•San Diego, CA

22d•$35 - $65•Onsite

About The Position

The Home Therapies Registered Nurse (RN CAP 2) provides and coordinates clinically competent care for an assigned group of dialysis patients, including assessment, planning, intervention, and evaluation. As part of the End Stage Kidney Disease care team, the RN participates in clinical decision-making, patient and family education, leadership, and quality improvement activities. 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, training patients in peritoneal and home hemodialysis using standardized programs and equipment. The RN works under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. After completing required training and meeting experience requirements, the RN may provide assigned oversight of other nursing and patient care staff as a team leader or nurse in charge. Duties are performed in accordance with company policies, nursing standards, and applicable state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and must meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
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 staff oversight.
At least 3 months of experience in home dialysis therapies as an RN to provide assigned oversight of staff as a team leader or nurse in charge.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; assistance from equipment or coworkers may be available.
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 5 feet.
Ability to work in a healthcare environment with moderate noise and possible exposure to infectious and contagious diseases or materials.
Ability to work on-call rotations and nights, weekends, or holidays as program needs require.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings, adjust treatment plans as indicated, and notify the Supervisor or physician when needed.
Assess and document patients’ and families’ learning needs, and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis care in collaboration with patients, home care partners, and patient care 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 current employees.
Ensure laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
Collaborate with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment modality options.
Assist with identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess home environments and partner or family readiness and ability to perform home dialysis.
Train home dialysis patients and/or home partners in safe, effective operation and maintenance of equipment and treatment supplies through a standardized training program.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance within the Clinical Advancement Program.
Rotate coverage with other licensed home therapy staff and participate in on-call coverage as assigned.
Travel to training sites, other facilities, and patient homes when required.
Perform other duties as assigned by the Supervisor.