Registered Nurse - RN - Dialysis

Fresenius Medical Care•Prescott Valley, AZ

About The Position

The professional registered nurse Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, standards of nursing practice, and applicable state and federal regulations. Under the direction of the Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse, the nurse delivers and coordinates safe dialysis therapies, monitors and documents patient data, administers medications, educates patients and families, and contributes to each patient’s plan of care. Home therapies duties include helping identify and educate home dialysis candidates and partners, assessing home readiness, and training patients or partners to safely operate and maintain equipment and supplies through a standardized training program. The role may include team-leader or Nurse-in-Charge oversight of designated care staff after completion of training and experience requirements. The position involves direct patient care, frequent and prolonged standing, bending, and assisting with patient movement and ambulation. It may require moving equipment and lifting supplies, exposure to infectious materials, travel to training sites, facilities, or patient homes, and providing coverage at other locations. The nurse participates in an on-call rotation and may work nights, weekends, or holidays according to program needs.

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 CPR BLS certification.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
For assigned oversight as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees and at least 3 months of home dialysis therapies experience as an RN.
Ability to perform the stated physical demands, including assisting with patient movement and ambulation, prolonged standing, and bending.

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 proper laboratory collection, processing, and shipping, and reschedules missed or insufficient collections.
Collaborates with the Interdisciplinary Team to identify expected outcomes and document and update patient assessments and plans of care.
Ensures patients are aware of transplant and treatment-modality options.
Assists in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assesses barriers in candidates’ home environments and their partners’ or families’ readiness and ability to perform home dialysis.
Trains home dialysis patients and/or Home Partners to safely and effectively operate and maintain home dialysis equipment and treatment supplies through a standardized training program.
Participates in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Completes CAP requirements to maintain or advance in the program.
May provide assigned oversight of RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge after meeting stated training and experience requirements.
Performs other duties assigned by the Supervisor.