Registered Nurse - RN - Dialysis

Fresenius Medical Care•West Jordan, UT

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The nurse provides and coordinates clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under a Supervisor’s direction, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. The position includes direct patient care, home dialysis assessment and training, and coordination with patients, home care partners, and the interdisciplinary team. It may also involve assigned oversight of other care team members after specified training and experience requirements are met. The role involves direct patient care and regular heavy lifting and movement of equipment and patients, with assistance as needed. Work includes frequent, prolonged standing and bending, and may involve moving equipment weighing up to 200 pounds with assistance and lifting chemical or water solutions weighing up to 30 pounds. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious or contagious diseases or materials may occur. The role includes an on-call rotation and coverage rotation, and may require travel to training sites, other facilities, or patient homes.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of the certification.
Meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
To have assigned oversight as a Team Leader or designated Nurse in charge: complete all FKC new-employee education and training requirements, have at least 12 months of RN experience, and complete 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
Ability to meet the position’s physical demands, including frequent prolonged standing and bending, regular heavy lifting and moving of equipment and patients, and lifting chemical or water solutions up to 30 pounds.
Availability for assigned coverage rotation and on-call rotation, including night, weekend, and holiday coverage as required by program needs.
May be required to travel to training sites, other facilities, or patient homes.

Nice To Haves

At least 1 year of experience as a Registered Nurse (preferred).
Home dialysis therapy experience (preferred).

Responsibilities

Collect and analyze dialysis data for assigned patients, document it in the medical record, adjust treatment plans as indicated, and notify the Supervisor or physician as needed.
Assess, collaborate on, 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 direct and ancillary 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 for the health care team and participate in staff training and new-staff orientation as assigned.
Ensure laboratory specimens are collected, processed, and shipped correctly, and reschedule missed or insufficient collections.
Identify expected outcomes and document and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensure patients are aware of transplant and treatment modality options.
Assist in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess Home Dialysis candidates’ home environments and identify barriers, including partner or family readiness and ability to perform treatments at home.
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 to advance.
Rotate coverage with other licensed home therapies staff as assigned and participate in the on-call rotation.
Perform other duties assigned by the Supervisor.
Provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, once the stated training and experience conditions are met.