Registered Nurse - RN - Dialysis

Fresenius Medical Care•Forest Grove, OR

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The Registered Nurse 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 according to prescribed protocols and communicates patient-related concerns to the physician as needed. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse performs duties in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. Work is performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The role may include designated team-leader or nurse-in-charge oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants after the stated training and experience requirements are met. The position involves direct patient care in a health care facility and may also require work in patient homes, travel to training sites or other facilities, and participation in an on-call rotation. Physical duties include frequent and prolonged standing, bending, and assisting with patients and equipment, including occasional movement of heavy equipment with assistance.

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.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Must complete FKC education and training requirements for new employees and meet applicable requirements before being assigned oversight responsibilities.
For designated team-leader or nurse-in-charge oversight: minimum of 12 months’ experience as an RN and successful completion of 3 months’ experience as an RN in home peritoneal dialysis and/or hemodialysis.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing and bending, assisting with patient ambulation and moving equipment, and occasionally moving equipment up to 200 lbs. with assistance or lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
Ability to participate in an on-call rotation and work nights, weekends, holidays, or other hours as individual program needs require.
May be required to travel to training sites, other facilities, or patient homes.

Nice To Haves

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

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in the medical record, adjust or modify treatment plans as indicated, and notify the Supervisor or physician as needed.
Assess and document patients’ and families’ basic 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 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 for the health care team and participate in staff training and orientation of new staff as assigned.
Ensure correct laboratory collection, processing, and shipping procedures, 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 barriers in the candidate’s home environment and the readiness and ability of partners or family members to perform home dialysis treatments.
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 as assigned by the Supervisor.