Registered Nurse - RN

Fresenius Medical Care•Corpus Christi, TX

18h

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role assesses and manages patients’ responses to home dialysis training and treatment using prescribed protocols and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease health care team, the nurse participates in clinical decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. It functions as an onsite Patient Educator and Case Manager, training patients and/or Home Partners in peritoneal and home hemodialysis using organized training programs, equipment, and supplies. Paid one-on-one training and education are provided. Work is performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current CPR BLS Certification or successful completion of certification.
Entry-level RN designation for nurses with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Complete CAP requirements to advance.
The job’s supervision section specifies that oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants requires successful completion of FKC education and training for new employees, at least 12 months of RN experience, and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
Able to meet the described physical demands, including frequent prolonged standing, bending, and assisting with patient and equipment movement.

Nice To Haves

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

Responsibilities

Perform essential functions under the direction of the Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
Collect and analyze dialysis data for assigned patients, document findings in medical records, adjust treatment plans as indicated, and notify the Supervisor or physician as needed.
Assess, collaborate on, and document patients’ and families’ basic learning needs, and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapy in collaboration with the patient, Home Care Partner, and direct and ancillary patient care staff.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource to the health care team and participate in staff training and new-staff orientation 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 the home environment and identify barriers, including partner or family readiness and ability to perform home dialysis treatments.
Train Home Dialysis patients and/or Home Partners in the safe, effective operation and maintenance of home dialysis equipment and treatment supplies through the 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.