Registered Nurse - RN

Fresenius Medical Care•Schertz, TX

20h

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. This registered professional nurse is responsible for providing and coordinating clinically competent care for assigned 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 issues to physicians as needed. As part of the End Stage Kidney Disease health care team, the position participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The role provides and coordinates safe home dialysis care, educates patients and families, and trains patients or home partners to operate and maintain dialysis equipment and supplies. Work is performed in accordance with Fresenius Kidney Care policies and procedures, nursing standards, and applicable state and federal regulations. The position may involve patient homes and other facilities, on-call rotation, and coverage at night, on weekends, or on holidays based on program needs.

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 the certification.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Minimum of 1 year of experience as a Registered Nurse is preferred.
Home dialysis therapy experience is preferred.
To provide assigned oversight as a Team Leader or nurse in charge: complete all FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete 3 months of experience as an RN in home peritoneal dialysis and/or hemodialysis.
Ability to perform direct patient care involving heavy lifting, moving equipment and patients, and assisting with ambulation; frequent prolonged standing and bending; occasionally moving, with assistance, equipment up to 200 lbs. and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
Ability to work in a health care environment with possible exposure to infectious and contagious diseases or materials.
Ability to travel to training sites, other facilities, or patient homes as required.

Nice To Haves

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

Responsibilities

Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation.
Collect and analyze dialysis data, document it in patient medical records, modify 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 therapy 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 to the health care team and participate in staff training and new-staff orientation as assigned.
Ensure proper laboratory collection, processing, and shipping, 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 with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess barriers in candidates’ home environments and evaluate 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 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 on-call rotation as required.
Perform other duties assigned by the Supervisor.
May provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or nurse in charge after meeting the stated training and experience criteria.