Registered Nurse - RN - Dialysis

Fresenius Medical Care•Chicago, IL

13d•Onsite

About The Position

The Home Therapies Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN 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 established protocols and communicates patient-related issues to physicians as needed. As part of the End Stage Kidney Disease health care team, the RN contributes to clinical decision-making, patient and family education, leadership, quality improvement, and facility operations. This position focuses on home hemodialysis and peritoneal dialysis. The RN works independently and makes necessary clinical decisions, completes home dialysis training, and assesses patients’ homes and readiness to perform treatments. The position includes annual home visits for stable patients and additional visits as needed, on-call coverage, and flexibility to support other clinics. The stated clinic schedule is Monday through Friday, 8 a.m. to 5 p.m., with flexibility required; on-call, night, weekend, and holiday coverage may also be required based on program needs. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The role may include oversight of other clinical team members after the stated experience and training requirements are met. The position is based at 2620 West Addison St., Chicago, IL 60618, and may involve travel to training sites, other facilities, and patient homes.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and compliance with practice requirements in the state of employment.
Current CPR BLS certification or successful completion of the certification.
Complete six months of training for home hemodialysis and peritoneal dialysis, as stated in the job details.
Entry-level designation for registered nurses with less than two years of nephrology nursing experience.
Must meet CAP advancement requirements.
For assigned oversight of clinical staff as team leader or nurse in charge: complete all Fresenius Kidney Care education and training requirements for new employees, have at least 12 months of RN experience, and complete three months of RN experience in home peritoneal dialysis and/or hemodialysis.
Ability to perform duties involving frequent, prolonged standing and bending; regular heavy lifting, moving equipment and patients, and assisting with ambulation; occasional assisted movement of machines and equipment up to 200 pounds; and lifting chemical and water solutions up to 30 pounds as high as five feet.
Ability to participate in on-call rotations, including nights, weekends, and holidays as program needs require.
Ability to travel to training sites, other facilities, and patient homes as required.

Nice To Haves

Dialysis experience is highly preferred.
At least one year of experience as a registered nurse is preferred.
Home dialysis therapy experience is 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 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 to 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.
Collaborate with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment-modality options.
Assist with identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess home-environment barriers and the readiness and ability of home partners and families to support 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.
Perform annual home visits for stable patients, schedule additional visits when needed, and conduct home assessments and observations.
Participate in on-call rotation and rotate coverage with other licensed home therapies staff as assigned.
Remain flexible to cover the assigned clinic and assist with coverage at other clinics as needed.
Complete Clinical Advancement Program requirements to advance.
Perform other duties assigned by the supervisor.