Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kennewick, WA

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. This registered nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role assesses patients’ responses to home dialysis training and treatment, follows prescribed protocols, and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, patient education, leadership, and quality improvement activities. The position primarily works in a clinic setting and includes initial home visits with another staff member present. The RN serves onsite as a patient educator and case manager, training patients and home partners in peritoneal and home hemodialysis using formal training programs and equipment. Paid one-on-one training and education are provided. The role may involve shifts and work hours that vary according to patient and program needs. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, standards of nursing practice, and applicable state and federal regulations. The position includes direct patient care and may require coverage rotation, on-call participation, and travel to training sites, other facilities, or patient homes. The work environment is characteristic of a healthcare facility, with possible exposure to infectious and contagious diseases or materials.

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 RN designation is for registered nurses with less than two years of nephrology nursing experience.
  • The job description states a minimum of one year of RN experience as preferred.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, moving equipment and patients, and assisting with ambulation.
  • Ability to move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as five feet.
  • Ability to work in a healthcare environment with moderate noise and possible exposure to infectious or contagious diseases or materials.
  • Ability to participate in an on-call rotation and night, weekend, or holiday coverage when required by program needs.
  • Ability to travel to training sites, other facilities, or patient homes when required.

Nice To Haves

  • Home dialysis therapy experience.
  • A minimum of one year of experience as a Registered Nurse.

Responsibilities

  • Collect and analyze dialysis data for assigned patients, document findings in medical records, adjust treatment plans as indicated, and notify a supervisor or physician as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Coordinate with patients, home care partners, and care staff to provide safe and effective dialysis therapy.
  • 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 healthcare team and participate in staff training and 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-environment barriers and the readiness and ability of home partners or family members to perform dialysis treatments at home.
  • Train home dialysis patients and home partners in the safe, effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
  • Rotate coverage with other licensed home therapies staff and participate in on-call coverage as assigned.
  • Perform other duties assigned by the supervisor.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses, depending on company and individual performance, for bonus-eligible positions
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