Registered Nurse - RN - Dialysis

Fresenius Medical Care•Las Cruces, NM

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. This registered professional nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN 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 a member of the End Stage Kidney Disease health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. The RN provides care in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The role includes training home dialysis patients and partners, coordinating safe and effective dialysis treatment, and may involve travel to training sites, other facilities, or patient homes. The position may also require on-call rotation and coverage at night, on weekends, or holidays based on program needs.

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 is for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
At least 1 year of experience as a Registered Nurse is preferred.
Must complete all Fresenius Kidney Care education and training requirements for new employees and meet the stated qualifications before being assigned oversight of staff: at least 12 months of RN experience and 3 months of experience as an RN in home peritoneal dialysis and/or hemodialysis.
Ability to meet the physical demands of the position, including frequent prolonged standing, bending, heavy lifting and moving equipment or patients, and lifting chemical and water solutions up to 30 pounds.
Ability to participate in on-call rotation and coverage as required by program needs.

Nice To Haves

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

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 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 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 for the health care team and participate in staff training and 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 with identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess home environment barriers and the readiness and ability of partners or family members to perform home dialysis treatments.
Train home dialysis patients and/or partners in the safe, 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.
Perform other duties assigned by the Supervisor.