Registered Nurse - RN - Dialysis

Fresenius Medical Care • Phoenix, AZ

6h

About The Position

The Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The RN may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations.

The RN delivers and coordinates safe, effective home dialysis care; assesses patients and their families, develops and updates care plans, provides education, administers prescribed medications, responds to emergencies, and supports home dialysis candidates and their partners through assessment and training. The role also includes mentoring and coaching colleagues, completing required Clinical Advancement Program requirements, and following Fresenius Kidney Care policies, nursing standards, and applicable regulations.

This position involves direct patient care, physical activity, potential exposure to infectious materials, and rotating coverage with other licensed home therapy staff. On-call rotation and night, weekend, or holiday work may be required according to program needs. Travel to training sites, other facilities, and patient homes may be required.

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 the certification.
• At least 2 years of nephrology nursing experience as an RN within the last 2 years.
• Must complete all Fresenius Kidney Care education and training requirements for new employees before being assigned oversight of other staff as Team Leader or Nurse in Charge.
• At least 3 months of home dialysis therapy experience as an RN before being assigned oversight of other staff as Team Leader or Nurse in Charge.
• Ability to meet the physical demands of direct patient care, including regularly lifting and moving patients, assisting with ambulation, frequent and prolonged standing, and bending.
• May need to move machines and equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. to a height of 5 feet.
• Ability to participate in on-call rotation and work nights, weekends, or holidays as program needs require.
• Ability to travel to training sites, other facilities, and patient homes as required.

Responsibilities

• Perform ongoing, systematic collection and analysis of dialysis data for assigned patients; document findings, 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 and provide safe, effective dialysis therapies in collaboration with patients, home care partners, and direct and ancillary patient care staff.
• Administer medications as prescribed or under approved algorithms and document medical justification and effectiveness.
• Initiate or assist with emergency response measures.
• Serve as a resource, leader, coach, mentor, and role model for new and current employees.
• 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 candidates’ partners or families to perform home dialysis.
• Train home dialysis patients and/or Home Partners in the safe and effective operation and maintenance of equipment and supplies through the standardized training program.
• Participate in facility- and area-level education and quality improvement projects as directed.
• May serve as a preceptor to new employees.
• Complete Clinical Advancement Program requirements to maintain or advance.
• Rotate coverage with other licensed home therapy staff and participate in on-call coverage as assigned.
• Perform other duties as assigned by the supervisor.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level