Registered Nurse - RN

Fresenius Medical Care•Rochester, NY

6d•$31 - $52

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 assigned patients, including assessment, planning, intervention, and evaluation. The role 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 a member of the End Stage Kidney Disease health care team, the RN participates in clinical decision-making, patient education, leadership functions, and quality improvement activities to support patient outcomes and facility operations. The position primarily works in a clinic setting and conducts initial home visits with another staff member present. The RN serves as an onsite patient educator and case manager, teaching patients and home partners to safely operate and maintain home dialysis equipment and supplies. Paid one-on-one training and education are provided. Work may include coverage across shifts and work hours, on-call rotation, and travel to training sites, other facilities, or patient homes.

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 certification.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Must complete Fresenius Kidney Care education and training requirements for new employees to receive assigned oversight of other staff as a Team Leader or designated Nurse in charge.
For assigned oversight of other staff, at least 12 months of RN experience and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis are required.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving equipment and patients, and assisting with ambulation.
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.

Nice To Haves

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

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 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 laboratory specimens are collected, processed, and shipped correctly; 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 support home dialysis.
Train Home Dialysis patients and/or Home Partners to safely and effectively operate and maintain home dialysis equipment and treatment supplies through the formal training program.
Complete CAP requirements to advance.
Rotate coverage with other licensed home therapies staff and participate in on-call coverage as assigned.
Perform other duties assigned by the Supervisor.