Registered Nurse - RN

Fresenius Medical Care•Lubbock, TX

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The registered professional nurse provides and coordinates clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The RN assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols and communicates patient-related issues to the physician as needed. As a member of the End Stage Kidney Disease health care team, the RN participates in clinical decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. The RN serves as an onsite patient educator and case manager, training patients and home partners in peritoneal and home hemodialysis with paid one-on-one training and education and the use of training programs and equipment. The role includes direct patient care, coordination with the interdisciplinary team, and rotating coverage and on-call responsibilities as program needs require.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and must meet the practice requirements in the state of employment.
Current or successful completion of CPR BLS Certification.
Entry-level role for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Ability to perform direct patient care involving regular heavy lifting, moving equipment and patients, and assisting with ambulation; frequent prolonged standing and bending are required.
May need to move, with assistance, machines and equipment weighing up to 200 lbs., and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Must participate in on-call rotation and may be required to work nights, weekends, or holidays based on program needs.
May be required to travel to training sites, other facilities, or patient homes.
Must complete all FKC education and training requirements for new employees and CAP requirements to advance.

Nice To Haves

Minimum of 1 year of experience as a Registered Nurse preferred.
Home dialysis therapy experience preferred.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings in the medical record, adjusts treatment plans as indicated, and notifies the Supervisor or physician as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Coordinates with patients, home care partners, and care staff to provide safe and effective dialysis therapy.
Administers prescribed medications or medications under approved algorithms and documents their justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and orientation as assigned.
Ensures correct laboratory collection, processing, and shipping procedures, and reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Assists in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assesses barriers in the candidate’s home environment and evaluates partner or family readiness and ability to perform home dialysis treatments.
Trains Home Dialysis patients and Home Partners in safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
Rotates coverage with other licensed home therapies staff and participates in the on-call rotation as assigned.
Completes CAP requirements to advance and performs other duties assigned by the Supervisor.