Registered Nurse-RN

Fresenius Medical Care•Buckhannon, WV

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse 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 nurse participates in clinical decision-making, patient education, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing standards, and applicable state and federal regulations. The role includes training patients and home partners to safely operate and maintain home dialysis equipment and supplies, coordinating patient care with the interdisciplinary team, and rotating coverage and on-call responsibilities as program needs require. The position may involve travel to training sites, other facilities, or patient homes.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS certification or successful completion of the certification.
Meet the practice requirements in the state of employment.
Entry-level position for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
For assigned oversight as Team Leader or designated Nurse in charge: complete all FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.

Nice To Haves

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

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 it in the medical record, adjust treatment plans as indicated, and notify the Supervisor or physician as needed.
Assess, collaborate on, 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 to the health care team and participate in staff training and new-staff 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 in identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess barriers in the home environment and evaluate home dialysis candidates’ and partners’ or families’ readiness and ability to perform treatments at home.
Train home dialysis patients and/or home partners through a formal program in safe and effective operation and maintenance of home dialysis equipment and treatment supplies.
Complete CAP requirements for advancement.
Perform other duties assigned by the Supervisor.
Rotate coverage with other licensed home therapies staff to ensure reliable and adequate coverage, and participate in the on-call rotation.
Travel to training sites, other facilities, or patient homes as required; provide essential functions at other locations when requested.
Provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as Team Leader or designated Nurse in charge after meeting the stated qualifications.