Registered Nurse - RN - Dialysis

Fresenius Medical Care•Phoenix, AZ

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 nurse may delegate appropriate tasks to direct patient care staff and participates as a member of the End Stage Kidney Disease health care team in clinical decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The role delivers and coordinates safe, effective home dialysis therapies, provides education to patients and families, and trains home dialysis patients or their partners to operate and maintain equipment and supplies through a standardized training program. The nurse documents patient care, contributes to individualized plans of care, supports treatment modality and transplant awareness, and may provide team leadership or precepting after meeting specified training and experience requirements. Duties are performed in accordance with company policies, nursing practice standards, and applicable state and federal regulations.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state nursing licensure and compliance with practice requirements in the state of employment.
Current CPR BLS certification or successful completion of certification.
At least 2 years of nephrology nursing experience as an RN within the last 2 years.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of home dialysis therapy experience as an RN.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; frequent, prolonged standing and bending; and, occasionally with assistance, moving equipment weighing up to 200 pounds and lifting chemical and water solutions weighing up to 30 pounds as high as 5 feet.
Ability to work in a healthcare environment and potentially encounter infectious and contagious diseases or materials.
Ability to participate in on-call rotation and coverage that may include nights, weekends, and holidays, as required by program needs.
Ability to travel to training sites, other facilities, and patient homes as needed.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings, adjusts treatment plans as indicated, and notifies a supervisor or physician as needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Coordinates and provides safe and effective dialysis therapy in collaboration with patients, home care partners, and direct and ancillary patient care staff.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Acts as a resource, leader, coach, mentor, and role model for new and current employees.
Ensures laboratory specimens are collected, processed, and shipped correctly, and reschedules missed or insufficient collections.
Collaborates with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and plans of care.
Ensures patients are aware of transplant and treatment modality options.
Assists with identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assesses home environment barriers and the readiness and ability of home dialysis candidates and their partners or families to perform treatments at home.
Trains home dialysis patients and/or home partners in the safe and effective operation and maintenance of home dialysis equipment and supplies.
Participates in facility and area education and quality improvement projects as directed.
May serve as a preceptor to new employees.
Completes CAP requirements to maintain or advance within the program.
May provide oversight of RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge after meeting the stated requirements.
Rotates coverage with other licensed home therapy staff and participates in on-call coverage as assigned.
Performs other duties as assigned by the supervisor.