Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kenvil, NJ

5d•$41 - $60

About The Position

The Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of dialysis patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program (CAP) for qualifying new employees or attained through advancement from RN CAP 1. The nurse participates as part of the End Stage Kidney Disease health care team in decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse provides safe home dialysis care, assesses patients’ learning needs and home-treatment readiness, and trains patients and/or Home Partners to operate and maintain home dialysis equipment and supplies. The position works under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse, and must complete CAP requirements to maintain or advance. After meeting specified training and experience requirements, the nurse may oversee other care-team staff as Team Leader or designated Nurse in Charge. The work involves direct patient care in a health care facility and may also take place in patient homes or other facilities. It includes physical activity such as lifting and moving patients, prolonged standing, bending, and occasional movement of heavy equipment with assistance. The role may involve exposure to infectious materials, travel, and participation in an on-call rotation, including night, weekend, and holiday coverage as program needs require.

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 CPR BLS certification.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
Must complete applicable CAP requirements to maintain or advance.
For assigned oversight as Team Leader or designated Nurse in Charge: complete all FKC education and training requirements for new employees and have at least 3 months of RN home dialysis therapy experience.
Ability to perform direct patient-care duties that regularly involve heavy lifting, moving patients, and assisting with ambulation; frequent prolonged standing and bending; and occasional assisted movement of machines and equipment weighing up to 200 lbs. and lifting chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Ability to work in a health care environment with possible exposure to infectious and contagious diseases or materials.
Ability to travel to training sites, other facilities, and patient homes as needed.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in the patient medical record, 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 the patient, Home Partner, direct-care staff, and ancillary 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, leader, coach, mentor, and role model for new and incumbent employees.
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 a candidate’s partner or family to perform dialysis treatments at home.
Train home dialysis patients and/or Home Partners in the safe and effective operation and maintenance of home dialysis equipment and treatment supplies through a standardized training program.
Participate in facility- and area-level education and quality-improvement projects as directed by the Supervisor.
May serve as a Preceptor for new employees.
Complete CAP requirements to maintain or advance.
Rotate coverage with other licensed home therapy staff as assigned; participate in on-call coverage, including nights, weekends, or holidays as required by program needs.
Perform other duties as assigned by the Supervisor.