Registered Nurse - RN

Fresenius Medical Care•Concord, NH

18h

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 role may be an entry-level designation in the Clinical Advancement Program for eligible new employees or attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in clinical decision-making, patient and family teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The nurse works under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. The position focuses on home dialysis care, including assessing and educating patients and home partners, coordinating safe delivery of dialysis therapies, and training patients or partners to operate and maintain home dialysis equipment and supplies. After completing required education and training and meeting the experience criteria, the nurse may oversee RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge. The work includes direct patient care in a healthcare facility and may also take place in patient homes or other locations. It involves on-call rotation and may require night, weekend, or holiday coverage, as well as travel to training sites, other facilities, and 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 CPR BLS 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 Nurse in Charge: successful completion of all Fresenius Kidney Care education and training requirements for new employees and at least 3 months of home dialysis therapies experience as an RN.
Ability to meet the physical demands of the role, including frequent prolonged standing, bending, patient lifting and movement, and, occasionally, moving equipment with assistance and lifting chemical or water solutions.
Availability for on-call rotation and, as program needs require, night, weekend, or holiday coverage.
Ability to travel to training sites, other facilities, and patient homes when required.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in medical records, adjust treatment plans as indicated, and notify a 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 and effective dialysis therapies in collaboration with patients, home care partners, and direct and ancillary patient care staff.
Administer prescribed medications or medications under approved algorithms, documenting medical justification and effectiveness as appropriate.
Initiate or assist with emergency response measures.
Serve as a resource, leader, coach, mentor, and role model for new and current employees.
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 with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess home environment barriers and the readiness and ability of Home Dialysis candidates and their partners or families to perform treatments at home.
Train home dialysis patients and/or Home Partners in safe, effective operation and maintenance of home dialysis equipment and 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 to new employees.
Complete Clinical Advancement Program requirements to maintain or advance status.
Rotate coverage with other licensed home therapy staff as assigned and participate in the required on-call rotation.
Perform other duties assigned by the Supervisor.
May oversee RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge after meeting required training and experience criteria.