Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kailua Kona, HI
•$41 - $58

About The Position

The Registered Nurse works as part of the Home Therapies dialysis health care team, providing quality home patient care in accordance with company policies, procedures, training, and applicable regulations. The role supports the company’s Quality Enhancement Program (QEP) and continuous quality improvement (CQI) activities, including efforts related to patient satisfaction and patient outcomes. The nurse trains and supports patients and their families in home dialysis, assesses patient readiness and home suitability, monitors treatment response, coordinates care with physicians and other teams, and documents patient care and required reporting. The position also supports staff training, maintains competency with home dialysis equipment and emergency procedures, and travels between assigned facilities and community locations as needed.

Requirements

  • Graduate of an accredited School of Nursing (R.N.).
  • Current appropriate state licensure.
  • Successfully complete a training course in the theory and practice of dialysis therapies.
  • Competent in operating all Home Therapies-related equipment.
  • Successfully complete CPR certification and maintain it as required.
  • Complete ICD-9 coding training.
  • Demonstrated teaching abilities.

Nice To Haves

  • Minimum of one year of medical-surgical nursing experience preferred.
  • ICU experience preferred.
  • Minimum of one year of dialysis experience preferred.
  • Peritoneal dialysis experience preferred.

Responsibilities

  • Provide safe and effective training and oversight for home dialysis therapies in compliance with facility policies, company standards, and state and federal regulations.
  • Rotate with other licensed staff to ensure adequate coverage.
  • Participate in staff training and orientation of new staff as assigned, and attend required staff meetings.
  • Provide quality patient care consistent with company quality goals and standards.
  • Submit CQI information to the Clinical Manager for inclusion in the facility CQI packet and participate in monthly CQI meetings.
  • Assist with identifying and evaluating candidates for the Home Therapies Program, including assessing patients’ home environments.
  • Train patients and their families or significant others in the safe and effective operation and maintenance of home therapies equipment through a formal training program.
  • Educate patients and families about ESRD and the company Kidney Options Program.
  • Assess patient and family readiness and ability to perform home dialysis, as well as the suitability of the home environment for ongoing therapy.
  • Provide ongoing education about renal dialysis, peritoneal or vascular access, home dialysis therapy, and related health conditions.
  • Deliver safe and effective home therapy support care to patients with ESRD and assess treatment responses using predetermined protocols.
  • Communicate patient-related issues to physicians as needed.
  • Report and document adverse patient events, equipment problems, and technology-related problems to Home Therapies management and physicians.
  • Coordinate patient transfers to a hemodialysis clinic when needed and appropriate.
  • Review, transcribe, and enter physician laboratory orders accurately into the Medical Information System.
  • Follow company policies and government regulations for collecting, packaging, and delivering laboratory specimens and reporting results.
  • Maintain competency in emergency procedures and initiate CPR and emergency measures for cardiac or respiratory arrest when a patient is in the medical office.
  • Administer prescribed medications, follow applicable algorithms, document medical justification when indicated, and maintain controlled-substance records as required by law.
  • Maintain proficiency operating home dialysis equipment and troubleshoot equipment problems with patients by telephone.
  • Guide patients in preventive maintenance of home therapies equipment, including water systems and analyses as appropriate.
  • Coordinate with the company products division regarding delivery, operation, and maintenance of home therapy dialysis equipment.
  • Admit new patients and complete required documentation.
  • Document physician orders, laboratory results, vital signs, treatment parameters, patient status, and treatment-related data in the Medical Information System.
  • Implement company policies regarding patient admission, transfer, and discharge.
  • Complete monthly and annual reporting required by company policies and government regulations.
  • Perform other related duties as assigned.
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