Registered Nurse - RN

Fresenius Medical Care•Mansfield, OH

About The Position

The Home Therapies Registered Nurse CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation. The role assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols, communicating patient-related issues to physicians as needed. As part of the End Stage Kidney Disease health care team, the RN contributes to decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. It serves as an onsite patient educator and case manager, providing one-on-one training and education to patients receiving peritoneal dialysis or home hemodialysis using established programs and equipment. The role also supports patients and home partners in learning the safe and effective operation and maintenance of home dialysis equipment and supplies.

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.
  • Entry-level role for Registered Nurses with less than 2 years of nephrology nursing experience.
  • Must complete FKC education and training requirements for new employees before being assigned oversight responsibilities as a Team Leader or nurse in charge.
  • At least 12 months of RN experience and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis are required before being assigned oversight responsibilities as a Team Leader or nurse in charge.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving equipment and patients, and assisting with ambulation.
  • Ability, occasionally with assistance, to move machines or equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of 5 feet.

Nice To Haves

  • Minimum of 1 year of experience as a Registered Nurse (preferred).
  • Home dialysis therapy experience (preferred).

Responsibilities

  • Perform essential functions under the Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse.
  • Collect and analyze dialysis data for assigned patients, document findings in medical records, modify treatment plans as indicated, and notify the Supervisor or physician when needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Coordinate with patients, home care partners, and care staff to provide safe and effective dialysis therapy.
  • Administer prescribed medications or medications in accordance with approved algorithms, documenting 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 laboratory specimens are collected, processed, and shipped correctly; reschedule missed or insufficient collections.
  • Identify expected outcomes and collaborate with the Interdisciplinary Team to document and update nursing assessments and care plans.
  • 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 partners or family members to support home dialysis.
  • Train home dialysis patients and/or home partners through a formal program on safe and effective use and maintenance of home dialysis equipment and supplies.
  • Complete Clinical Advancement Program requirements to advance.
  • Rotate coverage with other licensed home therapies staff and participate in the on-call rotation, including nights, weekends, or holidays as program needs require.
  • Perform other duties assigned by the Supervisor.

Benefits

  • Paid one-on-one training and education.
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