Registered Nurse - RN

Fresenius Medical Care•Abilene, TX

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 quality improvement and patient satisfaction initiatives and helps patients learn to safely manage peritoneal and home hemodialysis therapies. Paid one-on-one training and education are provided. The position primarily works in a clinic and conducts initial home visits with another staff member present, functioning as an onsite Patient Educator and Case Manager for patients with varying shifts and work hours. The nurse provides training and oversight for home dialysis, evaluates patients and home environments for suitability, educates patients and families, monitors treatment response, and coordinates care with physicians and other staff. Duties also include laboratory order and specimen processes, medication administration, emergency response, equipment troubleshooting and maintenance guidance, patient admission and documentation, and participation in quality and staff training activities.

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.
  • Competence operating all Home Therapies-related equipment.
  • Successfully complete CPR certification and maintain it as required.
  • 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 experience preferred.

Responsibilities

  • Provide safe and effective training and oversight for home dialysis therapies in accordance with facility policies, procedures, and applicable regulations.
  • Rotate with other licensed staff to ensure adequate coverage; participate in staff training, new staff orientation, and required staff meetings.
  • Provide quality patient care according to company quality goals and standards; submit CQI information and participate in monthly CQI meetings.
  • Assist with identifying and evaluating candidates for the Home Therapies Program, including assessing their home environments.
  • Train home patients and their families or significant others in the safe operation and maintenance of home therapy equipment.
  • Educate patients and families about ESRD, the Kidney Options Program, renal dialysis, access care, home dialysis therapy, and related health conditions.
  • Assess patient and family readiness and ability to perform dialysis at home and assess the suitability of the home environment.
  • Deliver home therapy support care and assess patient responses to treatment using established protocols.
  • Communicate patient-related issues to physicians and report and document adverse events and equipment or technology problems.
  • Coordinate transfer of patients to a hemodialysis clinic when needed and appropriate.
  • Review, transcribe, and enter physician laboratory orders into the Medical Information System; follow specimen collection, packaging, delivery, and result-reporting requirements.
  • Maintain competency in emergency procedures and initiate CPR and emergency measures in the event of cardiac or respiratory arrest 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 skill in operating and troubleshooting home dialysis equipment, including assisting patients with troubleshooting by telephone.
  • Direct patients in preventive maintenance of home therapy equipment, including water systems and analyses as appropriate.
  • Coordinate delivery, operation, and maintenance of home dialysis equipment with the company products division.
  • Admit new patients and document physician orders, laboratory results, vital signs, treatment parameters, patient status, and treatment-related data in the Medical Information System.
  • Ensure company policies for patient admission, transfer, and discharge are implemented and complete required monthly and annual reporting.
  • Perform other related duties as assigned.

Benefits

  • Paid one-on-one training and education.
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