Registered Nurse - RN - Dialysis

Fresenius Medical Care•San Diego, CA

21d•Onsite

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 supports safe delivery of peritoneal and home hemodialysis, provides patient and family education, and helps patients and home partners learn to operate and maintain home dialysis equipment. The position primarily works in a clinic setting and conducts initial home visits with another staff member present. It also functions as an onsite patient educator and case manager, with varied shifts and work hours. The RN works under the direction of a Supervisor and with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse. As part of the ESKD care team, the RN participates in clinical decision-making, teaching, leadership, and quality improvement activities. The role may include delegated oversight of nursing and patient-care staff after the specified training and experience requirements are met. All duties are performed in accordance with company policies, nursing standards, and applicable state and federal regulations. The position involves direct patient care in a healthcare facility and may also require work in patient homes, other facilities, or training sites. It includes physical activity such as standing, bending, moving patients, and lifting or moving equipment, and may involve exposure to infectious materials. The RN rotates coverage and participates 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 nursing licensure and ability to meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of the certification requirement.
At least 2 years of nephrology nursing experience as an RN within the last 2 years.
For assigned oversight as a 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 experience in home dialysis therapies.
Complete applicable Clinical Advancement Program requirements to maintain or advance.
Ability to perform direct patient care involving frequent, prolonged standing, bending, moving patients, and assisting with ambulation.
Ability, occasionally with assistance, to move machines or equipment weighing up to 200 lbs. and lift chemical and water solutions weighing up to 30 lbs. as high as 5 feet.
Availability for on-call rotation and coverage that may include nights, weekends, and holidays, as defined by program needs.
Ability to travel to training sites, other facilities, and patient homes when required.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings, modify treatment plans as indicated, and notify a Supervisor or physician when 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 patients, home care partners, and direct and ancillary care staff.
Administer prescribed medications or medications under approved algorithms, documenting 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, and reschedule missed or insufficient collections.
Collaborate with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and plans of care.
Ensure patients are aware of transplant and treatment-modality options.
Assist with identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess the home environment and identify barriers, including partner or family readiness and ability to perform home dialysis treatments.
Train home dialysis patients and/or home partners in safe and 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 a Supervisor.
May serve as a Preceptor to new employees and complete CAP requirements to maintain or advance within the program.
Rotate coverage with other licensed home therapy staff and participate in the required on-call rotation.
Perform other duties assigned by the Supervisor.