Registered Nurse - RN

Fresenius Medical Care•Claremont, NH

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The nurse assesses and manages patients’ responses to home dialysis training and treatment according to established protocols and communicates patient-related issues to physicians as needed. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient education, leadership, and quality improvement activities that support patient outcomes and facility operations. The role provides primary dialysis staffing at Springfield Center in Springfield, Vermont, on Mondays, Wednesdays, and Fridays, and at the Fresenius Claremont and/or Lebanon clinics on Tuesdays, Thursdays, and Saturdays. Dialysis-specific additional education is provided. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. The position may involve coverage at other facilities, training sites, or patients’ homes, and includes an on-call rotation as required by program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and ability to meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of certification.
At least one year of paid Registered Nurse experience is required in the posting introduction.
The role is entry level for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
Team-leader or nurse-in-charge oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants requires completion of FKC education and training for new employees, at least 12 months of RN experience, and three months of RN experience in home peritoneal dialysis and/or hemodialysis.
Ability to perform direct patient care involving regular heavy lifting, moving equipment and patients, and assisting with ambulation.
Ability to stand for frequent, prolonged periods and bend over.
May need to move machines and equipment up to 200 pounds with assistance and lift chemical and water solutions up to 30 pounds as high as five feet.
Ability to work in a health care facility and possible exposure to infectious and contagious diseases or materials.
Ability to travel to training sites, other facilities, or patient homes as needed.
Ability to participate in on-call rotation, including night, weekend, or holiday coverage as program needs require.

Nice To Haves

Dialysis experience is preferred.
Home dialysis therapy experience is preferred.
One year of Registered Nurse experience is listed as preferred in the experience section.

Responsibilities

Provide care under the direction of the Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse.
Collect and analyze dialysis data for assigned patients, document findings, modify treatment plans when indicated, and notify the Supervisor or physician as needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapy in collaboration with patients, home care partners, and direct and ancillary care staff.
Administer prescribed medications or medications under approved algorithms, and document medical justification and effectiveness.
Initiate or assist with emergency response measures.
Serve as a resource for the health care team and participate in staff training and orientation of new staff as assigned.
Ensure laboratory specimens are correctly collected, processed, and shipped; 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 candidates’ partners or families to support home dialysis.
Train home dialysis patients and/or Home Partners in the safe, effective operation and maintenance of home dialysis equipment and supplies through the formal training program.
Complete CAP requirements for advancement.
Rotate coverage with other licensed home therapies staff as assigned.
Participate in the on-call rotation and provide coverage as program needs require.
Perform other duties assigned by the Supervisor.