Registered Nurse - RN

Fresenius Medical Care • Worcester, MA

1d

About The Position

The Home Therapies Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. The RN is responsible for providing and coordinating clinically competent care—including assessment, planning, intervention, and evaluation—for an assigned group of patients. The role assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, the RN participates in decision-making, teaching, leadership functions, and quality improvement activities to support patient outcomes and facility operations.

Duties are performed according to Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The RN works under a Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another RN. The role includes patient and family education, home dialysis candidate assessment and training, treatment monitoring and documentation, and collaboration with the Interdisciplinary Team. Team-lead oversight of designated staff may be assigned after the stated training and experience requirements are met.

The role involves direct patient care and may include heavy lifting, moving equipment and patients, prolonged standing, bending, and occasional assisted movement of equipment weighing up to 200 pounds. Work takes place in a health care facility and may also occur at patient homes, training sites, or other facilities. The RN may be exposed to infectious materials and participates in assigned coverage rotations, including on-call, night, weekend, and holiday coverage as program needs require.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure and must meet practice requirements in the state of employment.
• Current CPR BLS certification or successful completion of CPR BLS certification.
• Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• For assigned oversight as a Team Leader or Nurse in charge: complete FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete 3 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; equipment or coworkers may provide assistance.
• Ability to stand for frequent, prolonged periods and bend over.
• Ability, occasionally with assistance, to move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds as high as 5 feet.
• Ability to participate in assigned coverage, including on-call, night, weekend, and holiday coverage as program needs require.
• May be required to travel to training sites, other facilities, or patient homes.

Nice To Haves

• At least 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 the medical record, adjust treatment plans as indicated, and notify the Supervisor or physician as needed.
• Assess and document patient and family learning needs and provide initial and ongoing education.
• Coordinate and provide safe, effective dialysis therapy with patients, home care partners, and direct and ancillary patient 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 in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
• Assess barriers in candidates’ home environments and evaluate Home Partner and family readiness and ability to perform home dialysis treatments.
• Train Home Dialysis patients and/or Home Partners in the safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
• Complete Clinical Advancement Program (CAP) requirements to advance.
• Provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge after meeting the specified training and experience requirements.
• Rotate coverage with other licensed home therapies staff as assigned and participate in the required on-call rotation.
• Perform other duties assigned by the Supervisor.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Potential performance-based bonuses depending on company and individual performance for bonus-eligible positions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree