Registered Nurse - RN - Dialysis

Fresenius Medical Care•Fontana, CA

15d•$25 - $65

About The Position

The Home Therapies Registered Nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease health care team, the RN participates in clinical decision-making, patient and family education, leadership, and quality improvement activities to improve patient outcomes and facility operations. The role may include delegating appropriate patient-care tasks to RNs, LVN/LPNs, and Patient Care Technicians. The RN delivers safe and effective home dialysis care in accordance with company policies, nursing practice standards, and state and federal regulations. Responsibilities include assessing patients, monitoring and documenting dialysis data, updating care plans, administering medications, supporting emergency responses, and educating patients and families. The nurse also helps select and prepare home dialysis candidates and partners, assesses the home environment and readiness, and trains patients and partners to operate and maintain home dialysis equipment and supplies. The role may include serving as a preceptor or team leader after meeting specified training and experience criteria. Work involves direct patient care in a healthcare facility and may also require travel to training sites, other facilities, and patient homes. The position includes an on-call rotation and may involve nights, weekends, and holidays based on program needs. The hourly rate is $25.00–$65.00, depending on work location and qualifications.

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.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.
Complete required CAP requirements to maintain or advance.
For assigned oversight as a Team Leader or 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.
Ability to perform direct patient care involving regular heavy lifting, moving patients, and assisting with ambulation; may occasionally move equipment weighing up to 200 lbs. with assistance and lift chemical and water solutions weighing up to 30 lbs. to a height of 5 feet.
Ability to stand for frequent, prolonged periods and bend over.
Availability for assigned coverage, on-call rotation, and nights, weekends, or holidays as required by program needs.
Ability to travel to training sites, other facilities, and patient homes when required.

Responsibilities

Provide and coordinate clinically competent care, including patient assessment, planning, intervention, and evaluation.
Collect and analyze dialysis data, document it in patient records, adjust 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 with patients, home care partners, and care staff to deliver safe and effective dialysis therapies.
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, leader, coach, mentor, or role model for employees; may serve as a preceptor for new employees.
Ensure laboratory specimens are correctly collected, processed, and shipped, and reschedule missed or insufficient collections.
Collaborate with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and care plans.
Ensure patients are aware of transplant and treatment modality options.
Assist in identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assess home environment barriers and the readiness and ability of the candidate’s partner or family to perform home dialysis.
Train home dialysis patients and/or partners to safely and effectively operate and maintain home dialysis equipment and supplies using a standardized training program.
Participate in facility- and area-level education and quality improvement projects as directed.
Complete CAP requirements to maintain or advance in the program.
Provide assigned coverage, including participation in an on-call rotation and coverage that may include nights, weekends, and holidays.
Perform other duties as assigned by the supervisor.