Registered Nurse - RN - Dialysis

Fresenius Medical Care•El Paso, TX

17h

About The Position

The Home Therapies RN CAP 2 is a professional registered nurse role that may serve as an entry-level designation in the Clinical Advancement Program (CAP) for eligible new employees or be attained through advancement from RN CAP 1. The position is accountable for providing and coordinating clinically competent care—including patient assessment, planning, intervention, and evaluation—for an assigned group of patients. It may include delegating appropriate tasks to direct patient care staff. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, patient teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse delivers and coordinates safe, effective home dialysis care, assesses and educates patients and families, administers prescribed medications, documents care, and collaborates with the Interdisciplinary Team. The role also identifies and trains home dialysis candidates and their Home Partners, including assessing home environments and readiness to perform treatments. Duties are performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations, under the direction of a Supervisor and with guidance or collaboration from other clinical staff. The position involves direct patient care in a health care facility and may also require work in patient homes, other facilities, or training sites. It includes physical demands such as prolonged standing, bending, patient handling, and moving equipment, and may involve exposure to infectious materials. Coverage may rotate among licensed home therapy staff, with participation in on-call rotation and night, weekend, or holiday coverage as required by program needs. The nurse may provide designated oversight of other care team members after meeting specified training and experience requirements.

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 the certification.
At least 2 years of nephrology nursing experience as an RN within the last 2 years.
To provide assigned oversight as a Team Leader or designated Nurse in Charge, successful completion of all FKC new employee education and training requirements and at least 3 months of home dialysis therapies experience as an RN are required.
Ability to meet the physical demands of direct patient care, including prolonged standing, bending, lifting and moving patients, and, occasionally with assistance, moving equipment up to 200 lbs. and lifting chemical and water solutions up to 30 lbs. as high as 5 feet.
Ability to work in a health care environment with moderate noise and possible exposure to infectious and contagious diseases or materials.
Ability to participate in coverage rotations and on-call duties, including nights, weekends, and holidays, as required by program needs.
Ability to travel to training sites, other facilities, and patient homes as required.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in medical records, adjust treatment plans as indicated, and notify a Supervisor or physician when needed.
Assess and document patient and family learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapies in collaboration with patients, Home Partners, and direct and ancillary care staff.
Administer medications as prescribed or 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 current 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 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 home environment barriers and the readiness and ability of the candidate’s partner or family to support home dialysis.
Train home dialysis patients and Home Partners in the 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 the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance within the program.
Rotate coverage with other licensed home therapy staff and participate in on-call rotation, including night, weekend, or holiday coverage as program needs require.
May provide designated oversight of RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants after meeting the stated training and experience requirements.
Perform other duties assigned by the Supervisor.