Registered Nurse - RN - Dialysis

Fresenius Medical Care•Flagstaff, AZ

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 by following established protocols and communicating patient-related concerns to the physician as needed. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient teaching, leadership functions, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. The nurse serves as an onsite patient educator and case manager, empowering, engaging, and training patients and their families or home care partners in peritoneal and home hemodialysis using formal training programs and equipment. Paid one-on-one training and education are provided. Duties are performed under the direction of a Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse, and in accordance with company policies, nursing practice standards, and applicable regulations. The role may include assigned oversight of other nursing and patient-care staff after required training and experience criteria are met.

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.
Minimum of 1 year of dialysis experience, as stated in the posting introduction.
Minimum of 1 year of experience as a Registered Nurse is listed as preferred in the experience section.
Entry-level designation for RNs with less than 2 years of nephrology nursing experience as a Registered Nurse.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving equipment and patients, and assisting with ambulation.
Ability to participate in an on-call rotation and work nights, weekends, or holidays as required by individual program needs.

Nice To Haves

Home dialysis therapy experience.
Minimum of 1 year of experience as a Registered Nurse.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings in medical records, adjusts treatment plans as indicated, and notifies a Supervisor or physician when needed.
Assesses and documents patients’ and families’ learning needs and provides initial and ongoing education.
Collaborates with patients, home care partners, and care staff to provide safe and effective dialysis therapy.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Serves as a resource for the health care team and participates in staff training and orientation as assigned.
Ensures laboratory specimens are correctly collected, processed, and shipped; reschedules missed or insufficient collections.
Identifies expected outcomes and documents and updates nursing assessments and plans of care in collaboration with the Interdisciplinary Team.
Ensures patients are aware of transplant and treatment modality options.
Assists in identifying, evaluating, selecting, and educating home dialysis candidates and home partners.
Assesses home environment barriers and the readiness and ability of partners or family members to support home dialysis.
Trains patients and home partners in the safe and effective operation and maintenance of home dialysis equipment and supplies through a formal training program.
Rotates coverage with other licensed home therapies staff to support adequate coverage.
Participates in an on-call rotation and may provide coverage during nights, weekends, and holidays as required by program needs.
May travel to training sites, other facilities, or patient homes and may perform the role’s essential functions at those locations.
Completes Clinical Advancement Program requirements for advancement.
Performs other duties assigned by the Supervisor.