Registered Nurse - RN

Fresenius Medical Care•Opelika, AL

About The Position

The Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role may be an entry-level designation in the Clinical Advancement Program for qualifying new employees or may be attained through advancement from RN CAP 1. As a member of the End Stage Kidney Disease health care team, the nurse participates in decision-making, patient and family education, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse oversees and helps deliver safe, effective home dialysis care in collaboration with patients, home care partners, direct-care staff, and ancillary staff. The role includes assessing patients and home environments, training patients and partners to use home dialysis equipment, monitoring and documenting treatment and laboratory information, administering medications, and responding to emergencies. Duties are performed in accordance with Fresenius Kidney Care policies, nursing standards, and applicable state and federal regulations. The position involves direct patient care in a health care facility and may also involve travel to training sites, other facilities, and patient homes. It includes physical demands such as prolonged standing, bending, assisting with patient movement, and occasionally moving equipment or lifting supplies. The nurse participates in on-call rotation and may work nights, weekends, or holidays according to program needs.

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 certification.
At least two years of nephrology nursing experience as an RN within the last two years.
To provide assigned oversight as a Team Leader or designated Nurse in Charge: completion of all Fresenius Kidney Care education and training requirements for new employees and at least three months of RN home dialysis therapy experience.
Ability to meet the physical demands of the position, including prolonged standing, bending, assisting with patient ambulation and movement, and occasionally moving equipment and lifting supplies.
Must participate in on-call rotation and work nights, weekends, or holidays as required by individual program needs.
May be required to travel to training sites, other facilities, and patient homes.

Responsibilities

Collects and analyzes dialysis data for assigned patients, documents findings, modifies treatment plans when indicated, and notifies a supervisor or physician as needed.
Assesses and documents patient and family learning needs and provides initial and ongoing education.
Coordinates and provides safe, effective dialysis therapy with patients, home care partners, and direct and ancillary care staff.
Administers prescribed medications or medications under approved algorithms and documents medical justification and effectiveness.
Initiates or assists with emergency response measures.
Acts as a resource, leader, coach, mentor, and role model for new and incumbent employees.
Ensures proper laboratory collection, processing, and shipping, and 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 candidates and their partners or families to perform home dialysis.
Trains 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.
Participates in facility and area education and quality improvement projects as directed by the Supervisor.
May serve as a preceptor to new employees.
Completes CAP requirements to maintain or advance within the program.
May oversee RNs, LPNs/LVNs, Patient Care Technicians, and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge after meeting the stated training and experience requirements.
Rotates coverage with other licensed home therapy staff as assigned.
Performs other duties assigned by the Supervisor.