Registered Nurse - RN Home Therapies

Fresenius Medical Care•Worcester, MA
•$35 - $59

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program (CAP). The Registered Nurse provides and coordinates clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation. The RN assesses and manages patients’ responses to home dialysis training and treatment according to prescribed protocols and communicates patient-related issues to the physician 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 enhance patient outcomes and facility operations. The role includes assessing patients and their home care partners, coordinating safe and effective dialysis therapy, educating patients and families, and training patients or partners to operate and maintain home dialysis equipment. Work is performed in accordance with Fresenius Kidney Care policies and procedures, nursing practice standards, and applicable state and federal regulations. Team-leader or nurse-in-charge oversight of other clinical staff may be assigned after the specified education and experience requirements are met.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure and must meet the practice requirements in the state of employment.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • To receive assigned oversight of other clinical staff as a Team Leader or designated Nurse in Charge: successful completion of all FKC education and training requirements for new employees, at least 12 months of RN experience, and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.

Nice To Haves

  • At least 1 year of experience as a Registered Nurse.
  • Home dialysis therapy experience.

Responsibilities

  • Perform essential functions under the direction of the Supervisor, with guidance from an Educator or Preceptor, or in collaboration with another Registered Nurse.
  • Systematically collect and analyze dialysis data for assigned patients, document it in the medical record, adjust treatment plans as indicated, and notify the Supervisor or physician as needed.
  • Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
  • Coordinate and provide safe, effective dialysis therapy in collaboration 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 to the health care team and participate in staff training and new-staff orientation as assigned.
  • Ensure correct laboratory collection, processing, and shipping procedures, and 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 the candidate’s home environment and evaluate partner or 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 CAP requirements for advancement.
  • Perform other duties assigned by the Supervisor.
  • Rotate coverage with other licensed home therapies staff as assigned and participate in the on-call rotation.
  • Travel to training sites, other facilities, or patient homes when required.

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
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