Registered Nurse - RN

Fresenius Medical Care•Mansfield, OH

About The Position

The Home Therapy Registered Nurse (RN), CAP 1, is an entry-level designation in the Clinical Advancement Program. The RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The position assesses and manages patients’ responses to home dialysis training and treatment according to established protocols and communicates patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease health care team, the RN participates in clinical decision-making, patient and family teaching, leadership functions, and quality improvement activities. The role primarily works in a clinic, provides one-on-one patient education and training in peritoneal and home hemodialysis, and conducts initial home visits with another staff member present. It also serves as an onsite patient educator and case manager. Paid training and education are provided. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The role may include oversight of other care team members after specified training and experience requirements 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.
Entry-level role for RNs with less than two years of nephrology nursing experience as a Registered Nurse.
Must complete CAP requirements to advance.
To provide assigned oversight as a Team Leader or nurse in charge: complete FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete three months of RN experience in home peritoneal dialysis and/or hemodialysis.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting, moving equipment and patients, and assisting with ambulation. May need to move equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds to a height of five feet.
Ability to work in a healthcare setting and potentially encounter infectious or contagious diseases and materials.
Ability to travel to training sites, other facilities, or patient homes as required.

Nice To Haves

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

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 as 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 provide safe and effective dialysis therapy.
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 for the health care team and participate in staff training and new-staff orientation as assigned.
Ensure proper laboratory collection, processing, and shipping; reschedule missed or insufficient collections.
Develop, 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.
Help identify, evaluate, select, and educate Home Dialysis candidates and Home Partners.
Assess home-environment barriers and the readiness and ability of partners or family members to support home dialysis.
Train Home Dialysis patients and/or Home Partners to safely and effectively operate and maintain home dialysis equipment and supplies through a formal training program.
Complete CAP requirements for advancement.
Rotate coverage with other licensed home therapies staff and participate in on-call coverage as assigned.
Perform other duties assigned by the supervisor.
Provide oversight to LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or designated nurse in charge when eligibility requirements are met.