Registered Nurse - RN

Fresenius Medical Care•Boston, MA

5d•Onsite

About The Position

The Home Therapies Registered Nurse (RN) CAP 1 is an entry-level designation in the Clinical Advancement Program. This nurse provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. The role 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 part of the End Stage Kidney Disease health care team, the RN contributes to decision-making, patient education, leadership functions, quality improvement, and facility operations. The position is in the Home Therapy department at the 888 Commonwealth Ave location. It is a full-time, Monday–Friday position, and training is available for someone without dialysis experience. The RN works under a Supervisor’s direction, with guidance from an Educator or Preceptor or in collaboration with another RN. The role may include oversight of other care staff after completing specified training and experience requirements. The role involves direct patient care in a health care facility and may also require travel to training sites, other facilities, or patients’ homes. The work includes desk and computer work and interaction with patients, facility and hospital staff, and physicians. It involves physical activity, possible exposure to infectious or contagious materials, and participation in an on-call rotation; coverage may include nights, weekends, or holidays according to program needs.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current CPR BLS Certification or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state of employment.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For assigned oversight duties: successful completion of all FKC education and training requirements for new employees, at least 12 months of experience as an RN, and 3 months of experience as an RN in home peritoneal dialysis and/or hemodialysis.
Ability to perform the physical demands of the position, including frequent prolonged standing, bending, heavy lifting and moving equipment or patients, and lifting chemical and water solutions up to 30 lbs.; machines and equipment of up to 200 lbs. may be moved with assistance.
Ability to participate in on-call rotation and coverage that may include nights, weekends, or holidays according to program needs.
Ability to travel to training sites, other facilities, or patient homes as needed.

Nice To Haves

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

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in the medical record, adjust or modify treatment plans as indicated, and notify the Supervisor or physician as needed.
Assess and document patient and family 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 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 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 with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess barriers in candidates’ home environments and evaluate partner or family readiness and ability to perform home dialysis treatments.
Train Home Dialysis patients and/or Home Partners in the safe, effective operation and maintenance of Home Dialysis equipment and supplies through a formal training program.
Complete CAP requirements to advance.
Rotate coverage with other licensed home therapies staff as assigned, including participation in the on-call rotation.
Perform other duties assigned by the Supervisor.
After meeting the stated training and experience requirements, provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge.