Registered Nurse - RN

Fresenius Medical Care • Lubbock, TX

23h

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The 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 prescribed protocols and communicates patient-related issues to physicians as needed. As part of the ESKD health care team, the nurse contributes to decision-making, patient teaching, leadership functions, quality improvement, and facility operations.

The position primarily works in a clinic and conducts initial home visits with another staff member present. It serves as an onsite patient educator and case manager, training and educating patients and home partners in peritoneal and home hemodialysis using formal training programs and equipment. Work hours and shifts may vary, with on-call, night, weekend, and holiday coverage based on program needs. The nurse may travel to training sites, other facilities, or patient homes.

Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and applicable state and federal regulations. The position may include oversight of other nursing and patient-care staff after specified education and experience requirements are met.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current CPR BLS Certification or successful completion of CPR BLS Certification.
• Meet the practice requirements in the state of employment.
• Entry-level role for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• Must complete CAP requirements to advance.
• For assigned staff oversight, successfully complete all FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
• Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting and moving equipment or patients, and assisting with ambulation.
• Ability to participate in on-call rotation and night, weekend, or holiday coverage as required by program needs.
• Ability to travel to training sites, other facilities, or patient homes as required.

Nice To Haves

• Minimum of 1 year of experience as a Registered Nurse (preferred).
• Home dialysis therapy experience (preferred).

Responsibilities

• Perform essential functions under the direction of the Supervisor, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse.
• Collect and analyze dialysis data for assigned patients, document findings, modify 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 care staff.
• Administer prescribed medications or medications under approved algorithms, documenting 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 orientation as assigned.
• Ensure correct 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.
• Promote patient awareness of transplant and treatment modality options.
• Assist with identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
• Assess home-environment barriers and 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 on-call coverage.
• Perform other duties assigned by the Supervisor.
• Provide assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants when eligibility requirements are met.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level