Registered Nurse - RN

Fresenius Medical Care•Dundee, MI

About The Position

The Home Therapies 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 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 participates in clinical decision-making, teaching, leadership functions, and quality improvement activities. 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 patients and home partners in peritoneal and home hemodialysis. Paid one-on-one training and education are provided. The role may include coverage across varying shifts and work hours.

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.
  • Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
  • Must complete CAP requirements to advance.

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 in medical records, 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 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 of new staff 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 assess 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 the formal training program.
  • Complete CAP requirements to advance.
  • Rotate coverage with other licensed home therapies staff as assigned and participate in the on-call rotation.
  • Perform other duties as assigned by the Supervisor.

Benefits

  • Paid one-on-one training and education.
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