Registered Nurse - RN - Dialysis

Fresenius Medical Care•Kennewick, WA
•$33 - $55•Onsite

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement Program. The Registered Nurse provides and coordinates clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation. The RN assesses patients’ responses to home dialysis training and treatment, follows prescribed 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 decision-making, patient teaching, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. The role provides paid one-on-one training and education and empowers, engages, and trains patients on peritoneal and home hemodialysis using training programs and equipment. It primarily works in a clinic setting and conducts initial home visits with another staff member present. The position functions onsite as a Patient Educator and Case Manager for patients with varying shifts and work hours. Duties must be performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. 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 designated oversight of other clinical 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 the certification.
  • Must complete Fresenius Kidney Care education and training requirements for new employees before assigned oversight of clinical staff.
  • Must have at least 12 months of RN experience and three months of RN experience in home peritoneal dialysis and/or hemodialysis before assigned oversight of clinical staff.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing and bending, heavy lifting and moving of 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

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

Responsibilities

  • Collect and analyze dialysis data for assigned patients, document findings in the medical record, 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 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 laboratory specimens are correctly collected, processed, and shipped; 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 home-environment barriers and the readiness and ability of a candidate’s partner or family 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 to advance.
  • Rotate coverage with other licensed home therapies staff and participate in the on-call rotation as assigned.
  • Perform other duties assigned by the Supervisor.

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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