Registered Nurse - RN - Dialysis

Fresenius Medical Care•Nampa, ID

About The Position

The Home Therapies RN CAP 1 is an entry-level designation in Fresenius Kidney Care’s Clinical Advancement Program (CAP). 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 by following prescribed protocols and communicating patient-related issues to physicians as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse contributes to clinical decisions, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The nurse performs duties under Supervisor direction, with guidance from an Educator or Preceptor or in collaboration with another Registered Nurse. Responsibilities include collecting and analyzing dialysis data, documenting care, adjusting treatment plans as indicated, educating patients and families, delivering safe dialysis therapy, administering medications, and responding to emergencies. The nurse also supports home dialysis candidate selection and education, assesses home environment and partner readiness, and trains patients and partners to operate and maintain home dialysis equipment and supplies. The work involves direct patient care in a health care facility and may also take place in patient homes or other locations. It includes regular heavy lifting and moving of equipment and patients, frequent and prolonged standing, bending, occasional movement of equipment weighing up to 200 pounds with assistance, and lifting chemical and water solutions weighing up to 30 pounds. The role may involve exposure to infectious materials and requires rotating coverage and on-call participation, including nights, weekends, and holidays as program needs require. Travel to training sites, facilities, or patient homes may be required.

Requirements

Graduate of an accredited School of Nursing.
Current appropriate state licensure and must meet practice requirements in the state of employment.
Current CPR BLS certification or successful completion of CPR BLS certification.
Entry-level designation for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
For assigned oversight as a Team Leader or designated Nurse in charge: successful completion of all FKC education and training requirements for new employees, at least 12 months of RN experience, and 3 months of RN experience in home peritoneal dialysis and/or hemodialysis.
Ability to perform the physical demands described, including frequent prolonged standing, bending, and direct patient care involving heavy lifting and moving equipment and patients.

Nice To Haves

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

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 when indicated, and notify the Supervisor or physician as needed.
Assess, collaborate on, 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 new-staff orientation as assigned.
Ensure appropriate laboratory collection, processing, and shipping, 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.
Train Home Dialysis patients and/or Home Partners in 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 on-call rotation as assigned.
Perform other duties assigned by the Supervisor.