Registered Nurse - RN - Dialysis

Fresenius Medical Care•San Fernando, CA

11d•$33 - $59

About The Position

The Home Therapies RN CAP 2 provides and coordinates clinically competent care for an assigned group of dialysis patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease health care team, the nurse participates in clinical decision-making, patient and family teaching, leadership, and quality improvement activities. The role includes educating patients and home partners on peritoneal and home hemodialysis using standardized training programs and equipment. It primarily works in a clinic setting and conducts initial home visits with another staff member present. The nurse functions as an onsite patient educator and case manager, with patients across various shifts and work hours. The nurse performs duties under the direction of a Supervisor and with guidance from an Educator, Preceptor, or another Registered Nurse. The position may include appropriate delegation to RNs, LVNs/LPNs, and Patient Care Technicians. After completing required training and meeting experience criteria, the nurse may have assigned oversight of members of the home therapies care team as a Team Leader or designated Nurse in Charge. The role involves direct patient care and regular heavy lifting, moving patients, and assisting with ambulation. It requires frequent, prolonged standing and bending, and may involve moving equipment with assistance, lifting chemical and water solutions, exposure to infectious materials, travel to training sites, other facilities, and patient homes, and work in patient homes. Coverage may include on-call rotation, nights, weekends, and holidays according to program needs.

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.
At least 2 years of Nephrology Nursing experience as an RN within the last 2 years.

Responsibilities

Collect and analyze dialysis data for assigned patients, document findings in medical records, modify treatment plans as indicated, and notify a Supervisor or physician when needed.
Assess and document patients’ and families’ learning needs and provide initial and ongoing education.
Coordinate and provide safe, effective dialysis therapies with patients, home care partners, direct-care staff, and ancillary 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, leader, coach, mentor, and role model for new and incumbent employees.
Ensure laboratory specimens are collected, processed, and shipped correctly, 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 in identifying, evaluating, selecting, and educating Home Dialysis candidates and Home Partners.
Assess home environment barriers and the readiness and ability of Home Dialysis candidates and their partners or families to perform home treatments.
Train home dialysis patients and Home Partners in safe, effective operation and maintenance of equipment and supplies through a standardized training program.
Participate in facility- and area-level education and quality improvement projects as directed by the Supervisor.
May serve as a Preceptor to new employees.
Complete CAP requirements to maintain or advance in the program.
Rotate coverage with other licensed home therapy staff as assigned and participate in on-call coverage, including nights, weekends, and holidays as program needs require.
Perform other duties assigned by the Supervisor.