Registered Nurse - RN

Fresenius Medical Care•Memphis, TN

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 established protocols and communicates patient-related issues to the physician as needed. As part of the End Stage Kidney Disease health care team, the nurse participates in decision-making, teaching, leadership, and quality improvement activities that support patient outcomes and facility operations. The position primarily works in a clinic and conducts initial home visits with another staff member present. It functions as an onsite patient educator and case manager, providing paid one-on-one training and education to patients using peritoneal and home hemodialysis programs, equipment, and supplies. Duties are performed in accordance with Fresenius Kidney Care policies, standards of nursing practice, and applicable state and federal regulations. The role may include oversight of other clinical staff as a team leader or nurse in charge after applicable 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 CPR BLS certification.
  • Complete all FKC education and training requirements for new employees before taking on designated oversight responsibilities.
  • For designated oversight as a team leader or nurse in charge: at least 12 months of RN experience and three 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, moving equipment and patients, and assisting with ambulation.
  • Ability to move, with assistance, machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet.
  • Ability to work in a health care facility and potentially in patient homes, with possible exposure to infectious and contagious diseases or materials.
  • Ability to travel to training sites, other facilities, or patient homes as needed.
  • Availability for on-call rotation and night, weekend, and holiday coverage as program needs require.

Nice To Haves

  • At least one year of experience as a registered nurse is preferred.
  • Home dialysis therapy experience is preferred.

Responsibilities

  • Provide clinically competent care, including assessment, planning, intervention, and evaluation, for assigned patients.
  • Collect and analyze dialysis data, document it in patient 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 with patients, home care partners, and care staff to ensure safe and effective delivery of dialysis therapy.
  • 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 proper laboratory collection, processing, and shipping, and reschedule missed or insufficient collections.
  • Identify expected outcomes and collaborate with the Interdisciplinary Team to document and update nursing assessments and plans of care.
  • 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 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.
  • Complete Clinical Advancement Program requirements to advance.
  • Rotate coverage with other licensed home therapies staff as assigned and participate in the on-call rotation.
  • Perform other duties assigned by the supervisor.

Benefits

  • Paid one-on-one training and education.
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