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Registered Nurse - RN

Fresenius Medical Care•Clinton Township, MI
•Onsite

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 concerns to physicians as needed. As part of the End Stage Kidney Disease health care team, the RN contributes to care decisions, patient teaching, leadership functions, quality improvement, and facility operations. This role primarily works in a clinic and conducts initial home visits with another staff member present. The RN serves as an onsite patient educator and case manager, providing paid one-on-one training and education to dialysis patients on peritoneal and home hemodialysis using training programs and equipment. The RN helps assess and prepare candidates and home partners for home dialysis, then trains them in the safe and effective use and maintenance of equipment and supplies. The position also includes patient care, documentation, medication administration, laboratory coordination, team support, and participation in assigned coverage and on-call rotations.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current CPR BLS certification or successful completion of CPR BLS certification.
  • Must meet practice requirements in the state of employment.
  • Entry-level RN designation for nurses with less than two years of nephrology nursing experience as a Registered Nurse.
  • Complete required CAP requirements to advance.
  • For assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians, and Home Therapy Care Team Assistants as Team Leader or designated Nurse in charge: complete FKC education and training requirements for new employees, have at least 12 months of RN experience, and complete three months of RN experience in home peritoneal dialysis and/or hemodialysis.

Nice To Haves

  • At least one 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’ basic 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 proper 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 home environment barriers and the readiness and ability of partners or family members 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 as assigned and participate in on-call rotation, including night, weekend, or holiday coverage as required by program needs.
  • Perform other duties assigned by the Supervisor.

Benefits

  • Paid one-on-one training and education.

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