Home Dialysis Registered Nurse - RN
Company: FRESENIUS MEDICAL CENTER
Location: Cleveland
Posted on: May 27, 2023
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Job Description:
POSITION FEATURES:
Sign On Bonus Available for Dialysis experience OR at least one
year or more of RN experience (any setting)
Paid dialysis training for any candidate without a dialysis
background
Great opportunity for a RN looking to grow career in dialysis with
our team!
PURPOSE AND SCOPE:
The registered professional nurse (CAP RN 1) position is an entry
level designation into the Clinical Advancement Program for
Registered Nurses. The CAP RN 1 is accountable and responsible for
the provision and coordination of clinically competent care
including assessment, planning, intervention and evaluation for an
assigned group of patients.
As a member of the Chronic Kidney Disease (CKD) health care team,
the CAP RN 1 participates in decision-making, teaching, leadership
functions, and quality improvement activities that enhance patient
care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in
accordance with Fresenius Kidney Care policy, procedures, standards
of nursing practice, state and federal regulations.
Performs all essential functions under the direction of the Program
Manager with guidance from the Educator, Preceptor or a Home
Therapy CAP RN 2, 3, 4 or 5 for the first 6 months of
employment.
Expected to complete requirements to advance to the next CAP level,
for which they qualify, within 24 months from date of hire.
Performs ongoing, systematic review and analysis of dialysis data
for Home Therapy patients and documents in the patient medical
record, adjusts or modifies the treatment plan as indicated and
notifies Supervisor or Physician as needed.
Recognizes aspects and implications of patient status that vary
from normal and reports to or collaborates with appropriate health
team members for input.
Assesses assigned patient care needs and collaborates with direct
and ancillary patient care staff as needed.
Directs and provides, in collaboration with direct and ancillary
patient care staff, all aspects of the provision of safe and
effective delivery of chronic dialysis therapy to assigned
patients.
Administers medications as prescribed or in accordance with
approved algorithm(s), and documents appropriate medical
justification and effectiveness .
Ensures correct patient laboratory collection, processing and
shipping procedures are performed and reschedules missed or
insufficient laboratory collections.
Ensures physician orders for assigned patients are entered and
acknowledged in the Medical Record
Initiates or assists with emergency response measures.
Delegates appropriate tasks to direct patient care staff including
but not limited to RNs, LVN/LPNs and Patient Care Technicians.
Monitors patient care staff for appropriate techniques and
adherence to FKC policy and procedures.
Promotes infection control, equipment and environmental safety.
Assesses, collaborates and documents patient/family's basic
learning needs to provide initial and ongoing education to patients
and family .
Assists in the identification, evaluation, selection and education
of Home Dialysis candidates and Home Partners.
Performs assessment and identifies barriers of the Home Dialysis
candidate's home environment and partner/ family readiness and
ability to perform dialysis treatments in the home.
Admits new patients to Home Therapy using the appropriate processes
per Fresenius Kidney Care policy and procedure.
Trains Home Dialysis patients and / or Home Partners on the safe
and effective operation and maintenance of all Home Dialysis
equipment and treatment supplies through an organized and formal
Home Dialysis Training Program.
Assesses and manages patients' response to home dialysis training
and treatment therapy by following prescribed predetermined
protocols. Communicates patient related issues to the physician as
needed
Identifies expected outcomes, documents and updates the nursing
assessment and plan of care for assigned patients through
collaboration with the Interdisciplinary Team.
Ensures patient awareness related to transplant and treatment
modality options.
Makes referrals to Social Worker and Registered Dietitian as
appropriate.
Checks availability of adequate emergency equipment and supplies as
assigned.
Assists with medication tracking and inventory as assigned.
Serves as a resource for health care team, participates in staff
training and orientation of new staff as assigned.
Participates in all required staff meetings as scheduled.
Supports and promotes the Fresenius Kidney Care mission, vision,
values, and customer service philosophy.
Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described
here are representative of those an employee encounters while
performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions.
The position provides direct patient care that regularly involves
heavy lifting and moving of patients and assisting with ambulation.
Equipment aids and/or coworkers may provide assistance. This
position requires frequent, prolonged periods of standing and the
employee must be able to bend over. The employee may occasionally
be required to move, with assistance, machines and equipment of up
to 200 lbs., and may lift chemical and water solutions of up to 30
lbs. as high as 5 feet. The work environment is characteristic of a
health care facility with air temperature control and moderate
noise levels. May be exposed to infectious and contagious
diseases/materials.
Rotates coverage with other licensed home therapy staff as assigned
to ensure reliable and adequate coverage.
Position requires participation in on-call rotation. (Night,
Weekend or as defined by individual program needs).
May be asked to provide essential functions of this position,
travel to home dialysis patient homes and other locations with the
same physical demands and working conditions as described
above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs as a Team
Leader or designated Nurse in charge, after the following:
Successful completion of all FKC education and training
requirements for new employees plus
Must have a minimum of 12 months experience as an RN plus
Successful completion of 3 months experience as an RN in home
peritoneal dialysis and / or home hemodialysis.
EDUCATION :
Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Must meet the practice requirements in the state in which he or she
is employed.
EXPERIENCE AND REQUIRED SKILLS:
Entry level for RNs with less than 2 years of nephrology nursing
experience within the last two years or for RNs with a BSN and less
than 1 year of nephrology nursing experience within the last two
years.
Minimum of 9 months experience as a Registered Nurse
(preferred).
Chronic Home dialysis or hemodialysis experience (preferred).
Successful completion of FKC Education and Training requirements
for new employees.
Successful completion and maintenance of CPR BLS Certification.
Meet all conditions of employment including Ishihara's Color
Blindness Test.
Successful completion of all annual required
education/training/competencies.
Successful completion of on-going training and education as
assigned or required.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state
laws.
Keywords: FRESENIUS MEDICAL CENTER, Cleveland , Home Dialysis Registered Nurse - RN, Healthcare , Cleveland, Ohio
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