Home Dialysis Registered Nurse - RN
Company: Fresenius Medical Care
Posted on: August 7, 2022
Job Description Joliet, Illinois Job ID JRPOSITION FEATURES:
Schedule is Monday-Friday, 8:00am-4:30pm Must have previous
dialysis experiencePURPOSE AND SCOPE:The professional registered
nurse (Home Therapy CAP RN 2) position may be an entry level CAP
designation for new employees that meet the CAP RN 2 criteria or
attained through advancement from CAP RN 1. The CAP RN 2 is
accountable and responsible for the provision and coordination of
clinically competent care including assessment, planning,
intervention and evaluation for an assigned group of home therapy
patients.As a member of the Chronic Kidney Disease (CKD) health
care team, the CAP RN 2 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 and with guidance from the
Educator, Preceptor or a Home Therapy CAP RN 2, 3, 4 or 5 for the
first 3 months of employment.
Required to complete CAP program requirements to either maintain
the CAP RN 2 level or advance to CAP RN 3.
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/ Manager 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 the patient, home care
partner, direct and ancillary patient care staff, all aspects of
the provision of safe and effective delivery of dialysis therapy to
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
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 Home Therapy patients using the appropriate processes
per Fresenius Kidney Care policy and procedure.
Trains Home Dialysis patients and / or Home Partners on the safe,
effective operation and maintenance of all Home Dialysis equipment
and treatment supplies through a formal standardized Home Dialysis
Identifies expected outcomes, documents and updates the nursing
assessment and plan of care for assigned patients through
collaboration with the Interdisciplinary Team.
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
Serves as a leader, coach, mentor and role model for new and
incumbent employees by setting examples of appropriate behavior,
work habits and attitudes towards patients, co-workers, supervisors
and the company at the facility and area level. May serve as a
Preceptor to new employees.
As a Preceptor fulfills the following: Demonstrates, reinforces,
and encourages attitudes and actions which are consistent with FKC
Mission and Core Values.
Follows schedule established by the Education Department to ensure
that information presented in class is applied in the clinical
Seeks opportunities for new employees and communicates progress to
Program Manager. Provides feedback about new employee's progress to
the PM and the Education Department using evaluation tools and
Completes all documentation in a timely manner.
Maintains direct supervision of the new employee until the employee
is released to work independently by the Education Department and
Encourages the new employee to function independently within the
constraints of the training schedule and supplies positive feedback
as well as suggestions to improve knowledge and skills
Performs essential functions of a designated Nurse in charge as
assigned by Supervisor.
Collaborates with the interdisciplinary team in the assessment and
development of patient plans of care.
Ensures patient awareness related to transplant and treatment
Makes referrals to Social Worker and Registered Dietitian as
Checks availability of adequate emergency equipment and supplies
daily 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.
Provides education to staff members regarding updates to policy and
procedures as directed by Supervisor/ Manager.
Participates in education and quality improvement projects at the
facility and area level as directed by Supervisor.
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
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
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 at
other locations with the same physical demands and working
conditions as described above including travel to patient's
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 3 months experience in chronic home dialysis
and/ or home hemodialysis plus
Achieve and maintain all CAP RN 2 level criteria.
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
EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with 2 years or
more of nephrology nursing experience within the last two years or
BSN plus 1 year of nephrology nursing experience within the last
two years. 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:
IdentityFresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care, Joliet , Home Dialysis Registered Nurse - RN, Healthcare , Joliet, Illinois
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