Registered Nurse - RN

CH01 CHE Fresenius Medical Care (Schweiz) AG; Fredericksburg (VA); On-site; USD 75,000 - 95,000; Full time

Job summary

Fresenius Medical Care in the United States seeks a Full-time Home Therapy RN to empower and train dialysis patients in peritoneal and home hemodialysis. The role involves initial home visits with a partner, patient education, and coordinating care with the physician.

As an entry-level RN in the CAP, you will perform essential duties under supervision, participate in training programs, and rotate coverage with other staff to ensure continuous patient support and safety.

Qualifications

• Graduate of an accredited School of Nursing.
• Current state RN licensure in applicable state.
• CPR/BLS certification maintained.
• Home dialysis nursing experience preferred.

Responsibilities

• Provide clinically competent care under supervision, including assessment and planning.
• Educate patients and families on home dialysis treatment and monitoring.
• Coordinate with physicians for treatment adjustments and issues.
• Lead and train staff as assigned and ensure safety protocols.
• Manage lab procedures and document patient data in records.

Skills

Nephrology Nursing

Home Dialysis experience

CPR/BLS Certification

Education

Graduate of an accredited School of Nursing

Current state RN licensure

CPR/BLS Certification

Job description

Full-time Home Therapy RN Position

• Days rotating call
• Paid one on one training and education provided
• Empower, engage, and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment
• Primarily works in the clinic setting and conducts initial home visits with another staff member present
• Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours

Purpose and Scope

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position 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. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Principal Duties and Responsibilities

• Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
• Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
• Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• 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 assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• 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.
• 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.
• Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
• Required to complete CAP requirements to advance.
• Performs all other duties as assigned by Supervisor.

Physical Demands and Working Conditions

• The position provides direct patient care that regularly involves heavy lifting, moving of equipment, 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 therapies staff as assigned to ensure reliable and adequate coverage.
• Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
• Position may require travel to training sites, other facilities or patient homes.
• May be asked to provide essential functions of this position in other locations including patient’s home with the same physical demands and working conditions as described above.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

Supervision

• Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:
• Successful completion of all FKC education and training requirements for new employees.
• Must have a minimum of 12 months experience as a RN.
• Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

Education and Licensure

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• 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 as a Registered Nurse.
• Minimum of 1-year experience as a Registered Nurse (preferred).
• Home dialysis therapy experience (preferred).

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors.

Creating a future worth living. For patients. Worldwide. Every day.

Fresenius Medical Care is the world's leading provider of products and services for individuals with kidney disease of which approximately 4.5 million patients worldwide regularly undergo dialysis treatment. United by a shared purpose of creating a future worth living for chronically and critically ill people, we care for around 292 000 dialysis patients around the globe. In addition, we operate around 35 global production sites to provide products such as dialysis machines, dialyzers, and related disposables. We aim to continuously improve our patients’ quality of life by offering them high-quality products as well as innovative technologies and treatment concepts.