Registered Nurse - RN

About the role

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.

Responsibilities

• Performs 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, 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 the 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.
• Completes CAP requirements to advance.
• Performs other duties as assigned by Supervisor.
• Provides 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 supervision requirements (12 months RN experience, 3 months home peritoneal/hemodialysis, and completion of FKC education/training).
• Participates in on‑call rotation, night, weekend, holiday coverage as defined by program needs.
• May travel to training sites, other facilities, or patient homes; may perform essential functions in the patient’s home with the same physical demands.
• Day‑to‑day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
• Physical demands: direct patient care involving heavy lifting, moving equipment, patients, and assisting ambulation; frequent prolonged standing; ability to bend over; occasional moving of machines/equipment up to 200 lbs with assistance; lifting chemical/water solutions up to 30 lbs as high as 5 ft; work in a healthcare facility with temperature control and moderate noise levels; exposure to infectious/contagious diseases/materials.

Requirements

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet