Registered Nurse - RN

About the Role

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures, and training. Supports the company’s commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company’s Quality Enhancement Goals (QEP).

Responsibilities

• Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state, and federal agencies.
• Rotates with other licensed staff to ensure adequate coverage.
• Participates in staff training and orientation of new staff as assigned.
• Attends all required staff meetings as scheduled.
• Provides outstanding quality of patient care, as defined by company quality goals and standards.
• Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
• Participates in all monthly CQI meetings.
• Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients’ home environment.
• Trains home patients and their families/significant others on the safe and effective operation and maintenance of all home therapies equipment through a formal Home Therapies training program.
• Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
• Assesses patient and family readiness and ability to perform dialysis treatments at home and evaluates the suitability of patients’ home environment for ongoing delivery of home dialysis therapy.
• Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access, home dialysis therapy, and other related health conditions.
• Provides safe and effective delivery of home therapy support care to patients with ESRD.
• Assesses patients’ response to home dialysis treatment therapy by following predetermined protocols.
• Communicates patient-related issues to the physician as needed.
• Reports adverse patient events at home or in the clinic, as well as equipment and technology-related problems, to Clinical/Home Therapies management and physicians, including correct documentation of such events.
• Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.
• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.
• Maintains competency with all emergency operational procedures and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
• Administers medications as prescribed, including following algorithms (as appropriate), documents appropriate medical justification if indicated, and maintains records on controlled substances as required by law.
• Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including troubleshooting equipment problems with the patient via telephone.
• Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
• Coordinates with the company products division on the delivery, operation, and maintenance of all home therapy dialysis equipment.
• Admits all new patients and documents as needed.
• Documents all relevant data including physician orders, lab results, vital signs, treatment parameters, and patient status, and enters into the Medical Information System.
• Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Completes all monthly and annual reporting as required by company policies and government regulations.
• Performs other related duties as assigned.

Requirements

• Graduate of an accredited School of Nursing (R.N.).
• Current appropriate state licensure.
• Minimum of one year medical-surgical nursing experience preferred; ICU experience preferred.
• Minimum of one year dialysis experience preferred; peritoneal experience preferred.
• Successfully complete a training course in the theory and practice of dialysis therapies.
• Competent at operating all Home Therapies related equipment.
• Successfully complete CPR certification with maintenance as required.
• Icd-9 coding training.
• Demonstrated teaching abilities.

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.

• Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians.
• Position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit, and Corporate meetings may be required.
• 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.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Failing the test does not preclude employment; the company will consider whether reasonable accommodations can be made.

Pay

Hourly Rate: $31.00 - $52.00, depending on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Benefits

This position offers a comprehensive benefits package including:

• Medical, dental, and vision insurance.
• 401(k) with company match.
• Paid time off.
• Parental leave.
• Potential for performance-based bonuses depending on company and individual performance (for bonus-eligible positions).