Registered Nurse, RN

About the Role

• Entry-level designation into the Clinical Advancement Program (CAP).
• 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.
• Communicates patient-related issues to the physician as needed.
• Participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Key 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 the 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.
• 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.
• 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.
• 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 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

• 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.
• Requires frequent, prolonged periods of standing and the ability to bend over.
• May be required to move, with assistance, machines and equipment of up to 200 lbs.
• May lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• 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.
• Requires participation in on-call rotation, night, weekend, holiday, or as defined by individual program needs.
• 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.
• 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 requirements.

Requirements & Tech Stack

• None explicitly mentioned beyond general nursing tools and protocols.

Qualifications

• 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.
• 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).