Home Therapy Registered Nurse - Home Health
Company: Fresenius Medical Care
Location: Harker Heights
Posted on: September 12, 2023
Home Therapy Registered NursePURPOSE AND SCOPE:
The registered professional nurse (CAP RN 1) position is an entry
level designation into the Clinical Advancement Program for
Registered Nurses. The CAP RN 1 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.
As a member of the Chronic Kidney Disease (CKD) health care team,
the CAP RN 1 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 with guidance from the Educator, Preceptor or a
Home Therapy CAP RN 2, 3, 4 or 5 for the first 6 months of
* Expected to complete requirements to advance to the next CAP
level, for which they qualify, within 24 months from date of
* 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 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 direct and ancillary
patient care staff, all aspects of the provision of safe and
effective delivery of chronic dialysis therapy to assigned
* 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
* Monitors patient care staff for appropriate techniques and
adherence to FKC policy and procedures.
* Promotes infection control, equipment and environmental
* 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 patients to Home Therapy using the appropriate
processes per Fresenius Kidney Care policy and procedure.
* Trains Home Dialysis patients and / or Home Partners on the safe
and effective operation and maintenance of all Home Dialysis
equipment and treatment supplies through an organized and formal
Home Dialysis Training Program.
* 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
* 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
* Makes referrals to Social Worker and Registered Dietitian as
* Checks availability of adequate emergency equipment and supplies
* 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.
* 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 functions.
* 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,
travel to home dialysis patient homes and other locations with the
same physical demands and working conditions as described
* 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 12 months experience as an RN plus
* Successful completion of 3 months experience as an RN in home
peritoneal dialysis and / or home hemodialysis.
* Graduate of an accredited School of Nursing.
* Current appropriate state licensure.
* 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 within the last two years or for RNs with a BSN and less
than 1 year of nephrology nursing experience within the last two
* Minimum of 9 months experience as a Registered Nurse
* 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
* Meet all conditions of employment including Ishihara's Color
* Successful completion of all annual required
* Successful completion of on-going training and education as
assigned or required.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual
Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Care, Temple , Home Therapy Registered Nurse - Home Health, Healthcare , Harker Heights, Texas
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