Peritoneal Dialysis RN (PRN)

Job Description

Job Description

JOIN OUR TEAM

If you are an experienced PD nurse who believes patients deserve personalized education, clinical excellence, and the freedom to learn dialysis in their own home, we invite you to join our concierge home dialysis program.

Apply today to help us redefine the home dialysis training experience.

POSITION SUMMARY

We are seeking an experienced and compassionate PD Training Nurse to join our innovative Concierge In-Home Peritoneal Dialysis Training Program.

This position provides individualized peritoneal dialysis education and training directly in the patient's home, allowing patients and caregivers to learn PD in a comfortable, private environment while receiving highly personalized clinical support.

The PD Training Nurse will be responsible for preparing patients and caregivers to safely and confidently perform peritoneal dialysis, including aseptic technique, catheter care, equipment setup, treatment procedures, troubleshooting, infection prevention, emergency procedures, and ongoing self-management.

The ideal candidate is an experienced dialysis nurse who is highly independent, organized, clinically confident, and comfortable providing care and education outside of the traditional dialysis facility setting.

KEY RESPONSIBILITIES

Patient & Caregiver Training

• Provide comprehensive, one-on-one PD training in the patient's home.
• Develop individualized training plans based on patient and caregiver learning needs.
• Train patients and caregivers on manual exchanges and/or automated peritoneal dialysis (cycler) therapy as prescribed.
• Educate patients on PD supplies, equipment, dialysate solutions, medications, and treatment procedures.
• Assess patient/caregiver competency throughout the training process.
• Adapt teaching methods to accommodate literacy, language, learning style, physical limitations, and cognitive needs.
• Reinforce patient independence while maintaining safety and adherence to the prescribed treatment plan.

Clinical Assessment

• Perform comprehensive nursing assessments during home visits.
• Assess the patient's ability to safely perform PD independently.
• Monitor catheter exit site and tunnel for signs and symptoms of infection.
• Assess fluid status, blood pressure, weight, edema, ultrafiltration, and other relevant clinical indicators.
• Identify changes in condition and communicate concerns promptly to the nephrologist and home therapy team.
• Recognize and appropriately respond to PD-related complications.

PD Procedures & Troubleshooting

• Teach and reinforce proper aseptic technique and infection prevention practices.
• Train patients on connection/disconnection procedures.
• Provide education regarding drain issues, low drain alarms, slow flow, fibrin, constipation, and other common PD troubleshooting concerns.
• Provide education related to cycler operation and troubleshooting.
• Teach appropriate response to contamination, accidental disconnection, and other treatment-related emergencies.
• Reinforce procedures for managing suspected peritonitis and other complications according to program protocols.
• Ensure patients understand when and how to contact the PD clinical team.

Concierge In-Home Care

• Conduct scheduled training and follow-up visits in the patient's home.
• Provide a professional, respectful, and patient-centered experience during every visit.
• Evaluate the patient's home environment for safety and suitability for PD.
• Identify barriers to successful home dialysis and collaborate with the interdisciplinary team to address them.
• Assist patients with organization and storage of PD supplies and equipment.
• Coordinate additional training visits when competency has not been demonstrated.
• Provide post-training follow-up and reinforcement as directed by the home therapy program.

Documentation & Regulatory Compliance

• Complete accurate and timely documentation of all training and home visits.
• Maintain competency checklists and training records.
• Document patient/caregiver progress toward independence.
• Maintain compliance with facility policies, CMS Conditions for Coverage, infection prevention standards, and applicable state and federal regulations.
• Participate in QAPI activities related to home dialysis, PD outcomes, training, infection prevention, hospitalization reduction, and patient retention.
• Maintain patient confidentiality and comply with HIPAA requirements.

Interdisciplinary Collaboration

• Communicate regularly with the nephrologist, PD program manager, dietitian, social worker, and other members of the interdisciplinary team.
• Provide updates regarding patient progress, barriers, clinical concerns, and readiness for independent therapy.
• Participate in patient care conferences as appropriate.
• Coordinate with equipment and supply vendors when necessary.
• Assist with transition of patients from training to independent home therapy.

CONCIERGE SERVICE EXPECTATIONS

The PD Training Nurse represents the organization in the patient's home and is expected to provide an exceptional level of professionalism and service.

The successful candidate will:

• Treat every patient and caregiver with dignity, respect, and compassion.
• Create a calm and supportive learning environment.
• Maintain professional boundaries while working independently in patient homes.
• Demonstrate excellent communication skills.
• Be responsive, reliable, and highly organized.
• Protect patient privacy and confidentiality.
• Provide a consistent, high-quality patient experience.
• Promote confidence and independence rather than dependence on the clinical team.

QUALIFICATIONS

Required:

• Current, unrestricted Registered Nurse (RN) license in the applicable state(s).
• Minimum of 2 years of clinical nursing experience.
• Previous peritoneal dialysis experience required.
• Demonstrated knowledge of PD procedures, aseptic technique, infection prevention, and PD troubleshooting.
• Strong patient education and communication skills.
• Ability to work independently with minimal direct supervision.
• Valid driver's license and reliable transportation.
• Ability to travel to patient homes throughout the assigned service area.

Preferred:

• Previous PD training nurse experience.
• Home dialysis experience.
• Experience with both CAPD and automated PD.
• Experience with multiple PD cycler platforms.
• Previous experience conducting home visits.

PHYSICAL REQUIREMENTS

• Ability to travel to patient homes on a regular basis.
• Ability to stand, walk, bend, reach, and sit for extended periods.
• Ability to lift and carry PD training supplies and equipment.
• Ability to safely perform nursing procedures in a variety of home environments.
• Ability to operate computers, tablets, and electronic medical record systems.