Registered Nurse - RN

Transitional Care Unit (TCU) – Registered Nurse A Transitional Care Unit (TCU) helps ease patients into dialysis. The first weeks of dialysis involve a great deal of adjustment, along with increased risk of hospitalization and mortality. As a TCU nurse, you will provide patients with a solid foundation to start their dialysis journey. The TCU nurse coordinates the care and education of patients to help them feel better and make more informed decisions about their care, including choice of treatment modality— in‑center or at‑home dialysis. Purpose and Scope The registered professional nurse Home Therapies RN CAP1 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. The nurse assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed 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. Principal Duties and 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 and documents in the patient medical record, making adjustments or modifications to the treatment plan as indicated and notifying Supervisor or physician as needed. Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and families. 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 algorithms, 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 to the Home Dialysis candidate’s home environment and partner/family readiness and ability to perform dialysis treatments at 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. Entails frequent, prolonged periods of standing and bending. May occasionally require moving machines and equipment of up to 200lbs. and lifting chemical and water solutions of up to 30lbs. as high as 5feet. 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 to ensure reliable and adequate coverage. Requires participation in on‑call rotation, night, weekend, holiday or as defined by individual program needs. Might require travel to training sites, other facilities or patient homes. May be asked to provide essential functions in other locations including patient’s home with the same physical demands and working conditions. 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. Requires successful completion of all FKC education and training requirements for new employees. Requires a minimum of 12months experience as an RN. Requires successful completion of 3months experience as an RN in home peritoneal dialysis and/or hemodialysis. Education and Licensure 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 employed. Experience and Required Skills Entry‑level for RNs with less than 2years of Nephrology Nursing experience. Minimum of 1‑year experience as a Registered Nurse (preferred). Home dialysis therapy experience (preferred). Benefits and Compensation Hourly rate: $33.00 per hour – $55.00 per hour. Comprehensive benefits package includes medical, dental, and vision insurance; a 401(k) with company match; paid time off; parental leave; and potential performance‑based bonuses. Legal and Equal Opportunity Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal‑opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non‑merit‑based factors. #J-18808-Ljbffr