Night Shift Hospital Dialysis Registered Nurse

Patients will receive one‑on‑one training and education to empower, engage and train dialysis patients on peritoneal and home hemodialysis using state‑of‑the‑art training programs and equipment. They will primarily work in the clinic setting and conduct initial home visits with another staff member present. The position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours.

Purpose and Scope The registered professional nurse Home Therapies RN CAP 1 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, the nurse participates in decision‑making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

Principal Duties and 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, 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 to patients and family.

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 algorithm(s), and documents appropriate medical justification and effectiveness.

Initiates or assists with emergency response measures.

Serves as a resource for 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.

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 to include Peritoneal Dialysis and Home Hemodialysis.

Travels within a 75‑mile coverage radius as required.

Physical Demands and Working Conditions Provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation.

May occasionally require moving, with assistance, machines and equipment up to 200 lbs., and lifting chemical and water solutions of up to 30 lbs. Work environment characteristic of a health care facility with air temperature control and moderate noise levels.

Might 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.

May require travel to training sites, other facilities or patient homes.

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 the following:

Successful completion of all FKC education and training requirements for new employees.

Must have a minimum of 12 months experience as an RN.

Successful completion of 3 months experience as an RN in home peritoneal dialysis and/or hemodialysis.

Education and Licensure Graduate of an accredited School of Nursing.

Experience and Required Skills Entry level for RNs with less than 2 years of Nephrology Nursing experience.

Minimum of 1‑year experience as a Registered Nurse (preferred).

Home dialysis therapy experience (preferred).

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.

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