Registered Nurse - Float - Dialysis Home Therapy
Company: FRESENIUS
Location: Chula Vista
Posted on: November 20, 2023
Job Description:
PURPOSE AND SCOPE:The professional registered nurse Home
Therapies RN CAP 5 is a designation in the Clinical Advancement
Program and is attained through the advancement from RN CAP 4. This
position is accountable and responsible for the provision and
coordination of clinically competent care which includes
assessment, planning, intervention, and evaluation for an assigned
group of patients. This may include delegation of appropriate tasks
to direct patient care staff including but not limited to RNs,
LVN/LPNs and Patient Care Technicians. -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: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
Supervisor and 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 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
therapies 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, leader, coach, mentor and role model for
new and incumbent employees by setting examples of appropriate
behavior, work habits and attitudes towards patients, co-workers,
supervisors and the company at the facility, area, region, group,
division and corporate level. -
- 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 referral and
treatment modality options.
- Assists in the identification, evaluation, selection and
education of Home Dialysis candidates and home care partners.
- Performs assessment and identifies barriers of 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 a formal standardized Home Dialysis
Training Program.
- Serves as a lead for educational or quality improvement
projects at the facility, area, regional, group, division or
corporate level as directed or approved by Supervisor.
- May serve as a Preceptor to new employees
- Required to complete CAP requirements to maintain level.
- Performs all other duties as assigned by Supervisor. - - - - -
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- - - - - - - - - - - - - - - - - - - - - - - - - - - -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
diseases/materials.
- Rotates coverage with other licensed home Therapies staff as
assigned to ensure reliable and adequate coverage. -
- Position requires participation in on-call rotation. night,
weekend, holiday or as defined by individual program needs.
- The position may require travel to training sites, other
facilities and patient homes.
- May be asked to provide essential functions of this position in
other locations including patient's home with the same physical
demands and working conditions as described above.
- Day to day work includes desk work, computer work, interaction
with patients, facility/hospital staff and physicians.
- Employees are required to take the Ishihara's Color Blindness
test as a condition of employment. Note that: Failing theIshihara
Test for Color Blindness does not preclude employment. The Company
will consider whether reasonable accommodation can be
made.SUPERVISION:Assigned oversight of RNs, LPNs/LVNs, Patient Care
Technicians and Home Therapies Care Team Assistants as a Team
Leader or designated Nurse in Charge after meeting all the
following:
- 3 months experience in home dialysis therapies as a
RN.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 he or
she is employed.EXPERIENCE AND REQUIRED SKILLS:
- Minimum of 12 years Nephrology Nursing experience as a RN.
- National certification in Dialysis Nursing (CDN), Nephrology
Nursing (CNN) or Certified Hemodialysis Nurse
(CHN).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted
this job description. I understand what is expected of me in this
position, and I am able to perform the essential functions as
outlined with or without reasonable accommodation. Furthermore, I
understand that the duties and responsibilities listed in this job
description are intended only as illustrations of the various types
of work that may be performed. - The omission of specific
statements of duties does not exclude them from the position if the
work is similar, related, or a logical assignment to the position.
If I have any questions about duties and responsibilities not
specified in this job description that I am asked to perform, I
should discuss them with my immediate Supervisor or my Human
Resources representative.ADDENDUM:Clinical Advancement Program
(CAP) Quality
- Competency demonstrated through fostering a Culture of Patient
Safety and quality as evidenced by Improved Patient Health
Outcomes
- Promotes, facilitates, and collaborates with all members of the
interdisciplinary team (IDT) and patient care team on the
application of quality improvement principles, activities in the
delivery of care, identification of risk areas and opportunities
for improvement, and root cause analysis (RCA)
- Promotes, advances, and assists with implementation of FKC
clinical, educational, and quality initiatives.
- Mentors and trains team members to monitor the effectiveness of
their daily processes.
- Ensures documentation in eQUIP and utilization of data,
benchmarking, and graphical representations in performance
improvement activities.
- Analyzes, manages, and reports data as needed to identify
improvement opportunities and measure the progress of improvement
projects.
- Use quality improvement tools to ensure adherence to QAI
activities.
- Facilitates program and annual regulatory review audits
- Collaborates with Regulatory to identify and recommend systems
and practices that would improve outcomesClinical Advancement
Program (CAP) Preceptor
- Maintains direct supervision of the new nurse until graduated
from new employee training
- Collaborates with team members to identify learning
opportunities
- Communicates and collaborates with supervisor and Education
Department regarding progress of new nurse
- Continues to mentor and support new nurses once released to
work independently
- Mentors new RN PreceptorsClinical Advancement Program (CAP)
Multi-modality Cross Trained
- Cross trained to deliver patient care across multiple
modalities
- Responsible for maintaining skill set in each cross-trained
modality for the delivery of safe and effective patient care
- Communicates and collaborates with operational and clinical
leaders to support maintenance of skills
- Ensures the provision of safe and comprehensive care of
patients within the chosen modalities in accordance with all
company policies and procedures
- Embraces a commitment to patient satisfaction and actively
seeks opportunities to improve the overall patient experience in
alignment with established quality and regulatory standardsEO/AA
Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender Identity - - Fresenius Medical Care North
America maintains a drug-free workplace in accordance with
applicable federal and state laws."The rate of pay for this
position will depend on the successful candidate's work location
and qualifications, including relevant education, work experience,
skills, and competencies.
-
Hourly Rate: - $51.00 - $86.00"
Keywords: FRESENIUS, Chula Vista , Registered Nurse - Float - Dialysis Home Therapy, Healthcare , Chula Vista, California
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