Registered Nurse - RN

Position Overview

This is a Home Therapy RN position. Paid one‑on‑one training and education are provided. The RN empowers, engages, and trains dialysis patients on peritoneal and home hemodialysis using state‑of‑the‑art training programs and equipment. The RN primarily works in the clinic setting and conducts 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.

The registered professional nurse Home Therapies RN CAP 1 is an entry‑level designation in the Clinical Advancement Program (CAP). This position is accountable for the provision and coordination of clinically competent care, including assessment, planning, intervention, and evaluation for an assigned group of patients. The RN assesses and manages patients’ responses to home dialysis training and treatment therapy by following predetermined 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 RN participates in decision‑making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

• 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 and 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 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 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.
• Completes CAP requirements to advance.
• Performs all other duties as assigned by Supervisor.

• Provides direct patient care that regularly involves heavy lifting, moving of equipment, patients, and assisting with ambulation; equipment aids and/or coworkers may provide assistance.
• Requires frequent, prolonged periods of standing and the employee must be able to bend over.
• 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.
• Environment is 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.
• Includes…