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Home Dialysis Registered Nurse - RN

$5,000 Sign-on bonus available for qualified candidates!

PURPOSE AND SCOPE:

The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.  The CAP RN 1 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. 

As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Program Manager with guidance from the Educator, Preceptor or a Home Therapy CAP RN 2, 3, 4 or 5 for the first 6 months of employment.

  • Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire.  

  • Performs ongoing, systematic review and analysis of dialysis data for Home Therapy patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Supervisor or Physician as needed.

  • Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.

  • Assesses assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.

  • Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of chronic dialysis therapy to assigned patients.

  • Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

  • Ensures correct patient laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

  • Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record

  • Initiates or assists with emergency response measures.

  • Delegates appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians.

  • Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.

  • Promotes infection control, equipment and environmental safety.

  • Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.

  • 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. 

  • Admits new patients to Home Therapy using the appropriate processes per Fresenius Kidney Care policy and procedure.

  • Trains Home Dialysis patients and / or Home Partners on the safe and effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.  

  • Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols. Communicates patient related issues to the physician as needed

  • 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.

  • Makes referrals to Social Worker and Registered Dietitian as appropriate.

  • Checks availability of adequate emergency equipment and supplies as assigned.

  • Assists with medication tracking and inventory as assigned.

  • Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

  • Participates in all required staff meetings as scheduled.

  • Supports and promotes the Fresenius Kidney Care mission, vision, values, and customer service philosophy.

  • Performs all other duties as assigned by Supervisor.

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 therapy staff as assigned to ensure reliable and adequate coverage.

  • Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs).

  • May be asked to provide essential functions of this position, travel to home dialysis patient homes and other locations with the same physical demands and working conditions as described above.


SUPERVISION:

  • Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following:

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

    •  Must have a minimum of 12 months experience as an RN plus

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


EDUCATION:

  • Graduate of an accredited School of Nursing.

  • Current appropriate state licensure.

  • Must meet the practice requirements in the state in which he or she is employed.

 

EXPERIENCE AND REQUIRED SKILLS:

  • Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.
  • Minimum of 9 months experience as a Registered Nurse (preferred).
  • Chronic Home dialysis or hemodialysis experience (preferred).
  • Successful completion of FKC Education and Training requirements for new employees.
  • Successful completion and maintenance of CPR BLS Certification.
  • Meet all conditions of employment including Ishihara's Color Blindness Test.
  • Successful completion of all annual required education/training/competencies.
  • Successful completion of on-going training and education as assigned or required.

 

EO/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.

EOE, disability/veterans

Average salary estimate

$65000 / YEARLY (est.)
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$60000K
$70000K

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What You Should Know About Home Dialysis Registered Nurse - RN, Fresenius Medical Care

Are you a compassionate and dedicated registered nurse looking for an exciting opportunity in home dialysis? Look no further than the Home Dialysis Registered Nurse position at Fresenius Medical Care in Columbia, TN! We’re thrilled to offer a $5,000 sign-on bonus for qualified candidates! In this dynamic role, you’ll be part of a supportive team focused on providing top-notch care to patients with chronic kidney disease. As a Home Dialysis RN, your main responsibility will be coordinating and providing clinically competent nursing care, which includes everything from patient assessments to implementing effective treatment plans. You will also play a crucial role in patient education, ensuring that both patients and their families are well-informed about treatment procedures and options. With opportunities for advancement in our Clinical Advancement Program, you’ll have the chance to grow your skills and career within the first 24 months of employment. If you are ready to make a significant impact on the lives of our patients while working in a rewarding environment that values integrity and excellence, consider joining Fresenius Medical Care today. We’re looking forward to welcoming you to our team where your passion for nursing meets the opportunity for professional growth!

Frequently Asked Questions (FAQs) for Home Dialysis Registered Nurse - RN Role at Fresenius Medical Care
What are the primary responsibilities of the Home Dialysis Registered Nurse at Fresenius Medical Care?

The Home Dialysis Registered Nurse at Fresenius Medical Care is accountable for patient assessment, treatment planning, and providing comprehensive care for patients undergoing home dialysis. This entails closely monitoring patient conditions, collaborating with health team members, and educating both patients and their families on treatment protocols. Additionally, you will be responsible for delegating tasks to ancillary staff and ensuring safety and infection control measures are strictly followed.

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What qualifications are needed for the Home Dialysis Registered Nurse position at Fresenius Medical Care?

To qualify for the Home Dialysis Registered Nurse position at Fresenius Medical Care, candidates must be graduates of an accredited nursing program and possess a current nursing license in the state of TN. While entry-level RNs with less than two years of nephrology experience will be considered, having a minimum of nine months nursing experience is preferred. Completing the required education and training provided by Fresenius is essential for success in this role.

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How does the Clinical Advancement Program work for Home Dialysis RNs at Fresenius Medical Care?

The Clinical Advancement Program at Fresenius Medical Care provides a pathway for Home Dialysis RNs to enhance their nursing skills and advance professionally. Newly hired nurses are expected to complete their advancement requirements within 24 months, which may involve obtaining certifications, mastering specific competencies, and gaining experience in nephrology nursing. This program is designed to foster career growth and improve patient care outcomes.

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What training is provided to new Home Dialysis Registered Nurses at Fresenius Medical Care?

New Home Dialysis Registered Nurses at Fresenius Medical Care receive comprehensive training, including orientation on the specific procedures and protocols related to home dialysis. This training is organized under the guidance of experienced staff and covers everything from operating dialysis machines to understanding patient needs and emergency protocols. Continuous education and skill development are strongly emphasized to ensure high-quality patient care.

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What is the work environment like for a Home Dialysis Registered Nurse at Fresenius Medical Care?

The work environment for a Home Dialysis Registered Nurse at Fresenius Medical Care is both dynamic and patient-focused, providing a mix of in-clinic and home settings. The role requires significant physical activity, including lifting and moving patients, while ensuring the safety and comfort of patients receiving home therapies. Nurses will work as part of a collaborative healthcare team, ensuring high standards of care and supporting one another in a fast-paced yet rewarding environment.

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Common Interview Questions for Home Dialysis Registered Nurse - RN
Can you describe your experience with home dialysis treatments?

It's essential to highlight any relevant experience you have with home dialysis, including the types of patients you've worked with and your familiarity with specific equipment. Explain how you've provided training and support to patients and families, ensuring they understand their treatment. This shows your capability and compassion in handling such sensitive patient care.

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What strategies do you use to educate patients about their dialysis treatment?

Discuss your approaches to patient education, whether it's using visual aids, hands-on demonstrations, or tailored one-on-one sessions. Emphasize the importance of assessing the patient’s understanding and tailoring your teaching methods to fit their individual needs. Being patient-centered emphasizes your commitment to their care.

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How do you handle stressful situations with patients or their families?

Share examples of past situations where you maintained composure under stress. Discuss how active listening and empathy play a crucial role in calming patients and their families. Preparing for difficult conversations can also show your ability to navigate challenging circumstances effectively.

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How do you prioritize your tasks when managing multiple patients?

Explain your time management skills and how you assess patient needs to prioritize effectively. You can mention any tools or methods you use to keep track of your responsibilities, ensuring that patient safety and care quality are maintained at all times.

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What do you believe are the most important qualities for a Home Dialysis Registered Nurse?

Identify core qualities, such as empathy, strong communication skills, and the ability to work collaboratively within a healthcare team. Pointing out specific examples from your previous roles can illustrate how you've embodied these qualities in real-life scenarios.

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How do you ensure the safety and cleanliness of the home dialysis environment?

Discuss your familiarity with infection control protocols and techniques you've employed in previous roles, particularly in home settings. Emphasizing your knowledge of equipment usage and patient preparation can demonstrate your commitment to maintaining a safe treatment environment.

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What do you do if a patient is not adapting well to home dialysis?

Explain how you would assess the situation comprehensively, including reviewing the patient’s understanding of their treatment. Discuss the importance of communication and collaboration with the healthcare team to identify and address barriers, showcasing your proactive problem-solving skills.

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How do you stay current with the latest developments in nephrology nursing?

Share your strategies for ongoing education, such as attending workshops, reading journals, or participating in professional organizations. This demonstrates your commitment to professional development and the quality of care you provide to your patients.

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What is your approach to working as part of a team?

Provide examples of how you collaborate with other healthcare professionals, emphasizing your skills in communication and teamwork. Highlight your understanding of team dynamics and how a cohesive team contributes positively to patient outcomes.

Join Rise to see the full answer
How do you respond to a medical emergency during patient treatment?

Discuss your training related to emergency protocols and how you remain calm and focused during critical situations. Your ability to think quickly and act decisively can showcase your preparedness for potential unexpected challenges in patient care.

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DATE POSTED
April 8, 2025

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