National Float Pool Home Therapy Registered Nurse - RN
Company: Fresenius Medical Care
Location: Costa Mesa
Posted on: May 8, 2024
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Job Description:
POSITION FEATURES: This position is part of the Fresenius
National Float Pool. Frequent overnight travel is required. The
primary responsibility of this role is patient education. Patient
training is primarily done in the clinic setting. PURPOSE AND
SCOPE: The professional registered nurse Home Therapies RN CAP 2
may be an entry level designation into the Clinical Advancement
Program (CAP) for new employees who meet the RN CAP 2 criteria or
attained through advancement from RN CAP 1. 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. 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 and area 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 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 a formal standardized Home Dialysis Training
Program. Participates in education and quality improvement projects
at the facility and area level as directed by Supervisor. May serve
as a Preceptor to new employees. Required to complete CAP
requirements to either maintain or advance. 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, 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, 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 the Ishihara 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: Successful completion
of all FKC education and training requirements for new employees.
Must have a minimum of 3 months experience 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: Entry level for RNs with a minimum
of 2 years or more of Nephrology Nursing experience within the last
2 years as a RN. 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 outcomes
Clinical 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 Preceptors Clinical 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
standards 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.
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Keywords: Fresenius Medical Care, Fullerton , National Float Pool Home Therapy Registered Nurse - RN, Healthcare , Costa Mesa, California
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