Mediabistro logo
job logo

Fresenius Medical Care is hiring: Registered Nurse - RN - Dialysis in Philadelph

Fresenius Medical Care, Philadelphia County, PA, United States


Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours 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. 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. " EOE, disability/veterans

In Summary: Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours . Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment . Position is accountable and responsible for the provision and coordination of clinically competent care .

En Español: Pago una a la formación y educación proporcionada Empoderar, involucrar y capacitar pacientes de diálisis en el programa peritoneal y hemodiálisis casera utilizando los programas y equipos de capacitación más avanzados Trabaja principalmente en el entorno clínico y realiza visitas iniciales al domicilio con otro miembro del personal presente Esta posición es responsable y responsable de proporcionar y coordinar atención clínicamente competente incluyendo las funciones de evaluación, planificación y evaluación para un grupo asignado de pacientes. Realiza todas las funciones esenciales bajo la dirección del Supervisor y con orientación del Educador, el Preceptor o en colaboración con otra enfermera registrada. Recolecta y analiza continuamente y sistemáticamente los datos de diálisis para pacientes asignados y documentos en el expediente médico del paciente, realiza ajustes o modificaciones al plan de tratamiento según se indique y notifica a su supervisor o médico cuando sea necesario. Evalúa, colabora y documenta las necesidades básicas de aprendizaje del paciente / familia para proporcionar educación inicial y continua a los pacientes y familiares. Dirige y proporciona, en cooperación con el paciente, compañero de atención domiciliaria, personal directo y auxiliar de atención al paciente, todos los aspectos de la provisión segura y efectiva de terapias de dialisis a los enfermos asignados. Administra medicamentos como prescritos o de acuerdo con los algoritmos aprobados), e incumbe a los superintendentes médicos atender a los procedimientos apropiados. Identifica los resultados esperados, documenta y actualiza la evaluación de enfermería y el plan de atención para pacientes asignados a través de colaboración con el Equipo Interdisciplinario. Asegura la conciencia del paciente relacionada con las opciones de trasplante y modalidad de tratamiento. Ayuda en la identificación, evaluación, selección y educación de los candidatos a diálisis domiciliaria y socios domésticos. Realiza una evaluación e identifica las barreras del entorno hogareño del candidato a dialisis domiciliar y su socio/partidumbre familiar y capacidad para realizar tratamientos de diálisis en casa. Forma a los pacientes y / o socios residenciales sobre el funcionamiento seguro, efectivo y mantenimiento de todos los equipos y suministros de tratamiento de dialysis domiciliarios mediante un Programa Estandarizado de Capacitación de Diálisis. Participa en proyectos educativos y de mejora de calidad en el área y nivel indicado por el Supervisor. La posición proporciona atención directa al paciente que implica regularmente el levantamiento pesado, movimiento de pacientes y asistencia con la ambulancia. Los equipos auxiliares y/o compañeros de trabajo pueden brindar ayuda. Esta posición requiere períodos frecuentes y prolongados de pie y el empleado debe ser capaz de doblarse. El empleado puede ocasionalmente necesitar moverse, con asistencia, máquinas y equipo de hasta 200 libras, y puede levantar soluciones químicas y acuáticas de hasta 30 libras. Hasta 5 pies. El entorno de trabajo es característico de una instalación de salud con control de temperatura del aire y niveles moderados de ruido. Puede estar expuesto a enfermedades infecciosas y contagiosas / materiales. SUPERVISIÓN: Supervisión asignada de RN, LPNs/LVNs, Técnicos de Atención al Paciente y Asistentes del Equipo de Cuidados para Terapias en el Hogar como líder de equipo o enfermera designada encargada, después de cumplir con todas las siguientes condiciones: Completado exitosamente todos los requisitos de educación y capacitación FKC para nuevos empleados. Deben tener un mínimo de 3 meses de experiencia en terapias de diálisis domiciliaria como RN.