Registered Nurse

POSITION FEATURES:

* 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:
Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Staff Related:

* Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
* Rotates with other licensed staff to ensure adequate coverage.
* Participates in staff training and orientation of new staff as assigned.
* Participates in all required staff meetings as scheduled.

Quality:

* Provides outstanding quality of patient care, as defined by company quality goals and standards.
* Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
* Participates in all monthly CQI meetings.

Education:

* Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
* Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
* Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
* Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
* Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment:

* Provides safe and effective delivery of home therapy support care to patients with ESRD.
* Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
* Communicates patient related issues to the physician as needed.
* Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
* Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related:

* Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
* Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties:

* Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
* Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical:

* Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
* Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
* Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation:

* Admits all new patients and documents as needed.
* Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
* Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
* Completes all monthly and annual reporting as required by company policies and government regulations.

Other:

* Performs other related duties as assigned

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.

* Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
* 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

* 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

accommodations can be made.
SUPERVISION:

* None

EDUCATION AND REQUIRED CREDENTIALS:

* Graduate of an accredited School of Nursing (R.N.)
* Current appropriate state licensure

EXPERIENCE AND SKILLS :

* Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
* Minimum of one year dialysis experience preferred, peritoneal experience preferred.
* Successfully complete a training course in the theory and practice of dialysis therapies.
* Competent at operating all Home Therapies related equipment.
* Successfully complete CPR certification with maintenance as required.
* Icd-9 coding Training.
* Demonstrated teaching abilities.

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.
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.