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Internal Medicine Nurse Practitioner
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Nurse Practitioner
2 months ago
The Registered Nurse - Home Therapies RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). 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.
Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient-related issues to the physician as needed.
As a member of the End Stage Kidney Disease (ESKD) healthcare 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:- 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 the 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 healthcare 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.
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 equipment, 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 healthcare 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.
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, or patient homes.
May be asked to provide essential functions of this position in other locations, including patients' homes, with the same physical demands and working conditions as described above.
