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Fresenius Medical Care

Registered Nurse - RN - Dialysis

apartment Fresenius Medical Care location_onNew York, NY, US
$37 - $63 / hour
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PURPOSE AND SCOPE:

The registered professional 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) 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 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 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 health care 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.

· Required to complete CAP requirements to 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 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 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 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 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 LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy 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 12 months experience as a RN.

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

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 less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Minimum of 1-year experience as a Registered Nurse (preferred)

· Home dialysis therapy experience (preferred).

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

 

Hourly Rate: $37.00 - $63.00

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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Adheres to the tenets of the Joint Commission National Patient Safety Goals Delegates activities to ancillary staff as it relates to the State Nurse Practice Act Adheres to the ANA Code of Nursing Ethics & Scope and Standards of Nursing Practice Supports, promotes, and practices within the WPH Professional Nursing Practice Model Sustains and advances the Magnet model Participates in the Performance Improvement initiatives Completes competency requirements Attends mandatory in-services Attends staff meetings as required/requested Utilizes cost containment practices Assumes Charge Nurse responsibility Performs other related duties as assigned Education & Experience Requirements Graduate from an accredited school of nursing with current New York RN license/registration. BSN Required. Knowledge of current nursing, medical and health trends and practices in rendering of patient care. One year of acute care nursing experience preferred for areas other than medical surgical or step-down BLS certification (through American Heart Association) is required. ACLS certification (through American Heart Association) is required for all RNs, except for NICU and OR RNs. All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months. PALS certification (through American Heart Association) is required for all RNs working in the PACU, 5I Pediatrics, Emergency Department, Armonk Urgent Care, Ambulatory Surgery and 226 Ambulatory Surgery Center. All newly hired, inexperienced nurses must receive this certification within 12 months. All newly hired, experienced nurses must receive this certification within 6 months. NRP certification is required for all RNs working in the Mother-Baby unit, Labor & Delivery, and NICU. All newly hired nurses to the NICU, L&D, and Mother-Baby must receive this certification within 6 months. Effective 10/31/25 all RNs working on 5I are required to have NRP. Experienced RNs will have 6 months to obtain and new graduates will have 12 months. All registered nurses and advanced practice nurses providing direct oncology care must demonstrate one of the following: Current cancer-specific certification in the nurse’s specialty by an accredited certification program. Oncology nursing certifications that qualify include, but are not limited to: AOCNP®, AOCNS®, AOCN®, BMTCN®, CPHON®, CPON®, CBCN® OCN® or Ongoing education by earning 36 cancer-related continuing education nursing contact hours every 3 years (maintained by department manager) Registered Nurses in the Emergency Department must complete de-escalation training within 1 year of hire to transfer to the Emergency Department. Successful completion of Department and Unit Orientation Program. Core Competencies Teamwork & Adaptability Acts as a Professional Role Model Assessment Skills Excellent Communication Skills (both verbal and written) Attention to Detail Planning & Organizing Sound Problem-Solving, Judgment and Decision-Making Skills Stress Tolerance Physical/Mental Demands/Requirements & Work Environment May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) database and accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc. Position requires ability to move about freely at least 85 per cent of the time. Must be able to remain stationary for extended/prolonged periods Frequently moves/transports objects up to fifty (50) pounds and must be able to move patients of all weights with a minimum of one (1) assist or assistive device/equipment Must be able to work in environment with continuous interruptions Must be able to assess and respond to rapidly changing situational needs of patients, department and hospital Must be able to adapt in a high stress and fast-paced environment with multiple interruptions Must be able to detect sounds and respond to emergency sounds/signals at all times Must be able to constantly operate computer, equipment and other devices Position requires ability to concentrate on fine detail with interruptions and attend to tasks for more than sixty (60) minutes at a time. Individual must be able to understand and relate to theories behind several related concepts and remember multiple tasks given during the course of a day. Primary Population Served Check Appropriate Box(s) Below Neonatal (birth – 28 days) Patients with exceptional communication needs Infant (29 days – less than 1 year) Patients with developmental delays Pediatric (1 – 12 years) Patients at end of life Adolescent (13 – 17 years) Patients under isolation precautions Adult (18 – 64 years) Patients with cultural needs Geriatric (> 65 years) ☒All populations Bariatric Patients with weight related comorbidities Non-patient care population The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital. Salary Range: $117,695-$152,756 (Based on FT hours)