Home Therapies professionals at Fresenius Medical Care provide education and support to patients and caretakers who have chosen home dialysis therapy. This role involves an initial visit to the homes of patients to assess home therapy readiness, as well as training and follow-up visits within the clinic environment. Successful candidates have outstanding customer service skills, a valid driver’s license and the desire to positively impact patients’ lives by empowering them to treat themselves in the comfort of their own homes.
Job DescriptionHouston, Texas Job ID R0028899
*Full Time Home Therapies Dialysis RN
*$10,000 Sign-on Bonus
PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
- Welcome assigned patients and inquire as to their well-being since their last treatment.
- Evaluate vascular access for patency.
- Obtain necessary pre and post treatment vital signs and weight.
- Perform vascular access evaluation pre-treatment.
- Perform vascular access cannulation.
- Perform administration of Heparin as delegated or as allowed by state law.
- Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
- Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
- Monitor patients' response to dialysis therapy.
- Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
- Discontinue dialysis treatment according to established procedures.
- Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
- Obtain Hemostasis and apply appropriate dressings.
- Evaluate the patient prior to discharge.
- Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
- Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
- Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
- Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
- Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
- Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor.
- Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse supervisor.
- Perform and document any intervention for unusual patient status and document patients' response to intervention.
- Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the PCT III (if applicable) or nurse supervisor.
- Obtain all prescribed laboratory testing and prepare specimens for collection.
- Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
- Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
- Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
Initiate Solution Delivery System (SDS) system.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
Prepare organize and efficiently utilize supplies and equipment to prevent wastage.
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enters all treatment data into the designated clinical application in an accurate and timely manner.
Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
Collect label appropriately prepare and store lab samples according required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
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.
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.
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.
The position provides direct patient care that regularly involves heavy lifting and 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. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items.
EDUCATION AND LICENSES:
High School diploma or G.E.D. required.
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
All appropriate state licensure education and training (if any) required.
EXPERIENCE AND REQUIRED SKILLS:
At least two years previous patient care experience in a hospital setting or a related facility preferred.
Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
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.
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
I see these people when they start, and when they're over that hump my heart just...I can't even describe it. It's just amazing.Joanne S., Registered Nurse
We've got your back.
We fully believe that dedication and passion should be recognized and rewarded. That's why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.
- Healthcare FSA
- Dependent Care FSA
Tuition Assistance and CEU reimbursements ($500/year for full‑time; $350/year for part‑time)
Paid Time Off
Paid Time Off
Flexibility in using PTO for vacation, holiday and personal time.
- Employee Pride
- Valued Team Members
- Motivation for Excellence
- Respect & Dignity
- Openness & Trust
- Adoption Assistance
- Wireless, Automobile and Computer Discounts
- Discount Fitness Program
401(K) Retirement Saving
401(K) Retirement Saving
Competitive vesting schedules and a company match of 50 cents for each dollar you save up to the first 6% of your salary (3% additional) after one year of employment.
We are so glad you are interested in a career with FMCNA! What happens next?
Application & Assessment
First you will need to complete your online application. Some roles may also require an online assessment to be completed.
Then a recruiter will review the applications submitted and select those most aligned with the role to move forward. If selected, The recruiter will contact you to schedule the next step.
Next, you will participate in phone/video interview(s) with our recruiter & leadership team.
The recruiter will provide feedback to you on your interview(s) and update you on any hiring decisions.
Next, the recruiter will extend a formal offer if you are selected for the position.
Lastly, you will accept your offer and complete pre-employment checks and paperwork.
Learn more about working at Fresenius Medical Care at an upcoming hiring event near you.
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