PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Functions as a member of the Home Dialysis Team asthe Home Therapy Staff Nurse.Ensures provision of quality Home Dialysis Training and patient care in accordance with FMS policies, procedures and the UltraCare at Home principles.Supports FMCNA's commitment to the Quality Assessment Performance Improvement Program (QAPI)) and CQI activities, including those related to patient satisfaction.Actively participates in Quality Assessment Performance Improvement (QAPI) process that may enhance the likelihood that patients will achieve established FMCNA Quality Target Goals..
DUTIES / ACTIVITIES:
Responsible for driving the FMS culture through values and customer service standards
Accountable for outstanding customer service to all external and internal customers.
Develops and maintains effective relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES
Provides safe and effective delivery of home dialysis training and education to patients with End Stage Renal Disease (ESRD) who have selected a home modality as a dialysis therapy.Oversees the delivery of home dialysis therapy to the patient in compliance with standards outlined in the FMS Home Peritoneal Dialysis Policy and Procedure Manual, or/Home Hemodialysis Policy and Procedure Manual , as well as regulations set forth by the Corporation, state and federal agencies. Accountable for providing outstanding quality of patient care, as defined by FMS quality goals and standards.
Assists in the identification, evaluation and selection of Home Dialysis training candidates, and Home Partners as appropriate for the FMS Home Dialysis Program,
Educates the patient/Home Partner and family regarding ESRD and the availability of the FMS Treatment Options Program.(TOP)
Performs assessment of the Home Dialysis training candidate's home environment for suitability in the ongoing delivery of home dialysis therapy
Assesses the Home Dialysis patient and Home Partner/family readiness and potential ability to perform dialysis treatments at home.
Admits all new home patients and documents the appropriate processes as required by policy and procedure.
Trains the home dialysis candidate/Home Partner as appropriate on the safe and effective operation and maintenance of all home dialysis equipment and treatment supplies through an organized and formalized Home Dialysis Training Program.
Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed 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 Manager/Home Therapy Program Manager, and physician including the correct documentation of such events.
Coordinates the transfer or discharge of patients to the hemodialysis or transplant clinic when needed and appropriate.
Reviews, transcribes, and enters physician lab orders accurately into Proton, AMI or Ecube medical information systems as appropriate.Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.
Participates in policy updates and ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the dialysis facility.
Administers medications as prescribed including following prescribed algorithms (as appropriate), and documents appropriate medical justification if indicated and maintains records on controlled substances as required by law.
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 the appropriate medical information system.
Completes all monthly and annual reporting as required by FMS policies and government regulations.
Submits CQI information to Clinical Manager or Program Manager for completion of HT QAI Template for inclusion in facility QAPI review process. Participates in all monthly QAPI meetings and all required staff meetings as scheduled.
Rotates coverage with other licensed staff to ensure reliable and adequate coverage, and participates in 24/7 on-call coverage as assigned.
Participates in staff training and orientation of new staff as assigned.
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 appropriate routine maintenance of home dialysis equipment, including water systems procedures as appropriate, immediatly reporting any water/dialysate problems to the facility Home Dialysis technical support staff.
Coordinates the ordering and delivery of the patient's initial dialysis supplies with the FMCNA RTG; the ordering of the patient's dialysis equipment as appropriate at the initiation of the training program; and the on-going operation and preventative maintenance of all home dialysis equipment through facility Technical support staff, or through the appropriate equipment vendor as required.
Other duties as assigned.
ADDENDUM - ULTRACARE HOME THERAPIES RN 5
Essential Nursing Functions with descriptions of expected behaviors:
The nephrology UltraCare Home Therapies RN 5 is responsible for all of the essential functions and expected behaviors of UltraCare Home Therapies RN 1, 2, 3, and 4, and the additional responsibilities of UltraCare Home Therapies RN 5.The registered professional nephrology nurse (UltraCare Home Therapies RN 5) functions as an expert nurse, has an enormous background of experience, an intuitive grasp of situations and is able to immediately focus on the accurate region of the problem. The UltraCare Home Therapies RN 5's practice expertly demonstrates a link between clinical grasp and clinical response with fluid and skilled performance. The UltraCare Home Therapies RN 5 is highly skilled in analytic ability and uses this skill for situations with no previous experience or when alternative perspectives are not available. The expert nurse has perceptual acuity paired with recognized ability. The expert nurse UltraCare Home Therapies RN 5 provides consultation for other nurses and health care team members, works as an advocate for the patient, and advocates for an environment that supports caring practices.
1.Assessment and Nursing Diagnoses:Collects and Analyzes comprehensive data pertinent to the patient's health or the situation, and collects and analyzes comprehensive date for groups of patients
a.)Systematically compares and contrasts clinical findings with normal and abnormal variations and developmental events in formulating a differential diagnosis
b.)Utilizes complex data and information obtained during interview, examination, and diagnostic in identifying nursing diagnoses
c.)Initiates and interprets diagnostic tests and procedures relevant to the patient's current status
d.)Uses the CKD staging classification system to document specific CKD diagnosis
e.)Assesses the effect of interactions among family, community, and social systems on health and illness
2.Outcomes Identification and Planning:Identifies expected outcomes and develops a Plan of Care that prioritizes care using an interdisciplinary approach
a.)Defines expected outcomes in terms of the patient, patient values, ethical considerations, environments, or situation with such consideration as associated risks, benefits and costs, and current scientific evidence
b.)Identifies expected outcomes that incorporate cost and clinical effectiveness, patient satisfaction, and continuity and consistency among care givers
c.)Identifies barriers to care, assessment, diagnostic strategies, and therapeutic interventions within the plan that reflect current evidence, including data, research, literature and expert clinical knowledge
d.)Differentiates outcomes that require care process interventions from those that require system-level interventions
e.)Includes strategies within the plan that address each of the identified diagnoses or issues, which may include strategies for promotion and restoration of health and prevention of illness, injury, and disease
f.)Leads the design and development of interdisciplinary processes to address the identified diagnosis or issue
3.Implementation and Coordination of Care:Implements nursing and prescribed medical interventions identified in the plan of care and evaluates patient/family response to treatment
a)Assumes responsibility for the safe and efficient implementation of the plan of care
b)Facilitates utilization of health care systems and community resources to implement plan of care
c)Implements the plan of care using principles and concepts of project or systems management
d)Fosters organizational systems that support implementation of the plan of care
e)Provides leadership in the coordination of interdisciplinary health care for integrated delivery of patient care services
f)Synthesizes data and information to prescribe necessary system and community support measures, including environmental modification
4.Health Teaching and Health Promotion:Employs strategies to promote health and a safe environment
a.)Synthesizes empirical evidence on risk behaviors, learning theories, behavioral change theories, motivational theories, epidemiology, and other related theories and frameworks when designing health information and patient education
b.)Evaluates health information resources, such as the Internet, within CKD 5 specialty for accuracy, readability, and comprehensibility to help patients access quality health information
5.Evaluation: Evaluates the effectiveness of patient care within the quality improvement structure
a.)Evaluates the accuracy of the diagnosis and effectiveness of the interventions in relationship to the patient's attainment of expected outcomes
b.)Synthesizes the results of the evaluation analyses to determine the impact of the plan on the affected patients
c) Uses the results of the evaluation analyses to make or recommend process or structural changes, including policy, procedure, or protocol documentation and revision, as appropriate
Graduate of an accredited School of Nursing (R.N.)
Current appropriate state licensure
Education and Training qualifications per ULTRACARE CAP program requirements
EXPERIENCE AND REQUIRED SKILLS
Minimum of one year nursing experience required.
Minimum of three months (twelve weeks) Home Dialysis Training experience required.
Experience must be specific to the modality of Home Dialysis Training that the staff member will be providing, ie; Peritoneal Dialysis (PD) or Home Hemodialysis.
Must have successfully completed a training course in the theory and practice of dialysis therapy/ hemodialysis or PD
Medical-surgical nursing experience and ICU experience preferred but not required..
Competent at operating all Home Dialysis related equipment.
Successfully complete CPR certification with maintenance as required.
Icd-9 coding TrainingDemonstrated teaching abilities using Adult Learning principles
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care