Medical Renal / Dialysis Registered Nurse

USRC's greatest strength in being a leader in the

dialysis industry is our ability to recognize and celebrate the

differences in our diverse workforce. We strongly believe in

recruiting top talent and creating a diverse and inclusive work

climate and culture at all levels of our organization. A Home

Therapy nurse trains home hemo or peritoneal dialysis patients

in-center and sometimes in the patient’s home. We Will Train -

In-center hemodialysis, critical care, and home health are great

• backgrounds. Work Schedule - Monday through Friday, 8am to 5pm;

Modified schedules are possible based on patient caseload at the

facility. Competitive on-call pay when placed in on-call rotation.

Holidays - Home Training Nurses rarely work on a holiday. We lead

the industry in clinical quality improvement, delivering amongst

the best patient outcomes in the U.S. as measured by the CMS ESRD

Quality Incentive Program. We remain an industry leader in home

dialysis with 17% of dialysis treatments delivered in our patients'

homes. The Home Therapy Registered Nurse, as qualified by federal

and state regulations, provides patient training and ongoing

support for all patients choosing a home dialysis modality. This

position is accountable for providing quality care to all patients

and is committed to delivering superior customer service in all

internal and external interactions. ESSENTIAL DUTIES AND

RESPONSIBILITIES include the following. Other duties and tasks may

be assigned. Knowledge of and comply with federal, state, local

laws and regulations, including health care professionals practice

act requirements as they pertain to home dialysis program and

patient care requirements. Train patient (and / or care partner) in

the practice of self-care Peritoneal Dialysis or Hemodialysis upon

meeting federal and state regulations governing Registered Nurse

qualifications. Conduct home visits to assess the patient's home

environment per policy; initially and minimally annually

thereafter. Routinely evaluate patient performance and assess the

home environment more frequently as needed to improve care.

Communicate results of patient assessment, reassessment, and

ongoing monitoring to the physician, team members, and others as

appropriate to the individual needs of the patient. Document all

nursing services in the Electronic Medical Record including but not

limited to training sessions, routine and non-routine in-person

interactions, and phone conversations. Documentation should

accurately reflect the patient status and nursing interventions and

be written to ensure continuity of care. Participate in infection

control monitoring, implementation, and recording as requested. Be

familiar with emergency equipment and all emergency operational

procedures. Communicate and regularly review Emergency Preparedness

procedures with all home patients, including but not limited to

emergency disconnection from dialysis equipment, what to do and who

to contact if displaced from home. Ensure clinic and patient supply

inventory and usage is appropriate for patient prescriptions and

place orders in timely manner to avoid fees and penalties.

Continually seek to improve patient and quality outcomes through

tracking and trending of program and patient performance, use of

critical thinking skills and root cause analysis to improve patient

and quality outcomes. Assist in obtaining data for the continuous

quality improvement activities. Obtain routine and non-routine

laboratory tests as ordered and communicate critical lab values and

urgent patient needs to the responsible physician or physician

extender in a timely manner. Complete and document monthly review

of patient medication profiles. Administer medications as ordered

by the physician. Responsible for performing on call nursing

services, nights and weekends, on a rotational basis as needed or

assigned. Flexible with staffing locations and hours to accommodate

patient and USRC home program needs. Regular and reliable

attendance is required for the position. Home Hemodialysis Only :

Coordinate home evaluation with technical services department to

ensure that the necessary electrical, plumbing and drainage

requirements for proper equipment operation are met prior to

patient acceptance into home program. Ensure required and

appropriate water sampling is complete per policy and product

requirements. Monitor and report water sample and culture results.

QUALIFICATIONS / REQUIREMENTS : To perform this job successfully, an

individual must be able to perform each essential duty

satisfactorily. Requirements include : Current RN license in

applicable state. License must be maintained as current and in good

standing. 12 months of clinical experience in providing nursing

care and 3 months of experience in the specific modality for which

the nurse will provide home dialysis training, except in states

with a more stringent requirement such as Texas, which requires at

least 6 months experience in the specific home modality. Previous

experience in providing nursing care to patients on maintenance

dialysis preferred. CPR certification required prior to patient

care assignment. Confirmation of ability to distinguish all primary

colors. Must successfully complete the Home Therapy Nurse

Orientation program and maintain annual demonstration of skills and

competency applicable for the modality assigned. Demonstrated

working knowledge of the English language and ability to

communicate verbally and in writing. Must have basic computer

skills; proficiency in all USRC clinical applications required

within 90 days of hire. Must meet any practice requirement(s) for

the applicable state. Ability to meet minimum hiring standards

which may include additional background clearances and orientation

requirements if applicable to the program assigned to for

employment. U.S. Renal Care is an Equal Opportunity

Employer / Disabled / Veteran.