About This Role
This nursing role is responsible for providing comprehensive training, clinical oversight, and ongoing support to patients performing home hemodialysis (HHD) or peritoneal dialysis (PD). The nurse ensures safe, effective, and compliant delivery of home therapies in accordance with CMS Conditions for Coverage, facility policies, and physician orders, serving as the primary clinical resource for home patients, caregivers, and the interdisciplinary team.
Responsibilities
- Conduct individualized training for home hemodialysis or peritoneal dialysis patients and caregivers
- Ensure patient competency in machine setup, treatment initiation, monitoring, troubleshooting, and infection control
- Provide education on diet, fluid management, medications, and emergency procedures
- Document training progress and competency evaluations in accordance with CMS requirements
- Perform comprehensive assessments during monthly home visits and clinic follow-ups
- Review treatment logs, vital signs, lab results, and patient-reported issues
- Identify complications early and escalate to the physician as needed
- Adjust care plans based on patient condition, labs, and physician directives
- Maintain complete, accurate, and timely documentation for all patient interactions
- Ensure compliance with CMS Conditions for Coverage, infection control standards, and facility protocols
- Participate in audits, QAPI activities, and interdisciplinary team meetings
- Maintain evidence-of-process documentation for survey readiness
- Participate in the home program on-call rotation for urgent patient needs
- Provide clinical triage, troubleshooting, and escalation to the on-call physician when appropriate
- Document all after-hours calls per policy
- Collaborate with nephrologists, dietitians, social workers, and technicians to support patient outcomes
- Coordinate supply orders, equipment needs, and vendor communication
- Assist with transitions of care, including hospitalizations and modality changes
- Ensure adherence to infection control protocols and patient safety standards
- Monitor environmental and equipment safety during home visits
- Participate in emergency preparedness training and patient education
Requirements
- Active RN license in the state of practice
- Minimum 1 year of nursing experience (dialysis experience preferred)
- Strong assessment, teaching, and communication skills
- Ability to work independently in patient homes and clinic settings
- Valid driver’s license and reliable transportation
Nice to have: