Cn Level 2 Year 4 Wa

**PURPOSE AND SCOPE**:
The professional registered nurse (CAP RN 3) position is a voluntary advancement from CAP RN 2. The CAP RN 3 is accountable and responsible for the provision and coordination of clinically competent care which includes assessment, planning, intervention and evaluation for an assigned group of patients.

As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 3 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 Program Manager (PM) and with guidance from the Educator, Preceptor or a CAP RN 2,3, 4 or 5 for the first 3 months of employment.
- Required to complete CAP requirements to maintain the CAP RN 3 level or advance to CAP RN 4.
- Performs ongoing, systematic review and analysis of dialysis data for Home Therapy patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Supervisor or physician as needed.
- Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
- Assesses assigned patient care needs and collaborates with direct and ancillary patient care staff as needed
- 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.
- Admits all new home patients using the appropriate processes per Fresenius Kidney Care policy and procedure.
- Trains Home Dialysis patient and/or Home Partner on safe and effective dialysis therapy including the operation and maintenance of all Home Dialysis equipment and treatment supplies.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record.
- Initiates or assists with emergency response measures.
- Delegates appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians.
- Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.
- Promotes infection control, equipment and environmental safety.
- Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Assesses and manages patient's response to Home dialysis training by following prescribed predetermined protocols and communicates patient related issues to the physician as needed.
- Serves as a leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level. May serve as a Preceptor to new employees.
- As a Preceptor fulfills the following:

- Demonstrates, reinforces, and encourages attitudes and actions which are consistent with FKC Mission and Core Values.
- Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting.
- Seeks opportunities for new employees and communicates progress to Program Manager. Provides feedback about new employee's progress to the PM and the Education Department using evaluation tools and direct communication.
- Completes all documentation in a timely manner.
- Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and PM.
- Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills.
- Performs essential functions of a designated Nurse in Charge as assigned by the Supervisor.
- Collaborates with the interdisciplinary team in the assessment and development of patient plans of care.
- Ensures patient awareness related to transplant referral and treatment modality options.
- Makes referrals to Social Worker or Registered Dietitian as needed.
- Checks availability of adequate emergency equipment and supplies daily as assi