New Grad Nurse- RN

Fresenius Medical Care•Trotwood, OH

About The Position

This position is for graduates of an accredited nursing program who are employed in a state that does not allow graduates to perform nursing duties until licensed. The employee works as part of a hemodialysis health care team, providing safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. The specific job title depends on the state where the employee is employed. Employees must obtain their nursing license within 90 days of their hire date. The role includes patient care before, during, and after dialysis; dialysis equipment preparation and maintenance; accurate clinical and laboratory documentation; and specimen handling. The employee must maintain required credentials and certifications, attend work regularly and punctually, and be able to manage demanding situations, multitask, and adapt to changing needs. Other related duties may be assigned.

Requirements

  • Graduated from an accredited nursing program within the past 12 months.
  • Obtain a nursing license within 90 days of employment.
  • Able to handle demanding situations, multitask, and remain flexible as needs change.
  • Able to perform direct patient care involving heavy lifting and moving patients and assisting with ambulation.
  • Able to stand for frequent, prolonged periods and bend over.
  • May be required to push or pull equipment with up to 15 pounds of force.
  • Able to frequently lift and lower solutions weighing up to 30 pounds and occasionally lift up to 40 pounds as high as 5 feet.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Responsibilities

  • Evaluate vascular access before treatment.
  • Perform and record pre- and post-dialysis evaluations, weights, and vital signs, including initial identification.
  • Cannulate vascular access and report cannulation difficulties or unusual findings to the nurse supervisor.
  • Initiate dialysis treatment according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
  • Evaluate intradialytic problems and intervene as prescribed by physician order or as directed.
  • Monitor patients’ responses to dialysis therapy.
  • Obtain vital signs before reinfusion, perform functions necessary to discontinue treatment, and document appropriately.
  • Evaluate patients before termination of venous access, including standing and sitting blood pressure.
  • Obtain hemostasis and apply appropriate dressings.
  • Evaluate patients before discharge.
  • Document treatment information in the patient health record.
  • Report significant information or changes in patient condition directly to the nurse supervisor.
  • Perform and document interventions for unusual patient status and document patients’ responses.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatment and document tasks where appropriate.
  • Maintain a safe, clean environment and its aesthetics.
  • Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments according to facility policy.
  • Perform required pretreatment dialysis machine setup and testing.
  • Clean blood spills immediately with appropriate disinfectants according to facility policy.
  • Prepare, organize, and efficiently use supplies and equipment to prevent waste.
  • Enter treatment data accurately and promptly into the designated clinical application.
  • Review health care records for completeness and ensure omitted entries are completed or corrected where appropriate.
  • Prepare laboratory requisitions for prescribed or stat specimens according to laboratory destination.
  • Collect, label, prepare, and store laboratory samples according to laboratory specifications.
  • Ensure laboratory specimens are collected by the appropriate courier.
  • Obtain and maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certification status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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