New Grad Nurse- RN

Fresenius Medical Care•Akron, OH

About The Position

This position is for graduates of an accredited school of nursing employed in a state that does not allow graduates to perform nursing duties until licensed. The specific job title depends on the state of employment. The employee works as part of the 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. A nursing license must be obtained within 90 days of hire. The role includes patient assessment and monitoring before, during, and after dialysis; initiating and discontinuing treatment according to prescribed orders; responding to patient issues as directed; documenting care; collecting laboratory specimens; and preparing and maintaining dialysis equipment and the treatment environment. It also involves entering and reviewing clinical records and completing related administrative tasks. The work takes place in a health care facility with controlled air temperature and moderate noise. Employees may be exposed to infectious or contagious diseases and materials. The position involves direct patient care, regular heavy lifting and moving of patients, frequent and prolonged standing, bending, and occasional pushing or pulling of equipment. Travel between assigned facilities or to meetings may be required. Employees must maintain required credentials and certifications and maintain regular, punctual attendance.

Requirements

  • Graduated from an accredited nursing program within the past 12 months.
  • Obtain a nursing license within 90 days of employment.
  • Ability to handle demanding situations, multitask, and remain flexible as needs change.
  • Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, patient lifting and moving, and lifting or lowering solutions and equipment.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Responsibilities

  • Evaluate vascular access before treatment.
  • Perform and record pre- and post-dialysis evaluations, weight, and vital signs, including initial identification.
  • Cannulate vascular access and report difficulties or unusual findings to the nurse supervisor.
  • Initiate dialysis treatment according to prescribed orders, including blood flow and dialysate flow.
  • Evaluate intradialytic problems and provide interventions 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 and changes in patient condition directly to the nurse supervisor.
  • Perform and document interventions for unusual patient status and document patient responses.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatment and complete required documentation.
  • Maintain a safe, clean environment and clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
  • Perform required pretreatment dialysis machine setup and testing.
  • Immediately clean blood spills with appropriate disinfectants according to facility policy.
  • Prepare, organize, and use supplies and equipment efficiently to prevent waste.
  • Enter treatment data accurately and promptly in 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, and ensure they are collected by the appropriate lab courier.
  • Obtain and maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certified status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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