New Graduate Nurse

Fresenius Medical Care•Greensboro, NC

About The Position

This position is for a graduate of an accredited nursing program working in a state where graduates may not perform nursing duties until licensed. The job title used may vary based on the state of employment. As part of the hemodialysis health care team, the employee provides safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. The employee must obtain a nursing license within 90 days of hire. The role includes patient-care tasks before, during, and after dialysis; dialysis-machine preparation and maintenance; documentation and laboratory administration; and maintaining a safe, clean treatment environment. The employee must maintain required credentials and certifications, attend regularly and punctually, and be able to handle 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 the physical demands of the role, including frequent and prolonged standing, bending, assisting with patient movement and ambulation, and lifting and lowering solutions and equipment.

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 and dialysate flow.
Evaluate intradialytic problems and provide interventions as prescribed by physician order or directed.
Monitor patients’ responses to dialysis therapy.
Obtain vital signs before reinfusion; perform functions needed 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 patient responses.
Obtain prescribed laboratory tests and prepare specimens for collection.
Prepare for dialysis treatment and document tasks where appropriate.
Maintain a safe and clean environment and preserve its appearance.
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 their 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.
Perform other related duties as assigned.