New Graduate Nurse

Fresenius Medical Care•Madisonville, KY

About The Position

The New Graduate Nurse functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a Staff Registered Nurse. The role supports daily quality patient care in accordance with company policies, procedures, and training, and supports the company’s mission, values, customer service philosophy, and Quality Enhancement Program. Employees must obtain their nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever comes first. The position provides and coordinates hemodialysis care for patients with end-stage renal disease (ESRD), including treatment implementation and monitoring, patient and family education, laboratory coordination, medication administration, documentation, and collaboration with physicians and other care-team members. It also supports staff, maintains a safe and sanitary treatment environment, and participates in quality-improvement activities. The role requires flexibility in a demanding health care environment and regular, punctual attendance.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeline set by state regulations or within 90 days of hire, whichever occurs first.
Hold a current, appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
Maintain any required credentials or certifications in active and valid status, including renewals.

Responsibilities

Direct and monitor patient-care staff in delivering safe, effective chronic hemodialysis therapy; delegate tasks and develop appropriate patient-care assignments.
Participate in staff training, orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment adequacy, transplantation, and treatment modalities.
Provide and monitor hemodialysis treatment, implement prescriptions, assess patient responses, adjust care as indicated, communicate concerns, and provide access care in accordance with established procedures.
Complete nursing assessments and ongoing evaluation and documentation of patient-care needs; participate in each stage of hemodialysis treatment, from pre-evaluation through post-evaluation.
Monitor adequacy status and access flow, intervene or troubleshoot as appropriate, and report issues to the Team Leader or physician.
Implement and document prescribed interdialytic transfusions and patient responses, including notification of adverse reactions.
Review, transcribe, and enter physician laboratory orders; coordinate specimen preparation, collection, processing, packaging, delivery, follow-up, and reporting of abnormal results.
Enforce company policies and applicable regulations, maintain safe and effective shift operations, act as a resource for staff, and communicate with the Clinical Manager and health care team.
Transcribe physician orders, maintain patient information and documentation, assist with prescription refills and transportation coordination, and maintain the facility drug list.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, verify emergency equipment, and administer and document medications and vaccinations as required.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment safely; ensure stations are clean and blood spills are addressed according to policy.
Ensure accurate and complete patient records, including daily treatment sheets, admission/transfer/discharge documentation, monthly progress notes and quality-improvement reports, care plans, and annual nursing assessments and reviews.
Maintain required credentials and certifications, handle demanding situations and changing needs, maintain regular and punctual attendance, and perform other related duties as assigned.