New Graduate Nurse

Fresenius Medical Care•Greensboro, NC

About The Position

This position is for graduates of an accredited nursing program working 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 New Graduate Nurse is part of the hemodialysis health care team and provides safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. The employee is required to obtain a nursing license within 90 days of hire. The role includes patient care before, during, and after dialysis; preparation and maintenance of dialysis equipment and the treatment environment; and accurate clinical and laboratory documentation. The position requires the ability to work in a challenging environment, manage demanding situations, multitask, and remain flexible as needs change. Regular and punctual attendance is required. 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.
Work under the direct supervision of a licensed nurse while working toward licensure.
Ability to handle demanding situations, multitask, and remain flexible to changing needs.
Regular and punctual attendance.
Ability to perform the described physical duties, including frequent prolonged standing, bending, and frequent lifting or lowering of solutions up to 30 pounds; occasional lifting up to 40 pounds as high as 5 feet; and occasional pushing or pulling of equipment with up to 15 pounds of force. Assistance and material-aid devices are available for heavier items.
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 and perform vascular access cannulation, reporting difficulties or unusual findings to the nurse supervisor.
Perform and document pre- and post-dialysis evaluations, including weight, vital signs, and initial identification.
Initiate dialysis treatment according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide interventions as prescribed by physician order or as directed; monitor the patient's response to dialysis therapy.
Obtain vital signs before reinfusion and perform and document functions necessary to discontinue treatment.
Evaluate patients before termination of venous access, including standing and sitting blood pressure; obtain hemostasis and apply appropriate dressings.
Evaluate patients before discharge and document treatment information in the patient health record.
Report significant information or changes in a patient's condition directly to the nurse supervisor and document interventions and patient responses to unusual status.
Obtain prescribed laboratory tests and prepare specimens for collection.
Prepare for dialysis treatments and document tasks as appropriate.
Maintain a safe, clean environment; 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, and promptly clean blood spills using 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 samples according to laboratory specifications and ensure collection by the appropriate courier.
Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and immediately notify the supervisor of any change in credential or certification status.
Maintain regular and punctual attendance and perform other related duties as assigned.