New Graduate Nurse

Fresenius Medical Care•Franklin, VA

About The Position

Functions as part of a hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to provide quality daily patient care in accordance with company policies, procedures, and training. Supports the company’s mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain their nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever occurs sooner. The position provides and coordinates hemodialysis care for patients with end-stage renal disease, including assessment, treatment implementation and monitoring, patient and family education, medication administration, laboratory coordination, documentation, and emergency response. It also supports and monitors patient-care staff, maintains a safe and sanitary treatment environment, and ensures compliance with applicable policies and regulations. The role involves direct patient care and a health care facility environment with controlled air temperature and moderate noise. Work may involve exposure to infectious or contagious diseases and materials, heavy lifting and moving of patients, prolonged standing, bending, and occasional assisted movement of equipment weighing up to 200 pounds and lifting of chemical or water solutions weighing up to 30 pounds. The employee must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered. No direct supervisory role is listed.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeframe defined by state regulations or within 90 days of hire, whichever occurs first.
Hold a current appropriate state Temporary Permit.
Meet practice requirements in the state of employment.
Maintain any credentials or certifications required for the position in active and valid status, including renewal before expiration.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Regular and punctual attendance.
Ability to perform direct patient care involving frequent, prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation; may occasionally move equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds as high as 5 feet.
Take the Ishihara Color Blindness test as a condition of employment; the posting states that failing the test does not preclude employment and reasonable accommodation may be considered.

Responsibilities

Direct patient-care staff in the safe and effective delivery of chronic hemodialysis therapy, delegate tasks, assess daily care needs, develop assignments, monitor staff practices, and participate in training, orientation, and staff meetings.
Educate patients and families about end-stage renal disease, renal disease, vascular access, dialysis therapy, diet and fluid management, medication compliance, adequacy measures, treatment schedules, laboratory values, transplantation, and treatment modalities.
Provide safe hemodialysis care; implement prescribed treatment parameters and modeling, assess patient response, adjust care as indicated, communicate concerns to the Team Leader or physician, and document ongoing assessments.
Participate in all stages of hemodialysis treatment, from pre-evaluation and initiation through monitoring, termination, access homeostasis, and post-evaluation; address adequacy and access-flow issues and provide or monitor access care.
Implement, administer, monitor, and document prescribed transfusions and patient responses, including notification of adverse reactions; ensure Patient Care Technician treatment documentation is accurate and complete.
Review, transcribe, and enter physician laboratory orders; prepare requisitions, ensure correct specimen collection and processing, follow up on missed or insufficient specimens, package and route specimens appropriately, and report abnormal results to physicians.
Enforce company policies and applicable regulations; maintain safe and effective shift operations; serve as a resource to staff; communicate with the Clinical Manager, physicians, and other health care team members; and coordinate patient transportation when needed.
Transcribe and enter physician orders and patient information promptly and accurately into the Medical Information System; oversee patient documentation, maintain the facility drug list, and ensure required admission, transfer, and discharge procedures are followed.
Maintain competency in emergency procedures and equipment; initiate CPR and emergency measures when needed; ensure emergency equipment is available; support required vaccinations and TB testing; administer and document medications, including PRN and controlled substances, as required.
Maintain a clean, safe, and sanitary treatment area; operate dialysis-related equipment competently; ensure patient stations, machines, and chairs are clean and properly positioned; and address blood spills according to policy.
Review and verify daily treatment sheets and other patient-care documentation; complete monthly CQI activities and reports, nurses’ progress notes, care plans and other required records; review transplant status; and complete annual nursing history and assessment and standing-order reviews.
Maintain required credentials and certifications in active, valid status, notify a supervisor of any change in credential status, maintain regular and punctual attendance, handle demanding and changing work needs, and perform other related duties as assigned.