New Graduate Nurse

Fresenius Medical Care•Batesburg-Leesville, SC

4d•Onsite

About The Position

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to provide quality patient care in accordance with company policies, procedures, and training. Supports the company’s mission, vision, 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 comes sooner. The role includes supporting and directing patient care staff, providing and documenting patient and family education, delivering and monitoring hemodialysis treatment, coordinating with physicians and other health care team members, and performing laboratory, medication, emergency, and medical-record responsibilities. The nurse helps maintain safe and sanitary treatment areas and ensures competency in dialysis equipment operation. This position provides direct patient care in a health care facility. It involves regular heavy lifting and moving of patients, assisting with ambulation, frequent and prolonged standing, bending, and occasional assisted movement of equipment weighing up to 200 pounds and lifting chemical or water solutions weighing up to 30 pounds. The environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious diseases and materials. An Ishihara color blindness test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeline defined 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 timely renewal.
Be capable of handling demanding situations, multitasking, and adapting to changing needs.
Maintain regular and punctual attendance.
Meet the physical demands of the role, including regular patient lifting and movement, assisting with ambulation, frequent prolonged standing, bending, and occasional assisted movement of equipment and lifting of supplies.

Responsibilities

Direct and monitor patient care staff to support safe, effective chronic hemodialysis therapy and compliance with facility policies and applicable regulations.
Delegate tasks to direct patient care staff, assess daily patient care needs, and develop appropriate assignments.
Monitor staff techniques and policy adherence; participate in staff training, new-staff orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid, medications, laboratory values, treatment adequacy, transplant and modality awareness, and related health conditions.
Deliver and monitor hemodialysis treatment according to prescribed treatment plans, assess patient responses, make appropriate adjustments, and communicate patient concerns to the Team Leader or physician.
Initiate and complete nursing assessments and ongoing evaluation and documentation of patient care needs.
Participate in pre-evaluation, treatment initiation and monitoring, treatment termination, access homeostasis, and post-evaluation according to established procedures.
Provide, supervise when applicable, and monitor hemodialysis access care; troubleshoot access flow and adequacy concerns and take appropriate action.
Implement and document prescribed interdialytic transfusions, monitor patient response, and notify the physician and blood supplier of adverse reactions as appropriate.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; prepare laboratory requisitions and ensure proper specimen collection, processing, packaging, and delivery.
Follow up on missed or insufficient laboratory specimens; report abnormal or critical results to the appropriate physician and forward results as requested.
Enforce company policies and applicable regulations and maintain safe, efficient, and effective shift operations.
Serve as a resource to staff and communicate with the Clinical Manager, physicians, and other members of the health care team to coordinate patient care.
Assist patients with prescription refills as needed and coordinate patient transportation when necessary.
Oversee patient information and treatment documentation, verify Patient Care Technician documentation, and ensure records are complete and accurate.
Maintain the facility drug list, administer prescribed and PRN medications, document assessments and medical justifications when indicated, and maintain required controlled-substance records.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, and ensure emergency equipment is available and verified.
Ensure appropriate vaccinations, immunizations, and annual tuberculosis testing are provided.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis-related equipment safely and ensure patient stations, machines, and chairs are clean and properly placed.
Address blood spills immediately according to company bloodborne pathogen policies.
Complete required daily, monthly, and annual documentation and activities, including treatment sheets, CQI reports, nurses’ progress notes, patient care plans, nursing history and assessments, standing-order reviews, transplant-status reviews, and long-term program requirements.
Follow patient admission, transfer, and discharge procedures and ensure opening and closing procedures are followed, including confirming staff and patients have safely left the premises.
Maintain required credentials and certifications in active, valid status and promptly notify a supervisor of any change in credential or certification status.
Maintain regular and punctual attendance, remain flexible in a demanding and changing environment, and perform other related duties as assigned.