New Graduate Nurse- RN

Fresenius Medical Care•Shakopee, MN

2d•Onsite

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 employee provides safe and effective dialysis therapy as part of a hemodialysis health care team, under the direct supervision of a licensed nurse, while working toward obtaining a nursing license. The specific job title depends on the state where the employee is employed. A nursing license must be obtained within 90 days of hire. The role includes patient care before, during, and after dialysis; dialysis machine and treatment preparation; documentation and laboratory specimen handling; and maintaining a safe, clean treatment environment. Employees 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. The work takes place in a health care facility with controlled air temperature and moderate noise. Employees interact with patients, facility staff, and physicians and may travel between assigned facilities or to meetings. The role involves direct patient care and potential exposure to infectious or contagious diseases or materials. Physical activities include frequent, prolonged standing, bending, lifting and moving patients, and assisting with ambulation; occasional pushing or pulling equipment; and frequently lifting or lowering solutions. Assistance and material-handling devices are available for heavier items. Employees must take the Ishihara Color Blindness test; failing it does not automatically preclude employment, and reasonable accommodations may be considered.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Obtain and maintain any required credentials or certifications in active and valid status.
Take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Ability to perform the physical demands of the role, including prolonged standing, bending, lifting and moving patients, and assisting with ambulation.

Responsibilities

Perform pre-treatment vascular access evaluations.
Perform and document pre- and post-dialysis evaluations, weights, and vital signs, including initial identification.
Cannulate vascular access and report difficulties or unusual findings to the nurse supervisor.
Initiate dialysis according to prescribed orders, including blood flow and dialysate flow.
Evaluate intradialytic problems and intervene as prescribed by physician order or as directed.
Monitor patients’ responses to dialysis therapy.
Obtain vital signs before reinfusion; perform treatment discontinuation functions and document them 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 treatments and document tasks where appropriate.
Maintain a safe and clean environment; clean and disinfect dialysis machines, 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 use supplies and equipment efficiently 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 laboratory samples according to laboratory specifications.
Ensure laboratory specimens are collected by the appropriate courier.
Obtain and maintain required credentials or 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 and perform other related duties as assigned.