New Graduate Nurse- RN

Fresenius Medical Care•Fitchburg, WI

4d•Onsite

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 delivery of quality patient care in accordance with Fresenius Medical Services policies, procedures, and training, and supports FMCNA’s mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. The employee must obtain nursing licensure and registration within the timeframe specified by applicable state regulations or within 90 days of hire, whichever occurs sooner. The position provides and coordinates care for patients with end-stage renal disease receiving hemodialysis. It includes patient and family education, implementation and monitoring of treatment prescriptions, assessment and documentation of patient status, medication administration, laboratory coordination, and collaboration with physicians and other healthcare team members. The nurse also guides and monitors patient care staff, supports staff training, maintains a safe and sanitary treatment environment, and ensures complete and accurate medical records and compliance with company policies and applicable regulations. This role involves direct patient care in a healthcare facility. Physical demands include frequent, prolonged standing, bending, heavy lifting and moving of patients, assisting with ambulation, and occasionally moving equipment with assistance. The employee may lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work 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 timeframe defined by state regulations or within 90 days of hire, whichever occurs first.
Hold a current appropriate state Temporary Permit.
Meet the practice requirements of the state in which employed.
Maintain any credentials or certifications required for the position in active and valid status, including timely renewal.
Be able to handle demanding situations, multitask, and remain flexible to changing needs.
Maintain regular and punctual attendance.
Meet the physical demands of direct patient care, including frequent prolonged standing, bending, lifting and moving patients, assisting with ambulation, and occasionally moving equipment with assistance; may need to lift solutions up to 30 pounds to a height of five feet.
Take the Ishihara color blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Responsibilities

Direct and monitor patient care staff in the safe and effective delivery of chronic hemodialysis therapy, and delegate tasks to direct patient care staff.
Assess daily patient care needs and develop appropriate assignments; participate in staff training, orientation, and required meetings.
Educate patients and families about end-stage renal disease, renal disease management, vascular access, dialysis therapy, diet and fluids, medications, adequacy measures, transplantation, and treatment options.
Provide safe and effective hemodialysis care, implement treatment prescriptions, assess patient response, adjust care as indicated, and communicate concerns to the Team Leader or physician.
Conduct initial and ongoing nursing assessments and document patient care; participate in all stages of hemodialysis treatment and provide, supervise, and monitor access care.
Intervene when patient adequacy status changes or access-flow issues are identified; administer and monitor prescribed transfusions and report adverse reactions.
Review and enter physician laboratory orders, ensure appropriate specimen collection, processing, packaging, and delivery, follow up on missed or insufficient specimens, and report abnormal results.
Enforce company policies and applicable regulations; maintain safe and effective shift operations and serve as a resource to staff.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate patient care; assist with prescription refills and transportation coordination as needed.
Maintain emergency preparedness, verify emergency equipment, initiate CPR and emergency measures when needed, support vaccinations and TB testing, administer prescribed medications, and maintain controlled-substance records.
Maintain a clean, safe, and sanitary treatment area; operate dialysis-related equipment safely; ensure patient stations and equipment are clean and address blood spills according to policy.
Ensure accurate and complete medical information system entries and patient records, including physician orders, laboratory results, vital signs, treatment parameters, and patient status.
Review daily treatment sheets and opening and closing procedures; complete monthly CQI activities, progress notes, patient care plans, and record reviews; complete annual nursing assessments and standing-order reviews.
Maintain required credentials and certifications, regular and punctual attendance, flexibility in a demanding and changing environment, and perform other related duties as assigned.