New Graduate Nurse

Fresenius Medical Care•Newport News, VA
•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 daily patient care in accordance with FMCNA policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement (CQI) activities. Employees hired into this position must obtain a nursing license and registration within the timeframe specified by state regulations or within 90 days of hire, whichever comes sooner. The role includes coordinating and overseeing patient care staff, providing education and hemodialysis treatment to patients with end-stage renal disease (ESRD), handling laboratory processes and medical records, maintaining safe facility operations, and collaborating with physicians and other members of the healthcare team. The position requires maintaining applicable credentials, regular and punctual attendance, and flexibility in a challenging environment with changing needs. Other related duties may be assigned. This position provides direct patient care in a healthcare facility with controlled air temperature and moderate noise levels. It involves frequent, prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. Exposure to infectious and contagious diseases or materials may occur. Employees 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 supervisory responsibilities are listed.

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.
  • Current appropriate state Temporary Permit.
  • Must meet the practice requirements in the state of employment.
  • Able to handle demanding situations, multitask, and remain flexible as needs change.
  • Able to meet the physical demands of direct patient care, including frequent prolonged standing, bending, heavy lifting and moving patients, and assisting with ambulation; with assistance, occasionally move equipment up to 200 pounds and lift solutions up to 30 pounds to a height of five feet.
  • 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.
  • Maintain regular and punctual attendance.

Responsibilities

  • Direct and monitor patient care staff, delegate tasks, assess daily patient care needs, develop assignments, and participate in staff training, orientation, and meetings.
  • Provide education to patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid, medications, adequacy measures, transplant and modality awareness, and laboratory values.
  • Deliver safe and effective hemodialysis care, implement treatment prescriptions, assess patient responses, adjust care as indicated, and communicate concerns to the Team Leader or physician.
  • Initiate and complete nursing assessments and ongoing evaluations; participate in all stages of hemodialysis treatment, provide and monitor access care, and respond to adequacy or access-flow issues.
  • Implement, administer, monitor, and document prescribed transfusions and medications, including PRN and controlled substances, and report adverse reactions as appropriate.
  • Review, transcribe, and enter physician orders and laboratory orders; prepare requisitions and specimens, ensure correct handling and shipment, follow up on missed or insufficient samples, and report abnormal or alert laboratory results.
  • Enforce company policies and applicable regulations; maintain safe, efficient shift operations and serve as a resource for staff.
  • Collaborate and communicate with physicians and healthcare team members to coordinate and adjust patient care; assist with prescription refills and patient transportation as needed.
  • Maintain emergency readiness, verify emergency equipment, initiate CPR and emergency measures when needed, and ensure appropriate vaccinations, immunizations, and annual tuberculosis testing.
  • Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment competently, ensure patient stations are clean and properly arranged, and address blood spills according to policy.
  • Ensure accurate and complete patient documentation in the Medical Information System, including orders, lab results, vital signs, treatment parameters, patient status, and admission, transfer, and discharge information.
  • Review daily Hemodialysis Treatment Sheets and opening and closing procedures, including ensuring staff and patients have safely left the premises.
  • Initiate and complete monthly CQI activities and reports, nurses’ progress notes, medical-record reviews, transplant-status reviews, patient care plans, and long-term programs as due.
  • Complete initial and annual nursing history and physical assessments and annual standing-order reviews with physicians.
  • Maintain required credentials and certifications in active, valid status and promptly notify a supervisor if credential status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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