New Graduate Nurse- RN

Fresenius Medical Care•Brainerd, MN

About The Position

This position is for graduates of an accredited school of nursing working in a state that does not allow graduates to perform nursing duties until licensed. The job title used may vary based on the state where the employee is employed. As part of the hemodialysis health care team, the employee provides safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. Employees must obtain their nursing license within 90 days of hire. The role includes patient care before, during, and after dialysis; preparing and maintaining dialysis equipment and treatment areas; and completing clinical and laboratory documentation. The employee must maintain required credentials, attend work regularly and punctually, and be able to respond flexibly to changing needs and demanding situations. Other related duties may be assigned.

Requirements

  • Graduated from an accredited nursing program within the past 12 months.
  • Obtain a nursing license within 90 days of employment.
  • Able to handle demanding situations, multitask, and remain flexible as needs change.
  • Able to meet the described physical demands, including frequent prolonged standing, bending, patient lifting and movement, and lifting or lowering solutions and equipment.

Responsibilities

  • Evaluate vascular access before treatment; perform access cannulation and report difficulties or unusual findings to the nurse supervisor.
  • Record pre- and post-dialysis evaluations, weight, vital signs, and patient identification.
  • Initiate dialysis treatment according to prescribed orders, including blood flow and dialysate flow.
  • Evaluate intradialytic problems and provide interventions as prescribed by physician order or as directed.
  • Monitor patients’ responses to dialysis therapy and report significant information or changes in condition to the nurse supervisor.
  • Obtain vital signs before reinfusion and perform and document functions needed to discontinue treatment.
  • Evaluate patients before termination of venous access, including standing and sitting blood pressure; obtain hemostasis and apply appropriate dressings.
  • Evaluate patients before discharge and document treatment information in the patient health record.
  • Perform and document interventions for unusual patient status and patients’ responses to interventions.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatments and complete required pretreatment dialysis machine setup and testing.
  • Maintain safe, clean, and orderly treatment areas; clean and disinfect machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
  • Clean blood spills immediately with appropriate disinfectants according to facility policy.
  • Prepare, organize, and efficiently use supplies and equipment to prevent waste.
  • Enter treatment data accurately and promptly in the designated clinical application; review health records for completeness and correct or complete omitted entries where appropriate.
  • Prepare laboratory requisitions and collect, label, prepare, and store specimens according to laboratory specifications; ensure specimens are collected by the appropriate courier.
  • Maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify a supervisor if credential status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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