New Graduate Nurse

Fresenius Medical Care•Fayetteville, NC

About The Position

This position is for graduates of an accredited nursing school working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used depends on the state of employment. The employee works as part of a hemodialysis health care team, providing safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. A nursing license must be obtained within 90 days of the hire date. The role includes patient-care activities throughout dialysis treatment, preparation and maintenance of dialysis equipment and the treatment environment, and accurate clinical and laboratory documentation. The employee must maintain required credentials, communicate significant changes in patient condition to the nurse supervisor, and be able to work in a demanding environment with changing needs. The work takes place in a health care facility and involves interaction with patients, facility staff, and physicians. It may involve travel between assigned facilities and community locations, as well as travel to regional, Business Unit, and Corporate meetings. The environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Direct patient care regularly involves lifting and moving patients and assisting with ambulation, frequent prolonged standing, bending, and lifting solutions and equipment.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Maintain any credentials or certifications required for the position in active and valid status.
Ability to handle demanding situations, multitask, and remain flexible to changing needs.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing and bending; lifting and moving patients and assisting with ambulation; occasionally pushing or pulling equipment with up to 15 pounds of force; frequently lifting or lowering solutions up to 30 pounds; and occasionally lifting up to 40 pounds as high as 5 feet.
Ability to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Responsibilities

Evaluate vascular access before treatment.
Perform and record pre- and post-dialysis evaluations, weights, vital signs, and initial patient identification.
Cannulate vascular access and report cannulation difficulties or unusual findings to the nurse supervisor.
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.
Obtain vital signs before reinfusion; perform functions necessary to discontinue treatment and document 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 and changes in patient condition directly to the nurse supervisor.
Perform and document interventions for unusual patient status and document patient responses.
Obtain prescribed laboratory testing and prepare specimens for collection.
Prepare for dialysis treatment and document tasks as appropriate.
Maintain a safe, clean, and orderly treatment environment.
Clean and disinfect dialysis machine surfaces, 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 the laboratory destination.
Collect, label, prepare, and store laboratory samples according to laboratory specifications.
Ensure laboratory specimens are collected by the appropriate courier.
Maintain required credentials and certifications in active and valid status, renew them before expiration, and immediately notify the supervisor of any change in credential or certified status.
Maintain regular and punctual attendance.
Perform other related duties as assigned.