New Graduate Nurse

Fresenius Medical Care•Suffolk, VA

11d•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 company policies, procedures, and training. Supports the company’s mission, vision, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain a nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever comes first. The role supports and coordinates patient care, delegates and monitors work performed by patient care staff, and provides patient and family education about end-stage renal disease, dialysis, vascular access, treatment adherence, medications, and related health conditions. It participates in all phases of hemodialysis treatment, monitors patient response, implements prescribed treatment plans, communicates concerns to the appropriate clinical team members, and completes required assessments and documentation. The nurse also performs laboratory-related duties, maintains accurate medical records, supports safe facility operations, administers prescribed medications and emergency interventions, and helps maintain clean and safe treatment areas and equipment. The position requires maintaining required credentials, regular and punctual attendance, and flexibility in a demanding healthcare environment. Direct patient care involves physical demands including lifting and moving patients and equipment. The work takes place in a healthcare facility and may involve exposure to infectious or contagious materials.

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.
Maintain required credentials or certifications in active and valid status, including renewals; notify a supervisor immediately if credential or certified status changes.
Able to handle demanding situations, multitask, and remain flexible as needs change.
Maintain regular and punctual attendance.
Must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.
Able to perform the physical demands of direct patient care, including frequent prolonged standing, bending, lifting and moving patients, assisting with ambulation, moving equipment with assistance, and lifting chemical or water solutions.

Responsibilities

Direct and monitor Patient Care Technicians and other direct patient care staff in providing safe, effective hemodialysis therapy in accordance with policies and regulations.
Delegate tasks, assess daily patient care needs, and develop appropriate patient care assignments.
Monitor staff techniques and compliance with facility policies and procedures; participate in staff training, orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment adherence, transplant awareness, and treatment modalities.
Provide safe and effective care to patients receiving hemodialysis and accurately implement prescribed treatment plans, including applicable sodium and ultrafiltration modeling.
Assess patient responses to treatment, adjust or modify care as indicated, and communicate patient issues and concerns to the Team Leader or physician.
Initiate and complete nursing assessments and ongoing evaluations and documentation of patient care needs.
Participate in pre-evaluation, treatment initiation, monitoring, termination, access homeostasis, and post-evaluation for hemodialysis patients.
Intervene appropriately when patient adequacy status changes or access-flow issues are identified, and provide or monitor hemodialysis access care.
Implement, administer, monitor, and document prescribed interdialytic transfusions and report adverse reactions appropriately.
Review, transcribe, and enter physician laboratory orders; prepare requisitions, ensure appropriate specimen collection and handling, follow up on missed or insufficient samples, and report abnormal results.
Maintain safe and efficient shift operations and act as a resource for staff; communicate and collaborate with the Clinical Manager, physicians, and other healthcare team members.
Transcribe and enter physician orders, oversee patient information documentation, maintain the facility drug list, and assist patients with prescription refills according to policy.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, and ensure emergency equipment is available and verified.
Ensure appropriate vaccinations, immunizations, and annual TB testing; administer prescribed medications and document administration and effectiveness as required.
Maintain controlled-substance records as required by law and assist with patient transportation when necessary.
Maintain a clean, safe, and sanitary dialysis treatment environment; ensure equipment and patient stations are clean and properly arranged, and address blood spills according to policy.
Ensure accurate and complete medical records, including physician orders, laboratory results, vital signs, treatment parameters, patient status, and patient-care documentation.
Review daily Hemodialysis Treatment Sheets and ensure staff complete required opening and closing procedures safely.
Initiate, document, and complete monthly CQI activities and reports, nurses’ progress notes, patient care plans, long-term programs, and other monthly records as required.
Complete initial and annual nursing history and physical assessments and ensure annual standing-order reviews with physicians.
Maintain required credentials and certifications, regular and punctual attendance, and flexibility in response to changing needs; perform other related duties as assigned.