New Graduate Nurse

Fresenius Medical Care•Suffolk, VA

1d•$29 - $50

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 patient care in accordance with Fresenius Medical Services (FMS) policies, procedures, and training. Supports the FMCNA mission, vision, values, customer service philosophy, and Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities. Employees must obtain a nursing license and registration within the applicable state-regulated timeframe or within 90 days of hire, whichever occurs sooner. The role contributes to staff oversight and training, patient and family education, hemodialysis treatment delivery and monitoring, laboratory processes, facility operations, emergency response, equipment safety, and accurate medical record documentation. It requires maintaining appropriate credentials, regular and punctual attendance, flexibility in a challenging care environment, and performance of other related duties as assigned. This position provides direct patient care in a health care facility with temperature control and moderate noise. The work may involve exposure to infectious and contagious diseases or materials. Physical demands include heavy lifting and moving of patients, assisting with ambulation, prolonged standing, bending, occasionally moving machines or equipment weighing up to 200 pounds with assistance, and lifting chemical and water solutions weighing up to 30 pounds to heights of 5 feet. An Ishihara color blindness test is required as a condition of employment; failure 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 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, and promptly notify a supervisor if credential or certification status changes.
Capable of handling demanding situations, multitasking, and remaining flexible as needs change.
Maintain regular and punctual attendance.
Able to meet the physical demands of direct patient care, including heavy lifting and moving patients, assisting with ambulation, prolonged standing, bending, and lifting specified loads.
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, delegate tasks, assess daily care needs, develop patient care assignments, and participate in staff training, orientation, and meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid, medications, adequacy measures, transplantation, treatment modalities, laboratory values, and treatment compliance.
Provide safe and effective hemodialysis care, implement treatment prescriptions, assess patient responses, adjust care plans as indicated, and communicate concerns to the Team Leader or physician.
Initiate and complete nursing assessments and ongoing evaluations; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation.
Address changes in patient adequacy status and troubleshoot access-flow issues; provide, supervise when applicable, and monitor dialysis access care.
Implement and document prescribed interdialytic transfusions and patient responses, including appropriate notification of adverse reactions.
Review, transcribe, and enter physician lab orders; prepare requisitions and specimens; follow up on missed or insufficient specimens; package and direct specimens appropriately; and report abnormal results.
Enforce company policies and applicable regulations, maintain safe and effective shift operations, serve as a resource to staff, and communicate with the Clinical Manager and health care team.
Transcribe and enter physician orders, oversee patient information documentation, maintain the facility drug list, administer prescribed and PRN medications, and maintain controlled-substance records.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, verify emergency equipment availability, and ensure appropriate vaccinations and annual TB testing.
Coordinate patient transportation when necessary and assist patients with prescription refills according to policy.
Maintain a clean, safe, and sanitary dialysis treatment area; ensure equipment and patient stations are clean and properly arranged; and address blood spills according to policy.
Ensure relevant patient, treatment, laboratory, vital-sign, and physician-order data is accurately documented in the Medical Information System; verify staff documentation and implement admission, transfer, and discharge procedures.
Review daily treatment sheets and opening and closing procedures; complete monthly CQI activities, progress notes, medical records, transplant-status reviews, care plans, and long-term programs; and complete annual nursing assessments and standing-order reviews.