New Graduate Nurse

Fresenius Medical Care • Suffolk, VA

13d

About The Position

The New Graduate Nurse functions as part of a hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse. The role supports daily delivery of quality patient care in accordance with company policies, procedures, and training, and supports FMCNA’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement activities. Employees must obtain their nursing license and registration within the timeframe required by state-specific regulations or within 90 days of hire, whichever comes sooner.

The position provides and coordinates care for patients with end-stage renal disease (ESRD), including hemodialysis treatment, patient and family education, medication administration, laboratory coordination, documentation, and emergency response. It also directs and supports patient-care staff, helps maintain a safe and sanitary dialysis environment, and participates in quality improvement and required facility procedures.

This role involves direct patient care, including frequent and prolonged standing, bending, and regularly lifting or moving patients and assisting with ambulation. The employee may occasionally move machines or equipment weighing up to 200 pounds with assistance and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. The work environment is a temperature-controlled health care facility with moderate noise and possible exposure to infectious or contagious diseases and materials. An Ishihara color blindness test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered. The position has no supervisory role.

Requirements

• Graduated from an accredited nursing program within the past 12 months.
• Obtain nursing license and registration within the timeframe defined by state regulations or within 90 days of hire, whichever occurs first.
• Hold a current appropriate state Temporary Permit.
• Meet practice requirements in the state of employment.
• Maintain any credentials or certifications required for the position in active and valid status, including timely renewal.
• Maintain regular and punctual attendance.
• Ability to handle demanding situations, multitask, and remain flexible to changing needs.
• Ability to perform direct patient-care physical demands, including frequent prolonged standing and bending; regularly lifting and moving patients and assisting with ambulation; occasionally moving equipment up to 200 pounds with assistance; and lifting chemical or water solutions up to 30 pounds to a height of five feet.
• 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 patient-care staff in the safe and effective delivery of chronic hemodialysis therapy; delegate tasks, assess daily care needs, monitor staff techniques and policy compliance, and participate in staff training, orientation, and meetings.
• Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, adequacy measures, transplantation, and treatment modalities.
• Provide and monitor safe hemodialysis care, implement treatment prescriptions, assess patient responses, adjust care as indicated, and communicate patient issues to the Team Leader or physician.
• Initiate and complete nursing assessments and ongoing evaluation and documentation of patient care needs; participate in all phases of hemodialysis treatment and provide or supervise access care.
• Respond to changes in patient adequacy status and troubleshoot access-flow issues; implement, monitor, and document prescribed interdialytic transfusions and report adverse reactions appropriately.
• Ensure Patient Care Technician documentation on Hemodialysis Treatment Sheets is accurate and complete.
• Review, transcribe, and enter physician laboratory orders; prepare requisitions, ensure proper specimen collection, processing, packaging, and delivery, follow up on missed or insufficient specimens, and report abnormal or critical results to physicians.
• Enforce company policies and applicable state and federal regulations; maintain safe, efficient, and effective shift operations and serve as a resource for staff.
• Meet with the Clinical Manager regarding personnel and patient-care matters; collaborate and communicate with physicians and other health care team members to coordinate care.
• Assist patients with prescription refills and transportation coordination as needed; ensure physician orders are entered promptly and oversee patient information documentation.
• Maintain facility medication lists, emergency-procedure competency, emergency equipment availability, vaccination and tuberculosis testing processes, and controlled-substance records.
• Administer prescribed and PRN medications, document administration and medical justification where indicated, and assess and document PRN medication effectiveness.
• Maintain a clean, safe, and sanitary treatment area; operate dialysis-related equipment safely; ensure stations, machines, and chairs are clean and properly placed; address blood spills according to policy.
• Ensure relevant patient data, orders, laboratory results, vital signs, treatment parameters, and patient status are documented in the Medical Information System; implement patient admission, transfer, and discharge procedures.
• Review daily treatment sheets, follow opening and closing procedures, and monitor that staff and patients leave the premises safely.
• Initiate, document, and complete ongoing CQI activities and monthly reports; complete monthly nurses’ progress notes, patient care plans, long-term programs, and required medical-record reviews.
• Review transplant status and follow established procedures; 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, notify a supervisor of any change, maintain regular and punctual attendance, and perform other related duties as assigned.
• Be capable of handling demanding situations, multitasking, and adapting to changing needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed