New Graduate Registered Nurse - RN

Fresenius Medical Care•Fremont, NE

About The Position

This position is for graduates of an accredited nursing program working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used depends 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. A nursing license must be obtained within 90 days of hire. The role includes patient assessment and care before, during, and after dialysis; monitoring treatment and patient response; documenting care; preparing and maintaining dialysis equipment and the treatment area; and handling treatment data and laboratory specimens. The employee must maintain required credentials and certifications, attend regularly and punctually, and perform other related duties as assigned.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient movement and ambulation, and lifting and moving supplies or solutions.

Nice To Haves

Previous patient care experience in a hospital setting or related facility is preferred.

Responsibilities

Evaluate vascular access before treatment; perform vascular access cannulation and report difficulties or unusual findings to the nurse supervisor.
Record pre- and post-dialysis evaluations, weight, vital signs, and initial 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.
Obtain vital signs before reinfusion, discontinue treatment, and document relevant functions 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 and report significant information or changes in patient condition 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 environment; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
Perform required pretreatment dialysis machine setup and testing and promptly clean blood spills using appropriate disinfectant.
Organize and efficiently use supplies and equipment to prevent waste.
Enter treatment data accurately and promptly in the designated clinical application.
Review health care records for completeness and ensure omitted entries are completed or corrected where appropriate.
Prepare laboratory requisitions; collect, label, prepare, and store specimens according to laboratory specifications; and ensure appropriate courier collection.
Maintain required credentials and certifications in active, valid status, renew them before expiration, and promptly notify a supervisor if credential or certification status changes.
Maintain regular and punctual attendance and perform other related duties as assigned.