New Graduate Registered Nurse

Fresenius Medical Care•Bear, DE

26d

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 FMS policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement activities. Adheres to the FMCNA Compliance Program and FMS patient care and administrative policies. Employees hired into this position must obtain their nursing license and registration within the applicable state-regulation timeframe or within 90 days of hire, whichever occurs sooner. The role provides and coordinates hemodialysis care for patients with end-stage renal disease (ESRD), including patient assessment, treatment implementation and monitoring, patient and family education, medication administration, laboratory coordination, documentation, and emergency response. It also directs and supports patient-care staff, maintains a safe and sanitary treatment environment, and participates in ongoing quality improvement and required clinical documentation.

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.
Current appropriate state Temporary Permit.
Meet practice requirements in the state of employment.
Maintain required credentials and certifications in active and valid status, including renewals, and notify the supervisor if credential or certification status changes.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
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 occasionally moving equipment with assistance.
Take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.

Responsibilities

Direct Patient Care Technicians and delegate tasks to direct patient-care staff, including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
Assess daily patient-care needs, develop appropriate assignments, monitor staff techniques and adherence to facility procedures, and participate in staff training, orientation, and meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid, medications, laboratory values, treatment adequacy, transplant and modality options, and catheter reduction.
Provide safe and effective hemodialysis care; implement prescribed treatments and modeling, assess patient responses, adjust or escalate care as appropriate, and communicate concerns to the Team Leader or physician.
Initiate and document nursing assessments and ongoing evaluations; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation.
Intervene for changes in patient adequacy status and troubleshoot access-flow issues; provide, supervise when applicable, and monitor hemodialysis access care.
Implement and monitor prescribed interdialytic transfusions and report adverse reactions appropriately.
Review, transcribe, and enter physician laboratory orders; prepare requisitions, verify specimen collection and processing, follow up on missed or insufficient specimens, package and direct specimens appropriately, and report abnormal results.
Enforce company policies and applicable regulations; maintain safe, efficient shift operations and serve as a resource to staff.
Coordinate with the Clinical Manager, physicians, and other healthcare team members on personnel matters and patient care; assist patients with prescription refills and transportation when needed.
Maintain physician orders, patient information, treatment documentation, drug lists, and controlled-substance records; verify staff documentation and ensure timely and accurate Medical Information System entries.
Maintain competency in emergency procedures, initiate CPR and emergency measures when required, and ensure emergency equipment is available.
Administer prescribed and PRN medications, document patient response and medical justification when indicated, and ensure appropriate vaccinations, immunizations, and annual TB testing.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment safely, ensure stations and equipment are clean and properly placed, and address blood spills according to policy.
Complete and review daily treatment sheets and opening and closing procedures; ensure staff and patients leave the premises safely.
Initiate and document monthly CQI activities and reports, complete nurses’ progress notes and care plans, maintain complete medical records, review transplant status, and complete required long-term programs.
Complete initial and annual nursing history and physical assessments and annual standing-order reviews with physicians.
Maintain required credentials and certifications, provide regular and punctual attendance, and perform other related duties as assigned.