New Graduate Registered Nurse - RN

Fresenius Medical Care•Omaha, NE

1d•Onsite

About The Position

This position is for graduates of an accredited nursing school working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title depends on the state where the employee works. As part of a 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. The employee must obtain a nursing license within 90 days of hire. The role includes patient care before, during, and after dialysis; preparation and operation of dialysis equipment; treatment and laboratory documentation; and maintaining a clean and safe treatment environment. Employees must maintain all credentials or certifications required for the position, promptly notify their supervisor of changes to credential status, and maintain regular, punctual attendance. The role requires adaptability in a demanding environment and includes other related duties as assigned. Work involves using a desk and personal computer and interacting with patients, facility staff, and physicians. Travel between assigned facilities and community locations may be required, as may travel to regional, Business Unit, and Corporate meetings. The work environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Direct patient care involves frequent prolonged standing, bending, heavy lifting and moving of patients, and assisting with ambulation. Employees may occasionally push or pull equipment with up to 15 pounds of force, frequently lift or lower solutions weighing up to 30 pounds, and occasionally lift up to 40 pounds as high as five feet. A two-person assist program and material-assist devices are available for heavier items. Employees must take the Ishihara color blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations will be considered.

Requirements

Graduate from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Obtain and maintain any credentials or certifications required for the position in active and valid status, including renewal before expiration.
Take the Ishihara color blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations will be considered.
Be capable of working in a challenging environment requiring management of demanding situations, multitasking, and flexibility as needs change.
Meet the physical demands of the position, including frequent prolonged standing, bending, patient lifting and movement, and assisting with ambulation.

Nice To Haves

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

Responsibilities

Perform pre-treatment vascular access evaluations.
Perform and record pre- and post-dialysis evaluations, weight, and vital signs with initial identification.
Cannulate vascular access and report cannulation difficulties or unusual findings to the nurse supervisor.
Initiate dialysis treatment according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
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, perform functions needed to discontinue treatment, and document 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 patient treatment information in the patient health record.
Report significant information or changes in patient condition directly to the nurse supervisor.
Perform and document interventions for unusual patient status and document patients’ responses.
Obtain prescribed laboratory testing and prepare specimens for collection.
Prepare for dialysis treatment, complete necessary tasks, and document where appropriate.
Maintain environmental integrity and aesthetics and ensure areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments according to facility policy.
Perform required pre-treatment dialysis machine setup and testing.
Immediately clean blood spills with appropriate disinfectant according to facility policy.
Prepare, organize, and efficiently use supplies and equipment to prevent waste.
Enter treatment data accurately and promptly into the designated clinical application.
Review health care records for completeness and ensure omitted entries are completed or corrected where appropriate.
Prepare laboratory requisitions for prescribed or stat specimens according to laboratory destination.
Collect, label, prepare, and store laboratory samples according to laboratory specifications.
Ensure laboratory specimens are collected by the appropriate lab courier.
Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and immediately notify the supervisor of changes in credential status.
Maintain regular and punctual attendance and perform other related duties as assigned.