New Graduate Registered Nurse

Fresenius Medical Care•Princess Anne, MD

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 company policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain their nursing license and registration within the period required by state regulations or within 90 days of hire, whichever comes first. The role provides and coordinates care for patients with end-stage renal disease receiving hemodialysis. It includes assessing patient needs and treatment responses; implementing prescribed treatments; educating patients and families; administering and documenting medications; coordinating with physicians and the healthcare team; and maintaining accurate patient and laboratory records. The nurse also oversees and supports direct patient care staff, ensures compliance with clinical and regulatory procedures, and helps maintain safe, clean, and properly equipped treatment areas. The work involves direct patient care, including frequent and prolonged standing, bending, and assisting with patient lifting and movement. The healthcare-facility environment has controlled air temperature and moderate noise, with possible exposure to infectious or contagious materials. An Ishihara color blindness test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeline required by state regulations or within 90 days of hire, whichever occurs first.
Hold a current appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
Maintain any required credentials or certifications in active and valid status, including renewal before expiration, and notify a supervisor immediately if credential status changes.
Be capable of handling demanding situations, multitasking, and adapting to changing needs.
Maintain regular and punctual attendance.
Meet the physical demands of the role, including frequent prolonged standing, bending, assisting with patient ambulation and movement, and lifting or moving patients and equipment with assistance as described.
Take the Ishihara color blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

Responsibilities

Direct and delegate the work of patient care technicians and other direct patient care staff to support safe, effective hemodialysis care.
Assess daily patient care needs, make patient care assignments, monitor staff techniques and adherence to procedures, and participate in staff training, orientation, and meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid intake, medications, laboratory values, adequacy measures, transplant and treatment modality awareness, and treatment compliance.
Provide hemodialysis care, implement prescribed treatment plans, assess patient responses, adjust care as indicated, and communicate patient concerns to the Team Leader or physician.
Participate in pre-evaluation, treatment initiation and monitoring, treatment termination, access homeostasis, and post-evaluation according to established procedures.
Conduct initial and annual nursing assessments and ongoing evaluation and documentation of patient care needs.
Provide, supervise when applicable, and monitor hemodialysis access care; troubleshoot access flow and adequacy issues; and implement and document prescribed transfusions and responses.
Review, transcribe, and enter physician orders and laboratory orders; prepare lab requisitions and specimens; ensure correct specimen handling, packaging, and delivery; follow up on missed or insufficient specimens; and report abnormal results to physicians.
Enforce company policies and applicable regulations and maintain safe, efficient, and effective shift operations.
Collaborate with physicians and healthcare team members to interpret, adjust, and coordinate patient care; act as a resource for staff; and meet with the Clinical Manager about personnel and patient-care matters.
Assist patients with prescription refills and transportation coordination as needed.
Maintain accurate patient information and medical records, including physician orders, laboratory results, vital signs, treatment parameters, patient status, treatment sheets, and patient care technician documentation.
Maintain facility medication stock lists, ensure emergency equipment availability, maintain emergency-procedure competency, and initiate CPR and emergency measures when required.
Ensure vaccinations, immunizations, and annual tuberculosis testing are provided; administer prescribed or protocol-based medications, document their use and effectiveness, and maintain controlled-substance records as required by law.
Maintain a clean, safe, and sanitary treatment area; ensure dialysis equipment, stations, and chairs are clean and appropriately placed; and address blood spills according to company policy.
Complete opening and closing procedures and verify staff and patients have safely left the premises.
Initiate and complete ongoing monthly CQI activities and reports, monthly nurses’ progress notes, required patient care plans and long-term programs, annual nursing history and physical assessments, and annual standing-order reviews with physicians.
Maintain required credentials and certifications, report changes in credential status to a supervisor, attend regularly and punctually, and perform other related duties as assigned.