New Graduate Registered Nurse - RN

Fresenius Medical Care•Sapulpa, OK

About The Position

This position is for a graduate of an accredited nursing program working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title depends on the state of employment. 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 the hire date. The role includes providing patient care during dialysis treatments; preparing and maintaining dialysis equipment and the treatment environment; entering and reviewing clinical and laboratory records; and handling laboratory specimens. The employee must maintain required credentials and certifications, communicate changes in patient condition to the nurse supervisor, maintain regular and punctual attendance, and perform other related duties as assigned. The work involves use of a desk and personal computer, interaction with patients and health care staff, and potentially travel between assigned facilities and to meetings. The health care facility environment has controlled air temperature and moderate noise levels, with possible exposure to infectious and contagious diseases or materials. Direct patient care regularly involves lifting and moving patients and assisting with ambulation. The position also requires frequent prolonged standing and bending, and may require pushing or pulling equipment and lifting solutions and other items.

Requirements

Graduated 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.
Ability to work in a challenging environment, handle demanding situations, multitask, and remain flexible as needs change.
Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.
Ability to perform the physical demands of the role, including frequent prolonged standing and bending, lifting and moving patients, assisting with ambulation, and lifting or lowering solutions and other items.

Nice To Haves

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

Responsibilities

Evaluate vascular access before treatment; perform and document pre- and post-dialysis evaluations, weights, 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 and dialysate flow.
Evaluate intradialytic problems and provide interventions as prescribed by physician order or directed; monitor patient response 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 and document treatment information in the patient health record.
Report significant information or changes in patient condition to the nurse supervisor; perform and document interventions for unusual patient status and patient response.
Obtain prescribed laboratory tests and prepare specimens for collection.
Prepare for dialysis treatment and document 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 pretreatment dialysis machine setup and testing; immediately clean blood spills with the 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 records for completeness and ensure omitted entries are completed or corrected where appropriate.
Prepare laboratory requisitions; collect, label, prepare, and store laboratory samples according to laboratory specifications; ensure specimens are collected by the appropriate courier.
Obtain and maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certification status changes.
Maintain regular and punctual attendance and perform other related duties as assigned.