New Graduate Registered Nurse - RN

Fresenius Medical Care•Centerville, IA

About The Position

This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. The employee functions as part of the hemodialysis health care team, providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working toward obtaining a nursing license. Employees hired into this position must obtain their nursing license within 90 days of their hire date. The role includes direct patient care, dialysis treatment preparation and monitoring, equipment and environmental maintenance, and clinical documentation and laboratory coordination. Employees must maintain any credentials or certifications required for their position and notify their supervisor immediately if their credential or certified status changes. The work may involve travel between assigned facilities and locations in the community, as well as travel to regional, Business Unit, and Corporate meetings. The health care facility environment has controlled air temperature and moderate noise levels and may involve exposure to infectious and contagious diseases or materials.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Ability to work in a challenging environment requiring handling demanding situations, multitasking, and flexibility as needs change.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with ambulation, and lifting or moving patients and supplies.
Employees are required to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

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

Responsibilities

Perform pre-treatment vascular access evaluations.
Perform and record pre- and post-dialysis evaluations, weight, vital signs, and initial identification.
Perform vascular access cannulation and report 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 necessary 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.
Complete tasks necessary to prepare for dialysis treatment and document as appropriate.
Maintain environmental integrity and aesthetics, ensuring areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments according to facility policy.
Perform required pretreatment 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 laboratory courier.
Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and immediately notify the supervisor if credential or certified status changes.
Maintain regular and punctual attendance and perform other related duties as assigned.