New Graduate Registered Nurse - RN

Fresenius Medical Care•Gainesville, FL

About The Position

The New Graduate Registered Nurse functions as part of a hemodialysis healthcare team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse. The role supports daily delivery of quality patient care in accordance with company policies, procedures, and training, and supports Fresenius Medical Care North America’s mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. The employee must obtain a nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever comes sooner. The position provides and coordinates hemodialysis care for patients with end-stage renal disease (ESRD), including patient assessment, treatment implementation and monitoring, education, access care, medication administration, laboratory coordination, documentation, and communication with physicians and the healthcare team. It also includes directing and supporting patient-care staff, maintaining safe and sanitary treatment areas and equipment, participating in quality improvement work, and ensuring compliance with applicable company, state, and federal requirements. The role involves direct patient care, including regular heavy lifting and moving of patients and assisting with ambulation. It requires frequent, prolonged standing and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The work environment is a temperature-controlled healthcare facility with moderate noise and possible exposure to infectious or contagious diseases and materials. An Ishihara color-vision test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeline defined by state regulations or within 90 days of hire, whichever occurs first.
Current appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
0–1 year of related experience.
Maintain any required credentials or certifications in active and valid status, including timely renewal.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Ability to perform the essential functions, with or without reasonable accommodation, including the stated physical demands of direct patient care.

Responsibilities

Direct and delegate work to patient-care staff, including LVN/LPNs, Patient Care Technicians, and Dialysis Assistants, and monitor their techniques and compliance with facility procedures.
Assess daily patient-care needs and develop appropriate care assignments; participate in staff training, orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medication compliance, laboratory values, adequacy measures, transplant and modality awareness, and catheter reduction.
Provide safe and effective hemodialysis care, implement prescribed treatment plans and modeling, assess treatment responses, and communicate concerns or changes to the Team Leader or physician.
Complete initial and annual nursing assessments and ongoing evaluations and documentation; participate in pre-evaluation, treatment initiation, monitoring, termination, access homeostasis, and post-evaluation.
Address changes in adequacy status and troubleshoot access-flow issues; provide, supervise when applicable, and monitor hemodialysis access care.
Implement, administer, monitor, and document prescribed interdialytic transfusions, including reporting adverse reactions as required.
Review, transcribe, enter, and follow up on physician laboratory orders; ensure correct specimen collection, processing, packaging, and delivery; report abnormal results and forward results to physicians as requested.
Enforce company policies and applicable regulations and maintain safe, efficient, and effective shift operations.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate patient care; act as a resource for staff and meet with the Clinical Manager regarding personnel and patient-care matters.
Transcribe physician orders, oversee patient-information documentation, maintain the facility drug list, and assist with prescription refills and patient transportation when needed.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, verify emergency equipment availability, and ensure vaccinations, immunizations, and annual TB testing are provided.
Administer prescribed or approved-algorithm medications, document medical justification and PRN medication effectiveness as appropriate, and maintain controlled-substance records as required by law.
Maintain clean, safe, and sanitary treatment areas; operate dialysis equipment safely; ensure patient stations, machines, and chairs are clean and properly placed; and address blood spills according to policy.
Ensure complete and accurate medical records, treatment data, patient-care documentation, and Medical Information System entries; implement admission, transfer, and discharge procedures.
Review daily Hemodialysis Treatment Sheets, ensure opening and closing procedures are followed, and confirm staff and patients have safely left the premises.
Initiate, document, and complete monthly Continuous Quality Improvement activities and reports; complete monthly nurses’ progress notes and maintain complete patient medical records.
Review transplant status, complete care plans for new or unstable patients, complete due long-term programs, and complete initial and annual nursing history and physical assessments and annual standing-order reviews.
Maintain required credentials and certifications in active, valid status and promptly notify a supervisor of changes to credential or certification status.
Maintain regular and punctual attendance, remain flexible in a demanding environment, and perform other related duties as assigned.