New Graduate Registered Nurse

Fresenius Medical Care•Springfield, MA

26d

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, training, and applicable regulations. Supports the company’s mission, vision, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain nursing licensure and registration within the period required by state regulations or within 90 days of hire, whichever comes first. The role provides and coordinates chronic hemodialysis care, directs and delegates work to patient-care staff, assesses patient needs, delivers patient and family education, monitors treatment and access care, manages laboratory processes, administers medications, and maintains accurate clinical records. It also supports facility operations, staff training, emergency readiness, equipment safety, and ongoing quality-improvement activities. The position involves direct patient care in a healthcare facility and may include heavy lifting and moving patients and equipment.

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.
Hold a current appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
Maintain any credentials or certifications required for the position in active and valid status, including renewal before expiration.
Be capable of handling demanding situations, multitasking, and adapting to changing needs.
Maintain regular and punctual attendance.
Take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation may be considered.

Responsibilities

Direct and monitor patient-care staff in the safe and effective delivery of hemodialysis, delegate tasks, develop patient-care assignments, and participate in staff training, orientation, and meetings.
Assess patient needs and provide education to patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet, fluids, medications, laboratory values, treatment adequacy, transplantation, and treatment modalities.
Deliver and monitor hemodialysis treatment according to prescriptions; assess patient responses, make indicated adjustments, communicate concerns to the Team Leader or physician, and provide or supervise access care.
Initiate and document nursing assessments and ongoing evaluations; participate in treatment evaluation, initiation, monitoring, termination, access homeostasis, and post-treatment evaluation; respond to adequacy and access-flow issues.
Implement and monitor prescribed transfusions and medications, document patient responses and medication effectiveness, report adverse reactions, and maintain controlled-substance records.
Review, transcribe, and enter physician orders and laboratory orders; coordinate specimen collection, processing, packaging, routing, and follow-up; report abnormal results and forward results to physicians as requested.
Maintain safe and effective shift operations, communicate and coordinate care with physicians and other healthcare team members, support prescription refills and patient transportation as needed, and serve as a resource for staff.
Maintain emergency readiness, verify emergency equipment, initiate CPR and emergency measures when necessary, and ensure vaccinations, immunizations, and annual TB testing are provided.
Maintain a clean, safe, and sanitary treatment area; operate dialysis-related equipment safely; ensure stations, machines, and chairs are clean and properly placed; and address blood spills according to policy.
Ensure accurate and complete medical records and treatment documentation, including physician orders, laboratory results, vital signs, treatment parameters, patient status, and staff documentation.
Complete daily, monthly, and annual documentation and duties, including treatment-sheet review, CQI activities and reports, nurses’ progress notes, patient care plans, transplant-status review, long-term program requirements, nursing assessments, and annual standing-order reviews.
Enforce company policies and applicable regulations; maintain required credentials, regular and punctual attendance, flexibility, and competency; perform other related duties as assigned.