New Graduate Registered Nurse

Fresenius Medical Care•Princess Anne, MD

17h

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, providing quality patient care in accordance with Fresenius Medical Services policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, and Quality Enhancement Program, including continuous quality improvement and patient satisfaction activities. Employees must obtain their nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever occurs sooner. The role provides and coordinates hemodialysis care for patients with end-stage renal disease, including assessing patient needs, implementing treatment prescriptions, monitoring responses, providing education, administering medications, and documenting care. It supports staff training and delegation, laboratory processing and follow-up, emergency readiness, facility safety, equipment operation, and completion of patient records and quality activities. The role involves direct patient care and may require heavy lifting and moving patients, assisting with ambulation, prolonged standing, bending, and occasionally moving equipment with assistance. The healthcare facility environment has controlled air temperature and moderate noise; exposure to infectious or contagious diseases and materials may occur. 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. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeframe 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.
Maintain any credentials or certifications required for the position in active and valid status, including timely renewal.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Maintain regular and punctual attendance.
Ability to perform the physical functions described, with reasonable accommodation where applicable; direct care regularly involves heavy lifting and moving patients, assisting with ambulation, prolonged standing, and bending. Equipment or coworkers may assist.

Responsibilities

Direct and monitor patient care staff, including delegating tasks, assessing daily care needs, developing assignments, and monitoring adherence to facility procedures.
Participate in staff training, new-staff orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid intake, medications, laboratory values, treatment compliance, transplant and modality awareness, and adequacy measures.
Provide safe and effective hemodialysis care; implement treatment prescriptions; assess patient response; modify treatment plans as indicated; and communicate concerns to the Team Leader or physician.
Conduct nursing assessments and ongoing evaluations, and participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation according to established procedures.
Address changes in patient adequacy and troubleshoot access-flow issues; provide, supervise when applicable, and monitor hemodialysis access care.
Implement and monitor prescribed interdialytic transfusions, document responses, and notify the physician and blood supplier of adverse reactions as appropriate.
Review, transcribe, and enter physician laboratory orders; prepare requisitions; ensure correct specimen collection, processing, packaging, and delivery; follow up on missed or insufficient specimens; and report abnormal or critical results to physicians.
Enforce company policies and applicable regulations and maintain safe, efficient, and effective shift operations.
Serve as a resource for staff and communicate with the Clinical Manager, physicians, and other healthcare team members to coordinate patient care.
Assist patients with prescription refills and transportation coordination as needed.
Maintain physician orders, patient information, treatment data, medical records, and documentation in the Medical Information System; verify staff documentation and treatment sheets.
Maintain the facility drug list and appropriately administer and document prescribed and PRN medications, controlled substances, vaccinations, immunizations, and annual TB testing.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, and verify the availability of emergency equipment.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment safely; keep patient stations clean and properly arranged; and address blood spills according to policy.
Complete required daily, monthly, and annual documentation and activities, including CQI reports, nurses’ progress notes, patient care plans, nursing histories and assessments, standing-order reviews, and transplant-status reviews.
Maintain required credentials and certifications, regular and punctual attendance, flexibility in a demanding environment, and perform other related duties as assigned.