New Graduate Registered Nurse - RN

Fresenius Medical Care•Ocala, FL

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 daily patient care in accordance with company policies, procedures, training, and applicable regulations. Supports FMCNA’s mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain their nursing license and registration within the timeframe set by state regulations or within 90 days of hire, whichever comes first. The role provides and coordinates chronic hemodialysis care for patients with end-stage renal disease (ESRD), including patient and family education, implementation and monitoring of prescribed treatment, assessment of patient response, medication administration, laboratory coordination, documentation, and communication with physicians and the wider healthcare team. It also involves delegating and monitoring work by direct patient care staff, supporting staff training, maintaining a safe and sanitary treatment environment, operating dialysis-related equipment, and completing required quality, medical-record, and facility procedures. This position involves direct patient care with regular heavy lifting and moving of patients and assistance 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 as high as five feet. The work environment is a healthcare facility with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur. Employees must take the Ishihara Color Blindness test as a condition of employment, though 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 timeframe defined by state regulations or within 90 days of hire, whichever occurs first.
Current appropriate state Temporary Permit.
Meet practice requirements in the state of employment.
0–1 year of related experience.
Ability to work in a challenging environment, handle demanding situations, multitask, and remain flexible as needs change.
Maintain regular and punctual attendance.
Take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Ability to perform the physical demands of the role, including regular heavy lifting and moving of patients, assisting with ambulation, frequent prolonged standing and bending, and occasional assisted movement of equipment up to 200 pounds and lifting of chemical and water solutions up to 30 pounds to a height of five feet.

Responsibilities

Direct and delegate work to Patient Care Technicians and other direct patient care staff, assess daily care needs, develop assignments, and monitor staff techniques and compliance with policies and procedures.
Participate in staff training, new-staff orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis, diet and fluid management, medications, laboratory values, treatment adequacy, transplant and modality awareness, and related health conditions.
Provide safe hemodialysis care; implement prescribed treatments, assess patient response, adjust care as indicated, and communicate concerns or changes to the Team Leader or physician.
Perform and document nursing assessments and ongoing evaluations; participate in pre-evaluation, treatment initiation, monitoring, termination, access homeostasis, and post-evaluation.
Address changes in patient adequacy status and access-flow issues, and provide, supervise where applicable, and monitor hemodialysis access care.
Administer and monitor prescribed transfusions and medications, document patient responses and medical justification when applicable, and maintain controlled-substance records as required.
Review, transcribe, and enter physician orders and laboratory orders; prepare, process, package, and route laboratory specimens; follow up on missed or insufficient specimens; and report abnormal or alert results to physicians.
Maintain safe and effective shift operations, act as a resource to staff, coordinate with the Clinical Manager, physicians, and other healthcare team members, and assist patients with prescription refills and transportation coordination as needed.
Maintain emergency-procedure competency, initiate CPR and emergency measures when needed, and ensure emergency equipment is available and verified.
Ensure appropriate vaccinations, immunizations, and annual TB testing are provided.
Maintain a clean, safe, and sanitary treatment area; operate dialysis-related equipment safely; keep patient stations, machines, and chairs clean and properly placed; and address blood spills according to policy.
Ensure accurate and complete patient documentation and Medical Information System entries, including treatment data, orders, laboratory results, vital signs, treatment parameters, and patient status; verify Patient Care Technician documentation.
Complete daily treatment-sheet reviews and opening and closing procedures, including confirming staff and patients have safely left the premises.
Complete monthly CQI activities and reports, nurses’ progress notes, patient-care plans, long-term program requirements, and transplant-status reviews as applicable.
Complete initial and annual nursing history and physical assessments and annual standing-order reviews with physicians.
Maintain required credentials and certifications in active, valid status; report changes in credential or certification status to a supervisor immediately; maintain punctual attendance; and perform other related duties as assigned.