New Graduate Registered Nurse

Fresenius Medical Care•Bethesda, MD

18h

About The Position

Functions as part of a hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a Staff Registered Nurse. Helps ensure daily, high-quality patient care in accordance with company policies, procedures, training, and applicable regulations. Supports the company’s mission, values, quality improvement activities, and compliance requirements. Employees must obtain nursing licensure and registration within the timeline set by state regulations or within 90 days of hire, whichever occurs first. The role provides and coordinates hemodialysis care for patients with end-stage renal disease (ESRD), including assessing patient needs, implementing prescribed treatments, monitoring patient responses, providing education, and collaborating with physicians and other members of the healthcare team. It also includes delegating and monitoring staff activities, maintaining accurate clinical and laboratory records, supporting quality improvement, and ensuring a safe, clean treatment environment. The work takes place in a healthcare facility with controlled air temperature and moderate noise. The position involves direct patient care, frequent and prolonged standing, bending, and heavy lifting or moving of patients. With assistance, the employee may move equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. Exposure to infectious and contagious diseases or materials may occur. An Ishihara color blindness test is 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.
Maintain any required credentials or certifications in active and valid status.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Regular and punctual attendance.
Ability to perform the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient ambulation and movement, and lifting or moving patients and equipment, with assistance where applicable.

Responsibilities

Direct patient care staff in the safe and effective delivery of chronic hemodialysis therapy, and delegate tasks to relevant staff.
Assess daily patient care needs, develop patient care assignments, and monitor staff techniques and adherence to facility procedures.
Participate in staff training, orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, treatment adherence, transplant awareness, and care modalities.
Provide safe and effective hemodialysis care; implement prescribed treatment parameters; assess patient response; and adjust the plan of care as indicated, communicating concerns to the Team Leader or physician.
Initiate and document nursing assessments and ongoing patient evaluations, and participate in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation of hemodialysis treatments.
Identify and address changes in patient adequacy status and access flow issues, and provide or supervise hemodialysis access care.
Administer and monitor prescribed transfusions and medications, document patient responses and medication effectiveness, and report adverse reactions as appropriate.
Review, transcribe, and enter physician orders and laboratory orders into the Medical Information System; ensure proper specimen collection, processing, packaging, delivery, and follow-up; and report abnormal or alert laboratory results.
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 when needed.
Maintain and verify complete and accurate patient records, treatment data, physician orders, laboratory results, vital signs, treatment parameters, and staff documentation.
Complete required daily, monthly, and annual documentation and activities, including treatment sheet reviews, CQI reports, nurses’ progress notes, patient care plans, nursing assessments, standing order reviews, and transplant status reviews.
Enforce company policies and applicable regulations; maintain emergency procedure competency and equipment availability; support vaccinations and annual tuberculosis testing; and maintain controlled substance records as required.
Maintain a clean, safe, and sanitary treatment environment; operate dialysis-related equipment safely; ensure patient stations are clean and appropriately arranged; and address blood spills under company policy.
Maintain required credentials and certifications, regular and punctual attendance, flexibility in a demanding environment, and perform other related duties as assigned.