New Graduate Registered Nurse - RN

Fresenius Medical Care•Warner Robins, GA

2d•Onsite

About The Position

This position is for graduates of an accredited nursing program working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used depends on the state where the employee is employed. As part of the hemodialysis health care team, the employee provides safe and effective dialysis therapy under the direct supervision of a licensed nurse while working toward obtaining a nursing license. A nursing license must be obtained within 90 days of hire. The role includes patient care before, during, and after dialysis; dialysis equipment preparation and maintenance; and accurate clinical and laboratory documentation. The employee must maintain required credentials and certifications, attend work regularly and punctually, and be able to handle demanding situations, multitask, and adapt to changing needs. Other related duties may be assigned. The work takes place in a health care facility with controlled air temperature and moderate noise levels. The role involves using a desk and personal computer and interacting with patients, facility staff, and physicians. Travel between assigned facilities and locations in the community may be required, as may travel to regional, Business Unit, and Corporate meetings. The employee may be exposed to infectious and contagious diseases or materials. The position requires direct patient care that regularly involves heavy lifting and moving patients, assisting with ambulation, frequent and prolonged standing, and bending. Employees may occasionally push or pull equipment with up to 15 pounds of force, frequently lift or lower solutions weighing up to 30 pounds, and occasionally lift items weighing up to 40 pounds to a height of five feet. Assistance from coworkers or equipment is available for heavier items. A two-person assist program and material-assist devices are provided. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Ability to work in a challenging environment, handle demanding situations, multitask, and remain flexible as needs change.
Ability to meet the described physical demands, including frequent prolonged standing and bending; patient lifting, moving, and ambulation assistance; and lifting or lowering solutions as described.

Responsibilities

Perform pre-treatment vascular access evaluations.
Perform and document pre- and post-dialysis evaluations, weight measurements, and vital signs, including initial identification.
Cannulate vascular access and report cannulation difficulties or unusual findings to the nurse supervisor.
Initiate dialysis treatment according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide interventions as prescribed by physician order or as directed.
Monitor patients’ responses to dialysis therapy.
Obtain vital signs before reinfusion, perform tasks required to discontinue treatment, and document appropriately.
Evaluate patients before termination of venous access, including standing and sitting blood pressure.
Obtain hemostasis and apply appropriate dressings.
Evaluate patients before discharge.
Document patient treatment information in the patient health record.
Report significant information or changes in patient condition directly to the nurse supervisor.
Perform and document interventions for unusual patient status and patients’ responses to interventions.
Obtain prescribed laboratory tests and prepare specimens for collection.
Prepare for dialysis treatments and document tasks as appropriate.
Maintain environmental integrity and aesthetics, ensuring areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments according to facility policy.
Perform required pretreatment dialysis machine setup and testing.
Immediately clean blood spills using appropriate disinfectant according to facility policy.
Prepare, organize, and efficiently use supplies and equipment to prevent waste.
Enter treatment data accurately and promptly into the designated clinical application.
Review health care records for completeness and ensure omitted entries are completed or corrected where appropriate.
Prepare laboratory requisitions for prescribed or stat specimens according to the laboratory destination.
Collect, label, prepare, and store laboratory samples according to laboratory specifications.
Ensure laboratory specimens are collected by the appropriate laboratory courier.
Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and immediately notify the supervisor of any change in credential or certification status.
Maintain regular and punctual attendance and perform other related duties as assigned.