New Graduate Registered Nurse

Fresenius Medical Care•Sylacauga, AL

4d•Onsite

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. Provides quality patient care in accordance with Fresenius Medical Services (FMS) policies, procedures, and training, and supports the FMCNA mission, vision, values, customer service philosophy, and Quality Enhancement Program (QEP) and continuous quality improvement activities. Employees must obtain nursing licensure and registration within the applicable state-specific timeframe or within 90 days of hire, whichever comes sooner. The role supports and monitors patient care staff, provides and documents education for patients and families living with end-stage renal disease, and participates in the safe delivery and monitoring of hemodialysis treatment. Responsibilities also include laboratory coordination, medication administration, emergency readiness, medical-record documentation, quality improvement, and maintaining a clean and safe treatment environment. The nurse collaborates with physicians and other healthcare team members and follows company policies and applicable state and federal regulations. The position involves direct patient care, including regularly lifting and moving patients and assisting with ambulation; frequent, prolonged standing and bending; and occasional assisted movement of machines and equipment weighing up to 200 pounds and lifting chemical or water solutions weighing up to 30 pounds to a height of five feet. The healthcare-facility environment has controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases or materials. 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.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the state-required timeframe 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.
Meet the physical demands of direct patient care, including frequent prolonged standing and bending; regular heavy lifting and moving of patients and assistance with ambulation; occasional assisted movement of equipment up to 200 pounds; and lifting chemical or water solutions up to 30 pounds as high as five feet.
Take the Ishihara color-vision test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Responsibilities

Direct and monitor patient care staff in the safe and effective delivery of chronic hemodialysis therapy; delegate tasks, assess daily staffing needs, and support staff training and orientation.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, adequacy measures, transplantation, and treatment modalities.
Provide and monitor hemodialysis care, implement treatment prescriptions, assess patient responses, adjust or communicate concerns about treatment plans, and participate in all stages of treatment and access care.
Initiate nursing assessments and ongoing evaluations, document patient care needs, and respond to changes in patient adequacy status and vascular access flow issues.
Implement, monitor, and document prescribed transfusions and medications, including PRN medications; report adverse reactions and maintain controlled-substance records as required.
Review, transcribe, and enter physician orders and laboratory orders; coordinate specimen collection, processing, packaging, delivery, follow-up, and reporting of abnormal results.
Enforce company policies and applicable regulations; maintain safe and effective shift operations and serve as a resource to staff.
Collaborate and communicate with physicians and healthcare team members to coordinate patient care; assist patients with prescription refills and transportation when needed.
Maintain emergency readiness, including competency in emergency procedures, initiating CPR when required, and verifying adequate emergency equipment.
Coordinate appropriate vaccinations, immunizations, and annual tuberculosis testing.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment safely; ensure stations and equipment are clean and address blood spills according to policy.
Ensure complete and accurate patient records, treatment documentation, physician orders, laboratory results, and staff documentation in the Medical Information System.
Complete daily, monthly, and annual documentation and care activities, including treatment-sheet reviews, CQI reports, nurses' progress notes, patient care plans, transplant-status reviews, nursing assessments, and standing-order reviews.
Maintain required credentials and certifications, regular and punctual attendance, and flexibility in a demanding, changing work environment; perform other related duties as assigned.