New Graduate Registered Nurse - RN

Fresenius Medical Care•Biloxi, MS

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 depends on the state of employment. 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. The employee must obtain that license within 90 days of hire and maintain any credentials or certifications required for the position in active, valid status. The role includes dialysis patient care, treatment preparation and monitoring, equipment cleaning and setup, clinical documentation, and laboratory specimen handling. The employee must be able to work in a challenging environment, handle demanding situations, multitask, adapt to changing needs, and maintain regular, punctual attendance. Other related duties may be assigned.

Requirements

  • Graduated from an accredited nursing program within the past 12 months.
  • Obtain a nursing license within 90 days of employment.
  • Able to handle demanding situations, multitask, and remain flexible as needs change.
  • Able to meet the physical demands of direct patient care, including frequent and prolonged standing, bending, assisting with ambulation, and lifting or lowering solutions and other items.
  • 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.

Responsibilities

  • Evaluate vascular access before treatment.
  • Perform and record pre- and post-dialysis evaluations, weights, vital signs, and initial patient identification.
  • Cannulate vascular access and report cannulation difficulties or unusual findings to the nurse supervisor.
  • Initiate dialysis according to prescribed orders, including blood flow and dialysate flow.
  • Evaluate intradialytic problems and provide interventions as prescribed by physician orders or as directed.
  • Monitor patients’ responses to dialysis therapy.
  • Obtain vital signs before reinfusion; perform tasks needed to discontinue treatment and document them 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 document patient responses.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatment and document tasks where appropriate.
  • Maintain safe, clean, and aesthetically appropriate areas; 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.
  • Clean blood spills immediately with 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 laboratory destination.
  • Collect, label, prepare, and store laboratory samples according to laboratory specifications.
  • Ensure laboratory specimens are collected by the appropriate courier.
  • Obtain and maintain required credentials or certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certification status changes.
  • Maintain regular and punctual attendance.
  • Perform other related duties as assigned.
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