New Graduate Registered Nurse - RN

Fresenius Medical Care•Kansas City, MO

About The Position

This position is for graduates of an accredited nursing school working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title is determined by the state where the employee works. 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. Employees must obtain their nursing license within 90 days of hire. The role includes patient care before, during, and after dialysis treatment; preparation and maintenance of dialysis equipment and the treatment environment; and accurate clinical and laboratory documentation. The employee reports significant information or changes in patient condition to the nurse supervisor and performs other related duties as assigned. Continued employment requires maintaining any credentials or certifications necessary for the position in active and valid status and promptly notifying a supervisor of any change in credential or certification status.

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.
  • 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.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, lifting and lowering solutions, and moving or assisting patients.

Nice To Haves

  • Previous patient care experience in a hospital setting or related facility.

Responsibilities

  • Evaluate vascular access before treatment; perform and document pre- and post-dialysis evaluations, weights, and vital signs with initial identification.
  • Perform vascular access cannulation and report cannulation difficulties or unusual findings to the nurse supervisor.
  • Initiate dialysis treatment according to prescribed orders, including blood flow and dialysate flow.
  • Evaluate intradialytic problems and provide interventions as prescribed by physician order or as directed; monitor patients’ responses to 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 and document treatment information in the patient health record.
  • Report significant information and changes in patient condition to the nurse supervisor; document interventions for unusual patient status and patients’ responses.
  • Obtain prescribed laboratory tests and prepare specimens for collection.
  • Prepare for dialysis treatment and document tasks where appropriate.
  • Maintain a safe, clean, and orderly environment; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
  • Perform required pretreatment dialysis machine setup and testing; immediately clean blood spills with appropriate disinfectant according to facility policy.
  • Prepare, organize, and efficiently use supplies and equipment to prevent waste.
  • Enter treatment data accurately and promptly in the designated clinical application; review health care records for completeness and ensure omitted entries are completed or corrected where appropriate.
  • Prepare lab requisitions for prescribed or stat specimens; collect, label, prepare, and store samples according to laboratory specifications and ensure collection by the appropriate lab courier.
  • Maintain required credentials and certifications in active and valid status, renew them before expiration, and promptly notify the supervisor of changes in credential or certification status.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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