New Graduate Registered Nurse - RN

Fresenius Medical Care • Des Moines, IA

7d • 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 job title used may vary according to 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 nursing licensure. Employees must obtain their nursing license within 90 days of hire.

The role includes patient-care activities before, during, and after dialysis; dialysis equipment preparation and cleaning; 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.

Requirements

• Graduated from an accredited nursing program within the past 12 months.
• Obtain a nursing license within 90 days of employment.
• Obtain and maintain any required credentials or certifications in active and valid status.
• Ability to handle demanding situations, multitask, and remain flexible to changing needs.
• 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 perform the physical demands of the position, including frequent prolonged standing, bending, assisting with patient ambulation and movement, and lifting or lowering items as described in the posting.

Nice To Haves

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

Responsibilities

• Evaluate vascular access before treatment; perform and record pre- and post-dialysis evaluations, weights, 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 and dialysate flow.
• 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 and document functions needed to discontinue treatment.
• 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 or changes in patient condition directly to the nurse supervisor; perform and document interventions for unusual patient status and patients’ responses.
• Obtain prescribed laboratory testing and prepare specimens for collection.
• Prepare for dialysis treatment and complete required documentation.
• Maintain safe, clean, and orderly work 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; immediately clean blood spills with appropriate disinfectant according to facility policy.
• Prepare, organize, and use supplies and equipment efficiently 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; collect, label, prepare, and store samples according to laboratory specifications and ensure collection by the appropriate laboratory courier.
• Obtain and maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certified status changes.
• Maintain regular and punctual attendance and perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level