New Graduate Registered Nurse - RN

Fresenius Medical Care•Shreveport, LA

3d•Onsite

About The Position

The New Graduate Registered Nurse functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a Staff Registered Nurse. The role supports the provision of quality daily patient care in accordance with Fresenius Medical Services policies, procedures, training, and applicable regulations. The employee supports the company’s mission, vision, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Nursing licensure and registration must be obtained within the period required by state regulations or within 90 days of hire, whichever comes sooner. The position provides and coordinates care for patients with end-stage renal disease receiving hemodialysis. Responsibilities include patient and family education, assessment and monitoring during treatment, implementation of prescribed treatment plans, communication with physicians and the health care team, medication administration, laboratory coordination, emergency response, and accurate medical record documentation. The role also supports and monitors patient care staff, maintains a safe and sanitary treatment environment, and participates in facility quality improvement and operational procedures. The work takes place in a health care facility with controlled air temperature and moderate noise levels. The role may involve exposure to infectious or contagious diseases or materials, frequent and prolonged standing, bending, and heavy lifting or moving of patients. With assistance, the employee may occasionally move equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to heights of up to five feet. The position requires regular, punctual attendance and the ability to handle demanding situations, multitask, and remain flexible as needs change.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain nursing license and registration within the timeline defined by state regulations or within 90 days of hire, whichever occurs first.
Hold a current appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
Have 0–1 year of related experience.
Maintain any required credentials or certifications in active and valid status, including timely renewal.
Be capable of handling demanding situations, multitasking, and adapting to changing needs.
Maintain regular and punctual attendance.
Take the Ishihara Color Blindness test as a condition of employment; a failed test does not preclude employment, and reasonable accommodation may be considered.
Be able to perform the essential functions with or without reasonable accommodation, including the described patient-care and physical duties.

Responsibilities

Direct and delegate the work of patient care staff, including Patient Care Technicians, LVN/LPNs, and Dialysis Assistants, to support safe and effective hemodialysis care.
Assess daily patient care needs, develop patient care assignments, monitor staff practices, and participate in staff training, orientation, and meetings.
Educate patients and families about end-stage renal disease, dialysis therapy, vascular access, diet and fluid management, medication compliance, laboratory values, treatment adequacy, transplant awareness, and treatment modalities.
Provide and monitor safe hemodialysis treatment, implement prescribed treatment parameters, assess patient responses, adjust care as indicated, and communicate concerns to the Team Leader or physician.
Perform and document nursing assessments and ongoing evaluations; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation.
Provide and monitor hemodialysis access care, troubleshoot access-flow and adequacy issues, and implement interventions as indicated.
Administer and document prescribed medications, PRN medications, and interdialytic transfusions; report adverse reactions and maintain controlled-substance records as required.
Review and enter physician orders and laboratory orders into the Medical Information System; coordinate specimen preparation, collection, handling, shipment, and delivery; report abnormal or alert laboratory results.
Maintain safe shift operations, respond to emergencies, initiate CPR and other emergency measures when needed, and verify availability of emergency equipment.
Coordinate and communicate care with physicians and other members of the health care team; assist with prescription refills and patient transportation as needed.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis equipment safely and ensure patient stations, machines, and chairs are clean and appropriately positioned.
Ensure timely and accurate documentation of patient data, treatment information, physician orders, laboratory results, vital signs, and staff records in the Medical Information System and on treatment sheets.
Complete or support admission, transfer, discharge, opening, and closing procedures; ensure staff and patients leave the premises safely.
Complete assigned monthly and annual documentation and quality activities, including CQI reports, nursing progress notes, patient care plans, nursing assessments, standing-order reviews, and transplant-status follow-up.
Maintain required credentials and certifications, attend punctually, and perform other related duties as assigned.