New Graduate RN

Fresenius Medical Care•Bozeman, MT

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, to provide quality daily patient care in accordance with company policies, procedures, training, and applicable regulations. Supports the company’s mission, values, customer service philosophy, Quality Enhancement Program, and continuous quality improvement activities. Employees must obtain their nursing license and registration within the applicable state-regulated timeframe or within 90 days of hire, whichever occurs sooner. The role provides and coordinates care for patients with end-stage renal disease receiving hemodialysis. It includes assessing patient needs and treatment responses; implementing prescribed therapies; educating patients and families; coordinating with physicians and the healthcare team; supporting and monitoring patient-care staff; handling laboratory orders and specimens; maintaining accurate medical records; and ensuring a safe, clean treatment environment. The role also includes emergency response, medication administration, equipment competency, and participation in quality improvement activities. The position involves direct patient care and may require heavy lifting, moving and assisting patients, prolonged standing, bending, and occasional assisted movement of equipment. The work takes place in a healthcare facility and may involve exposure to infectious or contagious materials. The position has no supervisory responsibility.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Must obtain nursing license and registration within the timeframe required by state regulations or within 90 days of hire, whichever occurs first.
Current appropriate state Temporary Permit.
Must meet practice requirements in the state of employment.
Must maintain any required credentials or certifications in active and valid status.
Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
Ability to handle demanding situations, multitask, and remain flexible to changing needs.
Ability to perform direct patient care involving heavy lifting and moving patients, assisting with ambulation, frequent prolonged standing, and bending; occasional assisted movement of equipment up to 200 pounds and lifting chemical or water solutions up to 30 pounds as high as 5 feet.

Responsibilities

Direct and monitor patient-care staff, delegate tasks, assess daily care needs, and develop patient-care assignments.
Participate in staff training, orientation, and required staff meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid management, medications, laboratory values, transplant and modality awareness, and other relevant health conditions.
Provide safe and effective hemodialysis care, implement treatment prescriptions, assess patient responses, and adjust or communicate concerns about treatment plans as appropriate.
Initiate and complete nursing assessments and ongoing evaluation and documentation of patient-care needs.
Participate in all stages of hemodialysis treatment, including pre-evaluation, initiation, monitoring, termination, access homeostasis, and post-evaluation.
Provide, supervise when applicable, and monitor hemodialysis access care; address adequacy and access-flow issues.
Implement and monitor prescribed transfusions and medications, document patient responses, and report adverse reactions or other concerns as appropriate.
Review, transcribe, and enter physician orders and laboratory orders; prepare requisitions, collect and process specimens, address missed or insufficient specimens, and report abnormal results.
Maintain safe, efficient shift operations and a clean, sanitary treatment area; ensure equipment and patient stations are clean and used safely.
Collaborate with physicians and other healthcare professionals to interpret, adjust, and coordinate patient care.
Maintain emergency readiness, verify emergency equipment availability, and initiate CPR and other emergency measures when needed.
Support vaccinations, immunizations, and annual tuberculosis testing; maintain controlled-substance records as required.
Coordinate patient transportation when necessary and assist patients with prescription refills according to company policies.
Ensure accurate and complete medical records, treatment sheets, orders, laboratory data, and other patient documentation.
Complete required daily, monthly, and annual documentation and activities, including CQI reports, nursing progress notes, care plans, nursing assessments, and standing-order reviews.
Enforce company policies and applicable state and federal regulations; maintain required credentials and certifications and report changes in credential status.
Maintain regular, punctual attendance; remain flexible in a demanding environment; perform other related duties as assigned.