New Graduate RN

Fresenius Medical Care•Farmington, NM

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 support the provision of quality patient care in accordance with company policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, Quality Enhancement Program (QEP), and continuous quality improvement activities. Adheres to the FMCNA Compliance Program and patient care and administrative policies. Employees hired into this position must obtain a nursing license and registration within the timeframe specified by state regulations or within 90 days of hire, whichever occurs sooner. The role supports safe and effective chronic hemodialysis care, including patient and family education, treatment implementation and monitoring, laboratory processes, medication administration, emergency response, facility safety, and patient records and documentation. The position works with patient care staff, physicians, and other health care team members to coordinate care and support patient outcomes. This direct patient-care role regularly involves heavy lifting and moving patients, assisting with ambulation, prolonged standing, and bending. With assistance, the employee may occasionally move machines and equipment weighing up to 200 pounds and lift chemical and water solutions weighing up to 30 pounds to a height of five feet. The health care facility environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious diseases or materials. An Ishihara color blindness test is required as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered. Regular and punctual attendance is required. Other related duties may be assigned.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a 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.
Maintain any required credentials or certifications in active and valid status, including renewal before expiration.
Be capable of working in a challenging environment that requires handling demanding situations, multitasking, and flexibility as needs change.
Meet the physical demands of direct patient care, including heavy lifting and moving patients, assisting with ambulation, prolonged standing, bending, and occasional assisted movement of equipment and lifting of chemical or water solutions.

Responsibilities

Direct and monitor patient care staff, delegate tasks, assign work based on daily patient care needs, and participate in staff training, orientation, and required meetings.
Educate patients and families about end-stage renal disease, renal disease, vascular access, dialysis therapy, diet and fluid management, medication compliance, adequacy measures, transplant and modality options, laboratory values, and treatment compliance.
Provide safe and effective hemodialysis care, implement prescribed treatments, assess patient responses, adjust or modify treatment plans as indicated, and communicate concerns to the Team Leader or physician.
Initiate nursing assessments and ongoing evaluation and documentation; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-treatment evaluation.
Intervene when patient adequacy status changes, troubleshoot access-flow issues, and provide, supervise when applicable, and monitor hemodialysis access care.
Implement and monitor prescribed interdialytic transfusions, document patient responses, and notify the physician and blood supplier of adverse reactions as appropriate.
Review, transcribe, and enter physician laboratory orders; prepare requisitions; ensure correct specimen collection, processing, packaging, and delivery; follow up on missed or insufficient specimens; and report abnormal or critical results to physicians.
Enforce company policies and applicable regulations, maintain safe and efficient shift operations, act as a resource for staff, and communicate with the Clinical Manager about personnel and patient-care matters.
Collaborate with physicians and other health care professionals to interpret, adjust, and coordinate patient care; assist with prescription refills and patient transportation as needed.
Maintain physician orders and patient information in the Medical Information System, oversee patient documentation, and ensure accurate Patient Care Technician records and treatment sheets.
Maintain the facility drug list and emergency equipment, remain competent in emergency procedures, initiate CPR and emergency measures when needed, coordinate required vaccinations and TB testing, administer medications as prescribed, and document medication administration and controlled substances.
Maintain a clean, safe, and sanitary treatment area; operate dialysis equipment safely; ensure patient stations, machines, and chairs are clean and properly placed; and address blood spills according to policy.
Complete and verify required patient records and documentation, including admission, transfer, and discharge procedures; daily treatment sheets and opening and closing procedures; monthly CQI activities, progress notes, care plans, and record reviews; and annual nursing assessments and standing-order reviews.
Maintain required credentials and certifications in active, valid status and notify a supervisor of changes.
Maintain regular and punctual attendance and perform other related duties as assigned.