New Graduate RN

Fresenius Medical Care•Lanai City, HI

4d•$44 - $54

About The Position

This position is for graduates of an accredited nursing school who are employed in a state that does not allow graduates to perform nursing duties until licensed. The job title used may vary based on the employee’s state. The employee works as part of a hemodialysis health care team, providing 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; dialysis equipment preparation and maintenance; clinical documentation; and laboratory specimen handling. The position requires regular interaction with patients, facility staff, and physicians and may involve travel between assigned facilities and other locations in the community. The work environment is that of a health care facility and may include exposure to infectious and contagious diseases or materials.

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, including renewing them before expiration.
Ability to handle demanding situations, multitask, and remain flexible as needs change.
Ability to meet the physical demands of direct patient care, including frequent and prolonged standing, bending, assisting with patient lifting and movement, and lifting solutions and equipment as described.
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.

Responsibilities

Evaluate vascular access before treatment.
Perform and record pre- and post-dialysis evaluations, weights, vital signs, and initial patient 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 (QB) and dialysate flow (QD).
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 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.
Document treatment information in the patient health record.
Report significant information or changes in a patient’s condition directly to the nurse supervisor.
Perform and document interventions for unusual patient status and document patients’ responses to interventions.
Obtain prescribed laboratory testing and prepare specimens for collection.
Prepare for dialysis treatment, complete required tasks, and document as appropriate.
Maintain environmental integrity and cleanliness, ensuring areas are safe and clean.
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 using appropriate disinfectants according to facility policy.
Prepare, organize, and efficiently use supplies and equipment 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 according to laboratory destination.
Collect, label, prepare, and store laboratory samples according to laboratory specifications.
Ensure laboratory specimens are collected by the appropriate courier.
Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and promptly notify the supervisor of changes to credential or certification status.
Maintain regular and punctual attendance.
Perform other related duties as assigned.