New Graduate RN

Fresenius Medical Care•Springfield, OR
•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 specific job title depends on the state where the employee is employed. 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 obtaining a nursing license. A nursing license must be obtained within 90 days of the hire date. The role includes patient-care duties during dialysis treatment, dialysis equipment preparation and maintenance, and clinical and laboratory documentation. Employees must maintain required credentials and certifications, attend work regularly and punctually, and be able to handle a challenging environment with changing needs and multiple demands. 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.
  • Able to handle demanding situations, multitask, and remain flexible as needs change.
  • Able to perform direct patient care involving frequent, prolonged standing, bending, and lifting or moving patients and assisting with ambulation.
  • Able to occasionally push or pull equipment using up to 15 pounds of force; frequently lift or lower solutions weighing up to 30 pounds; and occasionally lift up to 40 pounds as high as 5 feet.
  • 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 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 directed.
  • Monitor patients’ responses to dialysis therapy.
  • Obtain vital signs before reinfusion, perform functions necessary 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 patient condition directly to the nurse supervisor.
  • Perform and document interventions for unusual patient status and document patients’ responses.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatment and document tasks where appropriate.
  • Maintain safe, clean, and orderly areas; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
  • Perform required pretreatment dialysis machine setup and testing.
  • Clean blood spills immediately with 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, and ensure they are collected by the appropriate laboratory courier.
  • Obtain and maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify a supervisor if credential or certification status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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