New Graduate RN

Fresenius Medical Care•Walsenburg, CO

4d•$33 - $50

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 help provide quality daily 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. The position requires obtaining a nursing license and registration within the period set by state regulations or within 90 days of hire, whichever comes sooner. The role provides and coordinates care for patients with end-stage renal disease receiving hemodialysis. It includes patient and family education, treatment implementation and monitoring, laboratory coordination, medication administration, documentation, staff oversight and support, and maintaining a safe treatment environment. The employee collaborates with physicians and other health care team members and follows applicable company, state, and federal requirements.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license and registration within the state-defined timeline 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.
Maintain regular and punctual attendance.
Be capable of working in a challenging environment requiring multitasking and flexibility.
Pass the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Responsibilities

Direct and oversee patient care technicians’ delivery of safe, effective chronic hemodialysis therapy in accordance with facility procedures and applicable regulations.
Delegate tasks to direct patient care staff, assess daily care needs, develop assignments, monitor staff techniques and policy compliance, and participate in staff training, orientation, and required meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid, medications, adequacy measures, transplant and modality awareness, and laboratory values.
Deliver safe and effective hemodialysis care, implement treatment prescriptions, assess patient responses, adjust care as indicated, and communicate concerns to the Team Leader or physician.
Initiate nursing assessments and ongoing evaluations; participate in pre-evaluation, treatment initiation and monitoring, termination, access homeostasis, and post-evaluation.
Address changes in patient adequacy status and access flow issues, and provide, supervise when applicable, and monitor hemodialysis access care.
Implement and document prescribed interdialytic transfusions and patient responses, including reporting adverse reactions as appropriate.
Ensure accurate and complete patient care technician documentation on hemodialysis treatment sheets.
Review, transcribe, and enter physician laboratory orders; prepare requisitions; ensure proper specimen collection, processing, packaging, and delivery; follow up on missed or insufficient specimens; and report abnormal results.
Enforce company policies and applicable regulations, maintain safe and efficient shift operations, serve as a resource to staff, and communicate regularly with the Clinical Manager and health care team.
Coordinate care with physicians and other health care professionals, assist with prescription refills and patient transportation as needed, and ensure physician orders are entered promptly.
Oversee patient information documentation, maintain the facility drug list, and maintain competency in emergency procedures, including initiating CPR and emergency measures when needed.
Verify emergency equipment availability; ensure appropriate vaccinations, immunizations, and annual TB testing; administer and document medications, including PRN medications and controlled substances, as required.
Maintain a clean, safe, and sanitary treatment area; operate dialysis equipment safely; ensure stations and equipment are clean and properly placed; and address blood spills according to policy.
Ensure patient data, treatment information, orders, lab results, vital signs, and patient status are accurately documented in the Medical Information System; implement admission, transfer, and discharge policies; and verify patient care technician documentation.
Review daily treatment sheets and opening and closing procedures, including ensuring staff and patients have safely left the premises.
Initiate and complete ongoing CQI activities and monthly reports, complete monthly nurses’ progress notes, maintain complete medical records, review transplant status, complete applicable patient care plans and long-term programs, and complete annual nursing assessments and standing-order reviews.
Maintain required credentials and certifications, attend work regularly and punctually, remain flexible in a demanding and changing environment, and perform other related duties as assigned.