New Graduate RN

Fresenius Medical Care•Spokane, WA

About The Position

This position is for graduates of an accredited nursing program working in a state that does not permit graduates to perform nursing duties until licensed. The specific job title depends on the state where the employee works. The employee is part of the 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. A nursing license must be obtained within 90 days of hire. The role includes direct patient care, dialysis machine preparation and maintenance, treatment documentation, laboratory specimen handling, and maintaining a safe and clean treatment environment. The position has no supervisory responsibilities.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
Maintain any credentials or certifications required for the position in active and valid status.
Able to handle demanding situations, multitask, and remain flexible as needs change.
Maintain regular and punctual attendance.
Able to perform the physical demands of direct patient care, including frequent prolonged standing, bending, and lifting or moving patients and supplies.

Responsibilities

Evaluate vascular access before treatment; perform and document 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 and dialysate flow.
Evaluate intradialytic problems and provide interventions as prescribed by physician order or as directed; monitor patient responses to dialysis therapy.
Obtain vital signs before reinfusion, discontinue treatment and document as appropriate, and assess patients before termination of venous access, including standing and sitting blood pressure.
Obtain hemostasis, apply appropriate dressings, and evaluate patients before discharge.
Document patient treatment information in the health record, report significant information or changes in patient condition to the nurse supervisor, and document interventions and patient responses to unusual status.
Obtain prescribed laboratory tests and prepare specimens for collection.
Prepare for dialysis treatment, perform required machine setup and testing, and clean and disinfect machines, chairs, equipment, and surrounding areas between treatments according to facility policy.
Maintain a safe, clean treatment environment and promptly clean blood spills with appropriate disinfectants according to facility policy.
Prepare, organize, and efficiently use supplies and equipment to prevent waste.
Enter treatment data accurately and promptly in the designated clinical application; review health records for completeness and ensure omitted entries are completed or corrected where appropriate.
Prepare lab requisitions; collect, label, prepare, and store laboratory samples according to specifications; and ensure specimens are collected by the appropriate lab courier.
Maintain required credentials and certifications in active, valid status, renew them before expiration, and immediately notify the supervisor if credential or certification status changes.
Maintain regular and punctual attendance, adapt to demanding situations and changing needs, and perform other related duties as assigned.