New Graduate RN

Fresenius Medical Care•Lanai City, HI

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 will depend on the state where the employee works. The employee is part of the hemodialysis health care team and provides safe, 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 providing patient care during dialysis treatments, preparing and maintaining treatment equipment and the care environment, and completing clinical documentation and laboratory-related administrative tasks. The position involves direct patient care and may require travel between assigned facilities and locations in the community, as well as to regional, Business Unit, and Corporate meetings. The work environment is characteristic of a health care facility, with controlled air temperature and moderate noise levels. The employee may be exposed to infectious and contagious diseases or materials. The role involves frequent and prolonged standing, bending, and regularly lifting or moving patients and assisting with ambulation. Equipment or coworkers may provide assistance, and a two-person assist program and material-assist devices are available for heavier items. Employees 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.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license within 90 days of employment.
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, lifting or moving patients, and assisting with ambulation.
Ability to occasionally push or pull equipment using up to 15 pounds of force; frequently lift and 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.

Responsibilities

Evaluate vascular access before treatment.
Perform and record pre- and post-dialysis evaluations, weights, and vital signs, including 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 orders or directed.
Monitor patients’ responses to dialysis therapy.
Obtain vital signs before reinfusion, discontinue treatment as required, 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 patient 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 tests and prepare specimens for collection.
Complete and document tasks necessary to prepare for dialysis treatment.
Maintain a safe and clean environment and its aesthetics.
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, valid status, renew them before expiration, and promptly notify the supervisor of any change in credential or certification status.
Maintain regular and punctual attendance and perform other related duties as assigned.