New Graduate RN

Fresenius Medical Care•Bozeman, MT

5d•Onsite

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 ensure the daily provision of quality 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 (CQI) activities. Employees hired into this position must obtain their nursing license and registration within the timeframe set by state-specific regulations or within 90 days of hire, whichever occurs sooner. The role provides and coordinates care for patients with end-stage renal disease (ESRD), including hemodialysis treatment, patient and family education, medication administration, laboratory processes, documentation, and emergency response. It also helps oversee patient-care staff and treatment operations, maintains a safe and sanitary facility, and ensures compliance with company policies and applicable regulations. The position involves direct patient care in a healthcare facility and may include exposure to infectious or contagious diseases and materials.

Requirements

Graduated from an accredited nursing program within the past 12 months.
Obtain a nursing license and registration within the timeframe defined by state regulations or within 90 days of hire, whichever occurs first.
Current appropriate state Temporary Permit.
Meet the practice requirements in the state of employment.
Maintain required credentials or certifications in active and valid status, including renewal before expiration.
Capable of handling demanding situations, multitasking, and remaining flexible as needs change; maintain regular and punctual attendance.

Responsibilities

Direct patient-care staff in the safe and effective delivery of chronic hemodialysis therapy, delegate tasks, assess daily care needs, make assignments, monitor staff techniques and policy adherence, and participate in staff training, orientation, and meetings.
Educate patients and families about ESRD, renal disease, vascular access, dialysis therapy, diet and fluid intake, medications, adequacy measures, transplant and modality awareness, laboratory values, and treatment compliance.
Provide safe hemodialysis care; implement treatment prescriptions, assess patient responses, adjust care as indicated, communicate concerns to the Team Leader or physician, and participate in all phases of treatment and access care.
Initiate nursing assessments and ongoing evaluations; intervene when adequacy status or access flow issues arise; supervise and monitor access care; and administer and document prescribed transfusions and responses, including adverse reactions.
Review, transcribe, and enter physician laboratory orders; prepare requisitions; ensure correct specimen collection, processing, packaging, and delivery; follow up on missed or insufficient specimens; and report abnormal results to physicians.
Enforce company policies and applicable state and federal regulations; maintain safe and effective shift operations; serve as a staff resource; meet with the Clinical Manager; and coordinate care with physicians and other healthcare team members.
Assist patients with prescription refills and transportation coordination as needed; ensure orders and patient information are accurately entered and documented; maintain the facility drug list; and administer prescribed or approved-algorithm medications, including PRN medications, with required documentation.
Maintain competency in emergency procedures, initiate CPR and emergency measures when needed, verify emergency equipment availability, and ensure appropriate vaccinations, immunizations, and annual TB testing.
Maintain a clean, safe, and sanitary dialysis treatment area; operate dialysis-related equipment safely; ensure stations, machines, and chairs are clean and appropriately placed; and address blood spills according to policy.
Ensure patient records and treatment information are complete and accurate, including orders, laboratory results, vital signs, treatment parameters, patient status, admission, transfer, and discharge documentation; verify Patient Care Technician documentation.
Review daily Hemodialysis Treatment Sheets and opening and closing procedures, including confirmation that staff and patients have safely left the premises.
Initiate, document, and complete monthly CQI activities and reports; complete nurses’ progress notes, patient care plans, long-term programs, record checks, transplant-status reviews, and annual nursing history, assessment, and standing-order reviews as required.
Obtain and maintain required credentials and certifications, report credential-status changes to a supervisor, maintain regular and punctual attendance, handle demanding and changing situations, and perform other related duties as assigned.