New Graduate RN

Fresenius Medical Care•Orem, UT

About The Position

This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. The employee functions as part of the hemodialysis health care team, providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working toward obtaining a nursing license. Employees hired into this position are required to obtain their nursing license within 90 days of their hire date. The role includes patient-care, dialysis equipment preparation and maintenance, and clerical and administrative responsibilities. Work takes place in a health care facility and includes direct patient care, interaction with facility staff and physicians, and possible travel between assigned facilities and other locations in the community.

Requirements

  • Graduated from an accredited nursing program within the past 12 months.
  • Obtain a nursing license within 90 days of employment.
  • Capable of working in a challenging environment requiring the ability to handle demanding situations, multitask, and remain flexible to changing needs.
  • Able to meet 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 record pre- and post-dialysis evaluations, weight, vital signs, and initial identification.
  • Perform vascular access cannulation 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 order or directed.
  • Monitor patients’ responses to dialysis therapy.
  • Obtain vital signs before reinfusion; perform the functions needed 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 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 patient responses.
  • Obtain prescribed laboratory testing and prepare specimens for collection.
  • Prepare for dialysis treatment and document tasks where appropriate.
  • Maintain environmental integrity and aesthetics and ensure areas are safe and clean.
  • 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.
  • 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 lab requisitions for prescribed or stat specimens according to laboratory destination.
  • Collect, label, prepare, and store lab samples according to laboratory specifications, and ensure their collection by the appropriate lab courier.
  • Obtain and maintain required credentials or certifications in active and valid status, renew them before expiration, and immediately notify the supervisor if credential or certified status changes.
  • Maintain regular and punctual attendance and perform other related duties as assigned.
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