This position is for recent graduates of an accredited nursing program who are working toward obtaining their nursing license. You will function as part of the hemodialysis healthcare team, providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. You are required to obtain your nursing license within 90 days of your hire date.
Responsibilities
Patient Care
- Perform vascular access evaluation prior to treatment
- Perform and record pre- and post-dialysis evaluations, weight, and vital signs with initial patient identification
- Perform vascular access cannulation and report any 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 intervention as prescribed by physician order or as directed by the nurse supervisor
- Monitor patients' response to dialysis therapy
- Obtain vital signs prior to reinfusion and perform all relevant functions necessary for treatment discontinuation
- Evaluate patient prior to termination of venous access, including standing and sitting blood pressure measurements
- Obtain hemostasis and apply appropriate dressings
- Evaluate the patient prior to discharge
- Document all information related to patient treatment in the patient health record
- Report any significant information or changes in patient condition directly to the nurse supervisor
- Perform and document interventions for unusual patient status and document patients' response to intervention
- Obtain all prescribed laboratory testing and prepare specimens for collection
Maintenance and Technical
- Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate
- Maintain environmental integrity and aesthetics; ensure all areas are safe and clean
- Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments according to facility policy
- Perform all required pre-treatment dialysis machine setup and testing
- Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy
- Prepare, organize, and efficiently utilize supplies and equipment to prevent waste
Clerical and Administrative
- Enter all treatment data into the designated clinical application accurately and in a timely manner
- Review health care records for completeness and ensure omitted entries are completed or corrected where appropriate
- Prepare lab requisitions for prescribed or stat lab specimens according to laboratory destination
- Collect, label, appropriately prepare, and store lab samples according to required laboratory specifications
- Ensure collection of lab specimens by appropriate lab courier
Required Qualifications
- Graduation from an accredited nursing program within the past 12 months
- Nursing license obtained within 90 days of employment
- Ishihara Color Blindness test completion as a condition of employment (failing the test does not preclude employment; the company will consider whether reasonable accommodations can be made)
- Maintenance of all required credentials or certifications in active and valid status; immediate notification to supervisor if credential or certification status changes
Preferred Qualifications
- Previous patient care experience in a hospital setting or related facility
Physical Demands and Working Conditions
- Work includes using a desk and personal computer as well as interaction with patients, facility staff, and physicians
- Position may require travel between assigned facilities and various locations within the community; travel to regional, business unit, and corporate meetings may be required
- Work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels
- May be exposed to infectious and contagious diseases and materials
- Position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation
- Equipment aids and coworkers may provide assistance
- Requires frequent, prolonged periods of standing and the ability to bend over
- May occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force
- May be required to lift and lower solutions on a frequent basis up to 30 pounds and on an occasional basis up to 40 pounds, as high as 5 feet
- Two-person assist program and material assist devices available for heavier items
Additional Requirements
- Capable of working in a challenging environment that requires the ability to handle demanding situations, multitask, and remain flexible to changing needs
- Maintain regular and punctual attendance
- Perform other related duties as assigned
- Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws