New Graduate Registered Nurse - RN

Purpose and Scope

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 provide quality patient care in accordance with FMS policies, procedures, and training. Supports FMCNA’s mission, vision, values, customer service philosophy, and Quality Enhancement Program (QEP) including patient satisfaction and continuous improvement activities. Adheres to all FMCNA Compliance Program and FMS patient care and administrative policies.

Employees must obtain a nursing license and registration within state regulations or within 90 days of hire, whichever occurs sooner.

• Directs Patient Care Technician’s safe and effective delivery of chronic hemodialysis therapy and ensures compliance with facility policies and federal/state regulations.
• Delegates tasks to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assesses daily patient care needs and assigns appropriate duties.
• Monitors staff techniques and adherence to policies.
• Participates in staff training and orientation of new staff.
• Attends all scheduled staff meetings.

• Ensures patient and family education on End Stage Renal Disease (ESRD), renal disease, vascular access, dialysis therapy, and health conditions.
• Provides ongoing diet, fluid, and medication compliance education.
• Discusses education related to diet/fluid and medication compliance.
• Provides detailed education on adequacy measures such as Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), and Urea Kinetic Modeling (UKM).
• Encourages transplant awareness, modality awareness, and catheter reduction.

• Delivers safe and effective care to ESRD patients.
• Implements treatment prescriptions including Sodium modeling and Ultrafiltration modeling to ensure stable therapy.
• Assesses patient response and adjusts treatment plan as indicated by the prescribing physician; communicates concerns to Team Leader or physician.
• Identifies and communicates patient-related issues to Team Leader or physician.
• Initiates Initial and Annual Nursing Assessment and documents patient needs per FMC Policies and Procedures.
• Participates in pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation per FMC procedures.
• Intervenes for changes in patient adequacy status and troubleshoots access flow issues per OLC/AMP yellow lights.
• Supervises and monitors hemodialysis access care per established procedures.
• Administers prescribed interdialytic transfusions and documents patient response; notifies physician of adverse reactions.
• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Prepares lab requisitions for Spectra or alternate lab.
• Uses correct lab tubes for prescribed specimens and performs appropriate lab draw and processing procedures for all lab samples.
• Follows through on missed labs and specimens reported as insufficient per company policies.
• Packages specimens per DOT policies for shipment of blood or body fluid specimens and hazardous materials.
• Directs and delivers labs to appropriate labs.
• Reports abnormal lab results to appropriate physician.
• Ensures lab results are forwarded to physicians as requested.

• Enforces all company approved policies and procedures, and state/federal regulations.
• Maintains overall shift operation safely and efficiently.
• Acts as a resource for other staff members.
• Meets regularly with the Clinical Manager to discuss personnel and patient care status, issues, and information.
• Collaborates and communicates with physicians and team members to adjust and coordinate care.
• Provides assistance with prescription refills per FMCNA Policies.
• Transcribes and enters all physician orders into the Medical Information System promptly.
• Oversees all patient information documentation.
• Maintains facility drug list for all required stock medications.
• Maintains competency…