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Registered Nurse

Job in Fresno, Fresno County, California, 93650, USA
Listing for: Firman Solutions
Full Time position
Listed on 2026-08-23
Job specializations:
  • Nursing
    Infection Control, RN Nurse
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

Benefits:
Company Vehicle | Paid Time Off (PTO) | 401(k)

Core clinical skills
  • Comprehensive head‑to‑toe assessment, focused systems assessments, and skilled observation, including early recognition of deterioration and triage/escalation.
  • Vital signs, pain assessment, and monitoring trends over time, including orthostatic, pulse ox, and sometimes telemonitoring data
  • Medication administration and reconciliation: oral, SQ/IM injections, insulin, anticoagulants, and high‑risk meds; identifying polypharmacy issues and interactions.
  • Chronic disease management: HF, COPD, diabetes, CKD, post‑stroke, post‑MI—assessing status, titrating plans with MD orders, and reinforcing self‑management.
IV and infusion therapy
  • Venipuncture and peripheral IV insertion, securement, and troubleshooting; recognizing and responding to infiltration, phlebitis, and systemic reactions.
  • Management of central lines (PICC, ports, tunneled catheters): aseptic technique for access, flushing, dressing changes, and infection prevention.
  • Safe infusion administration in the home: pump setup, rate verification, compatibility checks, monitoring vitals during infusions, and knowing when to stop and call the provider.
  • Patient/family teaching for home IVs: line care, flushing protocol, signs of infection or air embolism, when to seek emergent care.
Wound and skin care
  • Wound assessment: type (pressure, diabetic, venous, arterial, surgical), staging, size, depth, exudate, odor, tissue type, and peri wound condition.
  • Evidence‑based dressing selection and application: packing, negative pressure (wound vac), moisture balance, and protecting surrounding skin.
  • Aseptic/clean technique for dressing changes, debridement per orders (e.g., mechanical), and infection prevention (hand hygiene, PPE, disposal).
  • Longitudinal monitoring and documentation: measurements, photos per policy, and communicating non‑healing or deteriorating wounds to providers.
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