New Graduate Nurse

Fresenius Medical Care; Neenah (WI); On-site; USD 72,000 - 90,000; Full time

Job summary

Fresenius Medical Care in Neenah, WI seeks a Registered Nurse to join the hemodialysis health care team. Under supervision, you will ensure quality patient care daily in line with FMC policies and CQI activities.

You will supervise staff, educate patients and families on dialysis, and monitor treatment plans to maintain patient safety and outcome quality. This role emphasizes collaboration, compliance, and ongoing professional development in a dynamic unit.

Qualifications

• Active RN license and registration within state requirements or 90 days from hire date, whichever comes first.
• Experience educating ESRD patients and families on dialysis care and treatment.
• Strong communication and teamwork skills in a fast-paced dialysis unit.

Responsibilities

• Directs patient care by supervising staff and delegating tasks to LVN/LPNs, PCTs, and dialysis assistants.
• Assess daily patient needs and assign appropriate care plans.
• Monitor staff performance and adherence to policies; participate in training and staff meetings.
• Educate patients on ESRD, dialysis adequacy, diet/fluid, and medication compliance.
• Implement and monitor treatment prescriptions and dialysis adequacy measures; adjust per physician.
• Document patient care activities and communications in the Medical Information System.
• Ensure accurate documentation by Patient Care Technicians on the Hemodialysis Treatment Sheet.

Skills

Patient care

Staff supervision

Education/patient education

Team collaboration

Education

Registered Nurse license

Tools

Medical Information System

Job description

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 ensure provision of quality patient care daily in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.

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 ensure provision of quality patient care daily in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.

PRINCIPAL DUTIES AND RESPONSIBILITIES

STAFF RELATED

• Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assesses daily patient care needs and develops appropriate patient care assignments.
• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Participates in staff training and orientation of new staff as assigned
• Participate in all required staff meetings as scheduled.

PATIENT RELATED

Education:

• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
• Discusses with patients, and records education related to diet/fluid and medication compliance.
• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
• Ensures transplant awareness, modality awareness, and drive catheter reduction.
• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.

Dialysis Treatment

• Provides safe and effective delivery of care to patients with ESRD.
• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
• Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
• Identifies and communicates patient related issues to Team Leader or physician.
• Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
• Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
• Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
• Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Ensure accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.

Laboratory-related

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
• Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.