PURPOSE AND SCOPE:
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.

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 towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Care:

• Performs vascular access evaluation pre-treatment.
• Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.
• Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor.
• Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately.
• Evaluates patient prior to termination of venous access - standing & sitting blood pressure.
• Obtains hemostasis and applies appropriate dressings.  
• Evaluates the patient prior to discharge.
• Documents information related to patient treatment including documentation in the patient health record.
• Reports any significant information and/or change in patient condition directly to the nurse supervisor. 
• Performs and documents interventions for unusual patient status and document patients' response to intervention.
• Obtains all prescribed laboratory testing and prepares specimens for collection.

Maintenance / Technical:

• Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
• Maintains environmental integrity and aesthetics - ensures all areas are safe and clean.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Performs all required pretreatment dialysis machine set up and testing.
• Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.

Clerical & Administrative:

• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate.
• Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.
• Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications.
• Ensures collection of lab specimens by appropriate lab courier.

Other:

• As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date).  In the event that your credential or certified status changes, you must notify your supervisor immediately.
• Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
• Maintains regular and punctual attendance.
• Performs other related duties as assigned

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment.  Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
• Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.  May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Graduated from an accredited nursing program within the past 12 months

EXPERIENCE AND REQUIRED SKILLS:

• Required to obtain nursing license within 90 days of employment

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.