renal dialysis technician

Fresenius Medical Care

<div></div><div><div>PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.
PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>
Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>
Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
 </li><li>Promotes and assists in meeting Total Area Productivity goals (TAP).</li><li>
With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li><li>
Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>
Evaluates vascular access for patency and reports any unusual findings to FMCNA RN.</li><li>
Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.</li><li>
Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN.</li><li>
Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>
Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).</li><li>
Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.</li><li>
Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist.</li><li>
Collects, labels specimens and ensures timely delivery to laboratory per facility policy.</li><li>
Evaluates intradialytic problems and provides intervention as prescribed by physician&rsquo;s order or as directed by FMCNA RN. Monitors patient&rsquo;s response to dialysis therapy and report any unusual findings to FMCNA RN.</li><li>
Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.</li><li>
Reports any change or unusual findings to FMCNA RN.</li><li>
Performs and document any intervention for unusual patient status and document patients&rsquo; response to intervention.</li><li>
Evaluates patients&rsquo; vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN.</li><li>
Discontinues dialysis treatment according to established procedures.</li><li>
Evaluates patient prior to termination of venous access &ndash; standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN</li><li>
Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.</li><li>
Other duties as required.</li></ul>
PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>
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.</li><li>
Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians.</li><li>
The position requires travel between assigned facilities and various locations within the community.</li><li>
Travel to meetings may be required.
</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>
May be exposed to infectious and contagious diseases/materials.</li><li>
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.</li><li>
This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
</li><li>There is a two-person assist program and &ldquo;material assist&rdquo; devices for the heavier items.</li></ul>
SUPERVISION:<ul><li>
None</li></ul>
EDUCATION:<ul><li>
High School Diploma required</li></ul>
EXPERIENCE AND REQUIRED SKILLS:<ul><li>
1 &ndash; 2 years&rsquo; related experience.</li><li>
Certified Clinical Hemodialysis Certification (CCHT) certification.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Acute Inpatient Patient Care Technician - PCT CCHT - Dialysis

Acute Inpatient Patient Care Technician PCT CCHT - Dialysis

Brown University Health

<div>SUMMARY: Reports to the Clinic Manager and under the general direction and supervision of the Registered Nurse Dialysis, provides direct and indirect and technical duties in the Dialysis Center. Under supervision, assists in a variety of patient care duties including collecting and testing specimens, taking and recording vital signs, initiation of intradialytic monitoring and termination of hemodialysis treatments. Performs daily testing of water purification system. Assists in the daily opening and closing of the Dialysis Center. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists the professional staff with delivering the dialysis procedures. Comforts and assures privacy for patients. Provides instruction, from standard printed clinical materials. May perform cannulation of fistula needles to initiate dialysis treatments. Assists with patient lifting and positioning as necessary. Reviews patient appointment schedules to anticipate needs for records, materials, supplies and equipment. Ensures electronic medical records are available before patient arrival. Reviews records to ensure completeness. Follows up directly or through others to obtain missing documents, incomplete test results and the like in order that the patient record is complete and documentation is clear for professional staff review. Prepares and sets up patient treatment stations before patient arrival with necessary equipment, instruments and supplies. Ensures area is maintained in neat, clean and organized manner before and following patient visits. May clean treatment station, including but not limited to patient chair/bed, hemodialysis equipment and related space as appropriate. Prepares instruments as appropriate for cleaning and sterilization. Receives and greets patients and/or families, explains procedures to be performed as appropriate and escorts patient to examination area. Communicates with patients, families, nursing staff and other clinical staff to promote optimal patient care. Acts as chaperone for patient. Promotes and maintains an environment conducive to the patients&rsquo; physical and psychological comfort and safety. Takes and records patient information; reports all pertinent observations outside normal parameters and outcomes before, during, and after dialysis treatment to the professional staff. Records selected treatments and procedures as appropriate and within level of responsibility. Assists to maintain patient flow through the outpatient area. May transport patients as necessary. Performs related errands to pick up and deliver supplies and test results as necessary, including medical records, x-rays and the like. Receives and documents telephone messages. Monitors inventory levels to ensure availability of necessary supplies; equipment and instruments are on hand to meet anticipated needs. Orders and obtains supplies for specific area as directed; restock rooms appropriately in anticipation of scheduled visits. Ensures timely receipt of materials ordered, follows patient information system. May perform routine quality checks on equipment to ensure readiness for use. Exercises proper care in the use of equipment and reports needed for repair to the appropriate person. Operates computer terminal to access and enter information such as treatment information as part of the patient&rsquo;s permanent record. Participates in mandatory educational programs and in monthly staff meetings to maintain skills and awareness of dialysis-specific practice issues. Recommends changes in procedures to other professional staff as appropriate to maximize efficiency of clinic relative to patient scheduling, clerical procedures, etc. Recognizes cardiopulmonary arrest and initiates CPR. Demonstrates adherence to Universal Precautions, Safety Programs and other infection control measures. Participates in appropriate staff education programs to maintain and expand job knowledge and skills. MINIMUM QUALIFICATIONS: Candidate must have: ol High School graduate, General Educational Development (GED) certificate or equivalent. BLS certification. /ol iCandidate preferred to have atleast one of the following: ol Have completed an approved training program in Renal Dialysis. Community or corporate-based programs are acceptable if the required components are included: the program is under the direction of a registered nurse: and the program has been approved by the medical director and governing body. Must be certified or certification eligible under a nationally commercially available certification program, the Certified Clinical Hemodialysis Technician (CCHT), The Board of Nephrology Examiners for Nursing and Technology (BONENT) exam, and the National Nephrology Certification Organization (NNCO) exam. /ol EXPERIENCE: Demonstrated experience with computerized scheduling and record systems. Familiarity with preparing medical records effecting patient scheduling and operating a computer to enter and access medical records. Meets and maintains competency requirements according to the nursing credentialing policy and procedures.
Pay Range:
$24.76-$24.76
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903
Work Type:
M-Sat 6-430 or 630-5 as scheduled 4-10 hour days/week alt with 3-10 hour days/week Saturdays and Holidays as needed
Work Shift:
Day
Driving Required:
No
Union:
International Brotherhood Teamsters</div>

Patient Care Tech Dlysys-Outpt

<div></div><div><div><h1 class="jobSectionHeader">PURPOSE AND SCOPE:</h1>
Functions as part of the Inpatient Services Hemodialysis Health Care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.<h1 class="jobSectionHeader">
PRINCIPAL DUTIES AND RESPONSIBILITIES:</h1>
Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) in the dialysis suite in the acute setting; excluding Intensive Care Units.<ul><li>
Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>
Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP).</li><li>
With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li><li>
Will be responsible for assuring the dialysis machine has been set up, tested and found to be safe for dialysis treatment in accordance with manufacturer instructions for use and company policy and procedures.</li></ul><ul><li>
Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>
Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.</li><li>
Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN.</li><li>
Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES).</li><li>
Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>
Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).</li><li>
Collects, labels specimens and ensures timely delivery to laboratory per facility policy.</li><li>
Evaluates intradialytic problems and provides intervention as prescribed by physician&rsquo;s order or as directed by FMCNA RN. Monitors patient&rsquo;s response to dialysis therapy and report any unusual findings to FMCNA RN.</li><li>
Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.</li><li>
Reports any change or unusual findings to FMCNA RN.</li><li>
Evaluates patient prior to termination of venous access &ndash; standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN</li><li>
Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>
Assist with various projects as assigned by direct supervisor or supervising RN.</li><li>
Other duties as assigned.</li></ul><h3 class="jobSectionHeader">
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.</h3>
PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>
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.</li><li>
Day-to-day work includes personal computer work while standing and sitting, interaction with patients, facility staff and physicians.</li><li>
The position requires travel between assigned facilities and various locations within the community.</li><li>
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>
May be exposed to infectious and contagious diseases/materials.</li><li>
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.</li><li>
This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.</li><li>
There is a two-person assist program and &ldquo;material assist&rdquo; devices for the heavier items.</li></ul><h1 class="jobSectionHeader">
SUPERVISION:</h1><ul><li>
None</li></ul><h1 class="jobSectionHeader">
EDUCATION:</h1><ul><li>
High School Diploma required</li></ul><h1 class="jobSectionHeader">
EXPERIENCE AND REQUIRED SKILLS:</h1><ul><li>
None required. At least 6 months&rsquo; experience is preferred in related Field (EMT, Surgical Technicians, Army, Phlebotomists, and technicians).</li><li>
Must obtain CCHT within 18 months of hire.</li><li>
Effective communication skills &ndash; both verbal and written.</li><li>
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.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Patient Care Technician - PCT

<div></div><div><div><div><h1 class="jobSectionHeader">PURPOSE AND SCOPE:</h1>
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP).<h1 class="jobSectionHeader">
PRINCIPAL DUTIES AND RESPONSIBILITIES:</h1>
Patient Related
Education:<ul><li>
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul>
Treatment:<ul><li>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>
Obtain Hemostasis and apply appropriate dressings.
</li><li>Evaluate the patient prior to discharge.</li><li>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>
Evaluate patients&rsquo; vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</li><li>Monitors patients performing self-care under the supervision of RN. Assists patients in performing self-care as applicable</li></ul>
Staff Related<ul><li>
Participates in the recruitment process for new clinical staff</li><li>
Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.</li><li>
Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.</li><li>
Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT&rsquo;s.</li><li>
Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.</li><li>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li><li>
Provides developmental support to applicable clinical and facility staff.</li></ul>
Education/Communication:<ul><li>
Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.
</li><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.</li><li>
Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives
</li><li>Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.</li><li>
Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.</li><li>
Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
</li><li>Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul>
MAINTENANCE/TECHNICAL:<ul><li>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>
Initiate Solution Delivery System (SDS) system.</li></ul>
RECORD KEEPING:<ul><li>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
</li><li>Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</li><li>Ensure collection of lab specimens by appropriate lab courier.
</li></ul>INFECTION CONTROL:<ul><li>
Assists with facility QAI infection control audits.</li><li>
Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
</li><li>Reinforces new hire employee adherence to infection control Policies and Procedures</li><li>
Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.</li><li>
Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.</li><li>
Under the direction of the Education Dept. participates in education response to internal and external facility surveys.</li><li>
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law</li></ul> 
TRANSITIONAL CARE UNIT:<ul><li>
Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
</li><li>Sets and preforms a treatment on all machines used in the transitional care unit.
</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>
Assists with coordination of transition to patient&rsquo;s modality choice.
</li><li>Assists with supply ordering and inventory for TCU</li></ul><h1 class="jobSectionHeader">
PHYSICAL DEMANDS AND WORKING CONDITIONS:</h1><ul><li>
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.</li><li>
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.</li><li>
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
</li><li>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
</li><li>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 &quot;material assist&rdquo; devices for the heavier items.</li></ul><h1 class="jobSectionHeader">
EDUCATION AND LICENSES:</h1><ul><li>
High School diploma or G.E.D. required. Bachelor&rsquo;s degree preferred</li><li>
Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)All appropriate state licensure, education, and training (if any) required.</li><li>
Demonstrated commitment to organization culture, values, and customer service standards</li><li>
Attendance and active participation in all applicable preceptor training programs as established by education leadership
</li><li>Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.</li></ul><h1 class="jobSectionHeader">
EXPERIENCE AND REQUIRED SKILLS:</h1><ul><li>
At least five years patient care experience in a hospital setting or a related facility preferred.
</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul><h1 class="jobSectionHeader">
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</h1></div></div>
EOE, disability/veterans</div>

Patient Care Technician - PCT - Dialysis Preceptor

<div></div><div><div>PURPOSE AND SCOPE:
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Patient Related
Education:<ul><li>
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul>
Treatment:<ul><li>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>
Obtain Hemostasis and apply appropriate dressings.
</li><li>Evaluate the patient prior to discharge.</li><li>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>
Evaluate patients&rsquo; vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</li><li>Monitors patients performing self-care under the supervision of RN.</li></ul>
Staff Related<ul><li>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul>
Education/Communication:<ul><li>
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>
Initiate Solution Delivery System (SDS) system.</li></ul>
RECORD KEEPING:<ul><li>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
</li></ul>omitted entries are completed or corrected by appropriate staff.<ul><li>
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> 
INFECTION CONTROL:<ul><li>
Assists in collecting information for infection control audits.
</li><li>Supports staff and patient Adherence to infection control practices.
</li><li>Follows infection control Policies and Procedures
</li><li>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> 
TRANSITIONAL CARE UNIT:
<ul><li>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</li><li>
Sets and preforms a treatment on all machines used in the transitional care unit.
</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>
Assists with coordination of transition to patient&rsquo;s modality choice.
</li><li>Assists with supply ordering and inventory for TCU
</li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>
The physical demands and work environment characteristics described here are representative of those an employee</li></ul>
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.<ul><li>
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.<ul><li>
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
</li><li>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
</li><li>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 &quot;material assist&rdquo; devices for the heavier items.</li></ul>
EDUCATION AND LICENSES:<ul><li>
High School diploma or G.E.D. required.</li><li>
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li>
All appropriate state licensure, education, and training (if any) required.</li><li>
Demonstrated commitment to organization culture, values, and customer service standards</li></ul>
EXPERIENCE AND REQUIRED SKILLS:<ul><li>
Previous patient care experience in a hospital setting or a related facility preferred.</li><li>
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

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