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Job description
PURPOSE AND SCOPE:
nFunctions 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).
nPRINCIPAL DUTIES AND RESPONSIBILITIES:
nPatient Related
nEducation:
nnAssist 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.
n nTreatment:
nnnWelcome assigned patients and inquire as to their wellbeing since their last treatment.
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nnEvaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
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nnObtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
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nnInitiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
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nnEvaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
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nnMonitor patients' response to dialysis therapy.
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nnObtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
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nnDiscontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
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nnObtain Hemostasis and apply appropriate dressings.
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nnEvaluate the patient prior to discharge.
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nnPerform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
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nnResponsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
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nnResponsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
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nnRecord accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
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nnResponsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
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nnReport any significant information and/or change in patient condition directly to the registered nurse or supervisor.
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nnObserve patients and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
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nnPerform and document any intervention for unusual patient status and document patients' response to intervention.
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nnEvaluate patients' 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.
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nnObtain all prescribed laboratory testing and prepare specimens for collection.
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nnEnsure that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.
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nnPrepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
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nnMonitors patients performing self-care under the supervision of RN. Assist patients in performing self-care as applicable Staff Related
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nnParticipates in the recruitment process for new clinical staff
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nnAssists 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.
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nnWill 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.
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nnDelivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.
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nnCollaborates 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.
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nnAssists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
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nnProvides developmental support to applicable clinical and facility staff.
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n nEducation/Communication:
nnnPartners 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.
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nnPartners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
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nnEnsures 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
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nnParticipates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
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nnCollaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
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nnMonitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
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nnEnsures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
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n nMAINTENANCE/TECHNICAL:
nnnMaintain environmental integrity and aesthetics - ensure all areas are safe and clean.
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nnClean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
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nnConduct 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).
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nnInitiate Solution Delivery System (SDS) system.
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n nRECORD KEEPING:
nnnComplete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
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nnEnters all treatment data into the designated clinical application in an accurate and timely manner.
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nnReview treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
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nnPrepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
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nnPrepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
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nnCollect, label, appropriately prepare and store lab samples according required laboratory specifications.
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nnEnsure collection of lab specimens by appropriate lab courier.
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n nINFECTION CONTROL:
nnnAssists with facility QAI infection control audits.
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nnActs 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.
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nnReinforces new hire employee adherence to infection control Policies and Procedures
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nnSupports 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.
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nnQuarterly 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.
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nnUnder the direction of the Education Dept. participates in education response to internal and external facility surveys.
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nnParticipates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law
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n nTRANSITIONAL CARE UNIT:
nnnFollows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
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nnReinforces all education and care related matters as it relates to the new patient as allowed by state law
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nnLiaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
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nnAssists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
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nnSets and preforms a treatment on all machines used in the transitional care unit.
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nnAssist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
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nnAssists with coordination of transition to patient's modality choice.
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nnAssists with supply ordering and inventory for TCU
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n nPHYSICAL DEMANDS AND WORKING CONDITIONS:
nnnThe physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
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nnEmployees 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 accommodation can be made.
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nnDay-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.
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nnThe 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
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nnThe 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.
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n nEDUCATION AND LICENSES:
nnnHigh School diploma or its equivalent required
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nnMust 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.
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nnDemonstrated commitment to organization culture, values, and customer service standards
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nnAttendance and active participation in all applicable preceptor training programs as established by education leadership
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nnAttends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.
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n nEXPERIENCE AND REQUIRED SKILLS:
nnnAt least five years patient care experience in a hospital setting or a related facility preferred.
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nnContinued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
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n nThe rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
nHourly Rate: $17.00 - $27.00
nNon-Bonus Eligible Positions: include language below.
nBenefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
nBonus Eligible Positions - include language below.
nBenefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.
nEOE, disability/veterans
Worksite address
ottawa, IL, 61350, US
Who can apply
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