Acute Inpatient Patient Care Technician - PCT CCHT - Dialysis

Fresenius Medical Care•San Diego, CA

10d

About The Position

Functions as part of the hemodialysis health care team to provide safe and effective dialysis therapy to assigned patients in an acute setting. Works under the supervision of the FKC RN and follows FMCNA policies, procedures, training, and applicable corporate, state, and federal regulations. The position includes direct patient care, dialysis treatment preparation and monitoring, vascular access care, documentation, and maintaining a safe and clean work environment. The role requires travel between assigned facilities and other community locations and may involve travel to meetings. The work environment is characteristic of a health care facility, with controlled air temperature and moderate noise levels; exposure to infectious and contagious diseases or materials may occur. The position involves regular patient lifting and movement and assistance with ambulation. It also requires frequent, prolonged standing and bending. The employee may occasionally assist in moving machines and equipment weighing up to 200 pounds and lift chemical or water solutions weighing up to 30 pounds to a height of five feet. A two-person assist program and material-assist devices are available for heavier items. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

High school diploma or equivalent.
Valid PCT national certification or state-specific certification as defined by the Center for Medicaid/Medicare Services (CMS).
Any applicable state licensure, education, and training required for the role.
1–2 years of related experience.
Ability to perform the physical demands of the position, including frequent prolonged standing, bending, regular patient lifting and movement, and assistance with ambulation.

Responsibilities

Provide patient care to assigned patients in the acute setting under the supervision of the FKC RN.
Promote and help maintain a safe and clean working environment.
Support Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities, including patient satisfaction and process improvement initiatives.
Promote and assist in meeting Total Area Productivity (TAP) goals.
When competency and proficiency are documented, set up and prime equipment as directed by the Fresenius Nurse for hemodialysis, continuous renal replacement, and peritoneal dialysis therapies.
Welcome assigned patients and ask about their well-being since their last treatment; report complaints or observations to the FMCNA RN.
Evaluate vascular access for patency and report unusual findings to the FMCNA RN.
Obtain and document pre- and post-treatment vital signs and weights, reporting unusual findings to the FMCNA RN.
Perform vascular access cannulation and report difficulties or unusual findings to the FMCNA RN.
Calculate and enter prescribed dialysis machine programming for ultrafiltration goals, treatment time, sodium modeling, and UF modeling.
Ensure appropriate safety alarms are enabled, including narrow venous limits (NVL 160).
Accurately and promptly record vital signs and treatment parameters on the Hemodialysis Treatment Sheet with initial identification.
Initiate renal replacement treatment according to prescribed orders, including setting blood and dialysate flow rates or providing peritoneal dialysis as prescribed by the attending nephrologist.
Collect and label specimens and ensure timely delivery to the laboratory according to facility policy.
Evaluate intradialytic problems and provide interventions as prescribed by physician order or directed by the FMCNA RN.
Monitor patient response to dialysis therapy and report unusual findings to the FMCNA RN.
Obtain vital signs before reinfusion and perform functions needed to discontinue treatment, including documentation.
Perform and document interventions for unusual patient status and document the patient’s response.
Evaluate vascular access during treatment, including arterial and venous monitoring pressures; provide appropriate interventions, document, and report unusual findings to the FMCNA RN.
Discontinue dialysis treatment according to established procedures.
Before termination of venous access, evaluate the patient and obtain standing and sitting blood pressures; obtain hemostasis and apply appropriate dressings.
Evaluate the patient before discharge and report unusual findings to the FMCNA RN.
Perform and record pre- and post-dialysis evaluations, weights, and vital signs with initial identification.
Perform other duties as required.