Acute Inpatient Patient Care Technician - PCT CCHT - Dialysis

Fresenius Medical Care•Cincinnati, OH

About The Position

The Acute Inpatient Patient Care Technician (PCT) works as part of the hemodialysis health care team to provide safe and effective dialysis therapy to assigned patients. The technician performs patient care under the supervision of an FKC RN and follows FMCNA policies, procedures, training, and applicable corporate, state, and federal regulations. The role supports a safe, clean care environment and the organization’s quality enhancement and performance improvement activities. With documented competency and proficiency, the PCT may set up and prime equipment for renal replacement therapies as directed by a Fresenius Nurse. The role includes monitoring patients before, during, and after treatment; operating and monitoring dialysis equipment; documenting treatment information; responding to problems as prescribed or directed; and reporting unusual findings to the FMCNA RN. The position involves direct patient care in a health care facility, travel between assigned facilities and community locations, and the physical demands described in the posting.

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 position.
  • 1–2 years of related experience.
  • CCHT certification required.

Responsibilities

  • Provide assigned patient care in the acute setting under the supervision of the FKC RN.
  • Promote and assist in maintaining a safe and clean working environment and support QEP, QAI, patient-satisfaction, and process-improvement activities.
  • Promote and assist in meeting Total Area Productivity goals.
  • When documented competency and proficiency allow, set up and prime equipment for hemodialysis, continuous renal replacement, and peritoneal dialysis therapies as directed by the Fresenius Nurse.
  • Welcome assigned patients, ask about their well-being since their last treatment, and 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, including ultrafiltration goals, treatment time, sodium modeling, and ultrafiltration modeling.
  • Ensure appropriate safety alarms are enabled, including narrow venous limits (NVL 160).
  • Record accurate and timely vital signs and treatment parameters on the Hemodialysis Treatment Sheet with initial identification.
  • Initiate renal replacement treatment according to prescribed orders, including blood-flow and dialysate-flow rates, or prescribed peritoneal dialysis.
  • Collect and label specimens and ensure timely delivery to the laboratory according to facility policy.
  • Evaluate intradialytic problems, provide interventions as prescribed or directed by the FMCNA RN, monitor the patient's response, and report unusual findings.
  • Obtain vital signs before reinfusion and perform the functions necessary to discontinue treatment, including documentation.
  • Report changes or unusual findings to the FMCNA RN.
  • 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 intervention, document, and report unusual findings to the FMCNA RN.
  • Discontinue dialysis treatment according to established procedures.
  • Evaluate patients before termination of venous access, obtain standing and sitting blood pressures, achieve hemostasis, 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.
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