Dialysis PCT II

Fresenius Medical Care•Punta Gorda, FL

7d•Onsite

About The Position

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. This role involves operating hemodialysis machines, maintaining a safe and clean environment, and actively participating in quality improvement activities to enhance patient satisfaction and achieve organizational goals. The position supports the organization's commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities.

Requirements

High School diploma or G.E.D. required.
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
All appropriate state licensure, education, and training (if any) required.
Demonstrated commitment to organization culture, values, and customer service standards.
Previous patient care experience in a hospital setting or a related facility preferred.
Continued employment is dependent on successful completion of the organization dialysis training program.
Successful completion of CPR certification.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment.
Must be able to bend over.
Must be able to push and/or pull equipment, exerting up to 15 pounds of force.
Must be able to lift and 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.

Nice To Haves

Previous patient care experience in a hospital setting or a related facility.

Responsibilities

Assist in providing patient-specific education regarding dialysis adequacy measures (OLC, AMP, UKM) and disease processes.
Evaluate vascular access, perform cannulation, and administer heparin as delegated.
Obtain pre and post-treatment vital signs and weight.
Initiate dialysis treatments according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
Evaluate and intervene for intradialytic problems as prescribed.
Monitor patients' response to dialysis therapy.
Obtain vital signs prior to reinfusion and perform all relevant functions for treatment discontinuation.
Discontinue dialysis treatments according to established procedures and evaluate patient prior to termination of venous access.
Obtain Hemostasis and apply appropriate dressings.
Evaluate the patient prior to discharge.
Perform and record pre and post-dialysis evaluation, weight, and vital signs with initial identification.
Calculate and program individual patients’ dialysis machine settings for Ultrafiltration (UF) goal, treatment time, and UF modeling.
Ensure appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet.
Accurately document information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and progress notes.
Report significant information and/or changes in patient condition directly to the registered nurse or supervisor.
Observe patients and conduct machine safety checks according to facility policy.
Report any changes or unusual findings to the registered nurse or supervisor.
Perform and document interventions for unusual patient status and document patients' response to intervention.
Evaluate patients’ vascular access during treatment, including arterial and venous monitoring pressures, and provide appropriate intervention.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant.
Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
Monitor patients performing self-care under the supervision of an RN.
Assist in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Follow all organization business policies, procedures, and systems, including compliance with ethical business practices.
Maintain environmental integrity and aesthetics, ensuring all areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments.
Perform all tasks necessary for preparation for dialysis treatment, including required pre-treatment dialysis machine alarm testing (PHT).
Initiate Solution Delivery System (SDS) system.
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enter all treatment data into the designated clinical application accurately and timely.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected.
Prepare initial patient charts for admission and compile paperwork.
Prepare/print lab requisitions for prescribed or stat lab specimens.
Collect, label, appropriately prepare, and store lab samples according to laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Assist in collecting information for infection control audits.
Support staff and patient adherence to infection control practices.
Follow infection control policies and procedures.
Participate in and reinforce infection control education of patients and families.
Follow all newly admitted patients through their first 4 weeks of dialysis and coordinate their transitional dialysis care.
Reinforce all education and care-related matters for new patients.
Liaise with appropriate FKC staff members to provide the best patient experience.
Assist in assuring patient understanding of home dialysis products, benefits of home dialysis, and how it can work for them.
Set up and perform treatments on all machines used in the transitional care unit.
Assist in assuring patient understanding of treatment options, including demonstration of peritoneal dialysis setup.
Assist with coordination of transition to the patient’s modality choice.
Assist with supply ordering and inventory for the TCU.