Patient Care Technician - PCT - Dialysis Preceptor

Fresenius Medical Care•Webster, NY

22h•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. Responsible for the setup and operation of hemodialysis machines and assisting in maintaining a safe and clean working environment. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including patient satisfaction and process improvement. This role involves patient-related education, including providing patient-specific education regarding adequacy measures and disease process/access. In terms of treatment, responsibilities include welcoming patients, evaluating vascular access, initiating and monitoring dialysis treatments, discontinuing treatments, and performing pre and post-treatment evaluations. The technician is responsible for programming dialysis machines, ensuring safety alarms are enabled, and accurately documenting all treatment data. They must report any significant changes in patient condition to the registered nurse or supervisor, conduct machine safety checks, and perform interventions as needed. Obtaining laboratory testing, preparing specimens, and cleaning blood spills are also key duties. The role also involves preparing, organizing, and utilizing supplies and equipment efficiently, and monitoring patients performing self-care. Staff-related duties include participating in the recruitment process, assisting with clinical orientation and training of new staff, and functioning as a preceptor in direct patient care training. The technician is responsible for delivering and maintaining competency evaluations for other PCTs and collaborating with management on quality standards and regulatory requirements. They assist in training direct patient care staff and provide developmental support. Education/Communication responsibilities involve partnering with RN and IDT staff to educate on water systems and environmental integrity, ensuring strong communication regarding training programs, and participating in implementing educational programs for PCT staff. They monitor patient care delivery through CQI activities and ensure business policies are incorporated into training. Maintenance/Technical duties include maintaining environmental integrity and aesthetics, cleaning and disinfecting equipment, preparing for dialysis treatments, and performing machine alarm testing. Record keeping involves completing and documenting CQI participation, entering treatment data accurately, reviewing treatment sheets, preparing patient charts, and preparing/collecting lab specimens. Infection control involves assisting with audits, acting as a change agent for infection control practices, reinforcing adherence to policies, and participating in education response to surveys. The Transitional Care Unit role involves following newly admitted patients for their first four weeks, reinforcing education, liaising with staff, assisting with understanding home dialysis options, performing treatments on TCU machines, and assisting with coordination of modality choice and supply ordering.

Requirements

CCHT or Bonent Required
Dialysis Experience Required
High School diploma or its equivalent required
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.
Demonstrated commitment to organization culture, values, and customer service standards
Attendance and active participation in all applicable preceptor training programs as established by education leadership
Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.
At least five years 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 and successful completion of CPR certification.

Nice To Haves

At least five years patient care experience in a hospital setting or a related facility preferred.

Responsibilities

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.
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
Monitor patients’ response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
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
Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
Responsible for ensuring 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 with initial identification
Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
Observe patients and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
Perform and document any intervention for unusual patient status and document patients' response to intervention.
Evaluate 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.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.
Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
Monitors patients performing self-care under the supervision of RN. Assist patients in performing self-care as applicable
Participates in the recruitment process for new clinical staff
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.
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.
Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT’s.
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.
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Provides developmental support to applicable clinical and facility staff.
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.
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.
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
Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
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).
Initiate Solution Delivery System (SDS) system.
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enters all treatment data into the designated clinical application in an accurate and timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Assists with facility QAI infection control audits.
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.
Reinforces new hire employee adherence to infection control Policies and Procedures
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.
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.
Under the direction of the Education Dept. participates in education response to internal and external facility surveys.
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law
Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
Reinforces all education and care related matters as it relates to the new patient as allowed by state law
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.
Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
Sets and preforms a treatment on all machines used in the transitional care unit.
Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
Assists with coordination of transition to patient’s modality choice.
Assists with supply ordering and inventory for TCU

Benefits

The 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.

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