Patient Care Technician - PCT

Fresenius Medical Care•Sturgis, MI

About The Position

The Patient Care Technician (PCT) works as part of a dialysis health care team to provide safe and effective dialysis therapy under the direct supervision of a licensed nurse. The role includes setting up and operating hemodialysis machines, supporting a safe and clean environment, and participating in quality enhancement and continuous improvement activities focused on patient outcomes and satisfaction. The PCT welcomes and monitors patients, assesses vascular access, performs cannulation, obtains and records vital signs and weights, initiates and discontinues dialysis treatments according to prescribed orders and established procedures, and responds to treatment-related concerns as directed. The position also involves accurate treatment documentation, specimen collection and preparation, machine and patient safety checks, infection-control practices, and preparation and cleaning of equipment between treatments. In the Transitional Care Unit, the PCT supports newly admitted patients through their first four weeks of dialysis, reinforces education as allowed by state law, coordinates care with appropriate staff, helps patients understand home dialysis and treatment options, and assists with transitions to the patient’s chosen modality. The position requires travel between assigned facilities and community locations and involves direct patient care, physical activity, and exposure to a health care facility environment.

Requirements

  • High school diploma or GED.
  • Meet CMS-approved state and/or national certification requirements within the required state or CMS timeline.
  • Meet all applicable state licensure, education, and training requirements.
  • Demonstrate commitment to the organization’s culture, values, and customer service standards.
  • Successfully complete the organization’s dialysis training program as a condition of continued employment.
  • Successfully complete CPR certification as a condition of continued employment.
  • Pass the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodations may be considered.
  • Ability to perform direct patient care involving frequent and prolonged standing, bending, lifting and moving patients, and assisting with ambulation.
  • Ability to occasionally push or pull equipment with up to 15 pounds of force; frequently lift or lower solutions weighing up to 30 pounds; and occasionally lift up to 40 pounds as high as five feet.

Nice To Haves

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

Responsibilities

  • Assist health care team members in providing patient-specific education about adequacy measures, disease processes, and vascular access, as appropriate.
  • Welcome assigned patients and ask about their wellbeing since their last treatment.
  • Evaluate vascular access, perform cannulation, and administer heparin when delegated or permitted by state law.
  • Obtain and document pre-, intra-, and post-treatment vital signs and weights, and evaluate patients before, during, and after dialysis.
  • Initiate, monitor, and discontinue dialysis treatments according to prescribed orders and established procedures.
  • Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and ultrafiltration modeling as prescribed; ensure required safety alarms are enabled.
  • Monitor patient response to dialysis, evaluate intradialytic problems, provide interventions as prescribed or directed, and report significant changes or unusual findings to the registered nurse or supervisor.
  • Monitor vascular access pressures during treatment, intervene as needed, and document and report unusual findings.
  • Perform machine safety checks and required pretreatment alarm testing, including Pressure Holding Testing, and initiate the Solution Delivery System.
  • Document treatment data accurately and promptly, complete treatment sheets and applicable progress notes, and review sheets for completeness and required signatures.
  • Obtain prescribed laboratory tests; prepare, collect, label, store, and arrange collection of specimens according to laboratory requirements.
  • Maintain a safe, clean environment; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments; and promptly clean blood spills according to facility policy.
  • Prepare, organize, and use supplies and equipment efficiently to prevent wastage.
  • Monitor patients performing self-care under RN supervision.
  • Assist with training applicable direct patient care staff on appropriate programs under nurse supervision.
  • Participate in Continuous Quality Improvement activities and infection-control audits; follow and reinforce infection-control policies and education as directed.
  • Prepare initial patient charts and paperwork, and prepare or print laboratory requisitions for prescribed or stat specimens.
  • Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care with appropriate staff.
  • Reinforce education for new patients, support understanding of home dialysis products and treatment options, and assist with demonstrations and transitions to the patient’s selected modality.
  • Set up and perform treatments on machines used in the Transitional Care Unit and assist with supply ordering and inventory.
  • Follow organization policies, procedures, systems, ethical business practices, and customer service standards.
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