Patient Care Technician - PCT

Fresenius Medical Care•Mililani, HI

15d•$18 - $29•Onsite

About The Position

The Patient Care Technician (PCT) works as part of the dialysis health care team to provide safe and effective dialysis therapy under the direct supervision of a licensed nurse, following organizational policies, procedures, training, and applicable regulations. The role includes setting up and operating hemodialysis machines, maintaining a safe and clean work environment, and participating in quality improvement activities focused on patient satisfaction and clinical outcomes. This shared position requires work at both the Mililani and Waianae/Nanakuli locations to support staffing needs and operational continuity. The technician assists with patient education and care before, during, and after dialysis; monitors patient condition and treatment response; documents treatment information; and reports significant changes or unusual findings to the registered nurse or supervisor. The role also supports infection control, laboratory specimen handling, staff training, and transitional dialysis care for newly admitted patients. Duties include helping patients understand home dialysis and treatment options, supporting care coordination, and assisting with supplies and inventory for the Transitional Care Unit. The position involves direct patient care in a health care facility, regular interaction with patients and clinical staff, and travel between assigned facilities and community locations. Work includes prolonged standing, bending, and frequent lifting and moving of patients or dialysis supplies and equipment. The employee may be exposed to infectious materials and must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Requirements

High school diploma or GED.
Meet CMS-approved state and/or national certification requirements within the applicable 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; continued employment depends on successful completion.
Successfully complete CPR certification; continued employment depends on successful completion.
Ability to perform direct patient care involving frequent, prolonged standing and bending; regular heavy lifting and moving of patients and assistance with ambulation; occasional pushing or pulling of equipment with up to 15 pounds of force; frequent lifting and lowering of solutions up to 30 pounds; and occasional lifting up to 40 pounds as high as 5 feet.
Ability to travel between assigned facilities and various community locations.
Take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

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

Responsibilities

Assist health care team members with patient-specific education about adequacy measures, disease processes, and vascular access, as appropriate.
Welcome assigned patients and ask about their wellbeing since their prior treatment.
Evaluate vascular access, perform cannulation, and administer heparin when delegated or permitted by state law.
Obtain and document pre- and post-treatment vital signs and weight, and evaluate vascular access before treatment.
Initiate dialysis according to prescribed orders, including blood flow and dialysate flow settings.
Evaluate and respond to intradialytic problems as prescribed or directed, monitor patient response, and report significant changes to the registered nurse or supervisor.
Perform and document treatment discontinuation procedures, including reinfusion, post-treatment assessment, hemostasis, dressings, and discharge evaluation.
Calculate and enter prescribed dialysis machine programming, including ultrafiltration goals, treatment time, and UF modeling; ensure required safety alarms are enabled.
Document accurate and timely vital signs, treatment parameters, interventions, patient responses, and other treatment information in the required records and clinical application.
Observe patients, perform machine safety checks, evaluate vascular access pressures during treatment, and report unusual findings.
Obtain prescribed laboratory tests; prepare, label, store, and arrange collection of specimens according to laboratory requirements.
Clean blood spills promptly using appropriate disinfectant and prepare, organize, and use supplies and equipment efficiently to prevent waste.
Monitor patients performing self-care under RN supervision.
Assist with training applicable direct patient care staff under nurse supervision.
Follow organizational business policies, procedures, systems, and ethical business practices.
Maintain a safe and clean environment; clean and disinfect machines, chairs, equipment, and surrounding areas between treatments.
Prepare dialysis machines and conduct required pretreatment alarm testing, including Pressure Holding Test; initiate the Solution Delivery System.
Participate in and document Continuous Quality Improvement activities; review treatment sheets for completeness and follow up on omitted or corrected entries.
Prepare initial patient charts and paperwork, print laboratory requisitions, and coordinate specimen collection by the appropriate courier.
Assist with infection control audits, reinforce infection control practices, and provide infection control education to patients and families under the direction of the CM or designee as allowed by state law.
Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care.
Reinforce education and care information for new patients, coordinate with appropriate staff to support the patient experience, and help ensure disciplines are scheduled according to the care plan.
Help patients understand home dialysis products and benefits, demonstrate peritoneal dialysis setup, and explain treatment options.
Set up and perform treatments on machines used in the Transitional Care Unit; assist with transitions to the patient's chosen modality and with TCU supply ordering and inventory.
Travel between assigned facilities and other community locations as needed; travel to regional, Business Unit, and Corporate meetings may be required.