Patient Care Technician - PCT

Fresenius Medical Care•York, SC

About The Position

The Patient Care Technician functions as part of the dialysis health care team, providing safe and effective dialysis therapy under the direct supervision of a licensed nurse and in accordance with organizational policies, procedures, training, and applicable regulations. The role is responsible for setting up and operating hemodialysis machines, maintaining a safe and clean work environment, supporting quality improvement activities, and contributing to patient satisfaction and organizational Quality Enhancement Program goals. The technician provides and documents patient care throughout dialysis treatments, including assessing vascular access, taking vital signs and weights, initiating and discontinuing treatment according to prescribed orders, monitoring patients and machines, responding to treatment issues as directed, and reporting significant findings to a registered nurse or supervisor. The role also supports patient education, laboratory collection and documentation, infection control, equipment preparation, and the transition of newly admitted patients through the Transitional Care Unit.

Requirements

  • High school diploma or GED.
  • Meet applicable CMS-approved state and/or national certification requirements within the required state or CMS timeline.
  • Hold any state licensure, education, and training required for the role.
  • Demonstrated commitment to organizational culture, values, and customer service standards.
  • Successfully complete the organization’s dialysis training program; continued employment is dependent on successful completion.
  • Successfully complete CPR certification; continued employment is dependent on successful completion.
  • Take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.
  • Ability to perform direct patient care involving frequent, prolonged standing and bending; regularly lift and move patients and assist with ambulation, with equipment or coworker assistance as available.
  • Ability to occasionally push or pull equipment using up to 15 pounds of force; frequently lift and lower solutions up to 30 pounds and occasionally lift up to 40 pounds to a height of five feet.

Nice To Haves

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

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 previous treatment.
  • Assess vascular access patency; perform cannulation and administer heparin as delegated or permitted by state law.
  • Obtain and document pre- and post-treatment vital signs and weights, including relevant pre- and post-dialysis evaluations.
  • Initiate and discontinue dialysis treatments according to prescribed orders and established procedures.
  • Calculate and enter prescribed dialysis machine programming, including ultrafiltration goals, treatment time, and ultrafiltration modeling.
  • Ensure required machine safety alarms are enabled and conduct machine safety checks according to facility policy.
  • Monitor patient responses to dialysis, evaluate intradialytic problems, provide interventions as directed or prescribed, and report changes or unusual findings to the registered nurse or supervisor.
  • Evaluate vascular access during treatment, monitor arterial and venous pressures, intervene as needed, and document and report unusual findings.
  • Document treatment parameters, vital signs, interventions, patient responses, and other treatment information accurately and promptly.
  • Obtain prescribed laboratory tests; collect, label, prepare, store, and arrange collection of laboratory specimens according to requirements.
  • Clean blood spills with appropriate disinfectant and prepare 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 on appropriate programs under nurse supervision.
  • Follow organizational policies, procedures, systems, and ethical business practices.
  • Maintain a safe and clean environment; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments.
  • Prepare for dialysis treatments, conduct and document required machine alarm testing, including Pressure Holding Test, and initiate the Solution Delivery System.
  • Participate in and document Continuous Quality Improvement activities; enter treatment data into the designated clinical application and review treatment sheets for completeness and appropriate corrections.
  • Prepare initial patient charts and paperwork, prepare laboratory requisitions, and ensure specimens are collected by the appropriate laboratory courier.
  • Assist with infection control audits, support staff and patient adherence to infection control practices, follow infection control policies, and reinforce patient and family education under direction as permitted by state law.
  • In the Transitional Care Unit, follow newly admitted patients through their first four weeks of dialysis and coordinate transitional care.
  • Reinforce education and care information for new patients as permitted by state law, and liaise with facility staff to support the patient experience and scheduling according to the care plan.
  • Help patients understand home dialysis products and benefits, treatment options, and peritoneal dialysis setup; assist with coordinating transition to the patient’s chosen modality.
  • Set up and perform treatments on all machines used in the Transitional Care Unit and assist with supply ordering and inventory.
  • Travel between assigned facilities and community locations, and attend regional, Business Unit, or Corporate meetings when required.
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