Patient Care Technician - PCT

Fresenius Medical Care•Port Gibson, MS
•Onsite

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 work environment, and complying with organizational policies, procedures, training, and applicable regulations. The technician also contributes to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including efforts to improve patient satisfaction and outcomes. The PCT provides direct patient support throughout dialysis treatment, including assessing patients and vascular access, preparing and programming equipment, initiating and discontinuing treatment, monitoring patients and machine safety, responding to treatment concerns as directed, documenting care, and reporting significant changes to a registered nurse or supervisor. The role also includes collecting and preparing laboratory specimens, infection-control activities, maintaining supplies and equipment, and assisting with staff training under nursing supervision. In the Transitional Care Unit, the technician supports newly admitted patients during their first four weeks of dialysis, reinforces education, coordinates with facility staff, assists patients in understanding treatment options and home dialysis, and helps coordinate transitions to patients’ chosen modalities. The position involves direct patient care in a health care facility and travel between assigned facilities and community locations. Work includes computer and desk tasks, interaction with patients and clinical staff, regular heavy lifting and patient assistance, frequent prolonged standing and bending, and occasional pushing or pulling of equipment. Employees may be exposed to infectious or contagious diseases or materials. Reasonable accommodations may be considered for individuals with disabilities.

Requirements

  • High school diploma or GED.
  • Meet CMS-approved state and/or national certification requirements within the applicable state or CMS timeline.
  • Hold any state licensure, education, and training required for the position.
  • 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.
  • 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 the job’s physical demands, including regular heavy lifting and moving of patients, assisting with ambulation, frequent prolonged standing and bending, 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 five feet; assistance and material-assist devices are available for heavier items.
  • Ability to travel between assigned facilities and locations within the community; travel to regional, Business Unit, and Corporate meetings may be required.

Nice To Haves

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

Responsibilities

  • Welcome assigned patients and ask about their wellbeing since their previous treatment.
  • Assess vascular access for patency, cannulate access, and administer heparin when delegated or permitted by state law.
  • Obtain and document pre- and post-treatment vital signs and weights, including patient identification and vascular access evaluations.
  • Initiate dialysis according to prescribed orders, including blood-flow and dialysate-flow settings.
  • Calculate and enter prescribed machine programming, including ultrafiltration goals, treatment time, and ultrafiltration modeling.
  • Ensure appropriate machine safety alarms are enabled, including Narrow Venous Limits.
  • Monitor patients’ responses to dialysis and evaluate intradialytic problems; provide interventions as prescribed or directed.
  • Obtain vital signs before reinfusion, discontinue treatment according to established procedures, assess patients before termination of venous access, and obtain hemostasis and apply dressings.
  • Evaluate patients before discharge and perform and record post-treatment evaluations.
  • Complete accurate and timely treatment documentation, including treatment sheets, progress notes when applicable, and clinical application entries.
  • Report significant information, changes in patient condition, unusual findings, and vascular access concerns to the registered nurse or supervisor.
  • Observe patients and conduct machine safety checks according to facility policy; document interventions and patient responses.
  • Obtain prescribed laboratory tests and collect, label, prepare, store, and arrange collection of specimens according to laboratory requirements.
  • Clean blood spills promptly with 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 on appropriate programs under nurse supervision.
  • Follow organizational business policies, procedures, training, 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, complete required machine alarm testing including Pressure Holding testing, and initiate the Solution Delivery System.
  • Participate in and document ongoing Continuous Quality Improvement activities.
  • Review treatment sheets for completeness, verify nursing signatures, and ensure omitted entries are completed or corrected by appropriate staff.
  • Prepare initial patient charts and paperwork, print laboratory requisitions, and ensure laboratory specimens are collected by the appropriate courier.
  • Assist with infection-control audits, support staff and patient adherence to infection-control practices, follow infection-control procedures, and reinforce patient and family education 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 matters for new patients as allowed by state law and liaise with appropriate staff to support the patient experience and scheduled care.
  • 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 machines used in the Transitional Care Unit and assist with its supply ordering and inventory.
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