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Patient Care Technician - PCT

Fresenius Medical Care•Fitchburg, WI

About The Position

The Patient Care Technician (PCT) is part of the dialysis health care team and provides 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 participating in Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities, including efforts to improve patient satisfaction and outcomes. The PCT welcomes and monitors patients throughout treatment, evaluates vascular access, performs cannulation and delegated heparin administration where permitted, takes vital signs and weights, initiates and discontinues dialysis according to orders and procedures, monitors patient responses, documents treatment data, and reports changes or unusual findings to a nurse or supervisor. The role also includes collecting and preparing laboratory specimens, maintaining equipment and infection-control practices, and supporting staff training under nurse supervision. In the Transitional Care Unit, the PCT follows newly admitted patients through their first four weeks of dialysis, reinforces education, coordinates care with facility staff, supports patient understanding of treatment and home dialysis options, and assists with treatment setup, modality transitions, supplies, and inventory. The work includes computer and desk tasks, interaction with patients and health care personnel, and travel between assigned facilities and community locations. The work environment is a health care facility with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur. Direct patient care involves frequent, prolonged standing, bending, and regular heavy lifting or moving of patients, with equipment or coworker assistance available. The position may require lifting solutions up to 30 pounds frequently and up to 40 pounds occasionally, as high as five feet, as well as occasional pushing or pulling with up to 15 pounds of force. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not automatically preclude employment, and reasonable accommodations will be considered.

Requirements

  • High school diploma or GED.
  • Meet applicable CMS-approved state and/or national certification requirements within the required state or CMS timeline.
  • Meet any 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 to remain employed.
  • Successfully complete CPR certification to remain employed.
  • Take the Ishihara Color Blindness test as a condition of employment.

Nice To Haves

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

Responsibilities

  • Provide dialysis therapy under the direct supervision of a licensed nurse and in accordance with organizational policies, procedures, training, and applicable regulations.
  • Set up, operate, and perform required safety checks on hemodialysis machines, including pretreatment alarm testing and Pressure Holding testing.
  • Welcome assigned patients, inquire about their wellbeing, and evaluate their condition and vascular access before, during, and after treatment.
  • Perform vascular access cannulation and administer heparin as delegated or permitted by state law.
  • Obtain and document pre-, intra-, and post-treatment vital signs and weights, including required evaluations before treatment discontinuation and discharge.
  • Initiate and discontinue dialysis according to prescribed orders and established procedures, including prescribed blood flow and dialysate flow.
  • Calculate and enter prescribed machine programming, including ultrafiltration goals, treatment time, and ultrafiltration modeling, and ensure required safety alarms are enabled.
  • Monitor patient response to therapy, evaluate intradialytic problems, provide interventions as prescribed or directed, and report significant changes or unusual findings to a nurse or supervisor.
  • Document treatment parameters, interventions, patient responses, and other required information accurately and promptly in treatment sheets, progress notes, and clinical applications.
  • Monitor vascular access pressures during treatment, intervene as appropriate, and document and report unusual findings.
  • Obtain prescribed laboratory tests; prepare, collect, label, store, and arrange collection of specimens according to laboratory requirements.
  • Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments, and promptly clean blood spills using appropriate disinfectant.
  • 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.
  • Participate in and document CQI activities, review treatment sheets for completeness, correct omissions through appropriate staff, and prepare patient charts and laboratory requisitions.
  • Support infection-control audits, follow infection-control policies and procedures, reinforce adherence, and participate in patient and family infection-control education as directed and permitted by state law.
  • Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care with appropriate staff.
  • Reinforce education for new patients, help them understand treatment options and home dialysis products, and assist with modality-choice transitions, including peritoneal dialysis setup demonstrations.
  • Ensure transitional care patients are scheduled to see the appropriate disciplines according to their care plan, and assist with TCU supply ordering and inventory.

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