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Patient Care Technician - PCT

Fresenius Medical Care•Grand Island, NE

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 follows organizational policies, procedures, and training, as well as applicable corporate, state, and federal regulations. The PCT sets up and operates hemodialysis machines, helps maintain a safe and clean work environment, and participates 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 before, during, and after dialysis; assesses vascular access; performs cannulation and delegated or legally permitted heparin administration; obtains and documents weights and vital signs; initiates and discontinues prescribed treatments; monitors treatment response; and reports changes or unusual findings to a registered nurse or supervisor. The role also involves machine safety checks and programming, laboratory collection and preparation, accurate clinical documentation, supply management, and cleaning and disinfection between treatments. The PCT may assist with staff training under nurse supervision and support infection-control practices and education. In a Transitional Care Unit, the PCT follows newly admitted patients through their first four weeks of dialysis, reinforces education, coordinates care with appropriate staff, helps patients understand treatment and home-dialysis options, performs treatments on unit machines, and assists with transitions to the patient’s chosen modality and with supply inventory. The work includes desk and computer tasks as well as direct patient care in a health care facility. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, or Corporate meetings may also be required. The role may involve exposure to infectious or contagious materials, frequent and prolonged standing, bending, and lifting or moving patients. Employees must take the Ishihara Color Blindness test; a failed test does not automatically preclude employment, and reasonable accommodations may be considered.

Requirements

  • High school diploma or GED.
  • Must meet CMS-approved state and/or national certification requirements within the applicable state or CMS timeline.
  • Must hold any applicable state licensure and meet required education and training requirements.
  • Demonstrated commitment to the organization’s culture, values, and customer service standards.
  • Successful completion of the organization’s dialysis training program is required for continued employment.
  • Successful completion of CPR certification is required for continued employment.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not automatically 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 push or pull equipment with up to 15 pounds of force; frequently lift and lower solutions up to 30 pounds and occasionally lift 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 various community locations.

Nice To Haves

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

Responsibilities

  • Provide dialysis therapy under the direct supervision of a licensed nurse and in accordance with policies, procedures, training, and applicable regulations.
  • Set up and operate hemodialysis machines and conduct required machine safety checks and pretreatment alarm testing, including Pressure Holding Testing (PHT).
  • Welcome assigned patients and ask about their wellbeing since their previous treatment.
  • Evaluate vascular access, perform cannulation, administer heparin as delegated or permitted by state law, and monitor access pressures during treatment.
  • Obtain and document pre-, intra-, and post-treatment vital signs, weights, and patient evaluations.
  • Initiate dialysis according to prescribed orders, including blood-flow and dialysate-flow settings, and program ultrafiltration goals, treatment time, and modeling as prescribed.
  • Monitor patients’ responses, evaluate intradialytic problems, perform prescribed or directed interventions, document responses, and report significant changes or unusual findings to a registered nurse or supervisor.
  • Discontinue treatment according to established procedures, assess patients before termination and discharge, obtain hemostasis, and apply appropriate dressings.
  • Ensure required safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
  • Maintain accurate and timely treatment records, including treatment sheets, progress notes where applicable, and entries in the designated clinical application.
  • Obtain prescribed laboratory tests; collect, label, prepare, store, and arrange for pickup of specimens according to laboratory requirements.
  • Clean blood spills promptly using appropriate disinfectant and clean and disinfect machines, chairs, equipment, and surrounding areas between treatments.
  • Prepare and organize supplies and equipment efficiently to prevent waste; assist with ordering and inventory for the Transitional Care Unit.
  • Monitor patients performing self-care under RN supervision.
  • Assist in training applicable direct patient care staff on appropriate programs under nurse supervision.
  • Follow organizational business policies, procedures, ethical practices, and infection-control policies; support patient and staff adherence to infection-control practices.
  • Participate in and document CQI activities and assist with infection-control audits and patient and family education under the direction of the Clinical Manager or designee, as permitted by state law.
  • In the Transitional Care Unit, follow newly admitted patients through their first four weeks of dialysis, reinforce education, coordinate care and appointments, and assist patients in understanding treatment and home-dialysis options.
  • Perform treatments on machines used in the Transitional Care Unit, assist with demonstrations such as peritoneal dialysis setup, and help coordinate the transition to the patient’s chosen modality.
  • Review treatment sheets for completeness, ensure nursing signatures are documented, and have appropriate staff complete or correct omitted entries.
  • Prepare initial patient charts and paperwork and prepare or print requisitions for prescribed or stat laboratory specimens.

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