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Patient Care Technician - PCT

Fresenius Medical Care•Santa Fe, NM

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 focused on patient satisfaction and care outcomes. The position provides direct patient care throughout dialysis treatment, including assessing patients and vascular access, taking and recording vital signs and weights, initiating and discontinuing treatments as prescribed, monitoring patients and equipment, documenting care, and reporting changes or unusual findings to a registered nurse or supervisor. It also includes specimen collection and preparation, infection-control practices, equipment and area cleaning, record keeping, and support for patient education. In the Transitional Care Unit, the PCT supports newly admitted patients during their first four weeks of dialysis, reinforces education, coordinates care with relevant staff, helps patients understand treatment options and home dialysis, and assists with transition to the patient’s chosen modality. The role requires travel between assigned facilities and community locations and may require travel to regional, Business Unit, and Corporate meetings. The work takes place in a health care facility and may involve exposure to infectious and contagious diseases or materials, frequent standing and bending, and lifting or moving patients and supplies.

Requirements

  • High school diploma or GED.
  • Meet CMS-approved state and/or national certification requirements within the applicable 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 and CPR certification to remain employed.
  • 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 physical demands of the role, including frequent prolonged standing and bending; assisting with patient lifting, movement, and ambulation; occasionally pushing or pulling equipment with up to 15 pounds of force; frequently lifting and lowering solutions up to 30 pounds; and occasionally lifting up to 40 pounds as high as five feet. Assistance and material-aid devices are available for heavier items.

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 last treatment.
  • Assess vascular access for patency, cannulate access, and administer heparin when delegated or permitted by state law.
  • Obtain and record pre- and post-treatment vital signs and weights, and perform pre-treatment vascular access evaluations.
  • Initiate dialysis according to prescribed orders, including blood flow and dialysate flow settings.
  • Monitor patient responses and evaluate and address intradialytic problems as prescribed or directed.
  • Obtain vital signs before reinfusion and perform and document functions required to discontinue treatment, including standing and sitting blood pressure checks and evaluation before termination of venous access.
  • Obtain hemostasis and apply appropriate dressings; evaluate patients before discharge.
  • Calculate and enter prescribed dialysis machine programming for ultrafiltration goals, treatment time, and ultrafiltration modeling.
  • Ensure required safety alarms are enabled, including Narrow Venous Limits (NVL) 160, and conduct machine safety checks according to facility policy.
  • Record vital signs, treatment parameters, evaluations, interventions, and patient responses accurately and promptly in the required treatment documentation and clinical application.
  • Report significant information, changes in condition, unusual findings, and vascular access concerns to a registered nurse or supervisor.
  • 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 avoid 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, systems, and ethical business practices.
  • Maintain safe, clean, and orderly areas; clean and disinfect dialysis machine surfaces, chairs, equipment, and surrounding areas between treatments.
  • Prepare for dialysis treatments, conduct and document required machine alarm testing, including Pressure Holding Testing (PHT), and initiate the Solution Delivery System (SDS).
  • Complete and document ongoing participation in CQI activities; review treatment sheets for completeness and ensure missing entries or signatures are appropriately completed or corrected.
  • Prepare initial patient charts and paperwork, and prepare or print laboratory requisitions for prescribed or stat specimens.
  • Assist with infection-control audits, support staff and patient adherence to infection-control practices, follow infection-control policies and procedures, and reinforce patient and family infection-control education as directed and permitted by state law.
  • Follow newly admitted Transitional Care Unit patients through their first four weeks of dialysis and coordinate transitional dialysis care.
  • Reinforce education and care information for new patients as permitted by state law, and liaise with appropriate staff to support the patient experience and scheduled care.
  • Help patients understand home dialysis products, the benefits of home dialysis, and how it may work for them; explain treatment options, including demonstrating peritoneal dialysis setup.
  • Set up and perform treatments on all machines used in the Transitional Care Unit.
  • Assist with transition to the patient’s chosen modality and with Transitional Care Unit supply ordering and inventory.

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