Pct Jobs in Fresno, TX

About The Position

Requirements

• High school diploma or GED.
• Meet CMS-approved state and/or national certification requirements within the required state or CMS timeline.
• Meet all applicable state licensure, 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.
• Ability to perform direct patient care involving frequent prolonged standing, bending, lifting and moving patients, and assisting with ambulation.
• Ability to occasionally push or pull equipment with up to 15 pounds of force; frequently lift or lower solutions up to 30 pounds; and occasionally lift up to 40 pounds as high as five feet.

Nice To Haves

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

Responsibilities

• Assist health care team members in providing patient-specific education about adequacy measures, the disease process, and vascular access, as appropriate.
• Welcome assigned patients and inquire about their wellbeing since their last treatment.
• Evaluate vascular access and perform cannulation; administer heparin when delegated or permitted by state law.
• Obtain and document pre- and post-treatment weights and vital signs, perform vascular-access evaluations, and complete patient identification and treatment evaluations.
• Initiate dialysis according to prescribed orders, including blood-flow and dialysate-flow settings; calculate and enter prescribed machine programming for ultrafiltration goals, treatment time, and ultrafiltration modeling.
• Ensure appropriate machine safety alarms are enabled and perform machine safety checks according to facility policy.
• Monitor patients’ responses to dialysis, evaluate intradialytic problems, and provide interventions as prescribed or directed; document interventions and patient responses.
• Complete treatment discontinuation procedures, obtain hemostasis, apply dressings, evaluate patients before discharge, and document treatment completion.
• Record accurate and timely vital signs, treatment parameters, patient treatment information, progress notes where applicable, and other required data in the designated clinical application and treatment records.
• Report significant patient information, changes in condition, and unusual findings to the registered nurse or supervisor.
• Evaluate vascular access during treatment, monitor arterial and venous pressures, intervene as appropriate, and document and report unusual findings.
• Obtain prescribed laboratory tests; collect, label, prepare, store, and arrange courier collection of specimens according to laboratory requirements.
• Clean blood spills with appropriate disinfectant according to facility policy.
• Prepare and use supplies and equipment efficiently to prevent waste; monitor patients performing self-care under RN supervision.
• Assist in training applicable direct patient care staff on appropriate programs under nurse supervision.
• Follow organizational policies, procedures, systems, ethical business practices, and infection-control procedures; support staff and patient adherence to infection-control practices and assist with infection-control audits.
• 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 Test, initiate the Solution Delivery System, and document as appropriate.
• 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 admission paperwork; prepare and print laboratory requisitions for prescribed or stat specimens.
• Under the direction of the CM or designee and as allowed by state law, participate in and reinforce infection-control education for patients and families.
• In the Transitional Care Unit, follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care.
• Reinforce education and care matters for new patients, liaise with facility staff to support the patient experience, and help ensure disciplines are scheduled according to the care plan.
• Help patients understand home-dialysis products, benefits, and options, including demonstrating peritoneal dialysis setup; assist with transition to the patient’s chosen modality.
• Set up and perform treatments on machines used in the Transitional Care Unit and assist with supply ordering and inventory.