Patient Care Technician - Middle River, United States - Fresenius Kidney Care

Description

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct

supervision

of

a

licensed

nurse

in

accordance

with

organization

policies,

procedures,

and training and in compliance with regulations set

forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis

machines. Assist in the

maintenance of a safe and clean working environment.

Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL

DUTIES

AND

RESPONSIBILITIES:

Patient Related

Education:

Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment:

Welcome assigned patients and inquire as to their wellbeing since their last treatment.

Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.

Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow

(QD).
Evaluate intradialytic problems and provide intervention as prescribed by physician order or as

directed.
Monitor patients' response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment -

document.
Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
Obtain Hemostasis and apply appropriate

dressings.
Evaluate the patient prior to discharge.
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial

identification
Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as

prescribed.
Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL)

160.
Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial

identification
Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress

notes.
Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
Perform and document any intervention for unusual patient status and document patients' response to intervention.

Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.

Obtain all prescribed laboratory testing and prepare specimens for

collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility

policy.
Prepare, organize, and efficiently utilize supplies and equipment to prevent

wastage.
Monitors patients performing self-care under the supervision of RN.
Staff Related
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.

Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

Initiate Solution Delivery System (SDS) system.


RECORD KEEPING:

Complete and document ongoing participation in Continuous Quality Improvement (CQI)

activities.
Enters all treatment data into the designated clinical application in an accurate and timely

manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory

destination.
Collect, label, appropriately prepare and store lab samples according required laboratory

specifications.
Ensure collection of lab specimens by appropriate lab courier.


INFECTION CONTROL:

Assists in collecting information for infection control

audits.
Supports staff and patient Adherence to infection control

practices.
Follows infection control Policies and

Procedures
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee

as allowed by state law.


TRANSITIONAL CARE UNIT:

Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
Reinforces all education and care related matters as it relates to the new patient

as allowed by state law

Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.

Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.

Sets and preforms a treatment on all machines used in the transitional care unit.
Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
Assists with coordination of transition to patient's modality choice.
Assists with supply ordering and inventory for


TCU

PHYSICAL

DEMANDS

AND

WORKING

CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment

Note that:

Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be

required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious

diseases/materials
The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with

ambulation.

Equipment

aids

and/or

coworkers

may

provide

assistance.

This

position

requires

frequent,

prolonged

periods

of

standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force.

The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet.

There is a two-person assist program and "material assist" devices for the heavier items.


EDUCATION

AND

LICENSES:

High

School

diploma

or

G.E.D.

required.
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
All

appropriate

state

licensure,

education,

and

training

(if

any)

required.
Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE
ANDREQUIRED SKILLS

:

Previous

patient

care

experience

in

a

hospital

setting

or

a

related

facility

preferred.
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.


ACKNOWLEDGEMENT:

I

acknowledge

that

I

have

read

and

accepted

this

job

description.

I understand what is expected of me in this position, and I am able

to

perform

the

essential

functions

as outlined with or without reasonable accommodation. Furthermore, I understand that the duties

and

responsibilities

listed

in

this

job

description

are

intended

only

as

illustrations

of

the

various

types

of work that may be performed.

The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

If I have any questions about duties and responsibilities not specified in this job description that I am asked

to

perform,

I

should

discuss

them

with

my

immediate

supervisor

or

my

Human

Resources

representative.
Employee Name (Please Print):

Employee Signature:

Date:

ADDENDUM(S):

Home Therapies Program (Not Home Assist)

This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.

May assist HT RN on Home Visit as

directed
Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law
Schedules and contacts patients regarding

appointments
Weigh patient and obtain vital

signs
Collect patient's treatment records and review for completion. Notify RN of incomplete / missing

records.
Cleaning and prepping treatment room; preparing charts prior to clinic

visit
Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state

regulations)
Clerical duties as assigned (faxing, mailing to physician offices

etc.)
Set-up of the home hemodialysis machine and PD

Cycler
Assist with exit site care when directed by HT

RN
Warm dialysate solution when directed by the HT

RN
Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for

review)
Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements
Maintains logs as directed and applicable
Support patient registration and use of connected health
Provide patient home support as indicated and permissible under state law and applicable regulations
Inventory of Home Program
Inventory for Patients
Assists patient with supply management and contacting customer

service
Employee Name (Please Print):

Employee Signature:

Date:

EO/AA Employer:

Minorities/Females/Veterans/Disability/Sexual

Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EO/AA Employer:

Minorities/Females/Veterans/Disability/Sexual

Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
About Us

Our Work Experience is the combination of everything that's unique about us:

our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the

#1 Top Workplace in the area.
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