Patient Care Technician - Dialysis Home Therapy
Company: FRESENIUS
Location: Chula Vista
Posted on: September 15, 2023
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Job Description:
PURPOSE AND SCOPE: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
RelatedEducation: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- treatmentInitiate 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
pressureObtain 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 RNStaff
RelatedAssists in training of applicable direct patient care staff
on appropriate programs under the supervision of a
nurse.Collaborates with the Clinical Manager and Education
Coordinator in driving organization quality standards through
education regarding all ESRD regulatory and legal requirements and
the practice of Continuous Quality Improvement. Provides
developmental support to applicable clinical and facility staff.
Education/Communication:Participates in implementing educational
programs for PCT staff including contests and other team-based
programs.Assists in monitoring processes in the delivery of patient
care through regular Continuous Quality Improvement (CQI)
activities.Follows all organization business policies, procedures
and systems incorporated into training, including compliance with
ethical business practicesMaintain 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 ensureomitted 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.Acts as a change agent for infection
control practices within clinic. Under the direction of the CM or
designee monitors staff and patient adherence to infection control
practices. Reinforces new hire employee adherence to infection
control Policies and ProceduresSupports ongoing staff and patient
engagement on infection control practices under the direction of CM
or designee for example participation in patient lobby days and
staff meetings to reinforce infection control practice.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 lawLiaisons 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
employeeencounters while performing the essential functions of this
job. Reasonable accommodations may be made to enableindividuals
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 theIshihara Test for Color
Blindness does not preclude employment. The Company will consider
whether reasonableaccommodations 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 have a valid PCT national
certification or state specific certification as defined by Center
for Medicaid/Medicare Services (CMS)All appropriate state
licensure, education, and training (if any) required.Demonstrated
commitment to organization culture, values, and customer service
standardsPhlebotomy LicenseEXPERIENCE AND REQUIRED SKILLS:At least
two years 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 SignatureDateADDENDUM: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
law.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 Obtain home hemodialysis water and
dialysate samples and process for testing as directed by HT
RNPerform water dialysate collection and processing for testing as
directed by the 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 applicableSupport
patient registration and use of connected health Provide patient
home support as indicated and permissible under state law and
applicable regulationsInventory of Home ProgramMaintains par levels
of home department supplies Files home patient packing
slips/invoices Inventory for PatientsAssists patient with supply
management and contacting customer serviceEO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
IdentityFresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws."The
rate of pay for this position will depend on the successful
candidate's work location and qualifications, including relevant
education, work experience, skills and competencies and may fall
outside of the range shown. Hourly Rate: $18.00 - $29.00"
Keywords: FRESENIUS, Chula Vista , Patient Care Technician - Dialysis Home Therapy, Healthcare , Chula Vista, California
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