Patient Care Technician - Per Diem
Company: FRESENIUS MEDICAL CENTER
Location: Wilmington
Posted on: May 8, 2024
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Job Description:
POSITION FEATURES:
Must have an active CCHT and dialysis experience for this
position!
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 Related
Education:
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.
Assists patients in performing self-care as applicable
Staff Related
Participates in the recruitment process for new clinical staff
Assists with clinical orientation and on-going training of all
appropriate direct patient care personnel as well as the
orientation of all facility staff to organization.
May function as a preceptor in direct patient care training, as
determined by state specific guidelines and regulations, to support
the delivery of quality patient care as per the standards set forth
in the organization Clinical Services Clinical Training Manual(s),
organization policies and procedures, and organization training
standards.
Delivers and maintains on-going competency evaluations/audits to
ensure ongoing performance of other PCT's.
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.
Assists in training of applicable direct patient care staff on
appropriate programs under the supervision of a nurse.
Provides developmental support to applicable clinical and facility
staff.
Education/Communication:
Partners with RN and IDT staff to educate the appropriate personnel
regarding the integrity and safety of the facility water systems,
as allowed by local regulations.
Partners with RN and IDT staff to educate the appropriate personnel
regarding the maintenance of environmental integrity, including
patient and staff safety, of the facility.
Ensures a strong communication process between the Clinical
Managers, Education Coordinators, direct patient care staff, and
all support staff at the facility regarding appropriate training
and organizational development programs and initiatives
Participates in implementing and potentially designs creative
educational programs for PCT staff including contests and other
team-based programs.
Collaborates with Clinical Managers and Education Coordinators in
the scheduling and implementation of training programs and
processes as directed.
Monitors processes in the delivery of patient care through regular
Continuous Quality Improvement (CQI) activities.
Ensures 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 with facility QAI 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 Procedures
Supports 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.
Quarterly and under the direction of the CM reinforces patient and
staff adherence to infection control Policies and Procedures
through visual media such as posters, flyers, or bulletin
boards.
Under the direction of the Education Dept. participates in
education response to internal and external facility surveys.
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:
encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.
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.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof
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. Bachelor's degree
preferred
Must have a valid PCT national certification or state specific
certification as defined by Center for Medicaid/Medicare
(CMS)Allappropriatestatelicensure,education,andtraining(ifany)
required.
Demonstrated commitment to organization culture, values, and
customer service standards
Attendance and active participation in all applicable preceptor
training programs as established by education leadership
Attends Fresenius and publicly offered skill-based training as
assigned by Clinical Manager.
EXPERIENCE AND REQUIRED SKILLS :
At least five years 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.
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.
Keywords: FRESENIUS MEDICAL CENTER, Wilmington , Patient Care Technician - Per Diem, Professions , Wilmington, Delaware
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