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:

• 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:

• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
• Evaluate the patient prior to discharge.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
• 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.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Monitors patients performing self-care under the supervision of RN.
• Obtain Hemostasis and apply appropriate dressings.
• Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
• Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients’ response to dialysis therapy.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

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.
• Initiate Solution Delivery System (SDS) system.
• 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).

RECORD KEEPING:

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

omitted entries are completed or corrected by appropriate staff.

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

INFECTION CONTROL:

• Follows infection control Policies and Procedures
• Assists in collecting information for infection control audits.
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
• Supports staff and patient Adherence to infection control practices.

TRANSITIONAL CARE UNIT:

• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Assists with coordination of transition to patient’s modality choice.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• 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.
• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
• 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:

• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• Demonstrated commitment to organization culture, values, and customer service standards
• High School diploma or G.E.D. required.
• All appropriate state licensure, education, and training (if any) required.

EXPERIENCE AND REQUIRED 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.

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Employee Signature

Date

ADDENDUM:

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.

• Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
• Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law
• Cleaning and prepping treatment room; preparing charts prior to clinic visit
• Support patient registration and use of connected health
• Provide patient home support as indicated and permissible under state law and applicable regulations
• Schedules and contacts patients regarding appointments
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Warm dialysate solution when directed by the HT RN
• Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records.
• Assist with exit site care when directed by HT RN
• Weigh patient and obtain vital signs
• 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
• Clerical duties as assigned (faxing, mailing to physician offices etc.)
• Set-up of the home hemodialysis machine and PD Cycler
• May assist HT RN on Home Visit as directed
• Maintains logs as directed and applicable
• Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)

Inventory of Home Program

• Files home patient packing slips/invoices
• Maintains par levels of home department supplies

Inventory for Patients

• Assists patient with supply management and contacting customer service

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.