Patient Care Technician Pct (Willing To Train)

PURPOSE AND SCOPE:

Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Accountable for outstanding customer service to all external and internal customers.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.
• Responsible for driving the FMS culture through values and customer service standards.
• Develops and maintains effective relationships through effective and timely communication.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

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

MAINTENANCE/TECHNICAL:

• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.
• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Initiate Solution Delivery System (SDS) system.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.

CLERICAL & ADMINISTRATIVE:

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Collect label appropriately prepare and store lab samples according required laboratory specifications.
• Ensure collection of lab specimens by appropriate lab courier.
• Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• Maintains par levels of home department supplies
• Schedules and contacts patients regarding appointments
• Obtain home hemo water sampling as directed by the HT RN
• Maintains logs as directed and applicable
• Assist with exit site care when directed by HT RN.
• Draw dialysate solution for testing as directed by the HT RN
• Warm dialysate solution when directed by the HT RN
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Assembles/breaks down charts/thins charts
• Weigh patient and obtain vital signs
• Inventory of Home Program
• Cleaning and prepping treatment room; prep charts
• Set-up of the home hemo machine and PD Cycler.
• Assists patient with supply management and contacting customer service
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Inventory for Patients
• Files home patient packing slips/invoices
• May assist HT RN on Home Visit as directed
• Reinforces PD / HHD education under supervision of qualified HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)

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 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

• All appropriate state licensure education and training (if any) required.
• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.

EXPERIENCE AND REQUIRED SKILLS

• Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
• Previous patient care experience in a hospital setting or related facility preferred.

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.