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Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.
Job Responsibility
Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN
Promotes and assists in the maintenance of a safe and clean working environment
With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies
Welcomes assigned patients and inquires as to their well-being since their last treatment
Evaluates vascular access for patency
Obtains necessary pre and post treatment vital signs and weight
Performs vascular access cannulation
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
Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160)
Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist
Collects, labels specimens and ensures timely delivery to laboratory per facility policy
Evaluates intradialytic problems and provides intervention as prescribed by physician’s order or as directed by FMCNA RN
Monitors patient’s response to dialysis therapy
Obtains vital signs prior to reinfusion
performing all relevant functions necessary for the discontinuation of treatment- documentation
Performs and document any intervention for unusual patient status and document patients’ response to intervention
Evaluates patients’ vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed
Discontinues dialysis treatment according to established procedures
Evaluates patient prior to termination of venous access – standing and sitting blood pressures prior to termination of venous access
Obtains hemostasis and applies appropriate dressings
Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN
Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification