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Patient Care Technicians (PCTs) at Fresenius Medical Care support and collaborate with RNs to provide dialysis treatment to several patients at a time while maintaining the functionality of the clinic. This involves prepping and testing equipment, reviewing treatment sheets, and opening the clinic at 4am for first shift. PCTs have a combination of technical skills and genuine passion needed to develop deep relationships with patients and improve their quality of life.
Job Responsibility
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate
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
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
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 in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse
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
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
Assists in collecting information for infection control audits
Supports staff and patient Adherence to infection control practices
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law
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
Requirements
High School diploma or G.E.D. required
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline
All appropriate state licensure, education, and training (if any) required
Demonstrated commitment to organization culture, values, and customer service standards
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