PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensednurse 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).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Welcome assignedpatients and inquireas to their wellbeing since their last treatment.
Evaluate vascularaccess for patency.
Obtain necessary pre and post treatment vital signs and weight.
Perform vascular accessevaluation pre-treatment.
Perform vascular access cannulation.
Perform administration of Heparin as delegated or as allowedby state law.
Initiate dialysistreatment according to prescribed ordersincluding blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provideintervention as prescribed by physicianorder or as directed.
Monitor patients' response to dialysistherapy.
Obtain vital signsprior to reinfusion; performall relevant functions necessary for the discontinuation of treatment - document.
Discontinue dialysistreatment according to established procedures.
Evaluate patientprior 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 dialysisevaluation, weight and vital signs with initial identification.
Responsible for calculating and entry of individual patients'dialysis machineprogramming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
Responsible for ensuringappropriate safety alarmsare enabled, including
Narrow Venous Limits, (NVL) 160.
Record accurate and timely information regarding vital signs and treatmentparameters onto the Hemodialysis Treatment Sheet with initial identification.
Responsible for accuratedocumentation of information related to patient treatmentincluding completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or changein patient conditiondirectly to the PCT III (if applicable) or nurse supervisor.
Observe patient, and conduct machinesafety checks accordingto facility policy.Report any change or unusual findings to the PCT III (if applicable) or nurse supervisor.
Perform and documentany intervention for unusualpatient statusand document patients'response to intervention.
Evaluate patients' vascularaccess during treatmentincluding arterial and venous monitoring pressures,provide appropriate intervention as needed,document and report any unusualfindings to the PCT III (if applicable) or nurse supervisor.
Obtain all prescribed laboratory testing and preparespecimens for collection. Maintenance/Technical:
Maintain environmental integrityand aesthetics - ensure all areas are safe and clean.
Clean and disinfect dialysis machinesurface, chair, equipment, and surrounding area between treatmentsaccording to facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and documentwhere appropriate.
Perform all requiredpretreatment dialysismachine alarm testing including PressureHolding (PHT).
Initiate Solution DeliverySystem (SDS) system.
Ensure that all blood spills are immediately cleanedwith appropriate disinfectant according to facilitypolicy.
Prepare, organize,and efficiently utilize suppliesand equipment to prevent wastage. 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 correctedwhere appropriate.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare lab requisitions for prescribed or stat Lab specimens according to laboratorydestination.
Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performingthe essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Employees are requiredto take the Ishihara's Color Blindnesstest as a conditionof employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Companywill consider whether reasonable accommodations can be made.
Day to day work includes desk and personalcomputer work andinteraction with patients, facility staff andphysicians. The position requirestravel between assigned facilities and various locations within the community. Travel to regional,Business Unit and Corporatemeetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderatenoise 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. Equipmentaids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standingand the employee must be able to bend over. The employeemay occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-personassist program and "material assist" devices for the heavier items.
EDUCATION AND LICENSES:
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.
EXPERIENCE AND REQUIRED SKILLS:
At least two years previous patient care experience in a hospitalsetting or a relatedfacility preferred.
Continued employment is dependent on successfulcompletion of the FMCNA dialysis training program and successful completion of CPR certification.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care