PCT I
Company: FRESENIUS MEDICAL CENTER
Location: Bastrop
Posted on: May 26, 2023
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Job Description:
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:
Treatment:
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
Responsible for accurate documentation of information related to
patient treatment including completion of Hemodialysis Treatment
Sheet and, if applicable, progress notes.
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. Report any change or unusual findings to the
registered nurse or supervisor.
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
Staff Related
Assists in training of applicable direct patient care staff on
appropriate programs under the supervision of a nurse.
Collaborates with the Clinical Manager and Education Coordinator in
driving organization quality standards through education regarding
all ESRD regulatory and legal requirements and the practice of
Continuous Quality Improvement.
Provides developmental support to applicable clinical and facility
staff.
Education/Communication:
Participates in implementing educational programs for PCT staff
including contests and other team-based programs.
Assists in monitoring processes in the delivery of patient care
through regular Continuous Quality Improvement (CQI)
activities.
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.
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.
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 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.
INFECTION CONTROL:
Assists in collecting information for infection control audits.
Acts as a change agent for infection control practices within
clinic. Under the direction of the CM or designee monitors staff
and patient adherence to infection control practices.
Reinforces new hire employee adherence to infection control
Policies and Procedures
Supports ongoing staff and patient engagement on infection control
practices under the direction of CM or designee for example
participation in patient lobby days and staff meetings to reinforce
infection control practice.
Participates in and reinforces infection control education of
patients and families under the direction of the CM or designee as
allowed by state law
TRANSITIONAL CARE UNIT:
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
PHYSICAL DEMANDS AND WORKING CONDITIONS:
encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.
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.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof
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:
HighSchooldiplomaorG.E.D. required.
Must have a valid PCT national certification or state specific
certification as defined by Center for Medicaid/Medicare Services
(CMS)Allappropriatestatelicensure,education,andtraining(ifany)
required.
Demonstrated commitment to organization culture, values, and
customer service standards
EXPERIENCE AND REQUIRED SKILLS :
At least two years 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.
Employee Name (Please Print)
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 law.
May assist HT RN on Home Visit as directed
Reinforces PD/HHD patient education under supervision of HT
Registered Nurse as permitted under state law
Schedules and contacts patients regarding appointments
Weigh patient and obtain vital signs
Collect patient's treatment records and review for completion.
Notify RN of incomplete / missing records.
Cleaning and prepping treatment room; preparing charts prior to
clinic visit
Preparing lab tubes and requisitions & assisting with lab draw days
both pre and post draw (PCT certified phlebotomy or per state
regulations)
Clerical duties as assigned (faxing, mailing to physician offices
etc.)
Set-up of the home hemodialysis machine and PD Cycler
Assist with exit site care when directed by HT RN
Obtain home hemodialysis water and dialysate samples and process
for testing as directed by HT RN
Perform water dialysate collection and processing for testing as
directed by the HT RN
Creates and sends patient reminders (supply inventory for order,
Kt/V collection, bringing meds to clinic visit for review)
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
Maintains logs as directed and applicable
Support patient registration and use of connected health
Provide patient home support as indicated and permissible under
state law and applicable regulations
Inventory of Home Program
Maintains par levels of home department supplies
Files home patient packing slips/invoices
Inventory for Patients
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.
Keywords: FRESENIUS MEDICAL CENTER, Jackson , PCT I, Other , Bastrop, Mississippi
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