Patient Care Technician - PCT CCHT - Dialysis
Fresenius Medical Care, Union City, CA, United States
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 and procedures, and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines and the maintenance of a safe and clean working environment. Supports the organization’s commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (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’s QEP goals.
Principal Duties and Responsibilities
Patient‑Related
Education
Assist other health care members in providing patient‑specific detailed education regarding adequacy measures where appropriate, including Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Treatment
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and administer heparin as delegated or as allowed by state law.
Obtain necessary pre‑ and post‑treatment vital signs and weight, and perform vascular access evaluation prior to treatment.
Initiate dialysis treatment according to prescribed orders including blood flow (Q_B) and dialysate flow (Q_D).
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 and 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, including standing and 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.
Calculate and enter individual patients’ dialysis machine programming for ultrafiltration (UF) goal, treatment time, and UF modeling as prescribed.
Ensure 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.
Accurately document information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information 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.
Monitor patients performing self‑care under the supervision of RN.
Staff‑Related
Assist in training applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Education and Communication
Follow 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 surfaces, chairs, 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 the Solution Delivery System (SDS).
Record Keeping
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enter all treatment data into the designated clinical application accurately and in a timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure that omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare and print lab requisitions for prescribed or stat lab specimens according to laboratory destination.
Collect, label, appropriately prepare, and store lab samples according to laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Infection Control
Assist in collecting information for infection control audits.
Support staff and patient adherence to infection control practices.
Follow infection control policies and procedures.
Participate in and reinforce infection control education of patients and families under the direction of the CM or designee as allowed by state law.
Transitional Care Unit
Follow all newly admitted patients through their first four weeks of dialysis and coordinate their transitional dialysis care.
Reinforce all education and care‑related matters as it relates to the new patient, as allowed by state law.
Liaise with appropriate FKC staff members to provide the best patient experience, including ensuring that all disciplines are scheduled to see the patient according to plan.
Assist in ensuring patient understanding of home dialysis products, benefits of home dialysis, and how home dialysis can work for them.
Set and perform a treatment on all machines used in the transitional care unit.
Assist in ensuring patient understanding of treatment options, including demonstration of the peritoneal dialysis set‑up.
Assist with coordination of transition to the patient’s modality choice.
Assist with supply ordering and inventory for the TCU.
Physical Demands and Working Conditions
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, 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 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 heavier items.
Reasonable Accommodation and Color Blindness Test
Employees are required to take the Ishihara Color Blindness test as a condition of employment. Failure does not preclude employment; the company will consider reasonable accommodations.
Employees must undergo the Ishihara test; the test result does not preclude employment. The company will consider whether reasonable accommodations can be made.
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.
Demonstrated commitment to organization culture, values, and customer service standards.
Experience and Required Skills
Previous patient‑care experience in a hospital setting or a related facility preferred.
Continued employment is dependent on successful completion of the organization’s dialysis training program and successful completion of CPR certification.
Compensation and Benefits
Hourly Rate: $24.00 – $32.00
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.
Drug‑Free Workplace
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
Equal Opportunity Statement
We are an equal‑opportunity employer. EOE, disability/veterans.
#J-18808-Ljbffr
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 and procedures, and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines and the maintenance of a safe and clean working environment. Supports the organization’s commitment to the Quality Enhancement Program (QEP) and Continuous Quality Improvement (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’s QEP goals.
Principal Duties and Responsibilities
Patient‑Related
Education
Assist other health care members in providing patient‑specific detailed education regarding adequacy measures where appropriate, including Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Treatment
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and administer heparin as delegated or as allowed by state law.
Obtain necessary pre‑ and post‑treatment vital signs and weight, and perform vascular access evaluation prior to treatment.
Initiate dialysis treatment according to prescribed orders including blood flow (Q_B) and dialysate flow (Q_D).
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 and 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, including standing and 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.
Calculate and enter individual patients’ dialysis machine programming for ultrafiltration (UF) goal, treatment time, and UF modeling as prescribed.
Ensure 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.
Accurately document information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information 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.
Monitor patients performing self‑care under the supervision of RN.
Staff‑Related
Assist in training applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Education and Communication
Follow 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 surfaces, chairs, 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 the Solution Delivery System (SDS).
Record Keeping
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enter all treatment data into the designated clinical application accurately and in a timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure that omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare and print lab requisitions for prescribed or stat lab specimens according to laboratory destination.
Collect, label, appropriately prepare, and store lab samples according to laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Infection Control
Assist in collecting information for infection control audits.
Support staff and patient adherence to infection control practices.
Follow infection control policies and procedures.
Participate in and reinforce infection control education of patients and families under the direction of the CM or designee as allowed by state law.
Transitional Care Unit
Follow all newly admitted patients through their first four weeks of dialysis and coordinate their transitional dialysis care.
Reinforce all education and care‑related matters as it relates to the new patient, as allowed by state law.
Liaise with appropriate FKC staff members to provide the best patient experience, including ensuring that all disciplines are scheduled to see the patient according to plan.
Assist in ensuring patient understanding of home dialysis products, benefits of home dialysis, and how home dialysis can work for them.
Set and perform a treatment on all machines used in the transitional care unit.
Assist in ensuring patient understanding of treatment options, including demonstration of the peritoneal dialysis set‑up.
Assist with coordination of transition to the patient’s modality choice.
Assist with supply ordering and inventory for the TCU.
Physical Demands and Working Conditions
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, 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 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 heavier items.
Reasonable Accommodation and Color Blindness Test
Employees are required to take the Ishihara Color Blindness test as a condition of employment. Failure does not preclude employment; the company will consider reasonable accommodations.
Employees must undergo the Ishihara test; the test result does not preclude employment. The company will consider whether reasonable accommodations can be made.
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.
Demonstrated commitment to organization culture, values, and customer service standards.
Experience and Required Skills
Previous patient‑care experience in a hospital setting or a related facility preferred.
Continued employment is dependent on successful completion of the organization’s dialysis training program and successful completion of CPR certification.
Compensation and Benefits
Hourly Rate: $24.00 – $32.00
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave.
Drug‑Free Workplace
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
Equal Opportunity Statement
We are an equal‑opportunity employer. EOE, disability/veterans.
#J-18808-Ljbffr