Metro-NY Inpatient Dialysis Area Float PCT - Fresenius Medical Care
Company: Fresenius Medical Care
Location: Valhalla
Posted on: April 24, 2024
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Job Description:
PURPOSE AND SCOPE: 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. PRINCIPAL DUTIES AND
RESPONSIBILITIES: Provides patient care under the direct visual
supervision of a Registered Nurse (FMCNA RN) or in a treatment room
immediately adjacent to an RN. Responsible for reporting and
documenting all new and unusual incidents, information, complaints,
or problems to the RN. Promotes and assists in the maintenance of a
safe and clean working environment. Supports the FMCNA commitment
to the Quality Enhancement Program (QEP) and Quality Assessment and
Performance Improvement (QAI) 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). Promotes and
assists in meeting Total Area Productivity goals (TAP). With
documented competency and proficiency may set up and prime
equipment as directed by the Fresenius Nurse for renal replacement
therapies (hemodialysis, continuous renal replacement and
peritoneal dialysis therapies). Welcomes assigned patients and
inquires as to their well-being since their last treatment. Reports
any complaints or observations to the FMCNA RN. Evaluates vascular
access for patency and reports any unusual findings to FMCNA RN.
Obtains necessary pre and post treatment vital signs and weight.
Reports unusual findings to FMCNA RN. Performs vascular access
cannulation and reports any difficulties in cannulation or unusual
findings to FMCNA RN. 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 and report any
unusual findings to FMCNA RN. Obtains vital signs prior to
reinfusion; performing all relevant functions necessary for the
discontinuation of treatment- documentation. Reports any change or
unusual findings to FMCNA RN. 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, documents
and reports any unusual findings to the FMCNA RN. 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. Other duties as
required. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical
demands and work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions. Day-to-day work includes desk and personal
computer work, interaction with patients, facility staff and
physicians. The position requires travel between assigned
facilities and various locations within the community. Travel to
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 and the employee must be able to bend over. The
employee may occasionally be required to assist in moving 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-person assist program and "material assist" devices for the
heavier items. SUPERVISION: None EDUCATION: High School Diploma
required EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years' related
experience. Certified Clinical Hemodialysis Certification (CCHT)
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: Inpatient Services:
MAINTENANCE/TECHNICAL: Maintains environmental integrity and
aesthetics-ensure all areas are safe and clean. Cleans and
disinfects dialysis machine surfaces, chair, equipment, and
surrounding areas between treatments according to inpatient renal
services policies. Conducts all tasks necessary for preparation for
dialysis treatment and document where appropriate. Performs all
required pre-treatment dialysis machine alarm testing, including
Pressure Holding Test (PHT) and Diasafe test. Operates all related
equipment appropriately and safely and provides minor
trouble-shooting when necessary Safely starts and shuts down
solution delivery system (SDS). Ensures all blood spills are
immediately cleaned with appropriate disinfectant according to
facility FMS Policy. Prepare, organize, and efficiently utilize
supplies and equipment to prevent waste. Inventories supplies
weekly to ensure PAR levels are met by both FMCNA and host
facility. CLERICAL & ADMINISTRATIVE: Completes and documents
ongoing participation in Quality Assessment Performance Improvement
Program (QAPI) activities. Enters all treatment data into the
designated clinical application accurately and in a timely manner.
Reviews treatment sheets for completeness ensuring signatures are
documented, and that omitted entries are completed or corrected
where appropriate. Reviews equipment logs for completeness ensuring
there is daily documentation regardless of equipment use. Employee
Name (Please Print): Employee Signature: Date: Sharp Memorial
Hospital The Patient Care duties described in this job description
may only be carried out under the supervision of a nurse. All
applicable policies and procedures in the contract between FMCNA
and Sharp supersede FMCNA job documentation for this position
Employee Name (Please Print): Employee Signature: Date: 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 Care, New Rochelle , Metro-NY Inpatient Dialysis Area Float PCT - Fresenius Medical Care, Healthcare , Valhalla, New York
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