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About the Role

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. Responsible for the setup and operation of hemodialysis machines and maintaining a safe and clean working environment. Supports the organization's commitment to Quality Enhancement Programs and Continuous Quality Improvement (CQI) activities.

Responsibilities

• Assist in providing patient-specific education regarding dialysis adequacy measures and disease process/access.
• Evaluate vascular access, perform cannulation, and administer heparin as delegated or allowed by state law.
• Obtain pre and post-treatment vital signs and weight.
• Initiate dialysis treatment according to prescribed orders.
• Evaluate and intervene in intradialytic problems as prescribed.
• Monitor patients' response to dialysis therapy.
• Perform and document discontinuation of treatment, including obtaining hemostasis and applying dressings.
• Calculate and program dialysis machine settings for Ultrafiltration (UF) goal, treatment time, and UF modeling.
• Ensure safety alarms are enabled.
• Record accurate and timely treatment data on the Hemodialysis Treatment Sheet.
• Report significant patient information or condition changes to the registered nurse or supervisor.
• Observe patient and conduct machine safety checks, reporting any findings.
• Perform and document interventions for unusual patient status and their response.
• Evaluate patients’ vascular access during treatment, document, and report findings.
• Obtain all prescribed laboratory testing and prepare specimens.
• Clean blood spills immediately according to facility policy.
• Prepare, organize, and utilize supplies and equipment efficiently.
• Monitor patients performing self-care under RN supervision.
• Assist in training applicable direct patient care staff.
• Maintain environmental integrity and aesthetics; ensure all areas are safe and clean.
• Clean and disinfect dialysis machine, chair, equipment, and surrounding area between treatments.
• Perform all required pre-treatment dialysis machine alarm testing.
• Initiate Solution Delivery System (SDS) system.
• Complete and document ongoing participation in CQI activities.
• Enter all treatment data into the designated clinical application accurately and timely.
• Review treatment sheets for completeness and ensure proper documentation.
• Prepare initial patient chart for admission and compile paperwork.
• Prepare/print lab requisitions and collect, label, prepare, and store lab samples.
• Ensure collection of lab specimens by appropriate lab courier.
• Assist in collecting information for infection control audits.
• Support staff and patient adherence to infection control practices.
• Follow infection control policies and procedures.
• Reinforce infection control education of patients and families.
• Follow newly admitted patients through their first 4 weeks of dialysis and coordinate transitional care.
• Reinforce education and care related matters for new patients.
• Liaise with appropriate staff to provide the best patient experience.
• Assist in assuring patient understanding of home dialysis products and benefits.
• Set and perform treatments on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options, including peritoneal dialysis setup demonstration.
• Assist with coordination of transition to patient’s modality choice.
• Assist with supply ordering and inventory for TCU.

Requirements

• 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.
• Successful completion of CPR certification is required for continued employment.
• Must take the Ishihara's Color Blindness test as a condition of employment.

Skills

• Dialysis therapy
• Hemodialysis machine operation
• Patient assessment
• Vascular access cannulation
• Heparin administration
• Vital signs monitoring
• Dialysis treatment initiation and discontinuation
• Problem-solving during dialysis
• Documentation
• Laboratory specimen collection and preparation
• Infection control practices
• Communication
• Teamwork

Location

• Community

Work Type

• Full-time

Experience Level

• Preferred previous patient care experience in a hospital setting or related facility

Education Level

• 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.

Salary/Compensations

• $18.00 - $29.00 per hour

Benefits

• Drug-free workplace

About the Company

• Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Equal Opportunity

• Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors.