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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 assisting in maintaining a safe and clean working environment. Supports the organization's commitment to quality improvement activities.

Responsibilities

• Educate patients on dialysis adequacy measures and disease process.
• Evaluate vascular access, perform cannulation, and administer heparin as delegated.
• Obtain pre and post-treatment vital signs and weight.
• Initiate dialysis treatment according to prescribed orders.
• Evaluate and intervene in intradialytic problems.
• Monitor patients' response to dialysis therapy.
• Discontinue dialysis treatment according to established procedures.
• Obtain Hemostasis and apply appropriate dressings.
• Evaluate patients prior to discharge.
• Perform and record pre and post dialysis evaluation, weight, and vital signs.
• Calculate and enter patients’ dialysis machine programming for Ultrafiltration (UF) goal, treatment time, and UF modeling.
• Ensure appropriate safety alarms are enabled.
• Record accurate and timely information regarding vital signs and treatment parameters.
• Document patient treatment information, including completion of Hemodialysis Treatment Sheet and progress notes.
• Report significant information or changes in patient condition to the registered nurse or supervisor.
• Observe patients and conduct machine safety checks.
• Perform and document interventions for unusual patient status and document patients' response.
• Evaluate patients’ vascular access during treatment, provide intervention, and report findings.
• Obtain all prescribed laboratory testing and prepare specimens for collection.
• Clean blood spills immediately with appropriate disinfectant.
• Prepare, organize, and utilize supplies and equipment efficiently to prevent wastage.
• Monitor patients performing self-care under the supervision of RN.
• Assist in training of applicable direct patient care staff.
• Follow all organization business policies, procedures, and systems.
• 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.
• Conduct all tasks necessary for preparation for dialysis treatment and perform required pretreatment dialysis machine alarm testing.
• Initiate Solution Delivery System (SDS) system.
• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enter all treatment data into the designated clinical application accurately and timely.
• Review treatment sheets for completeness and ensure documentation is accurate.
• Prepare initial patient chart for admission and compile paperwork.
• Prepare/print lab requisitions for prescribed or stat Lab specimens.
• Collect, label, prepare, and store lab samples according to laboratory specifications.
• 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.
• Participate in and reinforce infection control education of patients and families.
• Follow all newly admitted patients through their first 4 weeks of dialysis and coordinate their transitional dialysis care.
• Reinforce all education and care related matters for new patients.
• Liaise with appropriate FKC staff members to provide the best patient experience.
• Assist in assuring patient understanding of home dialysis products and benefits.
• Set and perform a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options, including demonstration of peritoneal dialysis set-up.
• Assist with coordination of transition to patient’s modality choice.
• Assist with supply ordering and inventory for TCU.

Requirements

• Must have an active hemodialysis certification (CCHT or CHT).
• Must have 2 years of dialysis experience.
• 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.
• 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.
• Continued employment is dependent on successful completion of CPR certification.

Skills

• Hemodialysis machine setup and operation
• Patient assessment
• Vascular access cannulation
• Heparin administration
• Vital signs monitoring
• Dialysis treatment initiation and monitoring
• Problem intervention
• Patient education
• Documentation
• Machine safety checks
• Laboratory specimen collection
• Infection control practices
• Continuous Quality Improvement (CQI)
• CPR certification

Location

• Community

Work Type

• Full-time

Experience Level

• 2 years dialysis experience
• Previous patient care experience in a hospital setting or a related facility preferred

Education Level

• High School diploma or G.E.D.
• Active hemodialysis certification (CCHT or CHT)

Salary/Compensations

• $20.00 - $32.00 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.