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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 improvement activities.

Responsibilities

• Assist in providing patient education regarding 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 and monitor dialysis treatments according to prescribed orders.
• Evaluate and intervene in intradialytic problems.
• Discontinue dialysis treatments and evaluate patient prior to termination of venous access.
• Obtain hemostasis and apply appropriate 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.
• Report significant patient information or condition changes to the registered nurse or supervisor.
• Observe patients and conduct machine safety checks.
• Perform and document interventions for unusual patient status.
• Evaluate patients’ vascular access during treatment and report findings.
• Obtain all prescribed laboratory testing and prepare specimens for collection.
• Clean blood spills immediately.
• Prepare, organize, and utilize supplies and equipment efficiently.
• Monitor patients performing self-care under RN supervision.
• Assist in training of direct patient care staff.
• Maintain environmental integrity and ensure all areas are safe and clean.
• Clean and disinfect dialysis machine, equipment, and surrounding area between treatments.
• Conduct all tasks for preparation for dialysis treatment and perform required 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.
• Review treatment sheets for completeness and ensure accuracy.
• 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.
• Assure patient understanding of home dialysis products and benefits.
• Set up and perform treatments on all machines in the transitional care unit.
• Assist in assuring patient understanding of treatment options, including peritoneal dialysis setup.
• Assist with coordination of transition to patient’s modality choice.
• Assist with supply ordering and inventory for TCU.

Requirements

• 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.
• Successful completion of the organization dialysis training program is required for continued employment.
• Successful completion of CPR certification is required for continued employment.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment.
• Must be able to bend over.
• Must be able to lift and lower solutions up to 30 lbs frequently, and up to 40 lbs occasionally.

Skills

• Dialysis machine operation
• Vascular access cannulation
• Patient assessment
• Vital signs monitoring
• Heparin administration
• Hemostasis
• Laboratory specimen collection
• Infection control practices
• Electronic health record documentation
• Continuous Quality Improvement (CQI)
• CPR certification

Location

• Various locations within the community

Work Type

• Full-time
• Rotating 10-hour shifts
• PM Shift

Experience Level

• Dialysis experience

Education Level

• High School diploma or G.E.D.
• State and/or national certification requirements

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.