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.
- Obtain pre and post-treatment vital signs and weight.
- Initiate dialysis treatment according to prescribed orders.
- Monitor patients' response to dialysis therapy and intervene as needed.
- Discontinue dialysis treatment, obtain hemostasis, and apply 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.
- Conduct machine safety checks and report any unusual findings.
- Perform and document interventions for unusual patient status and document patients' response.
- Evaluate patients’ vascular access during treatment, document, and report findings.
- Obtain all prescribed laboratory testing and prepare specimens for collection.
- Clean blood spills immediately according to facility policy.
- Prepare, organize, and utilize supplies and equipment efficiently.
- Monitor patients performing self-care under the supervision of an RN.
- Assist in training of 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 Continuous Quality Improvement (CQI) activities.
- Enter all treatment data into the designated clinical application accurately and timely.
- Review treatment sheets for completeness and ensure all entries are completed or corrected.
- 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 demonstration of peritoneal dialysis setup.
- 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.
- Must take the Ishihara's Color Blindness test as a condition of employment.
Skills
- Hemodialysis machine operation
- Vascular access cannulation
- Patient monitoring
- Dialysis treatment initiation and discontinuation
- Documentation
- Infection control practices
- Basic Life Support (BLS)/CPR certification
Location
- Community
Work Type
- Full-time
Experience Level
- Entry Level
- Experienced
Education Level
- High school diploma or G.E.D.
- State and/or national certification requirements
- All appropriate state licensure, education, and training
Salary/Compensations
- $17.00 - $27.00 per hour
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) with company match
- Paid time off
- Parental leave
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.
