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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 Enhancement Programs and Continuous Quality Improvement activities.

Responsibilities

Assist other health care members in providing patient specific detailed education regarding adequacy measures.
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin.
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment.
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
Monitor patients’ response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment.
Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access.
Obtain Hemostasis and apply appropriate dressings.
Evaluate the patient prior to discharge.
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification.
Calculate and enter individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
Ensure that all appropriate safety alarms are enabled.
Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet.
Accurately document information related to patient treatment including completion of Hemodialysis Treatment Sheet and progress notes.
Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks according to facility policy.
Perform and document any intervention for unusual patient status and document patients' response to intervention.
Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
Monitor patients performing self-care under the supervision of RN.
Assist in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Follow all organization business policies, procedures and systems incorporated into training.
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 document where appropriate.
Perform all 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 in an accurate and timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare/print lab requisitions for prescribed or stat Lab specimens.
Collect, label, appropriately prepare and store lab samples according required 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 coordinating their transitional dialysis care.
Reinforce all education and care related matters as it relates to the new patient.
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 the peritoneal dialysis set-up.
Assist with coordination of transition to patient’s modality choice.
Assist with supply ordering and inventory for TCU.

Requirements

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 and successful completion of CPR certification.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment.
The Company will consider whether reasonable accommodations can be made for failing the Ishihara Test for Color Blindness.

Skills

Dialysis therapy
Hemodialysis machine setup and operation
Patient assessment
Vascular access cannulation
Heparin administration
Vital signs monitoring
Patient monitoring
Machine safety checks
Laboratory specimen collection
Infection control practices
CPR certification

Location

North America

Work Type

Full-time

Experience Level

Entry Level

Education Level

High School Diploma or GED
State or national certification

Salary/Compensations

$15.00 - $24.00 per hour

Benefits

Major holidays off
12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator
Up to $4,400 tuition reimbursement per calendar year

About the Company

America's 'Most Loved Workplaces' by Newsweek
70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America
Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and home to the country's largest renal specialty laboratories
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.