Patient Care Technician II
Company: Fresenius Medical Center
Location: Spring
Posted on: January 26, 2023
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Job Description:
**POSITION FEATURES:**Cypress CreekFull TimePCT/CCHT**PURPOSE**
**AND** **SCOPE:**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 in accordance with
organization policies, procedures, and training and in compliance
with regulations set forth by the corporation, state, and federal
agencies. Responsible for the setup and operation of hemodialysis
machines. Assist in the maintenance of a safe and clean working
environment. Supports the organization commitment to the Quality
Enhancement Program (QEP) and CQI Activities, including those
related to patient satisfaction and actively participates in
process improvement activities that enhance the likelihood that
patients will achieve the organization Quality Enhancement Goals
(QEP).**PRINCIPAL** **DUTIES** **AND**
**RESPONSIBILITIES:****Patient Related**Education:+ Assist other
health care members in providing patient specific detailed
education regarding adequacy measures where appropriate - Online
Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea
Kinetic Modeling (UKM), and regarding disease
process/access.Treatment:+ 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 as delegated or as allowed by
state Law.+ 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 - document.+ Discontinue dialysis treatment according to
established procedures and evaluate patient prior to termination of
venous access - standing & sitting blood pressure+ 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+
Responsible for calculating and entry of individual patients'
dialysis machine programming for Ultrafiltration (UF) goal;
treatment time; and UF modeling as prescribed.+ Responsible for
ensuring appropriate safety alarms are enabled, including Narrow
Venous Limits, (NVL) 160.+ Record accurate and timely information
regarding vital signs and treatment parameters onto the
Hemodialysis Treatment Sheet with initial identification+
Responsible for accurate documentation of information related to
patient treatment including completion of Hemodialysis Treatment
Sheet and, if applicable, 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. Report any
change or unusual findings to the registered nurse or supervisor.+
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 to the registered
nurse or supervisor.+ 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.+ Monitors patients
performing self-care under the supervision of RN**Staff Related**+
Assists in training of applicable direct patient care staff on
appropriate programs under the supervision of a nurse.+
Collaborates with the Clinical Manager and Education Coordinator in
driving organization quality standards through education regarding
all ESRD regulatory and legal requirements and the practice of
Continuous Quality Improvement.+ Provides developmental support to
applicable clinical and facility staff.Education/Communication:+
Participates in implementing educational programs for PCT staff
including contests and other team-based programs.+ Assists in
monitoring processes in the delivery of patient care through
regular Continuous Quality Improvement (CQI) activities.+ Follows
all organization business policies, procedures and systems
incorporated into training, including compliance with ethical
business practices+ 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 according to facility policy.+ Conduct all tasks
necessary for preparation for dialysis treatment and document where
appropriate and perform all required pretreatment dialysis machine
alarm testing including Pressure Holding (PHT).+ Initiate Solution
Delivery System (SDS) system.**RECORD KEEPING:**+ Complete and
document ongoing participation in Continuous Quality Improvement
(CQI) activities.+ Enters 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 ensureomitted 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
according to laboratory destination.+ Collect, label, appropriately
prepare and store lab samples according required laboratory
specifications.+ Ensure collection of lab specimens by appropriate
lab courier.**INFECTION CONTROL:**+ Assists in collecting
information for infection control audits.+ Acts as a change agent
for infection control practices within clinic. Under the direction
of the CM or designee monitors staff and patient adherence to
infection control practices.+ Reinforces new hire employee
adherence to infection control Policies and Procedures+ Supports
ongoing staff and patient engagement on infection control practices
under the direction of CM or designee for example participation in
patient lobby days and staff meetings to reinforce infection
control practice.+ Participates in and reinforces infection control
education of patients and families under the direction of the CM or
designee as allowed by state law**TRANSITIONAL CARE UNIT:**+
Follows all newly admitted patients through their first 4 weeks of
dialysis and coordinating their transitional dialysis care+
Reinforces all education and care related matters as it relates to
the new patient as allowed by state law+ Liaisons with appropriate
FKC staff members to provide the best patient experience including
making sure all disciplines are scheduled to see patient according
to plan.+ Assists in assuring patient understanding or home
dialysis products, benefits of home and how home dialysis can work
for them.+ Sets and preforms 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.+ Assists with coordination of
transition to patient's modality choice.+ Assists with supply
ordering and inventory for TCU**PHYSICAL** **DEMANDS** **AND**
**WORKING** **CONDITIONS:**+ The physical demands and work
environment characteristics described here are representative of
those an employeeencounters while performing the essential
functions of this job. Reasonable accommodations may be made to
enableindividuals with disabilities to perform the essential
functions.+ Employees are required to take the Ishihara's Color
Blindness test as a condition of employment. Note that: Failing
theIshihara Test for Color Blindness does not preclude employment.
The Company will consider whether reasonableaccommodations can be
made.+ Day to day work includes desk and personal computer work and
interaction with patients, facility staff, and physicians. The
position requires travel between assigned facilities and various
locations within the community. Travel to regional, Business Unit
and Corporate meetings may be required.+ The work environment is
characteristic of a health care facility with air temperature
control and moderate noise levels. May be exposed to infectious and
contagious diseases/materials+ The position provides direct patient
care that regularly involves heavy lifting and moving of patients
and assisting with
ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof
standing and the employee must be able to bend over. The employee
may occasionally be required to push and/or pull equipment,
exerting up to 15 pounds of force. The employee may be required to
lift and to lower solutions on a frequent basis of up to 30 lbs.,
and on an occasional lift basis up to 40 lbs., as high as 5 feet.
There is a two-person assist program and "material assist" devices
for the heavier items.**EDUCATION** **AND** **LICENSES:**+
HighSchooldiplomaorG.E.D. required.+ Must have a valid PCT national
certification or state specific certification as defined by Center
for Medicaid/Medicare Services
(CMS)Allappropriatestatelicensure,education,andtraining(ifany)
required.+ Demonstrated commitment to organization culture, values,
and customer service standards**EXPERIENCE AND REQUIRED SKILLS**
**:**+ At least two years 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.**ACKNOWLEDGEMENT:**I acknowledge that I have
read and accepted this job description. I understand what is
expected of me in this position, and I am able to perform the
essential functions as outlined with or without reasonable
accommodation. Furthermore, I understand that the duties and
responsibilities listed in this job description are intended only
as illustrations of the various types of work that may be
performed. The omission of specific statements of duties does not
exclude them from the position if the work is similar, related, or
a logical assignment to the position. If I have any questions about
duties and responsibilities not specified in this job description
that I am asked to perform, I should discuss them with my immediate
supervisor or my Human Resources representative.Employee Name
(Please Print)Employee SignatureDate**ADDENDUM:****Home Therapies
Program (Not Home Assist)**This list pertains to task performed in
the Home Therapies program under the direct supervision of the Home
Therapies registered nurse (HT RN) and in compliance with state
law.+ May assist HT RN on Home Visit as directed+ Reinforces PD/HHD
patient education under supervision of HT Registered Nurse as
permitted under state law+ Schedules and contacts patients
regarding appointments+ Weigh patient and obtain vital signs+
Collect patient's treatment records and review for completion.
Notify RN of incomplete / missing records.+ Cleaning and prepping
treatment room; preparing charts prior to clinic visit+ Preparing
lab tubes and requisitions & assisting with lab draw days both pre
and post draw (PCT certified phlebotomy or per state regulations)+
Clerical duties as assigned (faxing, mailing to physician offices
etc.)+ Set-up of the home hemodialysis machine and PD Cycler+
Assist with exit site care when directed by HT RN+ Obtain home
hemodialysis water and dialysate samples and process for testing as
directed by HT RN+ Perform water dialysate collection and
processing for testing as directed by the HT RN+ Creates and sends
patient reminders (supply inventory for order, Kt/V collection,
bringing meds to clinic visit for review)+ Prepare initial patient
chart for admission. Complies and maintains medical records
according to company policy and procedure and in compliance with
all appropriate regulatory requirements+ Maintains logs as directed
and applicable+ Support patient registration and use of connected
health+ Provide patient home support as indicated and permissible
under state law and applicable regulationsInventory of Home
Program+ Maintains par levels of home department supplies+ Files
home patient packing slips/invoicesInventory for Patients+ Assists
patient with supply management and contacting customer
service**EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
Identity****Fresenius Medical Care North America maintains a
drug-free workplace in accordance with applicable federal and state
laws.**
Keywords: Fresenius Medical Center, Houston , Patient Care Technician II, Professions , Spring, Texas
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