Fresenius Medical Care
Patient Care Technician - PCT CCHT - Dialysis
Fresenius Medical Care, Santa Rosa, California, us, 95402
Patient Care Technician - PCT CCHT – Dialysis
at Fresenius Medical Care
Functions as part of the dialysis house‑hold 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 continuous quality improvement activities.
Principal Duties and Responsibilities Patient Related
Assist other health‑care members in providing patient‑specific education regarding adequacy measures where appropriate – e.g., Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Welcome assigned patients and inquire about their well‑being since their last treatment.
Evaluate vascular access for patency, perform cannulation, and administer heparin as delegated.
Obtain necessary pre‑ and post‑treatment vital signs, weights, and evaluate vascular access before treatment.
Initiate dialysis treatment per prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and intervene as prescribed by physician order or as directed.
Monitor patient's response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for discontinuation of treatment – document.
Discontinue dialysis per established procedures and evaluate patient prior to termination of venous access – assess 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.
Calculate and enter individual patients’ dialysis machine programming for ultrafiltration (UF) goal, treatment time, and UF modeling as prescribed.
Ensure appropriate safety alarms are enabled, including narrow venous limits (NVL 160).
Record accurate and timely information regarding vital signs and treatment parameters on the Hemodialysis Treatment Sheet with initial identification.
Document all information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and progress notes if applicable.
Report any significant changes in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks per facility policy; report any changes or unusual findings to the RN or supervisor.
Perform and document any interventions for unusual patient status and record patients' response.
Evaluate vascular access during treatment, including arterial and venous monitoring pressures; provide appropriate intervention and report unusual findings.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant per facility policy.
Prepare, organize, and utilize supplies and equipment efficiently to prevent wastage.
Monitor patients performing self‑care under RN supervision.
Staff Related
Assist in training of direct patient‑care staff on appropriate programs under nurse supervision.
Education and Communication
Follow 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 per facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate; perform pretreatment machine alarm testing including pressure holding (PHT).
Initiate Solution Delivery System (SDS) system.
Record Keeping
Complete and document ongoing participation in CQI activities.
Enter all treatment data into the designated clinical application accurately and timely.
Review treatment sheets for completeness, ensure nursing signatures are documented, and correct any omissions.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare and print lab requisitions for prescribed or stat lab specimens per laboratory destination.
Collect, label, appropriately prepare, and store lab samples per required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Infection Control
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 under CM or designee direction, as allowed by state law.
Transitional Care Unit
Follow all newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care.
Reinforce all education and care related matters as it relates to the new patient, as allowed by state law.
Liaise with appropriate staff members to ensure the best patient experience, including scheduling disciplines per plan.
Assist in assuring patient understanding of home dialysis products and how home dialysis can work for them.
Set and perform 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 the TCU.
Physical Demands and Working Conditions
The work includes desk and personal computer work and interaction with patients, staff, and physicians. Travel between assigned facilities and various community locations may be required. Regional, Business Unit, and Corporate meetings may also involve travel.
The environment is characteristic of a health‑care facility with air temperature control and moderate noise levels. Exposure to infectious and contagious diseases/materials may occur.
Direct patient care involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may assist. Frequent prolonged standing and bending are required. Employee may occasionally push or pull equipment, exerting up to 15 lbs of force; lift and lower solutions up to 30 lbs regularly, up to 40 lbs occasionally, and up to 5 ft. A two‑person assist program and material assist devices are available for heavier items.
Education and Licenses
High school diploma or G.E.D. required.
Meet 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.
Experience and Required Skills
Previous patient‑care experience in a hospital setting or related facility preferred.
Continuing employment depends on successful completion of the organization dialysis training program and CPR certification.
Hourly Rate: $24.00 – $32.00
Benefit Overview: Comprehensive benefits package including medical, dental, and vision insurance; 401(k) with company match; paid time off; parental leave.
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
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at Fresenius Medical Care
Functions as part of the dialysis house‑hold 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 continuous quality improvement activities.
Principal Duties and Responsibilities Patient Related
Assist other health‑care members in providing patient‑specific education regarding adequacy measures where appropriate – e.g., Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Welcome assigned patients and inquire about their well‑being since their last treatment.
Evaluate vascular access for patency, perform cannulation, and administer heparin as delegated.
Obtain necessary pre‑ and post‑treatment vital signs, weights, and evaluate vascular access before treatment.
Initiate dialysis treatment per prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and intervene as prescribed by physician order or as directed.
Monitor patient's response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for discontinuation of treatment – document.
Discontinue dialysis per established procedures and evaluate patient prior to termination of venous access – assess 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.
Calculate and enter individual patients’ dialysis machine programming for ultrafiltration (UF) goal, treatment time, and UF modeling as prescribed.
Ensure appropriate safety alarms are enabled, including narrow venous limits (NVL 160).
Record accurate and timely information regarding vital signs and treatment parameters on the Hemodialysis Treatment Sheet with initial identification.
Document all information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and progress notes if applicable.
Report any significant changes in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks per facility policy; report any changes or unusual findings to the RN or supervisor.
Perform and document any interventions for unusual patient status and record patients' response.
Evaluate vascular access during treatment, including arterial and venous monitoring pressures; provide appropriate intervention and report unusual findings.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant per facility policy.
Prepare, organize, and utilize supplies and equipment efficiently to prevent wastage.
Monitor patients performing self‑care under RN supervision.
Staff Related
Assist in training of direct patient‑care staff on appropriate programs under nurse supervision.
Education and Communication
Follow 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 per facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate; perform pretreatment machine alarm testing including pressure holding (PHT).
Initiate Solution Delivery System (SDS) system.
Record Keeping
Complete and document ongoing participation in CQI activities.
Enter all treatment data into the designated clinical application accurately and timely.
Review treatment sheets for completeness, ensure nursing signatures are documented, and correct any omissions.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare and print lab requisitions for prescribed or stat lab specimens per laboratory destination.
Collect, label, appropriately prepare, and store lab samples per required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Infection Control
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 under CM or designee direction, as allowed by state law.
Transitional Care Unit
Follow all newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care.
Reinforce all education and care related matters as it relates to the new patient, as allowed by state law.
Liaise with appropriate staff members to ensure the best patient experience, including scheduling disciplines per plan.
Assist in assuring patient understanding of home dialysis products and how home dialysis can work for them.
Set and perform 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 the TCU.
Physical Demands and Working Conditions
The work includes desk and personal computer work and interaction with patients, staff, and physicians. Travel between assigned facilities and various community locations may be required. Regional, Business Unit, and Corporate meetings may also involve travel.
The environment is characteristic of a health‑care facility with air temperature control and moderate noise levels. Exposure to infectious and contagious diseases/materials may occur.
Direct patient care involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may assist. Frequent prolonged standing and bending are required. Employee may occasionally push or pull equipment, exerting up to 15 lbs of force; lift and lower solutions up to 30 lbs regularly, up to 40 lbs occasionally, and up to 5 ft. A two‑person assist program and material assist devices are available for heavier items.
Education and Licenses
High school diploma or G.E.D. required.
Meet 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.
Experience and Required Skills
Previous patient‑care experience in a hospital setting or related facility preferred.
Continuing employment depends on successful completion of the organization dialysis training program and CPR certification.
Hourly Rate: $24.00 – $32.00
Benefit Overview: Comprehensive benefits package including medical, dental, and vision insurance; 401(k) with company match; paid time off; parental leave.
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
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