Fresenius Medical Care
Purpose and Scope
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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, and support the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI activities, including patient satisfaction initiatives and participation in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
Principal Duties and Responsibilities Patient Education
Assist other health care members in providing patient-specific detailed education regarding adequacy measures, including Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Patient Treatment
Welcome assigned patients and inquire as to their well‑being since their last treatment.
Evaluate vascular access for patency.
Obtain necessary pre- and post-treatment vital signs and weight.
Perform vascular access evaluation pre-treatment.
Perform vascular access cannulation.
Administer heparin as delegated or as allowed by state law.
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.
Evaluate patient prior to termination of venous access—standing and 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, sodium (Na) modeling, 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 onto the Hemodialysis Treatment Sheet with initial identification.
Document information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor.
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse 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 and report any unusual findings to the PCT III (if applicable) or nurse supervisor.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Maintenance/Technical
Maintain environmental integrity and aesthetics—ensure all areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chair equipment, and surrounding area between treatments according to facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
Perform all required pretreatment dialysis machine alarm testing, including Pressure Holding (PHT).
Initiate Solution Delivery System (SDS).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.
Record Keeping
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; ensure nursing signatures are documented and correct omitted entries where appropriate.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare lab requisitions for prescribed or stat lab specimens according to laboratory destination.
Collect, label, appropriately prepare, and store lab samples per required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Physical Demands and Working Conditions
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara Color Blindness test as a condition of employment. Failing the test does not preclude employment; the company will consider whether reasonable accommodations 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. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 ft. There is a two‑person assist program and material assist devices for the heavier items.
Education and Licenses
High School diploma or G.E.D. required.
Must 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.
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 FMCNA dialysis training program and successful completion of CPR certification.
Compensation The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $20.00 – $33.00
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
Dialysis certification and recent experience required.
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Principal Duties and Responsibilities Patient Education
Assist other health care members in providing patient-specific detailed education regarding adequacy measures, including Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and disease process/access.
Patient Treatment
Welcome assigned patients and inquire as to their well‑being since their last treatment.
Evaluate vascular access for patency.
Obtain necessary pre- and post-treatment vital signs and weight.
Perform vascular access evaluation pre-treatment.
Perform vascular access cannulation.
Administer heparin as delegated or as allowed by state law.
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.
Evaluate patient prior to termination of venous access—standing and 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, sodium (Na) modeling, 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 onto the Hemodialysis Treatment Sheet with initial identification.
Document information related to patient treatment, including completion of the Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor.
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse 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 and report any unusual findings to the PCT III (if applicable) or nurse supervisor.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Maintenance/Technical
Maintain environmental integrity and aesthetics—ensure all areas are safe and clean.
Clean and disinfect dialysis machine surfaces, chair equipment, and surrounding area between treatments according to facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
Perform all required pretreatment dialysis machine alarm testing, including Pressure Holding (PHT).
Initiate Solution Delivery System (SDS).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.
Record Keeping
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; ensure nursing signatures are documented and correct omitted entries where appropriate.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare lab requisitions for prescribed or stat lab specimens according to laboratory destination.
Collect, label, appropriately prepare, and store lab samples per required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
Physical Demands and Working Conditions
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara Color Blindness test as a condition of employment. Failing the test does not preclude employment; the company will consider whether reasonable accommodations 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. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 ft. There is a two‑person assist program and material assist devices for the heavier items.
Education and Licenses
High School diploma or G.E.D. required.
Must 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.
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 FMCNA dialysis training program and successful completion of CPR certification.
Compensation The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $20.00 – $33.00
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.
Dialysis certification and recent experience required.
#J-18808-Ljbffr