Functions as part of the Inpatient Services Hemodialysis Health Care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) in the dialysis suite in the acute setting; excluding Intensive Care Units. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN. Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies). Will be responsible for assuring the dialysis machine has been set up, tested and found to be safe for dialysis treatment in accordance with manufacturer instructions for use and company policy and procedures. Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN. Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN. Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN. Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES). Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160). Collects, labels specimens and ensures timely delivery to laboratory per facility policy. Evaluates intradialytic problems and provides intervention as prescribed by physician’s order or as directed by FMCNA RN. Monitors patient’s response to dialysis therapy and report any unusual findings to FMCNA RN. Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation. Reports any change or unusual findings to FMCNA RN. Evaluates patient prior to termination of venous access – standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN. Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. Assist with various projects as assigned by direct supervisor or supervising RN. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. Physical demands include personal computer work while standing and sitting, interaction with patients, facility staff and physicians. Requires travel between assigned facilities and various locations within the community. 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. 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. Requires frequent, prolonged periods of standing and ability to bend over. May occasionally assist in moving 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 feet. There is a two-person assist program and “material assist” devices for the heavier items. Education required is High School Diploma. No experience required but at least 6 months’ experience is preferred in related fields such as EMT, Surgical Technicians, Army, Phlebotomists, and technicians. Must obtain CCHT within 18 months of hire. Effective communication skills – both verbal and written are required. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Failing the Ishihara Test does not preclude employment. The company will consider reasonable accommodations. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
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