Metro-NY Inpatient Dialysis Area Float PCT
Company: Fresenius Medical Care
Location: Newark
Posted on: April 16, 2024
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Job Description:
PURPOSE AND SCOPE:Functions as part of the 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.PRINCIPAL DUTIES AND
RESPONSIBILITIES:Provides patient care under the direct visual
supervision of a Registered Nurse (FMCNA RN) or in a treatment room
immediately adjacent to an RN. 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 FMC Quality Enhancement Goals (QEP). - - -Promotes
and assists in meeting Total Area Productivity goals (TAP).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).Welcomes assigned patients and
inquires as to their well-being since their last treatment. Reports
any complaints or observations to the FMCNA RN.Evaluates vascular
access for patency and reports any unusual findings to FMCNA
RN.Obtains necessary pre and post treatment vital signs and weight.
Reports unusual findings to FMCNA RN.Performs vascular access
cannulation and reports any difficulties in cannulation or unusual
findings to FMCNA RN.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).Records accurate and timely information regarding vital signs
and treatment parameters onto the Hemodialysis Treatment Sheet with
initial identification.Initiates renal replacement treatment
according to prescribed orders including setting blood flow rate
(QB) and dialysate flow rate (QD) or peritoneal dialysis as
prescribed by the attending nephrologist.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.Performs and document any intervention
for unusual patient status and document patients' response to
intervention.Evaluates patients' vascular access during treatment
including arterial and venous monitoring pressures, provides
appropriate intervention as needed, documents and reports any
unusual findings to the FMCNA RN.Discontinues dialysis treatment
according to established procedures.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 RNPerforms
and records Pre and Post dialysis evaluation, weight and vital
signs with initial identification.Other duties as required.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.Day-to-day work includes desk and personal computer work,
interaction with patients, facility staff and physicians.The
position requires travel between assigned facilities and various
locations within the community.Travel to 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 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.SUPERVISION:NoneEDUCATION:High School Diploma
requiredEXPERIENCE AND REQUIRED SKILLS: -1 - 2 years' related
experience.Certified Clinical Hemodialysis Certification (CCHT)
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 Signature:Date:ADDENDUM:Inpatient Services:
MAINTENANCE/TECHNICAL:Maintains environmental integrity and
aesthetics-ensure all areas are safe and clean.Cleans and
disinfects dialysis machine surfaces, chair, equipment, and
surrounding areas between treatments according to inpatient renal
services policies.Conducts all tasks necessary for preparation for
dialysis treatment and document where appropriate.Performs all
required pre-treatment dialysis machine alarm testing, including
Pressure Holding Test (PHT) and Diasafe test.Operates all related
equipment appropriately and safely and provides minor
trouble-shooting when necessarySafely starts and shuts down
solution delivery system (SDS).Ensures all blood spills are
immediately cleaned with appropriate disinfectant according to
facility FMS Policy.Prepare, organize, and efficiently utilize
supplies and equipment to prevent waste.Inventories supplies weekly
to ensure PAR levels are met by both FMCNA and host
facility.CLERICAL & ADMINISTRATIVE:Completes and documents ongoing
participation in Quality Assessment Performance Improvement Program
(QAPI) activities.Enters all treatment data into the designated
clinical application accurately and in a timely manner.Reviews
treatment sheets for completeness ensuring signatures are
documented, and that omitted entries are completed or corrected
where appropriate.Reviews equipment logs for completeness ensuring
there is daily documentation regardless of equipment use.Employee
Name (Please Print):Employee Signature:Date:Sharp Memorial
HospitalThe Patient Care duties described in this job description
may only be carried out under the supervision of a nurse.All
applicable policies and procedures in the contract between FMCNA
and Sharp supersede FMCNA job documentation for this
positionEmployee Name (Please Print):Employee Signature:Date: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 Care, East Orange , Metro-NY Inpatient Dialysis Area Float PCT, Other , Newark, New Jersey
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