PURPOSE AND SCOPE:nnSupports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.nnFunctions 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. Supports the FMCNA 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 FMC Quality Enhancement Goals (QEP).nnDUTIES / ACTIVITIES:nnCUSTOMER SERVICE:nnResponsible for driving the FMS culture through values and customer service standards.nnAccountable for outstanding customer service to all external and internal customers.nnDevelops and maintains effective relationships through effective and timely communication.nnTakes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.nnPRINCIPAL RESPONSIBILITIES AND DUTIESnnPATIENT CARE:nnAssist 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.nnWelcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.nnEvaluate vascular access for patency and report any unusual findings to nurse supervisor.nnObtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.nnPerform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.nnPerform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.nnPerform administration of Heparin as delegated or as allowed by state law.nnInitiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).nnEvaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.nnMonitor patients’ response to dialysis therapy and report any unusual findings to nurse supervisor.nnObtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.nnDiscontinue dialysis treatment according to established procedures,nnEvaluate patient prior to termination of venous access - standing & sitting blood pressure.nnObtain Hemostasis and apply appropriate dressings.nnEvaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.nnPerform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.nnResponsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.nnResponsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.nnRecord accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.nnResponsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.nnReport any significant information and/or change in patient condition directly to the nurse supervisor.nnObserve patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.nnPerform and document any intervention for unusual patient status and document patients' response to intervention.nnEvaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.nnObtain all prescribed laboratory testing and prepare specimens for collection.nnMAINTENANCE/TECHNICAL:nnMaintain environmental integrity and aesthetics - ensure all areas are safe and clean.nnClean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.nnConduct all tasks necessary for preparation for dialysis treatment and document where appropriate.nnPerform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).nnInitiate Solution Delivery System (SDS) system.nnEnsure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.nnPrepare, organize, and efficiently utilize supplies and equipment to prevent wastage.nnCLERICAL & ADMINISTRATIVE:nnComplete and document ongoing participation in Continuous Quality Improvement (CQI) activities.nnEnters all treatment data into the designated clinical application accurately and in a timely manner.nnReview treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.nnPrepare initial patient chart for admission and compile paperwork for appropriate placement in chart.nnPrepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.nnCollect, label, appropriately prepare and store lab samples according required laboratory specifications.nnEnsure collection of lab specimens by appropriate lab courier.nnOTHER:nnPerform additional duties as assigned.nnADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):nnAssisting the HT RN:nnMay assist HT RN on Home Visit as directednnReinforces PD / HHD education under supervision of qualified HT RNnnSchedules and contacts patients regarding appointmentsnnWeigh patient and obtain vital signsnnCollect treatment records and review for completion. Notify RN of incomplete / missing records.nnCleaning and prepping treatment room; prep chartsnnPreparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)nnClerical duties as assigned (faxing, mailing to physician offices etc.)nnObtain home hemo water sampling as directed by the HT RNnnSet-up of the home hemo machine and PD Cycler.nnAssist with exit site care when directed by HT RN.nnWarm dialysate solution when directed by the HT RNnnDraw dialysate solution for testing as directed by the HT RNnnCreates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)nnAssembles/breaks down charts/thins chartsnnMaintains logs as directed and applicablennInventory of Home ProgramnnMaintains par levels of home department suppliesnnFiles home patient packing slips/invoicesnnInventory for PatientsnnAssists patient with supply management and contacting customer servicennPHYSICAL DEMANDS AND WORKING CONDITIONS:nnThe 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.nnEmployees are required to take the Ishihara’s Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.nnDay 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.nnThe 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/materialsnnThe 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 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.nnEDUCATIONnnCenter for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.nnAll appropriate state licensure, education and training (if any) required.nnEXPERIENCE AND REQUIRED SKILLSnnPrevious patient care experience in a hospital setting or related facility preferred.nnContinued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.nnEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentitynnFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.