Inpatient Services CCHT
Company: Fresenius Medical Center
Location: Port Saint Lucie
Posted on: June 25, 2022
Requires Travel to Facilities in Vero Beach and Melbourne
5,000.00 dollar sign on bonus for this CCHT Acute PCT
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. 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).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Assist 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
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.
Perform administration of Heparin as delegated or as allowed by
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 -
Discontinue dialysis treatment according to established
Evaluate patient prior to termination of venous access - 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.
Responsible for calculating and entry of individual patients'
dialysis machine programming for Ultrafiltration (UF) goal;
treatment time; Sodium (Na) modeling; and UF modeling as
Responsible for ensuring 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
Responsible for accurate documentation of information related to
patient treatment including completion of 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
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 document and report any unusual findings to
the PCT III (if applicable) or nurse supervisor.
Obtain all prescribed laboratory testing and prepare specimens for
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 according to facility
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) system.
Ensure that all blood spills are immediately cleaned with
appropriate disinfectant according to facility policy.
Prepare organize and efficiently utilize supplies and equipment to
Complete and document ongoing participation in Continuous Quality
Improvement (CQI) activities.
Enters all treatment data into the designated clinical application
in an accurate and timely manner.
Review treatment sheets for completeness ensure nursing signatures
are documented and ensure omitted entries are completed or
corrected 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 according
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's Color Blindness test
as a condition of employment. Note that: Failing the Ishihara Test
for Color Blindness 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 feet. 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 Center for Medicaid/Medicare Services (CMS)-approved
state and/or national certification requirements within the
required state or CMS timeline.
All appropriate state licensure education and training (if any)
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
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual
Fresenius Medical Care North America maintains a drug-free
workplace in accordance with applicable federal and state laws.
Keywords: Fresenius Medical Center, Port St. Lucie , Inpatient Services CCHT, Other , Port Saint Lucie, Florida
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