Patient Care Technician - PCT CCHT - Dialysis
Fresenius Medical Care · Palmdale, CA · 3 wk ago
Healthcare$25–$30/hrFull-time
About the role
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. Responsible for setup and operation of hemodialysis machines, maintenance of a safe and clean working environment, and support of the organization’s Quality Enhancement Program (QEP) and Continuous Quality Improvement (CQI) activities.
Responsibilities
- Patient Related Education:
- Assist in providing patient-specific education on adequacy measures (OLC, AMP, UKM) and disease process/access.
- Treatment:
- Welcome patients and evaluate their well-being since last treatment.
- Assess vascular access for patency, perform cannulation, and administer heparin as delegated or allowed by state law.
- Obtain pre- and post-treatment vital signs and weight; evaluate vascular access pre-treatment.
- Initiate dialysis treatment per prescribed orders (blood flow, dialysate flow).
- Monitor intradialytic problems, patient response, and intervene as prescribed or directed.
- Obtain vital signs prior to reinfusion; perform discontinuation procedures and document.
- Evaluate patient prior to termination of venous access (standing/sitting blood pressure).
- Achieve hemostasis, apply dressings, and evaluate patient prior to discharge.
- Perform and record pre- and post-dialysis evaluations, weight, and vital signs.
- Calculate and program dialysis machine settings (UF goal, treatment time, UF modeling).
- Ensure safety alarms are enabled (e.g., Narrow Venous Limits).
- Document vital signs, treatment parameters, and patient interventions accurately.
- Report significant information or changes in patient condition to the registered nurse or supervisor.
- Conduct machine safety checks and document interventions for unusual patient status.
- Evaluate vascular access during treatment, monitor pressures, and intervene as needed.
- Obtain prescribed laboratory testing and prepare specimens for collection.
- Clean blood spills immediately with appropriate disinfectant per facility policy.
- Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
- Monitor patients performing self-care under RN supervision.
- Staff Related:
- Assist in training direct patient care staff on applicable programs under nurse supervision.
- Education/Communication:
- Follow all organizational policies, procedures, and compliance standards.
- Maintain environmental integrity and aesthetics; ensure all areas are safe and clean.
- Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments.
- Perform all pre-treatment tasks, including dialysis machine alarm testing (e.g., Pressure Holding Test).
- Initiate Solution Delivery System (SDS).
- Record Keeping:
- Document participation in CQI activities.
- Enter treatment data into clinical applications accurately and timely.
- Review treatment sheets for completeness, ensure nursing signatures, and address omitted entries.
- Prepare patient charts for admission and compile necessary paperwork.
- Prepare/print lab requisitions and ensure proper collection, labeling, and storage of specimens.
- Coordinate lab specimen collection with appropriate couriers.
- Infection Control:
- Assist in collecting data for infection control audits.
- Support adherence to infection control practices for staff and patients.
- Follow and reinforce infection control policies and procedures.
- Participate in infection control education for patients and families under direction of CM or designee.
- Transitional Care Unit:
- Coordinate care for newly admitted patients during their first 4 weeks of dialysis.
- Reinforce education and care matters for new patients as allowed by state law.
- Liaison with FKC staff to ensure scheduled visits and optimal patient experience.
- Educate patients on home dialysis products, benefits, and feasibility.
- Set up and perform treatments on all machines in the transitional care unit.
- Assist in demonstrating peritoneal dialysis setup and explaining treatment options.
- Coordinate transition to patient’s chosen modality and assist with supply ordering/inventory.
Requirements
- High School diploma or G.E.D. required.
- Must meet CMS-approved state and/or national certification requirements within the required timeline.
- All appropriate state licensure, education, and training (if any) required.
- Demonstrated commitment to organizational culture, values, and customer service standards.
- Previous patient care experience in a hospital or related facility preferred.
- Successful completion of the organization’s dialysis training program and CPR certification required for continued employment.
- Must pass Ishihara’s Color Blindness test; reasonable accommodations will be considered if failed.
Physical Demands and Working Conditions
- Desk and personal computer work; interaction with patients, staff, and physicians.
- Travel between assigned facilities and community locations; may require travel to regional or corporate meetings.
- Work environment includes air temperature control and moderate noise levels; exposure to infectious/contagious diseases/materials.
- Direct patient care involving heavy lifting, moving patients, and assisting with ambulation (equipment aids or coworkers may assist).
- Frequent, prolonged periods of standing and bending over.
- Occasional pushing/pulling of equipment (up to 15 lbs of force).
- Frequent lifting/lowering of solutions (up to 30 lbs); occasional lifting (up to 40 lbs) as high as 5 feet.
- Two-person assist program and material assist devices available for heavier items.
Pay
Hourly rate: $25.00 – $30.00, depending on work location and qualifications (education, work experience, skills, and competencies).
Benefits
- Comprehensive benefits package including medical, dental, and vision insurance.
- 401(k) with company match.
- Paid time off and parental leave.