Patient Care Technician - PCT - Dialysis Preceptor

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for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes: "Must be dialysis certified" as a line at top. Then "PURPOSE AND SCOPE:" which is like About the role. Then "PRINCIPAL DUTIES AND RESPONSIBILITIES:" which is Responsibilities. Then "MAINTENANCE/TECHNICAL:" maybe part of responsibilities. Then "RECORD KEEPING:" also responsibilities. Then "INFECTION CONTROL:" responsibilities. Then "TRANSITIONAL CARE UNIT:" responsibilities. Then "PHYSICAL DEMANDS AND WORKING CONDITIONS:" maybe part of Requirements? Could be Qualifications? It's more about physical demands, could be part of Requirements or Qualifications. Then "EDUCATION AND LICENSES:" that's Qualifications. Then "EXPERIENCE AND REQUIRED SKILLS:" that's Skills/Experience. Also there is "EOE, disability/veterans" which is boilerplate to remove. No explicit Benefits, Pay, Schedule sections. So we should not create those. We need to preserve all substantive info, but remove boilerplate like EOE line, maybe also "Must be dialysis certified" is a requirement line; we can incorporate into Qualifications or Requirements. We need to use

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  for prose. We need to decide sections: About the role (Purpose and Scope). Responsibilities (Principal Duties and Responsibilities plus sub-sections like Maintenance/Technical, Record Keeping, Infection Control, Transitional Care Unit). Could combine all under Responsibilities. Qualifications (Education and Licenses). Skills (Experience and Required Skills). Possibly also Physical Demands as part of Requirements? Could be a separate section "Requirements" but we have Qualifications and Skills; maybe we treat Physical Demands as part of Requirements (like job requirements). However the instruction says we can use sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can have Requirements for physical demands and maybe other mandatory items like certification. Qualifications for education/licenses. Skills for experience and required skills. Thus sections: - About the role: purpose and scope paragraph. - Responsibilities: list of duties (maybe grouped). We'll need to extract duties from the long text. We should preserve all substantive info but not repeat headings inside. Use

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    • items. - Requirements: physical demands and working conditions, also maybe "Must be dialysis certified" and "Employees are required to take the Ishihara's Color Blindness test as a condition of employment." Also note about reasonable accommodation, travel, etc. So we can list those. - Qualifications: Education and Licenses: High school diploma or equivalent, valid PCT national certification or state specific certification as defined by CMS, all appropriate state licensure, education, training, demonstrated commitment to organization culture, values, customer service standards, attendance and active participation in all applicable preceptor training programs, attends Fresenius and publicly offered skill-based training as assigned. - Skills: Experience and Required Skills: At least five years patient care experience in a hospital setting or related facility preferred. Continued employment dependent on successful completion of organization dialysis training program and successful completion of CPR certification. We should also include "Must be dialysis certified" maybe as part of Qualifications (certification) or Requirements. We'll include in Qualifications under certification. We need to remove boilerplate: EOE line, maybe also "Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made." That's substantive? It's about accommodation; we can keep as part of Requirements. We must not repeat job title as heading. No Job ID. We must not include application instructions. We must output only HTML fragment. Let's craft. Structure:

      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 in accordance with organization 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 organization 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 organization Quality Enhancement Goals (QEP).

      Responsibilities

      • Patient Related Education: 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 process/access.
      • Treatment: Welcome assigned patients and inquire as to their wellbeing since their last treatment. Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre‑treatment. 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 - document. Discontinue dialysis treatment according to established procedures and 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; and UF modeling as prescribed. 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 initial identification. 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 registered nurse or supervisor. Observe patients and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor. Obtain all prescribed laboratory testing and prepare specimens for collection. Ensure that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. Monitors patients performing self-care under the supervision of RN. Assist patients in performing self-care as applicable.
      • Staff Related: Participates in the recruitment process for new clinical staff. Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization. Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards. Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. Provides developmental support to applicable clinical and facility staff.
      • Education/Communication: Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives. Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs. Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed. Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities. Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices.
      • Maintenance/Technical: 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 policy. Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiate Solution Delivery System (SDS) system.
      • Record Keeping: 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 by appropriate staff. Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepare/print 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.
      • Infection Control: Assists with facility QAI infection control audits. Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices. Reinforces new hire employee adherence to infection control Policies and Procedures. Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards. Under the direction of the Education Dept. participates in education response to internal and external facility surveys. Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
      • Transitional Care Unit: Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care. Reinforces all education and care related matters as it relates to the new patient as allowed by state law. Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. Sets and performs a treatment on all machines used in the transitional care unit. Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. Assists with coordination of transition to patient’s modality choice. Assists with supply ordering and inventory for TCU.

      Requirements

      • Must be dialysis certified.
      • 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 accommodation can be made.
      • Day-to-day work includes desk and personal computer