Patient Care Technician Preceptor - PCT - Dialysis

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

• 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 and 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
• Calculate and enter individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed
• Ensure 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
• Accurately document 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
• Monitor patients performing self-care under the supervision of RN; assist patients in performing self-care as applicable
• Participate in the recruitment process for new clinical staff
• Assist 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
• 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
• Deliver and maintain on-going competency evaluations/audits to ensure ongoing performance of other PCT’s
• Collaborate 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
• Assist in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse
• Provide developmental support to applicable clinical and facility staff
• Partner 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
• Partner with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility
• Ensure 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
• Participate in implementing and potentially design creative educational programs for PCT staff including contests and other team-based programs
• Collaborate with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed
• Monitor processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities
• 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
• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities
• Enter 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
• Assist with facility QAI infection control audits
• Act as a change agent for infection control practices within clinic
• Under the direction of the CM or designee monitor staff and patient adherence to infection control practices
• Reinforce new hire employee adherence to infection control Policies and Procedures
• Support ongoing staff and patient engagement on infection control practices under the direction of CM or designee
• Quarterly and under the direction of the CM reinforce patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards
• Participate in and reinforce infection control education of patients and families under the direction of the CM or designee as allowed by state law
• Follow all newly admitted patients through their first 4 weeks of dialysis and coordinate their transitional dialysis care
• Reinforce all education and care related matters as it relates to the new patient as allowed by state law
• Liaise with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan
• Assist in assuring patient understanding of home dialysis products, benefits of home and how home dialysis can work for them
• Set and perform 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
• Assist with coordination of transition to patient’s modality choice
• Assist with supply ordering and inventory for TCU

Education and Licenses

• High School diploma or its equivalent required
• Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)
• All appropriate state licensure, education, and training (if any) required
• Demonstrated commitment to organization culture, values, and customer service standards
• Attendance and active participation in all applicable preceptor training programs as established by education leadership
• Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager

Experience and Required Skills

• At least five years patient care experience in a hospital setting or a related facility preferred
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification

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 accommodation 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. 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 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
• Frequent, prolonged periods of standing and the ability to bend over
• Occasionally required to push and/or pull equipment, exerting up to 15 pounds of force
• Required to lift and lower solutions on a frequent basis up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet; a two-person assist program and “material assist” devices are available for heavier items