Job ID 19000P4O
Available Openings 1
Position Specific Information
To work in a team with RN. Monitor VS during treatments. Initiate Dialysis, Draw and pack up labs, Run Dialysis course with patient under RN. To keep up with all mandatory learning, and certifications, CPR up to date. To adhere to policy and procedures of unit/Company Keep a professional, clean appearance.
- PRINCIPAL RESPONSIBILITIES
Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
- Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
- Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
- Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
- Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
- Perform administration of Heparin as delegated or as allowed by state law.
- 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 and report any unusual findings to nurse supervisor.
- Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
- Discontinue dialysis treatment according to established procedures,
- Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
- Obtain Hemostasis and apply appropriate dressings.
- Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
- 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 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 nurse supervisor.
- Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the 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 nurse supervisor.
- Obtain all prescribed laboratory testing and prepare specimens for collection.
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 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 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.
- Center 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.
- All appropriate state licensure, education and training (if any) required.
EXPERIENCE AND REQUIRED SKILLS
- Previous patient care experience in a hospital setting or related facility preferred.
- Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
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