Patient Care Technician Preceptor - PCT III
Company: Fresenius Medical Center
Location: Fort Lauderdale
Posted on: January 27, 2023
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Job Description:
PURPOSE AND SCOPE: 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). PRINCIPAL DUTIES AND 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- treatmentInitiate 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
pressureObtain 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 patient 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 disinfectant 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. Assists patients
in performing self-care as applicable Staff Related Participates in
the recruitment process for new clinical staffAssists 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.May 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
programsunder 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
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 preforms 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 PHYSICAL DEMANDS AND WORKING CONDITIONS: The
physical demands and work environment characteristics described
here are representative of those an employeeencounters while
performing the essential functions of this job. Reasonable
accommodations may be made to enableindividuals 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 theIshihara Test for Color Blindness does not
preclude employment. The Company will consider whether
reasonableaccommodations 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. EDUCATION AND LICENSES: High School diploma or
G.E.D. required. Bachelor's degree preferred 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
standardsAttendance 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. ACKNOWLEDGEMENT: I
acknowledge that I have read and accepted this job description. I
understand what is expected of me in this position, and I am able
to perform the essential functions as outlined with or without
reasonable accommodation. Furthermore, I understand that the duties
and responsibilities listed in this job description are intended
only as illustrations of the various types of work that may be
performed. The omission of specific statements of duties does not
exclude them from the position if the work is similar, related, or
a logical assignment to the position. If I have any questions about
duties and responsibilities not specified in this job description
that I am asked to perform, I should discuss them with my immediate
supervisor or my Human Resources representative.Employee Name
(Please Print)Employee SignatureDate ADDENDUM: Home Therapies
Program (Not Home Assist) This list pertains to task performed in
the Home Therapies program under the direct supervision of the Home
Therapies registered nurse (HT RN)and in compliance with state
laws. May assist HT RN on Home Visit as directed Reinforces PD/HHD
patient education under supervision of HT Registered Nurse as
permitted under state law Schedules and contacts patients regarding
appointments Weigh patient and obtain vital signs Collect patient's
treatment records and review for completion. Notify RN of
incomplete / missing records. Cleaning and prepping treatment room;
preparing charts prior to clinic visit Preparing lab tubes and
requisitions & assisting with lab draw days both pre and post draw
(PCT certified phlebotomy or per state regulations) Clerical duties
as assigned (faxing, mailing to physician offices etc.) Set-up of
the home hemodialysis machine and PD Cycler Assist with exit site
care when directed by HT RN Warm dialysate solution when directed
by the HT RN Obtain home hemodialysis water and dialysate samples
and process for testing as directed by HT RN Creates and sends
patient reminders (supply inventory for order, Kt/V collection,
bringing meds to clinic visit for review) Prepare initial patient
chart for admission. Complies and maintains medical records
according to company policy and procedure and in compliance with
all appropriate regulatory requirements Maintains logs as directed
and applicable Support patient registration and use of connected
health Provide patient home support as indicated and permissible
under state law and applicable regulations Inventory of Home
Program Maintains par levels of home department supplies Files home
patient packing slips/invoices Inventory for Patients Assists
patient with supply management and contacting customer
serviceEmployee Name (Please Print)Employee SignatureDate 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.
Keywords: Fresenius Medical Center, Fort Lauderdale , Patient Care Technician Preceptor - PCT III, Professions , Fort Lauderdale, Florida
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