Metro-NY Inpatient Dialysis Area Float PCT

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.
• Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).  
•  Promotes and assists in meeting Total Area Productivity goals (TAP).
• With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).
• Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.
• Evaluates vascular access for patency and reports any unusual findings to FMCNA RN.
• Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.
• Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN.
• 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).
• Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Initiates renal replacement treatment according to prescribed orders including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist.
• Collects, labels specimens and ensures timely delivery to laboratory per facility policy.
• Evaluates intradialytic problems and provides intervention as prescribed by physician’s order or as directed by FMCNA RN. Monitors patient’s response to dialysis therapy and report any unusual findings to FMCNA RN.
• Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.
• Reports any change or unusual findings to FMCNA RN.
• Performs and document any intervention for unusual patient status and document patients’ response to intervention.
• Evaluates patients’ vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN.
• Discontinues dialysis treatment according to established procedures.
• Evaluates patient prior to termination of venous access – standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN
• Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.
• Other duties as required.

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.
• Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians.
• The position requires travel between assigned facilities and various locations within the community.
• Travel to 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 assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
• There is a two-person assist program and “material assist” devices for the heavier items.

SUPERVISION:

• None

EDUCATION:

• High School Diploma required

EXPERIENCE AND REQUIRED SKILLS:  

• 1 – 2 years’ related experience.
• Certified Clinical Hemodialysis Certification (CCHT) 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.

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ADDENDUM:

Inpatient Services:

MAINTENANCE/TECHNICAL:

• Maintains environmental integrity and aesthetics-ensure all areas are safe and clean.
• Cleans and disinfects dialysis machine surfaces, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies.
• Conducts all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Performs all required pre-treatment dialysis machine alarm testing, including Pressure Holding Test (PHT) and Diasafe test.
• Operates all related equipment appropriately and safely and provides minor trouble-shooting when necessary
• Safely starts and shuts down solution delivery system (SDS).
• Ensures all blood spills are immediately cleaned with appropriate disinfectant according to facility FMS Policy.
• Prepare, organize, and efficiently utilize supplies and equipment to prevent waste.
• Inventories supplies weekly to ensure PAR levels are met by both FMCNA and host facility.

CLERICAL & ADMINISTRATIVE:

• Completes and documents ongoing participation in Quality Assessment Performance Improvement Program (QAPI) activities.
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Reviews treatment sheets for completeness ensuring signatures are documented, and that omitted entries are completed or corrected where appropriate.
• Reviews equipment logs for completeness ensuring there is daily documentation regardless of equipment use.

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Sharp Memorial Hospital

• The Patient Care duties described in this job description may only be carried out under the supervision of a nurse.
• All applicable policies and procedures in the contract between FMCNA and Sharp supersede FMCNA job documentation for this position

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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.