Dialysis
PCT\nThis Position is a Float Role
Candidate is expected to float to clinics in the area

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\n

Education:

\nAssist other health care members in providing patient specific detailed education regarding adequacy measures w appropriate
Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment:

\nWelcome assigned patients and inquire as to their wellbeing since their last treatment.\n
\nEvaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.\n
\nObtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre
treatment\n
\nInitiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).\n
\nEvaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.\n
\nMonitor patients' response to dialysis therapy.\n
\nObtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment
document.\n
\nDiscontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access
standing & sitting blood pressure\n
\nObtain Hemostasis and apply appropriate dressings.\n
\nEvaluate the patient prior to discharge.\n
\nPerform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification\n
\nResponsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.\n
\nResponsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.\n
\nRecord accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification\n
\nResponsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.\n
\nReport any significant information and/or change in patient condition directly to the registered nurse or supervisor.\n
\nObserve patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.\n
\nPerform and document any intervention for unusual patient status and document patients' response to intervention.\n
\nEvaluate 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.\n
\nObtain all prescribed laboratory testing and prepare specimens for collection.\n
\nEnsure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.\n
\nPrepare, organize, and efficiently utilize supplies and equipment to prevent wastage.\n
\nMonitors patients performing self-care under the supervision of RN.\nStaff Related\n
\nAssists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

\nFollows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices\n
\nMaintain environmental integrity and aesthetics
ensure all areas are safe and clean.\n
\nClean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.\n
\nConduct all tasks necessary for preparation for dialysis treatment and document w appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).\n
\nInitiate Solution Delivery System (SDS) system.

RECORD KEEPING

\nComplete and document ongoing participation in Continuous Quality Improvement (CQI) activities.\n
\nEnters all treatm.

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