Patient Care Technician - PCT

01060 Northampton, Massachusetts Fresenius Medical Care North America

Posted 4 days ago

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Job Description

**PURPOSE AND SCOPE:**
Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).
**DUTIES / ACTIVITIES:**
CUSTOMER SERVICE:
+ Responsible for driving the FMS culture through values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
PATIENT CARE:
+ 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.
+ 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.
MAINTENANCE/TECHNICAL:
+ 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.
+ Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
+ 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.
CLERICAL & ADMINISTRATIVE:
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application accurately and in a timely manner.
+ Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare 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.
OTHER:
+ Perform additional duties as assigned.
**ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):**
Assisting the HT RN:
+ May assist HT RN on Home Visit as directed
+ Reinforces PD / HHD education under supervision of qualified HT RN
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; prep charts
+ 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.)
+ Obtain home hemo water sampling as directed by the HT RN
+ Set-up of the home hemo machine and PD Cycler.
+ Assist with exit site care when directed by HT RN.
+ Warm dialysate solution when directed by the HT RN
+ Draw dialysate solution for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
+ Assembles/breaks down charts/thins charts
+ Maintains logs as directed and applicable
+ 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 service
**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.
**EDUCATION**
+ 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.**
**EOE, disability/veterans**
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Patient Care Technician - PCT

01301 Greenfield, Massachusetts Fresenius Medical Care North America

Posted 26 days ago

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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- 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 - 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
+ 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.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
**Education/Communication:**
+ Follows 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 in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ 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 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 for Color 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.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof 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:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization 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.**
**EOE, disability/veterans**
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Patient Care Technician - PCT

01301 Greenfield, Massachusetts Fresenius Medical Care Holdings, Inc.

Posted 27 days ago

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Job Description

Permanent

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- 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 - 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   

  • 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.

Staff Related

  • Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

  • Follows 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 in collecting  information for infection control audits.   

  • Supports staff and patient Adherence to infection control practices.   

  • Follows infection control Policies and Procedures   

  • 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:

< ul>
  • 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 for Color 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.

    EDUCATION AND LICENSES:

    • High School diploma or G.E.D. required.

    • Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.

    • All appropriate state licensure, education, and training (if any) required.

    • Demonstrated commitment to organization culture, values, and customer service standards

    EXPERIENCE AND REQUIRED SKILLS :

    • Previous 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.

    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.

    EOE, disability/veterans

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    Patient Care Technician FT/E

    01301 Greenfield, Massachusetts Baystate Health

    Posted 5 days ago

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    Job Description

    Patient Care Technician
    32 hours
    Evenings, 2p-10:30p
    Every other weekend and holiday
    CPR-American Heart Association BLS required
    Franklin Medical Center, Greenfield MA
    Med/Surg/Tele Unit
    * **_A resume is required to fully determine experience_** _*_
    **Summary:**
    Daily activities are coordinated by the Registered Nurse (RN). The PCT will perform a variety of technical tasks and bedside functions. Responsibilities include but are not limited to Direct Patient care; hygiene, skin care, mobility, and monitoring. Will have multi-skills for what is needed on the unit, to perform all duties relative to phlebotomy and EKGs. The PCT is expected to manage equipment and perform or assist in all procedures on the unit. The incumbent is expected to perform other similar and related duties as assigned.
    **Job Responsibilities:**
    + Provides age-appropriate care to patients.
    + Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when implementing care for patients.   
    + Monitors basic physiological parameters.
    + Takes and records routine vital signs within the specified timeframe as indicated by periodic review of documentation. Obtains and documents weights/heights, abdominal girths, and head circumference (Pediatric Service) as per physician/nurse order 100% of the time as indicated by quarterly review of 5 records. Consistently reports any significant deviations in vital signs as outlined in the procedure immediately. Records and reports, 100% of the time, any change in the patient's normal drainage pattern, i.e. gastric, wound, blood.   
    + Administers treatments and procedures per BMC policy/procedure.
    + Changes dressings within one hour of the specified timeframe per established procedure. Provides post-mortem care as directed by RN according to Baystate Health's policy.
    + Performs all procedures outlined in the nursing procedure manual within the area of responsibility per specifications. Assists physicians with exams and simple procedures. Assures the identity of the patient by checking the identification bracelet and identification band before performing any procedure.  
    + Assists patients with the elimination of body wastes.
    + Makes available or offers bedpan, urinal, and emesis basin immediately after patient request as indicated by the absence of patient complaints.
    + Accurately labels and sends specimens of urine, feces, and sputum within 30 minutes of the specified time frame unless discussed with RN as evidenced by random review of reports. Accurately measures and records intake and output per established policy as indicated by random review of intake and output forms. Administers enemas or Harris Drips as ordered per the established procedure as observed.   
    + Performs Point of Care (POC) Testing
    + Assist in the delivery of ancillary services as directed. Assists with treatment by following specified treatment plans developed for individual patients. Monitors patient's condition during treatment and notifies appropriate personnel of unexpected occurrences. Provides information to RN based upon an observation made during patient-related care. Provides treatment within the specified time frame. Documents treatments and activities consistently   
    + Communicates effectively with team and patients. Interacts with patients in a respectful and informative manner. Clearly communicates information related to patient care to the team. Recognizes culturally based patient and family needs.    
    + Is knowledgeable of and initiates emergency procedures. Responds effectively in emergency situations as observed. Maintains Patient safety at all times. Communicates effectively with appropriate personnel.    
    + Functions as a member of the team
    + Assists team members with clinical activities. Provides feedback related to
    + the team process. Assists team members with non-clinical activities.
    + Competencies and completion and maintenance of clinical recognition
    + program for career ladder level.
    + Demonstrates competency for one-to-one observation of patients based on department and unit-specific needs.   
    **Qualifications:**
    This position is part of a career ladder and hiring level determined by Recruitment.
    Level I:
    Preferred experience: PCT training or CNA training preferred
    Level II:
    Required Work Experience: At least one year of patient care experience (this experience can vary in level of long-term care, specialty, acute care, etc.).
    Level III:
    High School diploma or GED
    Required work experience: Three or more years of patient care experience (this experience can vary in level of long-term care, specialty, acute care, etc.) experience OR at least one year as a level II PCT at Baystate Health
    C.N.A.preferred
    Level IV:
    High School Diploma or GED
    Required work experience: 4 or more years of Acute or specialty-specific care setting experience OR at least one year as a level III PCT at Baystate Health
    C.N.A. preferred
    **Skills and Competencies:**
    Proficient in reading and writing in English
    Able to maintain professional composure in medium to high-stress situations
    Effective communication skills
    We strive to be the place where we can help you build the career you deserve - apply today - YOU belong at Baystate!
    OUR COMPENSATION PHILOSOPHY
    We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role.
    **You Belong At Baystate**
    At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.
    DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.
    **Education:**
    GED or HiSET
    **Certifications:**
    Basic Life Support - American Heart AssociationAmerican Heart Association, Certified Nurse Aide - OtherOther
    **Equal Employment Opportunity Employer**
    Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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    Cardiac Monitor Tech/Patient Care Tech

    01301 Greenfield, Massachusetts Baystate Health

    Posted 4 days ago

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    Job Description

    **Cardiac Monitor Technician/Patient Care Tech**
    **Baystate Franklin, Greenfield MA**
    24 hours, 7a-3:30
    every other weekend and holiday
    **Summary:**
    A dual position that is expected to function in CNA or Monitor Tech role depending on unit needs. If assigned to the Monitor Tech role will have no other responsibilities except those explained below in requirements 1-3 and 8-10.
    Responsibilities include direct patient care; assisting with activities of daily living; working collaboratively with the multidisciplinary team to meet patient needs. In the Monitor Tech role, the responsibilities include initiating and discontinuing the monitor equipment upon admission, discharge, and transfer; high-level surveillance of cardiac monitors; analyzing of rhythms and notification of changes to RN; placement of rhythm strips in patient's medical record.
    Must demonstrate the organizations operating principles of communication, respect, integrity, trust, & collaboration.
    **Job Responsibilities:**
    **1)** Initiates and discontinues monitor equipment on admission, discharge, and transfer. Assigns monitor to the patient upon admission and enters patients information into telemetry system. Maintains log of the location of all monitors each shift. Cleans monitors when discontinued. Discontinues patient in the system when telemetry is discontinued.
    **2)** High-level surveillance of cardiac monitors. Monitors all telemetry patient's rhythms on inpatient units. Individualizes patient alarms and ensures all alarms are active. Analyzes rhythms and reports changes immediately to the RN. Prints patient strips, documents rhythm on the printout, and places strip in patient's chart.
    **3)** Must have completed Baystate Health's dysrhythmia course before completion of orientation. Maintains American Heart Association Basic Life Support (BLS) for Health Care Providers.
    **4)** Maintains patient safety as the number one priority. Promptly responds to all patient call bells and fall alarms. Ensures appropriate interventions are in place to prevent patient falls. Participates in bedside reports to ensure falls interventions are in place and communicate necessary information needed to care for patients.
    **5)** Monitors basic physiological parameters. Takes and records routine vital signs in the patient's electronic medical records. Obtains and documents weights, documents I & O obtains and reports patient's blood glucose as ordered. Consistently reports any significant deviations in vital signs or other patient findings immediately. Accurately labels and sends specimens of urine, feces, and sputum to the lab.
    **6)** Establishes and maintains therapeutic and collaborative relationships with members of the health care team. Communicates effectively with team and patients. Interacts with patients in a respectful and informative manner. Communicates information related to patient care to the team. Communicates an attitude of positive patient-focused interactions at all times.
    **7)** Is knowledgeable of and initiates emergency procedures and responds effectively in emergencies.
    **8)** Participates in unit and educational progress to develop/refine skills.
    **9)** Attends unit staff meetings as required.
    **10)** Adheres to Baystate Franklin Medical Center's Established Work Expectations.
    **Required Work Experience:**
    **1)** none listed
    **Preferred Work Experience:**
    **1)** Prior experience as a monitor tech or CNA in a hospital setting
    **Skills and Competencies:**
    **1)** Consistently positive performance appraisals in key areas of function and interpersonal skills
    **You Belong At Baystate**
    At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.
    DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.
    **Education:**
    Non-Graduate (Required)
    **Certifications:**
    Basic Life Support - American Heart AssociationAmerican Heart Association
    **Equal Employment Opportunity Employer**
    Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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    Behavioral Health Masters Clinician - Inpatient Psych Services, Per Diem

    03435 Keene, New Hampshire Dartmouth Health

    Posted today

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    Job Description

    Functioning as a member or the Behavioral Health Team, the Master's Level Clinician, in collaboration with physicians and multidisciplinary team members, this position is responsible for coordinating and facilitating the clinical management of an assigned population throughout the continuum of care. Will contribute to the development and maintenance of a care delivery system which is sensitive to patient needs and expectations, promote effective utilization of resources, and support physician practice, while emphasizing care coordination across the continuum. Perform utilization management activities as necessary to ensure that medical necessity is appropriate to the patient's level of care. Provide hospital issued notices as defined by CMS when appropriate. Monitor specialty referral patterns. Facilitate the discharge planning process for assigned caseload to link the patient/family with the appropriate institutional or community sources post discharge. Participate in the development and application of interdisciplinary care paths/protocols to facilitate the achievement of desired clinical and financial outcomes. Perform concurrent and retrospective monitoring and analysis of variations in the processes of care. Identify and recommend opportunities for improvement as appropriate. Monitor the patient's transition and variations from plan of care both across and within care settings, e.g., home, clinic, SNF, rehabilitation, acute care, long term care, home care, etc. Identify and pursue opportunities for professional development. Attend and participate in seminars and/or workshops, certification, participation in scholarly research and publication. Complete appropriate psychosocial assessment and referrals for assigned patient populations, including the substance use disorder. Complete appropriate psychosocial assessments and referrals in cases involving suspected cases of abuse (substance or physical) or violence. Intervene in situations of critical illness or death to provide crisis intervention and supportive services. Facilitate resolution of legal issues within scope of practice (POA, guardianship, patient rights, adoption). Make referrals and consults as necessary. Identify patients in need of social work services and discharge planning through case finding and collaboration with team members on assigned units. Identify and takes into account cultural, educational and developmental influences on patient/family understanding of and response to illness/hospitalization. Qualifications/Experience Requirements: Masters Degree in Social Work, Counseling Psychology or related behavioral health field required (e.g. addiction counseling , clinical psychology ). Two years recent clinical/hospital experience in the Behavioral Health Field. Experience in development of research-based critical pathways and outcome measurement preferred. Experience in case management, utilization review and discharge planning preferred. Knowledge of JCAHO/NCQA standards and HCFA regulations Ability to modify counseling techniques and the therapeutic approach in response to the ages(s) and psychosocial needs of the patient, family and/or significant other License in field preferred.
    * Area of Interest:Administrative/Clerical;
    * Pay Range:$30.02 - $45.03;
    * Work Status:Varied ;
    * Employment Type:Per Diem;
    * Job ID:14810
    Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
    Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
    View Now

    Rn - medical oncology nursing services

    Northampton, Massachusetts TotalMed Staffing

    Posted today

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    permanent
    Total Med Staffing is seeking a travel nurse RN Oncology for a travel nursing job in Northampton, Massachusetts.
    Job Description & Requirements
    ~ Specialty: Oncology
    ~ Discipline: RN
    ~ Start Date: 09/14/2025
    ~ Duration: 13 weeks
    ~40 hours per week
    ~ Shift: 8 hours, days
    ~ Employment Type: Travel

    We are seeking a Registered Nurse-Oncology for a travel assignment in Northampton Massachusetts.
    Totalmed jobs Job ID #1927748. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse-Northampton in Massachusetts
    About Total Med Staffing
    Total Med is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.

    Total Med specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, Total Med continues to offer a lifeline to facilities and their patients.
    Benefits
    ~ Weekly pay
    ~ Guaranteed Hours
    ~ Continuing Education
    ~401k retirement plan
    ~ Sick pay
    ~ Wellness and fitness programs
    ~ Referral bonus
    ~ Employee assistance programs
    ~ Medical benefits
    ~ Dental benefits
    ~ Vision benefits
    ~ Benefits start day 1
    View Now
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    Medical Director of Acute Care Psychiatric Services - Keene, NH

    03431 Keene, New Hampshire Dartmouth Health

    Posted 21 days ago

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    Overview

    Medical Director of Acute Care Psychiatric Services – Keene, NH

    Dartmouth-Hitchcock Keene / Cheshire Medical Center

    Dartmouth-Hitchcock Keene / Cheshire Medical Center is currently seeking a Medical Director to lead and help build our Acute Care Psychiatric Services at our collegial and community-centered practices located in beautiful Keene, New Hampshire.

    In this role, serving as Medical Director of Acute Care Psychiatric Services, you will work with the Chair of Psychiatry to build our acute care psychiatry services. You will provide psychiatric consultations to the ED and inpatient medical units and provide outpatient psychiatric evaluation and medication management services at Cheshire Medical Center’s Doorway Department, which launched its Medically Assisted Treatment (MAT) program in September 2020. You will work in coordination with the Doorway team and provide MAT psychiatric services to patients with substance use disorders and co-occurring behavioral health issues. Collaborating with an RN and clinical team, you will coordinate client care and assist with insurance pre-authorization, referrals, and caseload management. In addition, you will supervise psychiatric advanced practice providers in these areas.

    This is an exciting opportunity for someone looking to develop a sustainable service within a rural, underserved community. If you are an experienced Psychiatrist, passionate about making a difference and building something truly impactful, we want to hear from you.

    What Dartmouth Health has to offer you:

    • Established patient base

    • Ties to the Academic Medical Center

    • Inclusive and collegial environment

    • Competitive compensation, benefits, and relocation

    • Dedicated CME time and funds

    What New Hampshire has to offer you:

    • Unmatched quality of life

    • Four seasons and an outdoor lifestyle

    • Access to major cities and airports

    • Proximity to mountains and hiking trails

    • Driving distance to the seacoast/ocean

    • Abundance of local lakes for boating and swimming

    • No sales or state income tax in NH!

    Keene is a picturesque college town in Southwestern New Hampshire that is an ideal place to call home. Keene has a strong sense of community with a vibrant downtown area, excellent public schools, and 4-season outdoor recreation opportunities.

    Dartmouth-Hitchcock Keene (D-H Keene) is a 240 physician and associate provider, multi-specialty community practice and a division of the Dartmouth-Hitchcock system based in Lebanon, New Hampshire. This diverse group of professionals is committed to quality and patient safety, continuous process improvement and clinical measurement. D-H Keene is a nationally recognized leader in population health and the patient-centered medical home care delivery model. It is innovative and collaborative in its use of integrative medicine, value-based care, accountable-care models and electronic health records. It is the largest community practice in the Dartmouth Health System which boasts a leading medical center and medical school.

    The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth-Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; 4 affiliated hospitals and 30 Dartmouth-Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast and ski country within driving distance, the opportunities – both career and personal – truly make New Hampshire the ideal place to work and play.

    Dartmouth Health is highly dedicated to fostering a diverse and inclusive group of faculty, staff, and trainees to meet the vast needs of our community and patient populations. We are especially interested in applicants who are able to work effectively with and care for individuals from all backgrounds, including but not limited to: racial and ethnic minorities, women, individuals who identify with LGBTQ+ communities, veterans, individuals with disabilities, and/or individuals from lower income backgrounds. We invite applicants to state in their cover letter how their professional and/or life experiences prepare them to advance Dartmouth Health’s commitments to diversity, equity, and inclusion.

    To confidentially learn details, please contact:

    Paige Livingston, CPRP

    Physician Recruiter

    Cover Letters should be addressed to:

    Melinda Asbury, MD, PhD

    Chief of Psychiatry

    Dartmouth-Hitchcock Keene

    Cheshire Medical Center

    Responsibilities

    Qualifications

    Required Licensure/Certifications

    • Board Certified/Board Eligible in Psychiatry by the American Board of Psychiatry and Neurology (ABPN)

    • Must obtain and maintain a medical license in the states of New Hampshire and Vermont

    • Area of Interest:Physician

    • FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week

    • Shift:Day

    • Job ID:31574

    Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers

    Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

    Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.

    View Now

    Medical Director of Acute Care Psychiatric Services - Keene, NH

    03435 Keene, New Hampshire Dartmouth Health

    Posted 4 days ago

    Job Viewed

    Tap Again To Close

    Job Description

    Overview
    Medical Director of Acute Care Psychiatric Services – Keene, NH
    Dartmouth-Hitchcock Keene / Cheshire Medical Center
    Dartmouth-Hitchcock Keene / Cheshire Medical Center is currently seeking a Medical Director to lead and help build our Acute Care Psychiatric Services at our collegial and community-centered practices located in beautiful Keene, New Hampshire.
    In this role, serving as Medical Director of Acute Care Psychiatric Services, you will work with the Chair of Psychiatry to build our acute care psychiatry services. You will provide psychiatric consultations to the ED and inpatient medical units and provide outpatient psychiatric evaluation and medication management services at Cheshire Medical Center’s Doorway Department, which launched its Medically Assisted Treatment (MAT) program in September 2020. You will work in coordination with the Doorway team and provide MAT psychiatric services to patients with substance use disorders and co-occurring behavioral health issues. Collaborating with an RN and clinical team, you will coordinate client care and assist with insurance pre-authorization, referrals, and caseload management. In addition, you will supervise psychiatric advanced practice providers in these areas.
    This is an exciting opportunity for someone looking to develop a sustainable service within a rural, underserved community. If you are an experienced Psychiatrist, passionate about making a difference and building something truly impactful, we want to hear from you.
    What Dartmouth Health has to offer you:
    * Established patient base
    * Ties to the Academic Medical Center
    * Inclusive and collegial environment
    * Competitive compensation, benefits, and relocation
    * Dedicated CME time and funds
    What New Hampshire has to offer you:
    * Unmatched quality of life
    * Four seasons and an outdoor lifestyle
    * Access to major cities and airports
    * Proximity to mountains and hiking trails
    * Driving distance to the seacoast/ocean
    * Abundance of local lakes for boating and swimming
    * No sales or state income tax in NH!
    Keene is a picturesque college town in Southwestern New Hampshire that is an ideal place to call home. Keene has a strong sense of community with a vibrant downtown area, excellent public schools, and 4-season outdoor recreation opportunities.
    Dartmouth-Hitchcock Keene (D-H Keene) is a 240 physician and associate provider, multi-specialty community practice and a division of the Dartmouth-Hitchcock system based in Lebanon, New Hampshire. This diverse group of professionals is committed to quality and patient safety, continuous process improvement and clinical measurement. D-H Keene is a nationally recognized leader in population health and the patient-centered medical home care delivery model. It is innovative and collaborative in its use of integrative medicine, value-based care, accountable-care models and electronic health records. It is the largest community practice in the Dartmouth Health System which boasts a leading medical center and medical school.
    The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth-Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; 4 affiliated hospitals and 30 Dartmouth-Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast and ski country within driving distance, the opportunities – both career and personal – truly make New Hampshire the ideal place to work and play.
    Dartmouth Health is highly dedicated to fostering a diverse and inclusive group of faculty, staff, and trainees to meet the vast needs of our community and patient populations. We are especially interested in applicants who are able to work effectively with and care for individuals from all backgrounds, including but not limited to: racial and ethnic minorities, women, individuals who identify with LGBTQ+ communities, veterans, individuals with disabilities, and/or individuals from lower income backgrounds. We invite applicants to state in their cover letter how their professional and/or life experiences prepare them to advance Dartmouth Health’s commitments to diversity, equity, and inclusion.
    To confidentially learn details, please contact:
    Paige Livingston, CPRP
    Physician Recruiter

    Cover Letters should be addressed to:
    Melinda Asbury, MD, PhD
    Chief of Psychiatry
    Dartmouth-Hitchcock Keene
    Cheshire Medical Center
    Responsibilities
    Qualifications
    Required Licensure/Certifications
    - Board Certified/Board Eligible in Psychiatry by the American Board of Psychiatry and Neurology (ABPN)
    - Must obtain and maintain a medical license in the states of New Hampshire and Vermont
    * Area of Interest:Physician
    * FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
    * Shift:Day
    * Job ID:31574
    Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
    Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
    Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
    View Now
     

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