408 Community Medical Centers jobs in Fresno

Job Summary: Provides direct patient care by assisting patients with changing linens, ambulation, and transport. Maintains a clean and orderly patient care environment. Assists during patient examinations and procedures. Obtains and records patient vital signs, provides dressing assistance and reports results and observations. Demonstrates the primary goal of efficiently providing surgical services that exceed customer expectations and improve clinical and financial operations.

Position requires weekdays only -- no holidays, weekends, or call. Some later evenings required.

Essential Job Duties and Responsibilities:

• Knows and adheres to policies of the Center and demonstrates fiscal responsibility.
• Follows standards, policies, procedures, goals, and objectives for peri-operative nursing care according to accepted standards.
• Maintains and demonstrates current skills and knowledge in aseptic technique.
• Demonstrates ability to understand the unique needs of each age group of the patient population.
• Follows OSHA and other standards for protection against blood borne pathogens.
• Seeks involvement in activities that promote professional growth and behavior.
• Uses good body mechanics and aseptic technique.
• Remains calm and functions as a team member during times of stress and crisis situations.
• Able to take vital signs and apply V/S monitors and documents appropriately.
• Informs Manager of applicable day-to-day situations.
• Follows employee health and other personnel and staffing policies

Required Skills

Qualifications:

• High school diploma or GED required
• Medical Assistant or Certified Nurse Assistant or Patient Care Technician equivalent clinical training preferred.
• BLS certification required
• One Year experience directly related to duties and responsibilities specified.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Required Experience

Qualifications:
Qualifications:

• High school diploma or GED required
• Medical Assistant or Certified Nurse Assistant or Patient Care Technician equivalent clinical training preferred.
• BLS certification required
• One Year experience directly related to duties and responsibilities specified.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Overview

At Houston Methodist, the Patient Care Assistant (PCA) position is responsible for functioning as novice to competent and demonstrates basic knowledge and skills necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned age-specific, diverse patient population, assisting in the delivery of patient care and services under the supervision of a licensed nurse. This position conducts hourly rounding to ensure patient needs are met and records data established by policy and procedure, and reports observations and patient problems to the licensed nurse. The PCA position performs basic patient care activities of daily living (ADL's) within unit-specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity and practices Patient and Family Centered Care in concert with Houston Methodist ICARE values.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment with the interprofessional care team. Participates in teamwork by responding positively to requests for assistance. Works well with others to make contributions to the work effort as a whole and facilitates problem resolution.

• Interacts with peers, staff, and physicians in a supportive and respectful manner. Encourages open communication to achieve mutual understanding. Communication to promote both work efforts and problem resolution is clear and professional. Collaborates with all members of the interprofessional team by actively communicating and reporting pertinent patient care information in a clear and timely manner.

• Provides contributions towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS

• Follows the patient and family-centered care standards and provides direct patient care under the direction of a registered nurse. Documents, where applicable, care administered, diagnostic measurements, treatments and procedures in accordance with established policies and procedures. Responds to the call light system, contacting nursing personnel as appropriate, and follows through with meeting patient needs.

• Assists with maintaining, cleaning, and stocking of equipment and supplies as established on assigned unit. May serve as an in-house courier which may include retrieving blood, hand delivering labs, tele boxes, etc. Organizes the workflow, problem-solves basic and routine matters, and manages multiple ongoing priorities, seeking guidance and assistance from preceptor, licensed nurse, or management.

• Contributes towards improving department scores for patient satisfaction through peer-to-peer accountability, i.e., bedside shift handoff/report.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Reports observations, conditions and problems of patients to licensed personnel to achieve desired patient outcomes. Provides for the privacy of patients and families, keeping the safety of the patient in mind.

• Provides appropriate hand-off at change of shift at patient bedside to communicate and collaborate, promoting patient-centered care.

• Conducts hourly rounding to ensure patient needs are met (four P's). Reports near misses and collaborates with the interprofessional health care team to improve patient safety.

• Contributes towards improving quality and safety scores, through peer-to-peer accountability. Supports initiatives to prevent conditions such as pressure injuries, patient falls, and hospital-acquired infections.

FINANCE ESSENTIAL FUNCTIONS

• Assists with patient and staffing needs (floats) across the service line or hospital as competencies allow. Utilizes time between heavy workloads efficiently.

• Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Offers innovative solutions in performance improvement projects and shared governance activities.

• Seeks opportunities to identify self-development needs on knowledge base, skill level and decision-making, as necessary, especially in areas of question, from preceptor and assigned licensed personnel and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

• Must complete one of the following:
• • PCA externship
• • PCA internal internship
• • Six months of direct patient care experience
• • Enrolled in a school of nursing program with a completed first clinical rotation

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

• BLS - Basic Life Support or Instructor (AHA)

KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

• Performs basic patient care activities of daily living (ADL's) within unit specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs Yes
• Business professional No
• Other (department approved) Yes

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area No
• May require travel outside Houston Metropolitan area No

Company Profile

Houston Methodist Willowbrook Hospital opened in December 2000 to serve the comprehensive health care needs of the growing community in Northwest Houston. The 310 bed hospital has 23 operating rooms, and more than 2,100 employees. Houston Methodist Willowbrook Hospital has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program®. Houston Methodist Willowbrook Hospital is Northwest Houston's regional leader in robotic minimally-invasive surgeries and specializes in cardiology and cardiovascular services, neurology, neurosurgery, orthopedics and sports medicine, and comprehensive cancer services. Houston Methodist Willowbrook Hospital has a Breast Care Center, Cancer Center, Imaging Center, Infusion Center, Sleep Center, Surgical Weight Loss Center and operates the largest Childbirth Center in the greater Northwest Houston area.

**Job Summary and Responsibilities**
Responsible for opening sterile supplies, assisting with patient positioning, coordinating and assisting with the set up and cleanup of the operating rooms as well as assisting team members in the delivery of patients to and from the operating room
1. Reviews the OR schedule daily, tracking and monitoring the necessary pick‐up and delivery of patients to and from the operating rooms as needed to ensure timely surgical starts
2. Opens and assists the team with supplies, instrument sets, suture selection and meeting benchmark turnovers
3. Assists the surgical suite in patient positioning, surgical preps, clipping and aids in the retrieving of x‐rays, equipment set up and tracking and removing instruments to and from the operating room suites
4. Rounds within their assigned surgical rooms to ensure that all turnovers are met and Supports the necessary patient movement and flow
5. Assists Registered Nurses, Surgical Scrubs and the Surgeons while preventing the disruption of the surgical case by retrieving supplies, relaying messages and managing the ancillary support of the surgical team
6. Anticipates the needs of the surgical team members and provides the necessary support and knowledge of surgical supplies, instruments and sutures
7. Sets up and tears down laparoscopic equipment, ensuring that printers, cameras and tubing is properly processed and arranged
8. Ensures that used surgical instruments are cleaned, replaced and properly returned to the decontamination department within SPD
9. Assists in the pre‐operative patient preparation once the patient has arrived in the operating room/includes placing grounding pad on patient and ensuring that the device is properly connected
10. Obtains the necessary skin preparation solutions and prepares the prep stand as needed
**Job Requirements**
**_Required Education and Experience_**
*High School Diploma/GED
*Based on location assignment may also require BLS/ACLS/ and or PALS
*One (1) year of related health care experience
**_Required Minimum Knowledge, Skills, Abilities and Training_**
*Ability to understand and develop processes that assist and aid the surgical team
*Good knowledge of operating room etiquette/processes/medical terminology
*Demonstrate competency in the opening and storing of sterile surgical supplies/sterile field
**Where You'll Work**
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.
**Pay Range**
$14.01 - $19.79 /hour
We are an equal opportunity/affirmative action employer.

At Houston Methodist, the Patient Care Assistant (PCA) position is responsible for functioning as novice to competent and demonstrates basic knowledge and skills necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned age-specific, diverse patient population, assisting in the delivery of patient care and services under the supervision of a licensed nurse. This position conducts hourly rounding to ensure patient needs are met and records data established by policy and procedure, and reports observations and patient problems to the licensed nurse. The PCA position performs basic patient care activities of daily living (ADL's) within unit-specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity and practices Patient and Family Centered Care in concert with Houston Methodist ICARE values.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Promotes a positive work environment with the interprofessional care team. Participates in teamwork by responding positively to requests for assistance. Works well with others to make contributions to the work effort as a whole and facilitates problem resolution.
+ Interacts with peers, staff, and physicians in a supportive and respectful manner. Encourages open communication to achieve mutual understanding. Communication to promote both work efforts and problem resolution is clear and professional. Collaborates with all members of the interprofessional team by actively communicating and reporting pertinent patient care information in a clear and timely manner.
+ Provides contributions towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability.
**SERVICE ESSENTIAL FUNCTIONS**
+ Follows the patient and family-centered care standards and provides direct patient care under the direction of a registered nurse. Documents, where applicable, care administered, diagnostic measurements, treatments and procedures in accordance with established policies and procedures. Responds to the call light system, contacting nursing personnel as appropriate, and follows through with meeting patient needs.
+ Assists with maintaining, cleaning, and stocking of equipment and supplies as established on assigned unit. May serve as an in-house courier which may include retrieving blood, hand delivering labs, tele boxes, etc. Organizes the workflow, problem-solves basic and routine matters, and manages multiple ongoing priorities, seeking guidance and assistance from preceptor, licensed nurse, or management.
+ Contributes towards improving department scores for patient satisfaction through peer-to-peer accountability, i.e., bedside shift handoff/report.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Reports observations, conditions and problems of patients to licensed personnel to achieve desired patient outcomes. Provides for the privacy of patients and families, keeping the safety of the patient in mind.
+ Provides appropriate hand-off at change of shift at patient bedside to communicate and collaborate, promoting patient-centered care.
+ Conducts hourly rounding to ensure patient needs are met (four P's). Reports near misses and collaborates with the interprofessional health care team to improve patient safety.
+ Contributes towards improving quality and safety scores, through peer-to-peer accountability. Supports initiatives to prevent conditions such as pressure injuries, patient falls, and hospital-acquired infections.
**FINANCE ESSENTIAL FUNCTIONS**
+ Assists with patient and staffing needs (floats) across the service line or hospital as competencies allow. Utilizes time between heavy workloads efficiently.
+ Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime, assisting coworkers as needed.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Offers innovative solutions in performance improvement projects and shared governance activities.
+ Seeks opportunities to identify self-development needs on knowledge base, skill level and decision-making, as necessary, especially in areas of question, from preceptor and assigned licensed personnel and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
**WORK EXPERIENCE**
+ Must complete one of the following:
+ ◊ PCA externship
+ ◊ PCA internal internship
+ ◊ Six months of direct patient care experience
+ ◊ Enrolled in a school of nursing program with a completed first clinical rotation
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ BLS - Basic Life Support or Instructor (AHA)
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Performs basic patient care activities of daily living (ADL's) within unit specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform No
+ Scrubs Yes
+ Business professional No
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* No
**TRAVEL***
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area No
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women's services, neurology and neurosurgery, oncology, and primary and general medicine.
Houston Methodist is an Equal Opportunity Employer.

**Job Summary and Responsibilities**
Performs a variety of routine tasks to support the delivery of safe, effective, cost-efficient patient care as delegated by the RN. They provide assistance in transporting, transferring and lifting. They perform cleaning Functions in patient care unit as delegated, and perform selected diagnostic tests.
Provides direct patient care as delegated by RN staff
Monitors and records vital signs
Assists in providing personal hygiene and physical care needs
Accurately measures, records, and reports intake and output
Obtains and records daily weight
Performs blood glucose testing using blood glucose meter
Performs comfort rounds, reporting changes in patient's status promptly to RN
Performs as a sitter or patient care companion when needed
Assists in the admission, transfer and discharge process
Delivers specimens, picks up medications and other items
Acts as receptionist for unit; has limited use of the hospital information systems according to hospital policy dependent on the need of unit
Checks and documents refrigerator temperatures as delegated, reporting variances to appropriate personnel
Updates assigned bed status
Answers call lights and telephone
Keeps patient environment clean, keeps hallways clear of obstruction, reports safety issues and broken equipment appropriately, and adheres to patient safety precautions
Communicates with patient's family, physicians, and unit personnel and peers in an accurate, courteous, and professional manner
**Job Requirements**
**_Required Education and Experience_**
*High School Diploma or GED required
*Prior Experience preferred
**_Required Licensure and Certifications_**
BLS-CPR (14 day grace period)
Required Minimum Knowledge, Skills, Abilities and Training
*Good written/oral communication skills
**Where You'll Work**
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.
**Pay Range**
$14.01 - $19.79 /hour
We are an equal opportunity/affirmative action employer.

**Description**
**Introduction**
Do you want to join an organization that invests in you as a(an) Patient Care Technician? At HCA Houston Healthcare Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
HCA Houston Healthcare Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Care Technician like you to be a part of our team.
**Job Summary and Qualifications**
As a Patient Care Technician you will be a crucial member of our collaborative nursing care team, delivering hands-on care and helping create a safe, welcoming environment for patients. Your support brings comfort, dignity, and connection to those who need it most - and helps make our mission to improve lives a reality for patients every day.
**Your responsibilities will include:**
+ Assisting with patient preparation, mobility, transfers, and comfort to support smooth procedures and recovery
+ Providing non-medicated care like dressing changes, skin protection, and use of supportive devices
+ Keeping patient areas, operating rooms, and common spaces clean, organized, and stocked to maintain safety and efficiency
+ Managing supplies, equipment, and environmental logs to keep the team ready and protect patients through infection control
+ Communicating kindly with patients, families, and the care team while promoting safety and quality efforts
**What qualifications you will need:**
+ Basic Cardiac Life Support must be obtained within 30 days of employment start date
+ (CNA) Certified Nursing Assistant
HCA Houston Healthcare Medical Center ( is a **445+ bed acute care hospital located in the heart of central Houston** , adjacent to the Medical Center and Museum District, and provides quality care for the greater Houston area. Established in 1975, our hospital has been serving Houston for more than 40 years. We provide a wide range of medical services, including cardiology, bariatrics, orthopedics, neurology, emergency care and more. Our comprehensive medical specialties are here to offer individualized care to every individual that walks through our doors. We also offer 24/7 emergency services and two intensive care units: surgical intensive care unit (SICU) and medical intensive care unit (MICU). We are an accredited **Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center** and an accredited **Chest Pain Center with Primary PCI** . We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Care Technician opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

At Houston Methodist, the Patient Care Assistant (PCA) position is responsible for functioning as novice to competent and demonstrates basic knowledge and skills necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned age-specific, diverse patient population, assisting in the delivery of patient care and services under the supervision of a licensed nurse. This position conducts hourly rounding to ensure patient needs are met and records data established by policy and procedure, and reports observations and patient problems to the licensed nurse. The PCA position performs basic patient care activities of daily living (ADL's) within unit-specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity and practices Patient and Family Centered Care in concert with Houston Methodist ICARE values. Requirements: PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment with the interprofessional care team. Participates in teamwork by responding positively to requests for assistance. Works well with others to make contributions to the work effort as a whole and facilitates problem resolution.
• Interacts with peers, staff, and physicians in a supportive and respectful manner. Encourages open communication to achieve mutual understanding. Communication to promote both work efforts and problem resolution is clear and professional. Collaborates with all members of the interprofessional team by actively communicating and reporting pertinent patient care information in a clear and timely manner.
• Provides contributions towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS

• Follows the patient and family-centered care standards and provides direct patient care under the direction of a registered nurse. Documents, where applicable, care administered, diagnostic measurements, treatments and procedures in accordance with established policies and procedures. Responds to the call light system, contacting nursing personnel as appropriate, and follows through with meeting patient needs.
• Assists with maintaining, cleaning, and stocking of equipment and supplies as established on assigned unit. May serve as an in-house courier which may include retrieving blood, hand delivering labs, tele boxes, etc. Organizes the workflow, problem-solves basic and routine matters, and manages multiple ongoing priorities, seeking guidance and assistance from preceptor, licensed nurse, or management.
• Contributes towards improving department scores for patient satisfaction through peer-to-peer accountability, i.e., bedside shift handoff/report.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Reports observations, conditions and problems of patients to licensed personnel to achieve desired patient outcomes. Provides for the privacy of patients and families, keeping the safety of the patient in mind.
• Provides appropriate hand-off at change of shift at patient bedside to communicate and collaborate, promoting patient-centered care.
• Conducts hourly rounding to ensure patient needs are met (four P's). Reports near misses and collaborates with the interprofessional health care team to improve patient safety.
• Contributes towards improving quality and safety scores, through peer-to-peer accountability. Supports initiatives to prevent conditions such as pressure injuries, patient falls, and hospital-acquired infections.

FINANCE ESSENTIAL FUNCTIONS

• Assists with patient and staffing needs (floats) across the service line or hospital as competencies allow. Utilizes time between heavy workloads efficiently.
• Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Offers innovative solutions in performance improvement projects and shared governance activities.
• Seeks opportunities to identify self-development needs on knowledge base, skill level and decision-making, as necessary, especially in areas of question, from preceptor and assigned licensed personnel and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications: EDUCATION * High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) WORK EXPERIENCE * * Must complete one of the following:

• ◊ PCA externship
• ◊ PCA internal internship
• ◊ Six months of direct patient care experience
• ◊ Enrolled in a school of nursing program with a completed first clinical rotation

LICENSES AND CERTIFICATIONS - REQUIRED * BLS - Basic Life Support or Instructor (AHA) KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Performs basic patient care activities of daily living (ADL's) within unit specific defined limits and job scope, such as assistance with patient elimination, hygiene, comfort, safety, nutrition, and progress activity

SUPPLEMENTAL REQUIREMENTS WORK ATTIRE

• Uniform No
• Scrubs Yes
• Business professional No
• Other (department approved) Yes

ON-CALL*

• Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
• On Call* No

TRAVEL Travel specifications may vary by department

• May require travel within the Houston Metropolitan area No
• May require travel outside Houston Metropolitan area No

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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. 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.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

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.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans