16 Hendrick Medical Center Brownwood jobs in Brownwood

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.

• Conducts self in a manner that is congruent with cultural diversity, equity, and inclusion principles. 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 and cultural diversity and inclusion principles. 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 (AHA) AND
• CNA - Certified Nursing Assistant - State Licensure - For Skilled Nursing Facility(SNF)/Rehab departments only

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 Baytown Hospital, located 35 miles east of Houston, is the area's only full-service hospital offering specialized medical care for patients at every stage in life. This 230-licensed bed hospital with 15 operating rooms and over 1,700 employees, brings Medical Center excellence and quality care close to East Harris and surrounding counties.

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.
+ Conducts self in a manner that is congruent with cultural diversity, equity, and inclusion principles. 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 and cultural diversity and inclusion principles. 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 (AHA) **AND**
+ CNA - Certified Nursing Assistant - State Licensure -- For Skilled Nursing Facility(SNF)/Rehab departments only
**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 Baytown Hospital brings the expertise and latest technology of Houston Methodist to Baytown and surrounding counties. The skilled and compassionate physicians, nurses and staff provide unsurpassed medical care in a close-to-home, state-of-the-art facility. Houston Methodist Baytown is committed to meeting the needs of its growing community through the ongoing facilities master plan expansion project, which includes a new, expanded emergency department, a five-story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit and the addition of technologically advanced operating rooms.
Houston Methodist is an Equal Opportunity 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 Baytown Hospital brings the expertise and latest technology of Houston Methodist to Baytown and surrounding counties. The skilled and compassionate physicians, nurses and staff provide unsurpassed medical care in a close-to-home, state-of-the-art facility. Houston Methodist Baytown is committed to meeting the needs of its growing community through the ongoing facilities master plan expansion project, which includes a new, expanded emergency department, a five-story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit and the addition of technologically advanced operating rooms.
Houston Methodist is an Equal Opportunity Employer.

**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**

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:

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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

At Houston Methodist, the Patient Care Assistant (PCA) Flex Option position is responsible for functioning as 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 Flex Option 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.
The flex option commitment accompanies this job description.
**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**
+ Two years of experience as a Patient Care Assistant/Nursing Assistant
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ BLS - Basic Life Support (AHA) **AND**
+ CNA - Certified Nursing Assistant - State Licensure -- For Skilled Nursing Facility(SNF)/Rehab departments only: Certified Nursing Assistant (CNA) **AND**
+ NVCRISIS - Nonviolent Crisis Intervention (CPI) within 6 months
**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 Baytown Hospital brings the expertise and latest technology of Houston Methodist to Baytown and surrounding counties. The skilled and compassionate physicians, nurses and staff provide unsurpassed medical care in a close-to-home, state-of-the-art facility. Houston Methodist Baytown is committed to meeting the needs of its growing community through the ongoing facilities master plan expansion project, which includes a new, expanded emergency department, a five-story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit and the addition of technologically advanced operating rooms.
Houston Methodist is an Equal Opportunity 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.
+ Conducts self in a manner that is congruent with cultural diversity, equity, and inclusion principles. 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 and cultural diversity and inclusion principles. 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 (AHA) **AND**
+ CNA - Certified Nursing Assistant - State Licensure -- For Skilled Nursing Facility(SNF)/Rehab departments only
**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 Baytown Hospital brings the expertise and latest technology of Houston Methodist to Baytown and surrounding counties. The skilled and compassionate physicians, nurses and staff provide unsurpassed medical care in a close-to-home, state-of-the-art facility. Houston Methodist Baytown is committed to meeting the needs of its growing community through the ongoing facilities master plan expansion project, which includes a new, expanded emergency department, a five-story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit and the addition of technologically advanced operating rooms.
Houston Methodist is an Equal Opportunity Employer.

**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. Assists patients in performing self-care as applicable
**Staff Related**
+ Participates in the recruitment process for new clinical staff
+ Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.
+ Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.
+ Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.
+ Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
+ Provides developmental support to applicable clinical and facility staff.
**Education/Communication:**
+ Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.
+ Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
+ Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives
+ Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
+ Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
+ Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
+ Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
**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, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists with facility QAI infection control audits.
+ Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
+ Reinforces new hire employee adherence to infection control Policies and Procedures
+ Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.
+ Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.
+ Under the direction of the Education Dept. participates in education response to internal and external facility surveys.
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an 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:**
+ High School diploma or G.E.D. required. Bachelor's degree preferred
+ Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
+ Attendance and active participation in all applicable preceptor training programs as established by education leadership
+ Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ At least five years patient care experience in a hospital setting or a related facility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**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**

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. Assists patients in performing self-care as applicable

Staff Related

• Participates in the recruitment process for new clinical staff
• Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.
• Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.
• Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT’s.
• Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
• Assists in training of applicable direct patient care staff on appropriate programs  under the supervision of a nurse.
• Provides developmental support to applicable clinical and facility staff. 

Education/Communication:

• Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.   
• Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
• Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives   
• Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
• Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
• Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.   
• Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices 

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, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  
• Enters all treatment data into the designated clinical application in an accurate and timely manner.   
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.   
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.   
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.   

INFECTION CONTROL:

• Assists with facility QAI infection control audits.
• Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
• Reinforces new hire employee adherence to infection control Policies and Procedures
• Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.
• Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.
• Under the direction of the Education Dept. participates in education response to internal and external facility surveys.
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law

   

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 
• Reinforces all education and care related matters as it relates to the new patient     as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.   
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.   
• Assists with supply ordering and inventory for TCU

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an 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. Bachelor’s degree preferred
• Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards
• Attendance and active participation in all applicable preceptor training programs as established by education leadership   
• Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.

EXPERIENCE AND REQUIRED SKILLS :

• At least five years patient care experience in a hospital setting or a related facility preferred.   
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

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