2 Medical Assisting jobs in Kennett
Patient Care Technician - PCT
Posted 10 days ago
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Job Description
PURPOSE AND SCOPE:
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Patient Related
Education:
Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
Welcome assigned patients and inquire as to their wellbeing since their last treatment.
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
Monitor patients’ response to dialysis therapy.
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
Obtain Hemostasis and apply appropriate dressings.
Evaluate the patient prior to discharge.
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
Perform and document any intervention for unusual patient status and document patients' response to intervention.
Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
Obtain all prescribed laboratory testing and prepare specimens for collection.
Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
Monitors patients performing self-care under the supervision of RN.
Staff Related
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Education/Communication:
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
Initiate Solution Delivery System (SDS) system.
RECORD KEEPING:
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
Enters all treatment data into the designated clinical application in an accurate and timely manner.
Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
Ensure collection of lab specimens by appropriate lab courier.
INFECTION CONTROL:
Assists in collecting information for infection control audits.
Supports staff and patient Adherence to infection control practices.
Follows infection control Policies and Procedures
Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
TRANSITIONAL CARE UNIT:
Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
Reinforces all education and care related matters as it relates to the new patient as allowed by state law
Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
Sets and preforms a treatment on all machines used in the transitional care unit.
Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
Assists with coordination of transition to patient’s modality choice.
Assists with supply ordering and inventory for TCU
PHYSICAL DEMANDS AND WORKING CONDITIONS:
< ul>The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.
EDUCATION AND LICENSES:
High School diploma or G.E.D. required.
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
All appropriate state licensure, education, and training (if any) required.
Demonstrated commitment to organization culture, values, and customer service standards
EXPERIENCE AND REQUIRED SKILLS :
Previous patient care experience in a hospital setting or a related facility preferred.
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veteransCenter Nurse/Patient Care Coordinator
Posted today
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Job Description
Job Description
The Patient Care Coordinator will oversee all aspects of coordinating enrollment and acquiring approval for treatment. The PCC will monitor all aspects of new patient care and all required documentation. The PCC will also drive enrollment and attendance through marketing efforts and securing new referral sources.
The Center Nurse is a licensed professional nurse certified with the Arkansas State Board of Nursing. The nurse will collaborate with the Center Director, primary care physicians, therapists and other personnel regarding medical needs of patients.
Summary of essential job function
- Follow Arkids Pediatric Day Centers’ Employee Handbook, Management Policies and Procedures Manual, and Medical Policies & Procedures Manual
- Ensure all policies and procedures are implemented by all staff members, maintaining compliance at all times with all regulations determined by regulatory agencies
- Maintain standards set forth by Arkansas Minimum Licensing, Division of Provider Services and Quality Assurance (DPSQA), Medicaid, Arkansas Department of Health, EQHealth (or other gatekeeper to Medicaid), and all other regulatory agencies
- Update their sections of the Administrative Meeting Agenda and submits it to the Center Director the day before the scheduled meeting (unless otherwise specified)
- Maintain open communication with parents/guardians, families, visitors, all Arkids Pediatric Day Centers’ personnel, and outside contacts
- Attend and actively participate in job-related functions
- Represents the program to parents/guardians, visitors, and the public in a positive way
- May assist with training new employees
- Will assist with covering lunch breaks (e.g. classroom staff) or fill in for the Administrative Assistant
- May assist with CPR training for all staff, if certified as an instructor
- May assist with loading/unloading vans
- Assist with light housekeeping duties
- Other duties as assigned
Patient Care Coordinator
- Promote Center growth with the overall goal being enrolled to the capacity of the Center
- Follow up on inquiries for potential patients and submitting the initial referral to the Primary Care Physician (PCP) within 24 hours of receipt
- Schedule evaluations for potential patients and receive completed evaluations and treatment plans from therapists
- Submit DMS-640 to patient’s PCP within 24 hours after evaluations are completed
- Ensure copies of the evaluations and treatment plans are forwarded to the parents/guardians and referring Primary Care Physician
- Schedule initial developmental screening process with Optum (or other approved vendor)
- Complete the intake process for enrollment into the Center, including reviewing the Parent/Guardian Handbook with the parent/guardian and completing all required enrollment paperwork
- Maintain the Enrollment Tracker on all patients in the enrollment process and submit the tracker to Center Director, and other designated staff, by the end of the day every Friday
- Maintain potential patient charts from inquiry to enrollment
- Search by the patients’ names before creating a new profile, they may already be in the system
- Ensure all profile information is accurate and up-to-date on all new patients
- Update Patient Frequency for therapy immediately when the new prescription to treat is received
- Close out customers when switching from contingency to EIDT
- Check inbox daily (for example: looking for evaluation notification to update DMS-640)
- Promote daily attendance: the overall daily goal is to be at building capacity but at minimum an average of 85% of patients enrolled in attendance
- Assist the Administrative Assistant with monitoring daily attendance and investigate patient absences
- Ensure that all measures are exhausted when following up on attendance (ex. phone calls, home visits, letters, contact with the Primary Care Physician)
- Report on patients with excessive absences, along with follow-up efforts, during the weekly Administrative Meetings
- Make home visits (with other staff) as needed for various problems such as patient absences, assessment for environmental risk, to obtain required documentation, signatures, etc.
- Maintain an adequate list of community resources and ensure patients and families stay informed of their options
- Assist families with social service forms/paperwork, such as Medicaid, TEFRA, or SSI applications
- Initiate weekly marketing visits and report on outcomes during the weekly Administrative Meeting
- Initiate and maintain relationships with various businesses, professional, social, charitable, public, and private organizations, and doctors’ offices to promote Arkids’ services to the community
- Comfortable speaking with physicians, potential referral sources, and other community members
- Keep in contact with DCFS, as necessary, to monitor on-going services to patients and families at risk
- May assist the Center Director with social media content
- Maintain organized and updated lists of scheduled and PRN medications for each patient receiving medications at the Center
- Obtain prescribing information from the parent/guardian, physician, or pharmacy
- Complete daily documentation of medications, including dosage, frequency, and route of medications given on the appropriate form
- Include a printout of all possible side effects for all medications
- Monitor patients for drug reactions, documenting appropriately
- Report any adverse reactions to a medication or medication error in administration to the Center Director, Program Administrator, parent/guardian, and primary care physician (PCP)
- Notify parents/guardians when medications need to be refilled
- Ensure all medication, both prescription & over the counter, is double locked in the Center Nurse’s office when unsupervised
- Examine patients in need of medical attention and respond accordingly, making sound decisions based on facts and experience
- If necessary, contact the primary care physician for recommendations
- Document illness or injury requiring medical attention and follow-up with parent/guardian, and PCP if needed, and document follow-up action taken
- Obtain discharge information for patients who have been absent from the Center due to hospitalization, prior to the child returning to the Center, to ensure proper care is given
- Complete a comprehensive nursing intake and gather medical information on all new patients enrolling in the Center, including a signed parent/guardian permission form for any over the counter (OTC) medications
- Complete a comprehensive nursing evaluation, including the prescribed number of nursing units needed per day and the PCP signature, whenever billable nursing services are needed (e.g. tube feedings)
- Develop a medication management plan for all patients with prescribed medication that may be administered at the Center
- Return any unused or out-of-date medications to the parents/guardians. If medication is not picked up by the parent/guardian, it will be disposed of according to recommendations of the US Food & Drug Administration. Two staff members should accompany the medication to any local drop offs & documentation of disposed medications will be kept at the Center.
- Review patient immunization records prior to enrollment & track immunization records on an internal spreadsheet, highlights due dates, noting those potentially out of compliance. Document communication with parents/guardians on the nursing notes and on the Parent/Guardian Communication Form in the front of the immunization section in the patient chart a minimum of weekly. Email the Immunization Tracker to the Center Director a minimum of monthly to review.
- Maintain documentation of Incident/Accident Reports: Immediately communicate with Center Director, or designee, via email or face-to-face when incidents occur and notification to parents/guardians occur. Communication of all incidents will, at a minimum, be reported to the Center Director, or designee, by the end of the day. Turn in all Incident Reports to the Center Director by the end of the day of the Incident for review. Review will be evidenced by initials and date of review.
- Maintain patient emergency information and employee emergency information, updating a minimum of annually
- Maintain the Safety Data Sheet binder: update whenever new products are introduced into the Center, but at a minimum of quarterly
- Familiar with the following nursing duties: feeding tube (feeding, care and maintenance), catheters, breathing treatments, monitoring vital statistics (including diabetes sugar checks, insulin, blood draws, pulse ox), tracheostomy (suctioning and care), assisting ventilator-dependent patients
- Request any orders from the patients’ primary care physician, or specialist, as needed by the Center
- Advocate for referrals to outside specialists and other health personnel as needed
- Maintain an updated list of allergies for each patient at the Center, updating every time a new patient starts with allergies, but a minimum of monthly, indicating a revision date at the bottom of the form
- Complete monthly fire and tornado drills and quarterly earthquake, bomb threat and crisis prevention drills, documenting on the appropriate form
- Assist with New Employee Orientation
- Review all medical records received and distribute to appropriate personnel, interpreting clinical data to identify patient risks (actual and potential)
- Complete nursing supply order by the 3rd week of the month when medical equipment/supplies need to be ordered and stock when delivered
- Maintain oxygen tank
- Complete monthly Center inspections
- Assist with weekly Center inspections
- Maintain first aid kits in all locations of the Center and checks them monthly, initially the tag
- Maintain daily temperature checks on the refrigerator containing medications
- Work with the audiologist to complete and track required hearing screenings
- Ensure medical documentation is completed and in compliance with regulatory agencies and standards as established by the Center
- Ensure the nursing notes are charted on all tasks, follow-ups, conversations with parents/guardians, etc.
- Maintain confidentiality of patients and staff at all times
- Communicate with the Center Director on all nursing/medical needs
- Communicate with appropriate staff when children are being sent home and/or cannot return due to minimum licensing standards
- Promote continuity, consistency, and expediency of care to patients and families
- Serve as a resource for Center Staff in areas of primary health care, infection control, disease processes and emergency procedures
- Perform staff in-services, as needed, when recommended by the Center Director, on topics related to nursing/health/safety
- Complete all nursing notes and billing by the end of the shift on the day the event/incident/service occurred
- Assist with covering classroom staff lunch breaks or fill in for the Administrative Assistant
- May assist with CPR training for all staff, if certified as an instructor
- May assist with loading/unloading vans
- Assist with light housekeeping duties
- Other duties as assigned
Minimum requirements
- Must be a graduate of an accredited school or vocational nursing
- Must be (currently) licensed in the state of Arkansas
- Five (5) years of experience in Early Childhood Education or children with special needs preferred
- Clear Criminal Record Check, Arkansas Child & Adult Maltreatment Regulatory Checks, FBI Regulatory Check, including National Sex Offender Registry
- Pass a drug screen (upon hire, annually, and/or randomly)
- Ability to communicate effectively with co-workers and supervisors
- Ability to work with children
- Ability to handle multiple tasks in a very busy environment
- Ability to carry out instructions
- Ability to clean efficiently and timely
- Ability to lift up to 50 lbs
- Ability to bend, stoop, stand, walk, pull, and reach for several hours per day
- Ability to demonstrate basic computer skills
*Medical, Dental, Vision, Supplemental Insurances, Life Insurance, Paid Time Off, 401K*
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