RN Nurse Practitioner

64067 Lexington, Missouri HCA Healthcare

Posted 5 days ago

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**Description**
**Introduction**
Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Lafayette Regional Health Center have the opportunity to make a real impact. As a(an) RN Nurse Practitioner you can be a part of change. **This position will cover clinic days on Tuesday and Thursday.**
**Benefits**
Lafayette Regional Health Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) RN Nurse Practitioner. We want your knowledge and expertise!
**This position will cover clinic days on Tuesday and Thursday.**
**Job Summary and Qualifications**
+ Responsible for delivery of patient care through the nursing process of assessment, planning, implementation and evaluation
+ Directs and guides patient/family teaching and activities of ancillary personnel while maintaining standards of professional nursing
+ Policy and procedure development
+ Participation in program evaluation activities
**What qualifications you will need:**
+ (FNP-BC) Family Nurse Practitioner Certification
+ Masters Degree
+ Active DEA and BNDD registration
Lafayette Regional Health Center ( is a 25+ bed critical access hospital. Our hospital is accredited by the Joint Commission. We are known for compassionate and high-quality acute and outpatient medical care services in a small-town environment. We operate three physician clinics throughout Lafayette County. Patients enjoy the comfort of knowing they're receiving quality healthcare in their hometown. We are located in historic Lexington, Missouri, 50 miles east of Kansas City. Our hospital is part of HCA Healthcare Midwest Health, a network of hospitals in Kansas City and the surrounding areas.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our RN Nurse Practitioner opening. Submit your application today and help advance the practice of nursing.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Nurse Practitioner NP

64083 Raymore, Missouri CVS Health

Posted 5 days ago

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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Full Time Weekend Workforce **(Weekend Schedule)** providing quality healthcare at our clinic locations in and surrounding Kansas City, MO. Newer graduates and experienced providers are encouraged to apply!
**POSITION SUMMARY:**
As the largest retail health care provider in the nation, and an industry leading Fortune top 10 Company, MinuteClinic offers the unique opportunity to deliver affordable, accessible comprehensive high-quality care that meets the needs of our patients, their families, and our communities. You'll be empowered to provide holistic patient care to your community with support, guidance, collaboration and a "one store, one team mindset." Minute Clinic has also been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence premier designation for healthy work environments which recognizes health care organizations that demonstrate a commitment to establishing the foundation of a healthy workplace for staff. This includes a focus on Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development.
**Our Advanced Practice Providers enjoy:**
+ Autonomy to run your own practice with refreshing collaborator and organizational support
+ Flexibility with scheduling
+ Work life balance
+ Exceptional tools, training, and resources
+ Evidence-based guidelines and access to assessment and treatment planning tools to elevate and support the continuity of care for patients
+ Practicing at the top of your clinical license with the support of our clinical care team
+ Unparalleled Career growth opportunities and development
+ Patient charting and follow up completed in the clinic during the shift, no taking work home
**You will:**
+ Provide Primary and Family evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients.
+ Provide administrative duties to include but not limited to opening/closing the clinic, inventory, patient follow up, verifying insurance and collecting payment, maintaining a clean environment.
+ Be responsible for handling patient appointments and performing routine examinations to ensure positive patient health outcomes
+ Perform duties including speaking with patients about healthy lifestyle choices, completing diagnostic tests to help diagnose and treat patients for injuries or illnesses and coordinating with other healthcare professionals to maintain a comprehensive plan of care
+ Encourage patients to become active participants in their own healthcare and well-being through services such as health screenings, behavioral health and wellness, chronic condition management
**REQUIRED QUALIFICATIONS:**
+ Provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients. This includes education and treatment for pregnancy prevention, sexually transmitted infection (STI) Prevention and safer sex practices.
+ Order and administer immunizations and injections (to include but not limited to COVID19, influenza, TB, Depo) and provides evidence-based patient/parent vaccine counseling and education.
+ Minimum of two years of medically relevant experience or equivalent
+ Complete the DOT certification exam within 30 days of employment
+ Depending on the market, the ability to be proficient in both speaking and writing in additional languages not limited to but including Spanish
+ Basic Life Support (BLS) certification, including but not limited to performing CPR and operating an Automated External Defibrillator (AED).
+ Pass a FIT test and wear the provided respirator mask when protocol requires.
**PREFERRED QUALIFICATIONS:**
+ If less than 1 year of work experience as a licensed provider, prior student precepting rotation with MinuteClinic is preferred, but not required.
+ Epic experience preferred
**EDUCATION:**
+ Master's Degree level Family Nurse Practitioner program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse role.
+ Or in select states, Master of Science in Physician Assistant Studies (or other health-related master's degree or equivalent experience together with Bachelor of Science in Physician Assistant Studies) with current National Board Certification and State of Employment license to practice in the role.
**Pay Range**
The typical pay range for this role is:
$41.85 - $90.13
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 07/29/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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Nurse Practitioner Radiology at Missouri Baptist Sullivan Hospital - Part-Time

63080 Oak Grove, Missouri BJC HealthCare

Posted 5 days ago

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**City/State:** Sullivan, Missouri **Categories:** Nursing Services **Job Status:** Part-Time **Req ID** : 91395 **Pay Range:** $105,372.80 - $158,995.20 / year (Salary or hourly rate is based on job qualifications and relevant work experience) **Additional Information About the Role** Nurse Practitioner or Physician Assistant Radiology Dept at MBSH Radiology Procedures Adult Patients only Part-Time Benefits Eligible 24 hours per week For questions, and/or further details, please reach out to **Overview** **Missouri Baptist Sullivan Hospital** is a designated critical access hospital committed to providing quality health care service to residents in Crawford, Franklin and Washington counties. The hospital has enhanced and expanded the health care services available to the greater Sullivan community with its state-of-the-art emergency department, modern childbirth center, critical care unit, multiroom surgical suite, expanded cardiac rehab services, and a cancer center. A 22,500 square-foot medical office building provides offices for primary care physicians as well as space for a variety of visiting medical and surgical specialists from the St. Louis area. Missouri Baptist Sullivan Hospital operates four rural health clinics providing quality health care to surrounding communities. In addition, the hospital operates a comprehensive Therapy and Rehabilitation department and an award-winning Wound Care Center with two hyperbaric chambers. Radiology offers Board-certified radiologists, registered radiology technicians and sophisticated diagnostic equipment to provide an array of services including: X-ray, bone density, mammography, nuclear medicine, ultrasound, MRI and CT. These noninvasive diagnostic techniques create quality images of most organs in the body that can lead to the early detection of many conditions. **Preferred Qualifications** **Role Purpose** The Nurse Practitioner (Primary Care) utilizes a high degree of knowledge, skill, and competence to deliver patient care in a primary care clinic setting. This position assesses, diagnoses, and initiates a patient care treatment plan within the scope of a formal collaborative practice agreement with a primary care physician. In this role, patient care is performed with considerable independence, guided by physician-approved protocols, and evaluated through chart review, consultations, and the observation of results under the general medical direction of an Internal Medicine/Family Medicine physician. **Responsibilities** + Participates in professional development + Manages the health care of patient populations with compassion through advanced health assessment, diagnosis, intervention, and evaluation in a collaborative practice agreement with a physician. Prescriptive responsibilities are reviewed by collaborative physician. + Coordinates the care of patient populations, in a collaborative practice agreement with a physician, to ensure promotion of health and wellness through education of patients and families, coordination of services and placing referrals. + Assesses development needs of staff and develops and delivers appropriate educational programs to meet staff needs. + Develops treatment plans, treats patients with acute problems including illnesses and minor injuries following a predetermined protocol in a collaborative practice agreement with a physician. + BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. **Minimum Requirements** **Education** + Master's Degree - Nursing **Experience** + <2 years **Supervisor Experience** + No Experience **Licenses & Certifications** + Nurse Practitioner + RN **Preferred Requirements** **Education** + Doctorate - Nursing **Experience** + 2-5 years **Benefits and Legal Statement** **BJC Total Rewards** At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. + Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date + Disability insurance* paid for by BJC + Pension Plan*/403(b) Plan funded by BJC + 401(k) plan with BJC match + Tuition Assistance available on first day + BJC Institute for Learning and Development + Health Care and Dependent Care Flexible Spending Accounts + Paid Time Off benefit combines vacation, sick days, holidays and personal time + Adoption assistance **To learn more, go to ( *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
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Patient Care Tech (Days)

64093 Strasburg, Missouri Western Missouri Medical Center

Posted 4 days ago

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Job Type Full-timeDescriptionPURPOSE STATEMENTA Patient Care Tech assists with nursing care, performs job functions according to specific age and/or developmental needs, and works under the supervision of the Registered Nurse and/or Charge Nurse of the unit.ESSENTIAL FUNCTIONSDemonstrate knowledge in patient care i.e.: bathing patients, assisting patients with ambulation and/or transfers, vital signs, and other patient care.Demonstrate positive customer service relations? Routinely participate in Quality Improvement projects and encourage department to continuously improve.Assist co-workers as needed/requested.Support the Medical Center's Mission/Vision/Philosophy positively.Maintain regular and predictable attendance.Perform other essential duties as assigned. RequirementsEDUCATION/EXPERIENCE/SKILL REQUIREMENTSHigh school diploma or equivalent.Certification as Certified Nurse Assistant (CNA) or Emergency Medical Technician (EMT), preferred. Equivalent experience as a nursing assistant or a current nursing student that has completed the Fundamentals of Nursing is acceptable in lieu of certification.Current BLS required (can obtain after hire).Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.PHYSICAL/MENTAL REQUIREMENTSMust be able to sit and stand, intermittent 8 to 12 hours a day.Must be able to use standard office equipment, including the telephone and computer keyboard.Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.Occasionally reaches above shoulder, regularly required to lift and/or carry up to 35 lbs.Occasionally walks on uneven surfaces.

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Patient Care Tech (Nights)

64093 Strasburg, Missouri Western Missouri Medical Center

Posted 6 days ago

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Job Type Full-timeDescriptionPURPOSE STATEMENTA Patient Care Tech assists with nursing care, performs job functions according to specific age and/or developmental needs, and works under the supervision of the Registered Nurse and/or Charge Nurse of the unit.ESSENTIAL FUNCTIONSDemonstrate knowledge in patient care i.e.: bathing patients, assisting patients with ambulation and/or transfers, vital signs, and other patient care.Demonstrate positive customer service relations? Routinely participate in Quality Improvement projects and encourage department to continuously improve.Assist co-workers as needed/requested.Support the Medical Center's Mission/Vision/Philosophy positively.Maintain regular and predictable attendance.Perform other essential duties as assigned. RequirementsEDUCATION/EXPERIENCE/SKILL REQUIREMENTSHigh school diploma or equivalent.Certification as Certified Nurse Assistant (CNA) or Emergency Medical Technician (EMT), preferred. Equivalent experience as a nursing assistant or a current nursing student that has completed the Fundamentals of Nursing is acceptable in lieu of certification.Current BLS required (can obtain after hire).Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.PHYSICAL/MENTAL REQUIREMENTSMust be able to sit and stand, intermittent 8 to 12 hours a day.Must be able to use standard office equipment, including the telephone and computer keyboard.Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.Occasionally reaches above shoulder, regularly required to lift and/or carry up to 35 lbs.Occasionally walks on uneven surfaces.

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Patient Care Technician - PCT

64013 Blue Springs, Missouri Fresenius Medical Care North America

Posted 5 days ago

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**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
**Education/Communication:**
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**_EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity_**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
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Patient Care Technician - PCT

64133 Raytown, Missouri Fresenius Medical Care North America

Posted 5 days ago

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Job Description

**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
**Education/Communication:**
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**_EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity_**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
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Patient Care Technician - PCT

64013 Blue Springs, Missouri Fresenius Medical Care Holdings, Inc.

Posted 20 days ago

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Job Description

Permanent

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

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

Treatment:

  • Welcome assigned patients and inquire as to their wellbeing since their last treatment.

  • Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.

  • Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment

  • Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).   

  • Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.   

  • Monitor patients’ response to dialysis therapy. 

  • Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.   

  • Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure

  • Obtain Hemostasis and apply appropriate dressings.   

  • Evaluate the patient prior to discharge.

  • Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification   

  • Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.   

  • Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.   

  • Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification   

  • Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.   

  • Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.

  • Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.

  • Perform and document any intervention for unusual patient status and document patients' response to intervention.

  • Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.

  • Obtain all prescribed laboratory testing and prepare specimens for collection.   

  • Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.   

  • Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.   

  • Monitors patients performing self-care under the supervision of RN.

Staff Related

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

Education/Communication:

  • Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

  • Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.

  • Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.

  • Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

  • Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

  • Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  

  • Enters all treatment data into the designated clinical application in an accurate and timely manner.   

  • Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

  • Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.

  • Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.   

  • Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   

  • Ensure collection of lab specimens by appropriate lab courier.

   

INFECTION CONTROL:

  • Assists in collecting  information for infection control audits.   

  • Supports staff and patient Adherence to infection control practices.   

  • Follows infection control Policies and Procedures   

  • Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

   

TRANSITIONAL CARE UNIT:

  • Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 

  • Reinforces all education and care related matters as it relates to the new patient     as allowed by state law

  • Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.   

  • Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.

  • Sets and preforms a treatment on all machines used in the transitional care unit.

  • Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.

  • Assists with coordination of transition to patient’s modality choice.   

  • Assists with supply ordering and inventory for TCU   

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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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

    Apply Now

    Dialysis Patient Care Technician-PCT

    64093 Strasburg, Missouri Dialysis Clinic Inc

    Posted today

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    Job Description

    Overview

    Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.

    The Patient Care Technician (PCT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments. Our PCTs are an integral part of the interdisciplinary team in ensuring safe care and the highest quality outcomes for every patient.

    Schedule: Full-time, four 10-hour shifts starting at 4:15am; Sundays off; no overnight shifts

    Compensation: Pay range from $17-$22 per hour, depending on healthcare experience; experience not required

    Benefits:

    • Paid 12-week training with preceptor
    • Comprehensive medical, dental and vision benefits
    • Life and long-term disability insurance provided at no additional expense to employee
    • Paid time off (PTO) including holidays
    • Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave
    • Retirement plans with .50 of each contributed dollar matched for eligible employees, up to 8 percent
    • Education reimbursement
    • Employee assistance program
    • Wellness program
    • Among others
    Responsibilities

    What You Can Expect:

    • Actively participate in infection control, risk management and patient education activities
    • Guide new patients through 120-day education plan
    • Obtain and record patient vital signs and machine readings during treatment
    • Role under RN supervision
    • Set up and break down dialysis blood system for treatment
    • Insert and remove patient access needles
    • Monitor patients during dialysis, document changes and inform charge nurse of any concerns
    • Calculate patient’s weight loss to reach dry weight
    • Determine patient care priorities and organize work load accordingly
    • Maintain professional working relationship, observing patient privacy and rights
    • Maintain and track inventory
    • Perform laboratory work
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    Med Surg Patient Care Tech - FT

    63080 Oak Grove, Missouri Barnes-Jewish Hospital

    Posted 2 days ago

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    Job Description

    Barnes-Jewish Hospital - 751 Sappington Bridge Rd (Nursing Assistant / Health Aide) As a Patient Care Tech at Barnes-Jewish Hospital, you'll: Implement direct patient care under the supervision of the nurse, promoting patient and family centered care; Collect clinical data and information on patients, and report changes in patient status to the nurse; Assist nurse with patient and family education and document all patient care activities provided.Hiring Immediately >>

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