649 Rns jobs in Columbus

Patient Care Technician - Skilled Nursing Dialysis (DSD)

Are you looking to build long-term relationships with teammates and patients? Join DaVita Kidney Care as a Patient Care Technician in Skilled Nursing Dialysis Services. This role offers 3-4 days a week with 12+ hour shifts. Must be OCDT certified in the state of Ohio.

DaVita Kidney Care is bringing our industry-leading clinical quality to patients on-site at skilled nursing facilities (SNF) through a new team called DaVita Skilled Nursing Dialysis Services. Approximately 10% of all dialysis patients reside in a SNF and are transported to dialysis three times a week placing a significant burden on patients and adding significant avoidable costs to the health care system. DSD Services teammates will have access to all the capabilities and resources DaVita has to offer, and will work to quickly leverage these to develop the infrastructure and rapidly grow the new service line. Ideal teammates will have significant experience within DaVita, get energized by a start-up type environment and improving the lives of patients, and have a track record of finding ways to GSD. Teammates must be comfortable working autonomously and have demonstrated the ability to collaborate with cross-functional resources across the Village.

What you can expect:

In this role, you take responsibility for the complete ongoing care of each patient to ensure their dialysis treatment stays on track. PCTs will work in conjunction with dialysis RNs to provide dialysis care. Your primary work schedule will be a Full-Time position: The PCT will be based at our site dialysis den in the Laurels of Gahanna and may be asked to support additional surrounding sites depending on business needs. Operations function Monday, Tuesday, Wednesday, Thursday, Friday and Saturday. Scheduled days will vary based on market needs.

Patient Care: Spending the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.

Complexity: DSD Dialysis care is a complex but fulfilling service line. Meeting and/or exceeding clinical outcomes are the goals and multitasking is an expectation to meet the needs of the service, the patients and our SNF partners.

Autonomy and Critical Thinking: Provide comprehensive patient care in an independent setting. Plan to be on your toes at all times. You use your mind constantly. You apply your "core" skills to monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. There's a lot to track and manage and the joy comes in witnessing how your care impacts patients' lives.

Some details about this position:

• Your training will include a combination of classroom and hands-on learning, through DaVita's award-winning training programs
• Training may take place in a facility or a training clinic with a class of new teammates other than your assigned home clinic
• Hours of work may vary during the training period; however, you will typically be working between 32-40 hours per week during training
• May be asked to support other local SNF dens

You must have:

• High school diploma or equivalent
• MUST BE OCDT CERTIFIED
• Basic computer skills and proficiency in MS Word and Outlook

You might also have (a.k.a. nice-to-haves):

• Training/Teaching/Healthcare Education background

What We'll Provide:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

• Paid training: DaVita offers all new dialysis teammates a very structured and robust, PAID training program to help you learn the right dialysis skills to keep you on track every step of the way, with hands on learning on the clinical floor with patients
• Reimbursement for your Certified Hemodialysis Technician (CHT) license
• Preceptor University: Learn how to become teach future DaVita teammates clinical procedures and policies
• Opportunity to grow personally and professionally. DaVita is committed to providing robust development opportunities including:
• DSSL & SPARK Gives clinical teammates the chance to develop into supervisory and leadership skills
• Bridge to Your Dreams: Offers high-performing patient care technicians (PCTs) a path to becoming a registered nurse through fully funded tuition and career coaching.
• 100+ CEU courses at no cost
• Gateway: A web-based application available to teammates for career planning, learning and training, and recognition. It allows you to access new courses and CE credits and explore career paths on your own time. It also has a newsfeed to keep you up to date on Village news and functions as a social platform to connect you to teammates

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.

Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."

**Overview**
We're looking for a **Patient Care Manager** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for day to day operations of your assigned home health site, administering the clinical aspects of the home health program and for ensuring the provision of quality of care to patients. The role is responsible for facilitating the relationship between referral sources, patients, caregivers, and employees. Depending on branch census you may be responsible for other duties as assigned.
+ Ensure that the client's plan of care is individualized and appropriate, executed as written and reassessed by the appropriate health care processional when there is a significant health status change in the client's condition, at the physician's request and after hospital discharge.
+ Ensure appropriate documentation is completed for all patients transferred to an inpatient facility.
+ Manage the site in the absence of the Executive Director or Administrator.
+ Managing and overseeing clinical and administrative and recordkeeping functions.
+ Participate in on-call nursing schedule and provide direct skilled bedside nursing care in patients homes.
**About You**
+ Associate's degree in Nursing from an accredited school of nursing. U nless superseded by requirementslisted in the state-specific section.
+ Bachelor degree in nursing form an accredited school of nursing preferred.
+ Minimum three years experience in direct patient care in a clinical setting. Unless superseded by requirements listed in the state-specific section.
+ Must be able to effectively operate nursing assessment tools and office equipment to include, computer and or tablet.
+ Current RN licensure in state of practice
+ Current CPR certification
**We Offer**
+ Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
+ Opportunity to Participate In a Fleet Program
+ Competitive Salaries
+ Mileage Reimbursement
+ Professional Growth and Development Opportunities
**Legalese**
+ This is a safety-sensitive position
+ Employee must meet minimum requirements to be eligible for benefits
+ Where applicable, employee must meet state specific requirements
+ We are proud to be an EEO employer
+ We maintain a drug-free workplace
ReqID: 2025-122625
Category: Single Site Ops and Clinical Leadership
Position Type: Full-Time
Company: Heartland Home Health

We are hiring a RN Patient Care Manager with Home Health experience.

At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.

As a Patient Care Manager, you can expect:

* opportunities to get closer to patients and provide quality support to your patient-facing teams

* to be valued and respected by patients and their families

* a sense of security, incredible team support, and flexibility for true work-life balance

* leadership development opportunities

Our Patient Care Manager role might be a great opportunity if you believe in putting the patient at the center of everything. Apply today!

The Home Health RN Patient Care Manager is responsible for the supervision and coordination of clinical services and provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies.

* Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team.

* Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits.

* Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.

* Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders.

* Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate.

Education & Experience

* Current RN licensure in state of practice
* Current CPR certification required
* Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation

By applying, you consent to your information being transmitted by Get It to the Employer, as data controller, through the Employer's data processor SonicJobs.
See LHC Group Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

**About this role:** As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.
**How you grow or advance:** Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
+ Sets up, tests, and operates hemodialysis machines for patient treatments.
+ Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
+ Evaluates vascular access pre-treatment and performs vascular access cannulation.
+ Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
+ Monitors patients' response to dialysis therapy.
+ Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
+ Reports any significant information and/or change in patient condition directly to supervisor.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Assists other healthcare members in providing patient education.
+ Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
**EDUCATION AND LICENSES** **:**
+ High school diploma or G.E.D. required.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
+ Previous patient care experience in a hospital setting or a related facility (preferred but not required).
+ Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
**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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.
**_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**

clinic hours - Mon- Sat from 6am-6pm, Saturdays are rotating Sundays off
**About this role:** As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.
**How you grow or advance:** Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
+ Sets up, tests, and operates hemodialysis machines for patient treatments.
+ Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
+ Evaluates vascular access pre-treatment and performs vascular access cannulation.
+ Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
+ Monitors patients' response to dialysis therapy.
+ Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
+ Reports any significant information and/or change in patient condition directly to supervisor.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Assists other healthcare members in providing patient education.
+ Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
**EDUCATION AND LICENSES** **:**
+ High school diploma or G.E.D. required.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
+ Previous patient care experience in a hospital setting or a related facility (preferred but not required).
+ Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
**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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.
**_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**

**About this role:** As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.
**How you grow or advance:** Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
+ Sets up, tests, and operates hemodialysis machines for patient treatments.
+ Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
+ Evaluates vascular access pre-treatment and performs vascular access cannulation.
+ Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
+ Monitors patients' response to dialysis therapy.
+ Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
+ Reports any significant information and/or change in patient condition directly to supervisor.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Assists other healthcare members in providing patient education.
+ Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
**EDUCATION AND LICENSES** **:**
+ High school diploma or G.E.D. required.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
+ Previous patient care experience in a hospital setting or a related facility (preferred but not required).
+ Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
**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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.
**_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:**
+ 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:**
+ 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**