Patient Care Technician

11901 Riverside, New York Northwell Health

Posted 2 days ago

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Job Description

**Req Number** 162104
Job Description
Under direction and supervision of registered Nurse, assists with activities of daily living, provides basic nursing care, and assists in maintenance of a safe and clean environment.
Job Responsibility
1. Functions as a co-worker to the nurse and a key member of the nursing care team:
+ Organizes patient care assignment and sets priorities.
+ Alerts RN co-worker to changes in patient status i.e., alteration in comfort, skin integrity, alterations in breathing pattern, etc.
+ Documents patient care and patient status changes on the appropriate chart forms.
+ Communicates routine information to RN periodically during shift i.e., intake and output.
1. Assists RN in providing for ADL needs of patients:
+ Prepares patients for meals, and feeds or assists with meals.
+ Provides between meal nourishment and fresh water to patients.
+ Bathes or assists patient to bathe, provides oral hygiene.
+ Toilets patients as necessary.
+ Maintains patient's mobility with range of motion exercises and ambulation.
+ Grooms patient, including shaving, as needed.
+ Participates with the RN in the development of a plan of care for assigned patient.
+ Utilizes a plan of care in carrying out patient assignments.
1. Maintains patient care units in a neat and orderly condition:
+ Changes and makes beds.
+ Cleans and straightens bedside table and over-bed tables, as needed.
+ Strips patient units upon discharge of patient, in preparation for cleaning by Housekeeping Department.
+ Removes equipment from room. Cleans and place it in appropriate are.
+ Prepares room for new admissions, transfers and post-operative patients.
1. Assists Registered Nurse by performing selected procedures and simple treatments:
+ Takes and records temperature, pulse, respiration rate and B.P. on admission and as assigned.
+ Measures and records fluid intake and output; totals at shift end.
+ Perform, mount and process EKG's.
+ Draw and process blood, as appropriate, within State and County guidelines.
+ Obtains specimens, such as urine, stool and sputum.
+ Administers enemas, as directed.
+ Weighs and records patient weight on admission and as indicated.
+ Shave patients as instructed in preparation for procedures.
+ Performs simple procedures utilizing aseptic technique (i.e. - applying and changing simple dressings).
+ Performs simple respiratory treatments, as required (i.e. oral suctioning).
1. Performs a variety of related duties:
+ Assists patients in and out of bed, ambulates patients, lifts, turns and positions patients.
+ Assists with serving of meals; positions patient, cleans over-bed table, and helps distribute and collect trays.
+ Transports and accompanies patients to various departments, as directed.
+ Reports missing or damaged equipment to Nursing Unit Secretary.
+ Maintains non-patient rooms (i.e., utility rooms, linen rooms, kitchens, etc.) in a neat and orderly condition.
+ Maintains cleanliness of patient care equipment.
+ Performs constant observation on selected patients as assigned.
+ Follows medical Center's policies and procedures to support QA/QI efforts in patient care and services.
+ Performs post-mortem care and transports body to morgue.
1. Takes part in Nursing's continuing education policy by:
+ Attending nursing attendant course during orientation program.
+ Participating and completing annual mandatory educational requirements.
+ Attending nursing attendant staff development programs offered throughout the year.
1. Performs related duties, as required.
Job Qualification
+ High School Diploma or equivalent, required.
+ Completion of Nurse Assistant course or equivalent, required.
+ OR
+ Prior experience as a Nursing Attendant or equivalent, required.
+ NYS Nurse Attendant certification, preferred.
+ Ability to communicate effectively, and follow written and/or oral instructions.
+ Ability to work in diversified settings.
+ Ability to lift, turn, position, etc. Patients, as required
***Additional Salary Detail**
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $26.11-$27.02/hour
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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Patient Care Technician - PCT

11788 Hauppauge, New York Fresenius Medical Care North America

Posted 4 days ago

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Job Description

**No prior dialysis experience required but medical experience helpful**
**We offer paid training!**
**Career advancement opportunities**
**Benefits begin after 30 days of employment**
**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.
"The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $18.00 - $29.00"
**_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

11749 Islandia, New York Fresenius Medical Care Holdings, Inc.

Posted 5 days ago

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Job Description

Permanent
No prior dialysis experience required but medical experience helpful We offer paid training! Career advancement opportunities Benefits begin after 30 days of employment

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.

"The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
 
Hourly Rate: $18.00 - $29.00"
 

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 Assistant I - Emergency Department

11787 Smithtown, New York Catholic Health Service

Posted today

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Job Description

Overview

St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. St. Catherine's is located on the north shore of Long Island in Smithtown. The campus is comprised of 296-bed not-for-profit community hospital; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office building. Our nurses, physicians, and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families, and our community. Our Mission is to create an environment of healing and compassion, to offer care to those in need and to provide a spirit of mutual respect while upholding our religious mission.

St. Catherine of Siena Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials. Our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.

Job Details

Patient Care Assistant I Responsibilities:
  • Performs a variety of technical, para-professional, rehabilitative or therapeutic procedures and activities relating to patient care such as, but not limited to, providing skincare maintenance, performing procedural and diagnostic preps, maintains airway clearance, takes vital signs.
  • Prepares patient and equipment for procedure, performs post-mortem care duties, performs phlebotomy services, performs EKGs.
Qualifications:
  • High school diploma or GED equivalent required.
  • Completion of a CNA training class and/or Fundamentals of Nursing in a nursing program preferred.
  • 1 year of recent experience as a nursing assistant in an acute care emergency department preferred.
  • Certification in phlebotomy, EKG, and BLS preferred.


Posted Salary Range

USD $28.41 - USD $28.41 /Hr.

The salary range or rate listed does not include any differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, employees are eligible for generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
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Patient Care Technician - PCT - Evening Position

11706 Bay Shore, New York Fresenius Medical Care North America

Posted 4 days ago

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Job Description

After completion of training,, hours will be 2:15 PM - 12 Midnight.
Rotating shifts Monday - Saturday
**PURPOSE AND SCOPE:**
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
**DUTIES / ACTIVITIES:**
CUSTOMER SERVICE:
+ Responsible for driving the FMS culture through values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
PATIENT CARE:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
+ Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
+ Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
+ Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
+ Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
+ Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
+ Perform administration of Heparin as delegated or as allowed by state law.
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures,
+ Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
+ Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the nurse supervisor.
+ Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
MAINTENANCE/TECHNICAL:
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
+ Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
CLERICAL & ADMINISTRATIVE:
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application accurately and in a timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
OTHER:
+ Perform additional duties as assigned.
**ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):**
Assisting the HT RN:
+ May assist HT RN on Home Visit as directed
+ Reinforces PD / HHD education under supervision of qualified HT RN
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; prep charts
+ Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
+ Clerical duties as assigned (faxing, mailing to physician offices etc.)
+ Obtain home hemo water sampling as directed by the HT RN
+ Set-up of the home hemo machine and PD Cycler.
+ Assist with exit site care when directed by HT RN.
+ Warm dialysate solution when directed by the HT RN
+ Draw dialysate solution for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
+ Assembles/breaks down charts/thins charts
+ Maintains logs as directed and applicable
+ Inventory of Home Program
+ Maintains par levels of home department supplies
+ Files home patient packing slips/invoices
+ Inventory for Patients
+ Assists patient with supply management and contacting customer service
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION**
+ Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
+ All appropriate state licensure, education and training (if any) required.
**EXPERIENCE AND REQUIRED SKILLS**
+ Previous patient care experience in a hospital setting or related facility preferred.
+ Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
"The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $18.00 - $29.00"
**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 - Evening Position

11706 Bay Shore, New York Fresenius Medical Care Holdings, Inc.

Posted 7 days ago

Job Viewed

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Job Description

Permanent

After completion of training,, hours will be 2:15 PM - 12 Midnight.

Rotating shifts Monday - Saturday

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy.  Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.

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

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

  • Responsible for driving the FMS culture through values and customer service standards.
  • Accountable for outstanding customer service to all external and internal customers.
  • Develops and maintains effective relationships through effective and timely communication.
  • Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

  • Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
  • Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
  • Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
  • Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
  • Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
  • Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
  • Perform administration of Heparin as delegated or as allowed by state law. 
  • Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
  • Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
  • Monitor patients’ response to dialysis therapy and report any unusual findings to nurse supervisor.
  • Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
  • Discontinue dialysis treatment according to established procedures,
  • Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
  • Obtain Hemostasis and apply appropriate dressings.  
  • Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
  • Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.
  • Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
  • Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
  • Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
  • Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
  • Report any significant information and/or change in patient condition directly to the nurse supervisor. 
  • Observe patient, and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
  • Perform and document any intervention for unusual patient status and document patients' response to intervention.
  • Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.
  • Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

  • Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
  • Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
  • Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
  • Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
  • Initiate Solution Delivery System (SDS) system. 
  • Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
  • Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

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

OTHER:

  • Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

  • May assist HT RN on Home Visit as directed
  • Reinforces  PD / HHD education under supervision of qualified HT RN
  • Schedules and contacts patients regarding appointments
  • Weigh patient and obtain vital signs
  • Collect treatment records and review for completion. Notify RN of incomplete / missing records.
  • Cleaning and prepping treatment room; prep charts
  • Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
  • Clerical duties as assigned (faxing, mailing to physician offices etc.)
  • Obtain home hemo water sampling as directed by the HT RN
  • Set-up of the home hemo machine and PD Cycler.
  • Assist with exit site care when directed by HT RN.
  • Warm dialysate solution when directed by the HT RN
  • Draw dialysate solution for testing as directed by the HT RN
  • Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
  • Assembles/breaks down charts/thins charts
  • Maintains logs as directed and applicable
  • Inventory of Home Program
  • Maintains par levels of home department supplies
  • Files home patient packing slips/invoices
  • Inventory for Patients
  • Assists patient with supply management and contacting customer service

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Employees are required to take the Ishihara’s Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

 

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community.  Travel to regional, Business Unit and Corporate meetings may be required.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.  May be exposed to infectious and contagious diseases/materials

The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.  This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force.  The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet.  There is a two-person assist program and "material assist” devices for the heavier items.

 

EDUCATION

  • Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
  • All appropriate state licensure, education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

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

"The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
 
Hourly Rate: $18.00 - $29.00"
 

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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