27 West Jefferson Medical Center jobs in Westwego

• Floats to regional programs based on need, and at the direction of the Hospice Regional Executive of Clinical Operations, providing Hospice Director of Clinical Services functions.
• Available remotely to regional programs via virtual assistance.
• Mentors, coaches, and educates Hospice Director of Clinical Services team members, Hospice Director of Clinical Services new hires, and assists in Hospice Director of Clinical Services absences in regional programs.
• Travel coordinated with the Hospice Regional Executive of Clinical Operations based on regional and program need.
• Directly supervise up to 20 team members, temporarily as needed. Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary staff; planning, assigning, and directing work; appraising performance; rewarding and disciplining team members; addressing complaints and resolving problems.
• Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program.
• Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patient’s attending physician is not available.
• Attends/Leads Interdisciplinary Team (IDT) meetings, ensuring:
• Patient care needs are identified and discussed with the full complement of the IDT.
• All required members of the core team are present and engaged in the IDT meeting.
• Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting.
• Patient re-certifications are discussed and completed in a timely manner.
• Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, changes to visit frequency, or need for emergency transportation.
• Participates in the development and update of patient care policies and emergency procedures.
• Ensures hospice services are available 24/7.
• Follows state regulatory requirements for supervision of nursing services.
• Manages all members of the IDT including aspects of scheduling, productivity, mentoring, pay practices, time keeping, performance reviews, and team member support.
• Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment.
• Documents in the patient’s clinical record when required; demonstrates proficiency with documentation requirements.
• Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement.
• Participates in performance improvement programs.
• Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed.
• Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes.
• Establishes departmental goals consistent with corporate goals and objectives.
• Supervises patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care.
• Models and facilitates communication between team members including medical records, business office, intake, clinical team, and leadership.
• Participates in care delivery for patients as needed including conducting admissions, recertification visits, routine visits, and discharge visits.
• Manages the care for a caseload of patients if needed to support ebb and flow of census changes.
• Participates in after-hours shifts as needed including primary and back-up on-call.
• Serves as the administrator on call when scheduled.
• Make and/or delegate post-admissions calls.
• Directs responsibility for the management of pharmacy, medical supplies, durable medical equipment, mileage, and labor for the program to meet budget expectations.
• May be designated the administrator or alternate administrator for the licensure of the program based on state requirements.
• Ensures maximum utilization of resources.
• Performs other duties as assigned.
  

• Associate or Bachelor's degree in Nursing required.
• Minimum of three (3) years in healthcare required, preferably in a nursing facility, home health or hospice setting.
• Experience in leadership or management strongly preferred.
• Experience with Electronic Medical Record systems a strong plus.
  

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Understanding and acceptance of hospice philosophy. Must be of high integrity including maintenance of confidential information including all personnel and patient records. Ability to work a flexible schedule, to include some evenings and weekends. Must be able to travel.
  

• Active and unencumbered Registered Nurse license in state(s) of employment, in addition to every state in the Region this role will be covering required.
• Certification in Hospice and Palliative Nursing a plus but not required.
  

• "Director of Patient Care Services”:
• A Registered Nurse with a baccalaureate or higher degree in nursing or another health-related field with three (3) years of experience within the last five (5) years in a hospice or home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity; or
• A Registered Nurse with four (4) years of experience within the last five (5) years in a hospice, home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity.
  

• An agency supervisor of clinical services shall be a Registered Nurse with an active license to practice nursing in this state, and shall have one of the following:
• A master's degree from a program approved by the National League for Nursing or the American Public Health Association with a minimum of one (1) year full-time clinical experience in a home health agency or related community health program which included care of the sick at home; or
• A baccalaureate degree in nursing and a minimum of three (3) years of full-time clinical experience in nursing, at least one (1) year of which was in a home health agency or community health program which included care of the sick at home; or
• A Registered Nurse who has been continuously employed in the position of Supervisor of Clinical Services in a home health agency in this state since January 1, 1979; or
• A diploma in nursing or an associates’ degree in nursing and:
• A minimum of three (3) years of full-time or full-time equivalent clinical experience in nursing within the past five (5) years, at least one (1) year of which was in a home health care agency or community health program which included care of the sick at home; and
• Evidence of certification by the American Nurses' Association as a community health nurse or completion of at least six (6) credits received within two (2) years in community health nursing theory or six (6) credits in health care management from an accredited college or university program or school of nursing.
  

• Registered Nurse with at least three (3) years of experience. At least one (1) year of which must be full time in hospice, home health care or oncology. The Director of Nursing Services cannot be concomitantly employed by any other licensed healthcare agency.
  

• Registered Nurse with at least one (1) year of experience and training in hospice nursing care.
  

• Registered Nurse with at least three (3) years of experience. At least one (1) year of which must be full time in hospice, home health care or oncology. The Director of Nursing Services cannot be concomitantly employed by any other licensed healthcare agency.
  

• Registered Nurse, Advanced Practice Registered Nurse, or bachelor’s degree in a health field related to hospice care.
  

• Registered Nurse plus:
• A master's degree in nursing or a health related field and two (2) years combined public/community health nursing and progressive management experience in public health nursing; or
• A bachelors’ of science degree in nursing or a health related field and three (3) years combined public/community health nursing and progressive management experience in public health nursing.
  

• Registered Nurse plus:
• Bachelor’s degree; or
• Associate degree and three (3) years of experience in health care within the last five (5) years.
  

• Registered Nurse in Texas and have one (1) year experience as a Registered Nurse in the last 36 months. Must qualify or be able to qualify as the delegated back-up administrator per T.A.C 40-1-97.259, including required education/clock hours of training.
  

• Registered Nurse with education and experience in the needs of the terminally ill.
  

• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Knowledge of core therapy referrals and qualifying criteria by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare.
• Ability to work with frequent interruptions and changes in priorities.
• Must be able to work in stressful situations, while remaining objective and professional.

• Develops and maintains core therapy and service line admissions through positive referral source relationships.
• Recognizes opportunities for expanding business opportunities with current referral sources/business associates with leadership.
• Evaluates current and future clinical and service needs for new and existing accounts.
• Coordinates in-services and continuing education programs for referral sources and their support staff.
• Collaborates with referral sources (i.e. hospital case managers, home health agencies, physician offices, etc.) to facilitate the coordination of care for new patient referrals.
• Coordinates and communicates all discharge planning activities for new patient referrals appropriate personnel and referral sources.
• Attends and participates in appropriate office meetings, sales meetings, training programs, regional and national trade shows (prn), and conventions (prn) as directed by leader.
• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Performs other related duties as assigned.

• Floats to regional programs based on need, and at the direction of the Hospice Regional Executive of Clinical Operations, providing Hospice Director of Clinical Services functions.
• Available remotely to regional programs via virtual assistance.
• Mentors, coaches, and educates Hospice Director of Clinical Services team members, Hospice Director of Clinical Services new hires, and assists in Hospice Director of Clinical Services absences in regional programs.
• Travel coordinated with the Hospice Regional Executive of Clinical Operations based on regional and program need.
• Directly supervise up to 20 team members, temporarily as needed. Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary staff; planning, assigning, and directing work; appraising performance; rewarding and disciplining team members; addressing complaints and resolving problems.
• Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program.
• Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patients attending physician is not available.
• Attends/Leads Interdisciplinary Team (IDT) meetings, ensuring:
• Patient care needs are identified and discussed with the full complement of the IDT.
• All required members of the core team are present and engaged in the IDT meeting.
• Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting.
• Patient re-certifications are discussed and completed in a timely manner.
• Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, changes to visit frequency, or need for emergency transportation.
• Participates in the development and update of patient care policies and emergency procedures.
• Ensures hospice services are available 24/7.
• Follows state regulatory requirements for supervision of nursing services.
• Manages all members of the IDT including aspects of scheduling, productivity, mentoring, pay practices, time keeping, performance reviews, and team member support.
• Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment.
• Documents in the patients clinical record when required; demonstrates proficiency with documentation requirements.
• Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement.
• Participates in performance improvement programs.
• Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed.
• Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes.
• Establishes departmental goals consistent with corporate goals and objectives.
• Supervises patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care.
• Models and facilitates communication between team members including medical records, business office, intake, clinical team, and leadership.
• Participates in care delivery for patients as needed including conducting admissions, recertification visits, routine visits, and discharge visits.
• Manages the care for a caseload of patients if needed to support ebb and flow of census changes.
• Participates in after-hours shifts as needed including primary and back-up on-call.
• Serves as the administrator on call when scheduled.
• Make and/or delegate post-admissions calls.
• Directs responsibility for the management of pharmacy, medical supplies, durable medical equipment, mileage, and labor for the program to meet budget expectations.
• May be designated the administrator or alternate administrator for the licensure of the program based on state requirements.
• Ensures maximum utilization of resources.
• Performs other duties as assigned.
  

• Associate or Bachelor's degree in Nursing required.
• Minimum of three (3) years in healthcare required, preferably in a nursing facility, home health or hospice setting.
• Experience in leadership or management strongly preferred.
• Experience with Electronic Medical Record systems a strong plus.
  
  

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Understanding and acceptance of hospice philosophy. Must be of high integrity including maintenance of confidential information including all personnel and patient records. Ability to work a flexible schedule, to include some evenings and weekends. Must be able to travel.
  
  

• Active and unencumbered Registered Nurse license in state(s) of employment, in addition to every state in the Region this role will be covering required.
• Certification in Hospice and Palliative Nursing a plus but not required.
  
  

• Director of Patient Care Services:
• A Registered Nurse with a baccalaureate or higher degree in nursing or another health-related field with three (3) years of experience within the last five (5) years in a hospice or home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity; or
• A Registered Nurse with four (4) years of experience within the last five (5) years in a hospice, home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity.
  

• An agency supervisor of clinical services shall be a Registered Nurse with an active license to practice nursing in this state, and shall have one of the following:
• A master's degree from a program approved by the National League for Nursing or the American Public Health Association with a minimum of one (1) year full-time clinical experience in a home health agency or related community health program which included care of the sick at home; or
• A baccalaureate degree in nursing and a minimum of three (3) years of full-time clinical experience in nursing, at least one (1) year of which was in a home health agency or community health program which included care of the sick at home; or
• A Registered Nurse who has been continuously employed in the position of Supervisor of Clinical Services in a home health agency in this state since January 1, 1979; or
• A diploma in nursing or an associates degree in nursing and:
• A minimum of three (3) years of full-time or full-time equivalent clinical experience in nursing within the past five (5) years, at least one (1) year of which was in a home health care agency or community health program which included care of the sick at home; and
• Evidence of certification by the American Nurses' Association as a community health nurse or completion of at least six (6) credits received within two (2) years in community health nursing theory or six (6) credits in health care mana

Indirect Patient Care:

indirect Patient Care involves a Volunteer assisting our Hospice Team in the Care of our patients by helping out of our main office and doing a variety of tasks.

Office:

Answering phones, data entry, filing, or assisting with relaying messages to our team in the field are just a few of the responsibilities of an office volunteer. They help ensure efficient processing of paperwork and the overall smooth operation of the Hospice office.

Special Projects:

Office Volunteers can also make & send creative Birthday or Sympathy cards, create gifts for the patient or the bereaved, Networking with other volunteers, attending fairs & assisting the Volunteer Coordinator to help educate the public about our services, assist with a Newsletter or scrapbook are some of the many special projects where Volunteers are needed. We work together to arrange and deliver gift baskets at Christmas & various Holidays. We also deliver flowers donated by a local flower shop twice a month to some of our patients & we need help with this task.

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.

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.

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.

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.

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:

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.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.