Patient Care Preceptor - PCT Preceptor

Fresenius Medical Care; Winnfield (LA); On-site; USD 25,000 - 33,000; Full time

Job summary

Fresenius Medical Care in Winnfield, LA seeks a patient care-focused team member to assist in dialysis treatment under RN supervision. You will help set up machines, monitor patients, document vitals, and support safe, clean care environments.

Responsibilities include vascular access checks, cannulation assistance, and post-treatment evaluation, with collaboration across clinical staff to meet quality care standards.

Qualifications

• Assist other health care members in providing patient education on adequacy measures and related dialysis concepts.
• Support in monitoring patient status and responding to changes during treatment.
• Collaborate with RN and clinical staff to ensure safe, effective dialysis care.

Responsibilities

• Greet patients and check wellbeing after last treatment.
• Evaluate vascular access patency and assist cannulation as delegated.
• Record vitals, weight, and treatment parameters and report changes.
• Set up dialysis machines and ensure safety alarms are enabled.
• Discontinue dialysis per procedure and document patient condition at end.
• Prepare labs and maintain clean, stocked treatment area.
• Assist in staff training and competency evaluations as needed.

Skills

Teamwork

Patient care

Vascular access monitoring

Education

High school diploma or equivalent

Job description

PURPOSE AND SCOPE

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

PRINCIPAL DUTIES AND RESPONSIBILITIES

Patient Related

Education

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

Treatment

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients’ response to dialysis therapy.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.
• Evaluate the patient prior to discharge.
• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
• Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
• Observe patients 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 disinfectants 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. Assist patients in performing self-care as applicable

Staff Related

• Participates in the recruitment process for new clinical staff
• Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.
• Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.
• Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT’s.
• Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
• Provides developmental support to applicable clinical and facility staff.

Education/Communication