Purpose and Scope
Functions as part of the dialysis healthcare team to provide safe and effective dialysis therapy under the direct supervision of a licensed nurse in accordance with organization policies, procedures, training, and regulatory requirements. Responsible for setup and operation of hemodialysis machines, maintenance of a safe environment, and participation in quality improvement activities.
Principal Duties and Responsibilities
Patient Related
Education
- Assist other health care members in providing patient-specific education regarding adequacy measures such as Online Clearance Monitoring, Adequacy Monitoring Program, Urea Kinetic Modeling, and disease processes.
Treatment
- Welcome assigned patients and assess their well‑being since the last treatment.
- Evaluate vascular access for patency, cannulate access, and administer heparin as delegated or permitted by state law.
- Obtain pre‑ and post‑treatment vitals and weight, and perform vascular access evaluation before treatment.
- Initiate dialysis according to orders, including blood flow (QB) and dialysate flow (QD).
- Assess intradialytic problems and provide interventions as prescribed.
- Monitor patients’ responses to therapy and record vital signs and treatment parameters accurately.
- Document all relevant functions, including hemostasis, dressing application, and discontinuation procedures.
- Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling.
- Ensure safety alarms are enabled and perform machine safety checks.
- Report significant changes in patient condition to the registered nurse or supervisor.
- Prepare laboratory specimens and maintain compliance with infection control policies.
- Use supplies efficiently to prevent waste.
- Assist patients with self‑care under RN supervision.
Staff Related
- Assist in training direct patient care staff on appropriate programs under nurse supervision.
Education/Communication
- Follow all organization policies, procedures, and ethical business practices.
- Maintain environmental integrity and cleanliness.
- Clean and disinfect dialysis equipment and surrounding area between treatments.
- Perform all prep tasks for dialysis and document as required.
- Initiate Solution Delivery System procedures.
Record Keeping
- Document ongoing participation in Continuous Quality Improvement activities.
- Enter treatment data accurately and promptly into the clinical application.
- Review treatment sheets for completeness and correct any omissions with appropriate staff.
- Prepare initial patient charts and lab requisitions.
- Collect, label, and store lab samples according to specifications.
- Ensure lab specimens are collected by the designated courier.
Infection Control
- Assist in collecting information for infection control audits.
- Support staff and patients in adhering to infection control practices.
- Follow infection control policies and procedures.
- Participate in infection control education for patients and families as directed by the CM.
Transitional Care Unit
- Follow newly admitted patients through their first four weeks of dialysis.
- Reinforce education and care matters related to new patients.
- Liaise with FKC staff to ensure coordinated patient experience.
- Assist patients in understanding home dialysis options.
- Ensure all machines used in the transitional care unit are set up properly.
- Demonstrate peritoneal dialysis setup if appropriate.
- Coordinate transition to patient’s chosen modality.
- Assist with supply ordering and inventory for the transitional care unit.
Physical Demands and Working Conditions
- Perform desk work, computer tasks, and patient interactions; must travel between facilities and to meetings.
- Work in a healthcare environment with moderate noise and potential exposure to infectious materials.
- Provide direct patient care that may involve heavy lifting of patients and assistance with ambulation; move equipment up to 40 lbs. with a two‑person assist program and mandatory color blindness testing.
Education and Licenses
- High school diploma or GED required.
- Meet CMS‑approved state and/or national certification requirements.
- Maintain all applicable state licensure, education, and training.
- Demonstrate commitment to organizational culture and customer service standards.
Experience and Required Skills
- Preferred experience in a hospital or related facility.
- Completion of the organization’s dialysis training program and CPR certification is required for continued employment.
Compensation and Benefits
Hourly Rate: $19.00 - $27.00
Benefits include medical, dental, vision, 401(k) with company match, paid time off, and parental leave.
Drug‑Free Workplace
Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.