Patient Care Technician - PCT CCHT - Dialysis

Fresenius Medical Care; Saint Augustine (FL); On-site; USD 38,000 - 52,000; Full time

Job summary

Fresenius Medical Care in Saint Augustine, FL seeks a skilled dialysis technician to operate hemodialysis machines and monitor patient treatments. You will educate patients on adequacy measures and ensure safety during all stages of dialysis.

In this role you’ll assist with setup, monitor vitals, document treatment details, and coordinate with the nursing team to provide high-quality care while maintaining a clean and compliant environment.

Qualifications

• CHT certification preferred or actively pursuing
• Education to support patient care and safety protocols
• Understanding of dialysis procedures and regulations

Responsibilities

• Assist in setup and operation of hemodialysis machines
• Monitor patient status before, during, and after treatment
• Record vital signs, weight, and treatment parameters accurately
• Cannulate vascular access and administer heparin as directed
• Identify and report abnormal patient conditions to RN or supervisor
• Maintain a clean and safe treatment environment
• Prepare specimens for laboratory testing as required

Skills

Dialysis treatment

Vascular access cannulation

Patient education

Vital signs monitoring

Safety protocols

Education

Certified Hemodialysis Technician (CHT)

High School Diploma or equivalent

Tools

Hemodialysis machine

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 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.