Patient Care Technician - PCT - Training Provided

Fresenius Medical Care; Quincy (MA); On-site; USD 52,000 - 78,000; Full time

Job summary

Fresenius Medical Care in Quincy, MA is seeking a dialysis patient care technician to support safe dialysis therapy under RN supervision. Responsibilities include setting up hemodialysis machines, monitoring patient vital signs, adjusting treatment parameters, and ensuring a clean, safe work environment.

The role emphasizes patient education on adequacy measures, vascular access surveillance, and collaboration with the health care team to meet Quality Enhancement Goals.

Qualifications

• Assist in patient education on adequacy measures.
• Evaluate vascular access patency and cannulation as needed.
• Obtain pre/post treatment vitals and weight.
• Document treatment parameters and responses accurately.
• Ensure safety alarms are enabled and functioning during treatment.

Responsibilities

• Welcome patients and inquire about wellbeing since their last treatment.
• Evaluate vascular access patency, cannulation, and administer heparin as delegated.
• Obtain pre- and post-treatment vitals and weight; assess access pre-treatment.
• Initiate dialysis per prescribed orders including QB and QD.
• Monitor patient response to dialysis and intervene as prescribed.
• Document vitals and treatment parameters on the Hemodialysis Treatment Sheet.
• Discontinue dialysis treatment and assess patient prior to termination.
• Obtain hemostasis and apply dressings.
• Evaluate the patient prior to discharge.
• Record Pre/Post dialysis evaluation, weight, and vitals with initial ID.
• Set machine programming for UF goal, treatment time, and UF modeling.
• Maintain safety alarms, NVL 160.
• Prepare supplies to prevent wastage.
• Monitor patients performing self-care under RN supervision.
• Assist in training direct patient care staff under nurse supervision.

Skills

Vital signs monitoring

Vascular access evaluation

Dialysis machine setup

Heparin administration

Patient education

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.
• 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