PURPOSEANDSCOPE:
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).
PRINCIPALDUTIESANDRESPONSIBILITIES:
Patient Related
Education:
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. Assists 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.
May 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:
Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.
Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives
Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
Ensures 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 alar.
Alternate Solutions Health Network LLC
United States - VA - VA - Oakton
July 17, 2024
Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Med Surg for a nursing job in Oakton, Virginia. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: ASAP • Duration: Ongoing • Employment Type: Staff Agency: Alternate Solutions Home Health Our culture and...
United States - VA - VA - Roanoke
July 16, 2024
We'll do the hard work for you! - Apply today & match with the best trucking jobs. • Associated topics: • contractor, independent contractor, lease purchase, own truck driving, own your own, own your own truck, owner operator, owner operator driver, owner operator driving, solo driving...
United States - VA - VA - Chesapeake
July 17, 2024
Position Overview: • Hiring a Physical Therapist for the Western Branch or Battlefield Clinics. This position may be eligible for a $10,000 Sign on Bonus. Apply Today! Athletico's Greater Purpose is to empower people, inspire hope and transform lives. Being PT owned and PT led, we accomplish this by...
United States - VA - VA - Lynchburg
July 17, 2024
• The Phlebotomist I is a vital member of our Laboratory Services team, serving patients by ensuring the accurate and safe retrieval of specimens for laboratory testing. This role requires exemplary communication skills, a professional demeanor, and the ability to handle responsibilities...
Alternate Solutions Health Network LLC
United States - VA - VA - Oakton
July 17, 2024
Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Case Management for a nursing job in Oakton, Virginia. & Requirements • Specialty: Case Management • Discipline: RN • Start Date: ASAP • Duration: Ongoing • Employment Type: Staff Agency: Alternate Solutions Home Health Our...
United States - VA - VA - Bristol
July 17, 2024
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Johnson Ci, Tennessee. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we...
Tender Touch Rehab Services LLC
United States - VA - VA - Annandale
July 17, 2024
Overview: Must be a licensed and or a registered therapist to be considered. * EXCLUSIVE NEW JOB OPPORTUNITY!!* *Highly competitive rates and benefits package! * Do you know a therapist who's a perfect fit for our team? EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make...
United States - VA - VA - Hiltons
July 17, 2024
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Johnson Ci, Tennessee. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we...
United States - VA - VA - Gate City
July 17, 2024
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Johnson Ci, Tennessee. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we...
United States - VA - VA - Reston
July 12, 2024
In a world of possibilities, pursue one with endless opportunities. Imagine Next! When it comes to what you want in your career, if you can imagine it, you can do it at Parsons. Imagine a career working with intelligent, diverse people sharing a common quest. Imagine a workplace where you can be...
United States - VA - VA - Alexandria
July 17, 2024
Critical Connection, inc is seeking a travel Physical Therapy Assistant for a travel job in Alexandria, Virginia. & Requirements • Specialty: Physical Therapy Assistant • Discipline: Therapy • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel Travel Contract Physical...
United States - VA - VA - Franklin
July 17, 2024
Vibra Travels is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Franklin, Virginia. & Requirements • Specialty: Long Term Acute Care • Discipline: RN • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel VIBRA TRAVELS is looking for...
United States - VA - VA - Fairfax
June 8, 2024
The Resident Caregiver assists residents in all aspects of their daily life as indicated in the resident service plan, including personal care, food service, housekeeping, laundry, behavior management, socialization, activities, orientation, and information needs. This position requires tact,...
Alternate Solutions Health Network LLC
United States - VA - VA - Burke
July 17, 2024
Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Acute Care for a nursing job in Burke, Virginia. & Requirements • Specialty: Acute Care • Discipline: RN • Start Date: ASAP • Duration: Ongoing • Employment Type: Staff Agency: Alternate Solutions Home Health Our culture and...
Department of Veterans Affairs
United States - VA - VA - Hampton
June 10, 2024
Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval,...
Alternate Solutions Health Network LLC
United States - VA - VA - Fairfax
July 17, 2024
Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Case Management for a nursing job in Fairfax, Virginia. & Requirements • Specialty: Case Management • Discipline: RN • Start Date: ASAP • Duration: Ongoing • Employment Type: Staff Agency: Alternate Solutions Home Health Our...
United States - VA - VA - Kilmarnock
June 6, 2024
Direct Care Support Training Program Opportunity This Direct Care Staff Training is approved through the Dept. of Social Services for Assisted Living Facilities. NOW HIRING FULL-TIME AND PART-TIME 3PM-11PM OR 11PM-7AM! TRAINING PROGRAM OVERVIEW: Hours: This is a hybrid model course that includes 40...
United States - VA - VA - Radford
July 16, 2024
• Since our founder, Chip Wood, opened the doors to the first Tire Discounters over 40 years ago, we have been raising the bar in the tire and automotive business. Family-owned and operated to this day, we've separated ourselves by treating customers and their cars with care and respect while...
United States - VA - VA - Virginia Beach
July 10, 2024
Title: • Dietary Aide State Role Title: • Food Service Technician I Hiring Range: • $17. • 00-19. • 50 Pay Band: • 1 Agency: • Dept of Veterans Services Location: • J&C VCC Agency Website: • dvs. • virginia. • gov Recruitment Type: • General Public - G Job Duties Jones & Cabacoy Veterans Care Center...
United States - VA - VA - Weber City
July 17, 2024
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Johnson Ci, Tennessee. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we...
United States - VA - VA - Newport News
May 22, 2024
Overview Select Specialty Hospital Critical Illness Recovery Hospital Hampton Roads, Virginia (located on the 4th floor of Riverside Regional Medical Center) You are invited to attend Select Specialty Hospital- Hampton Roads Open House on Tuesday July 16th from 11am to 2pm. To RSVP click...
United States - VA - VA - Virginia Beach
June 17, 2024
Classified - Position - Maintenance Job Number 370# Start Date Open Date 06/11/2024 Closing Date 08/11/2024 40 hrs. per week. Hours are 2:00 - 10:30 p. m. GENERAL RESPONSIBILITIES Perform skilled work which can include; maintenance, repair, modification, installation and construction, on one or more...
United States - VA - VA - Lynchburg
June 20, 2024
Riddleberger Brothers Inc Service Projects Plumbing Technician Lynchburg, VA 24501 Riddleberger Brothers, Inc. is seeking to hire a talented and growth-minded individual to join our team as a Service Projects Plumbing Technician. We offer career opportunities that allow you to be part of a team and...
United States - VA - VA - Greenville
July 16, 2024
Arrow Healthcare Staffing is seeking a travel Physical Therapist for a travel job in Greenville, Virginia. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 08/12/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel 5 x 8...
United States - VA - VA - Petersburg
July 17, 2024
Epic Travel Staffing is seeking an experienced Physical Therapist for an exciting Travel Allied job in Petersburg, VA. • Shift: • 5x8 hr days Start Date: • 07/22/2024 Duration: • 13 weeks Pay: • $1958.4 / Week Job Opportunities • This is a travel Physical Therapist assignment in Petersburg, VA,...
United States - VA - VA - Blacksburg
July 16, 2024
About the Job Great things are happening at Domino's Pizza, and we are looking for exceptional people who want to be part of the best pizza delivery company in the world! You will be responsible for taking orders, making pizzas, and giving the customer the best experience possible. You must have an...
Virginia Lutheran Homes Brandon Oaks
United States - VA - VA - Roanoke
July 17, 2024
We are currently taking applications for a full time CNA in our Memory Care facility. Hours are 3pm-11pm. Requires valid Virginia CNA license (or ability to become certified). • Background/Drug tests, seasonal flu vaccine required. • Benefits for full time positions include: • • Medical - $68 or...