Acute Patient Care Specialist
2 weeks ago
Fresenius Medical Care North America seeks a skilled and compassionate Acute Patient Care Specialist to join our team. As a key member of our hemodialysis healthcare team, you will provide safe and effective dialysis therapy for assigned patients in accordance with our policies, procedures, and training, and in compliance with regulations set forth by the corporation, state, and federal agencies.
Principal Duties and Responsibilities- Provide patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN.
- Report and document all new and unusual incidents, information, complaints, or problems to the RN.
- Promote and assist in the maintenance of a safe and clean working environment.
- Support the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities, including those related to patient satisfaction and actively participate in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
- Promote and assist in meeting Total Area Productivity goals (TAP).
- With documented competency and proficiency, set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement, and peritoneal dialysis therapies).
- Welcome assigned patients and inquire about their well-being since their last treatment, reporting any complaints or observations to the FMCNA RN.
- Evaluate vascular access for patency and report any unusual findings to the FMCNA RN.
- Obtain necessary pre- and post-treatment vital signs and weight, reporting unusual findings to the FMCNA RN.
- Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to the FMCNA RN.
- Calculate and enter individual patients' dialysis machine programming for Ultrafiltration (UF) goal, treatment time, Sodium (Na) modeling, and UF modeling as prescribed.
- Ensure 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.
- Initiate renal replacement treatment according to prescribed orders, including setting blood flow rate (QB) and dialysate flow rate (QD) or peritoneal dialysis as prescribed by the attending nephrologist.
- Collect, label, and ensure timely delivery of specimens to the laboratory per facility policy.
- Evaluate intradialytic problems and provide intervention as prescribed by physician's order or as directed by the FMCNA RN.
- Monitor patients' response to dialysis therapy and report any unusual findings to the FMCNA RN.
- Obtain vital signs prior to reinfusion, performing all relevant functions necessary for the discontinuation of treatment, documentation.
- Report any change or unusual findings to the FMCNA RN.
- 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 FMCNA RN.
- Discontinue dialysis treatment according to established procedures.
- Evaluate patients prior to termination of venous access, standing and sitting blood pressures prior to termination of venous access.
- Obtain hemostasis and apply appropriate dressings.
- Evaluate patients prior to discharge and report any unusual findings to the FMCNA RN.
- Perform and record pre- and post-dialysis evaluation, weight, and vital signs with initial identification.
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Day-to-day work includes desk and personal computer work, interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to meetings may be required. The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and 'material assist' devices for the heavier items.
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