Hemodialysis Technician
6 days ago
Under the direct supervision of a licensed registered nurse, the Hemodialysis Patient Care Technician performs various activities and procedures within the scope of direct/indirect patient care and participates as a member of the nursing/medical healthcare team in implementing appropriate treatment regimens for assigned patients.
Areas of Responsibility:- All areas of renal dialysis, including inpatient, outpatient, isolation, bedside, and emergency department
The responsibilities include, but are not limited to:
- Provides care and communicates with patients considering their age and developmental status
- Assists with activities of daily living and clinical care, including changing simple dressings, blood glucose monitoring via finger stick, taking vital signs, and obtaining 12 EKG
- Acknowledges and respects patients' right to privacy while receiving care
- Demonstrates respect for patients/families by explaining procedures and maintaining confidentiality of medical records
- Prepares patient for examination or procedures by obtaining and recording vital signs
- Prepares and tests equipment for safe operation and transports various equipment and supplies
- Reports unusual observations, including any change in patient's condition/behavior, to professional staff or primary nurse
- Ensures safe escort by obtaining handoff report, securing patient care apparatus such as IV tubing and Foley catheter/bag, and providing privacy
- Collects and labels specimens at the point of care using two patient identifiers
- Performs assigned errands, including transporting specimens to pathology or other areas
- Documents appropriate information on designated areas of the medical record
- Adheres to standard infection control precautions
- Consistently performs hand hygiene before and after patient care/contact
- Performs blood sampling via venipuncture according to hospital policy
- Performs finger stick blood glucose measurement and documents outlier codes consistently
- Completes assignment in allotted time
- Reports to Charge Nurse/primary nurse before leaving assigned area/clinic
- Reports safety hazards and initiates action to eliminate hazards or refers to RN
- Maintains current Cardiopulmonary Resuscitation certification status as per hospital policy
The technician prepares dialysis machines for treatment, including priming of dialyzer, performing machine alarm check, and confirming machine pH, conductivity, and temperature in accordance with policies and directives.
Monitors equipment for proper functioning and ensures that machine conductivity and temperature are maintained at all times.
Ensures that sufficient par levels of supplies are available and inspects and monitors arteriovenous (AV) fistula or AV graft and reports problems to RN.
Initiates hemodialysis treatment after RN's assessment.
Obtains and documents pre- and post-treatment vital signs and weight; collaborates with assigned RN in individualized hemodialysis treatment plan, as appropriate, to meet patient's continued health needs.
Cannulates the AV fistula or AV graft as per policy and provider's prescription.
Observes, monitors, and records patient's vital signs during treatment; identifies abnormal changes and reports to assigned RN immediately.
Administers saline under the direction of RN during hypotensive emergency.
Terminates hemodialysis treatment and disconnects patient from machine; carefully removes cannulation needles to ensure minimal blood loss.
Strips and cleans machine with appropriate disinfectant(s) after each treatment and sets machine for use by the next patient.
Sets up and breaks down dialysis machines and other relevant equipment.
Daily rotational schedule for standby/on-call for emergent dialysis and follows protocol.
Monthly rotational Sunday assignment for water system and machines disinfection.
Participates in facility and unit Quality Assurance/Quality Improvement (QA/QI) initiatives.
Demonstrates knowledge of emergency situations/disaster response.
Maintains annual mandatory education; attends scheduled education programs.
Conforms to policies governing patient abuse, patient rights, suicide/ligature risk screening.
Wears valid Kings County Hospital Center identification card visibly at all times.
Observes Department's dress code and use of private phone policy.
Provides proper notification for absence/tardiness and confirms to time and leave regulation.
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