PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provides patient care under the direct visual supervision of a Registered Nurse (FMCNA RN) or in a treatment room immediately adjacent to an RN. Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.
• Promotes and assists in the maintenance of a safe and clean working environment. Supports 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 participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).  
•  Promotes and assists in meeting Total Area Productivity goals (TAP).
• With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).
• Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.
• Evaluates vascular access for patency and reports any unusual findings to FMCNA RN.
• Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.
•  (Stated above)Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to FMCNA RN.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).
• Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Initiates 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.
• Collects, labels specimens and ensures timely delivery to laboratory per facility policy.
• Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN.
• Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.
• Reports any change or unusual findings to FMCNA RN.
• Performs and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures, provides appropriate intervention as needed, documents and reports any unusual findings to the FMCNA RN.
• Discontinues dialysis treatment according to established procedures.
• Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN
• Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.
• Other duties as required.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• 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. (percentage of travel)
• Travel to meetings may be required. 
• The work environment is characteristic of a health care 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.

EDUCATION:

High School Diploma required

EXPERIENCE AND REQUIRED SKILLS:  

• 1 - 2 years' related experience.
• Certified Clinical Hemodialysis Certification (CCHT) certification.