PCT – DIALYSIS
· 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.
· Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.
· Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
· Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
· Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
· Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
· Perform administration of Heparin as delegated or as allowed by state law.
· 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 and report any unusual findings to nurse supervisor.
· Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
· Discontinue dialysis treatment according to established procedures,
· Evaluate patient prior to termination of venous access - standing sitting blood pressure.
· Obtain Hemostasis and apply appropriate dressings.
· Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
· 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; Sodium (Na) modeling; 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 nurse supervisor.
· Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse 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 nurse supervisor.
· Obtain all prescribed laboratory testing and prepare specimens for collection.
CLERICAL ADMINISTRATIVE:
· Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
· Enters all treatment data into the designated clinical application accurately and in a timely manner.
· Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.
· Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
· Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
· Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
· Ensure collection of lab specimens by appropriate lab courier.
EXPERIENCE AND REQUIRED SKILLS
· Previous patient care experience in a hospital setting or related facility preferred.
· Previous Dialysis experience a strong plus
· High School diploma or GED
· CPR certification and PCT certification
· Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
