Company: Fresenius Medical Care
Posted on: August 1, 2022
Job Description Peabody, Massachusetts Job ID RPURPOSE AND
SCOPE:Functions as a member of the hemodialysis health care team in
providing safe and effective dialysis therapy for patients under
the direct supervision of a registered nurse in accordance with
Fresenius Kidney Care (FKC) policies, procedures, and training and
in compliance with regulations set forth by the corporation, state,
and federal agencies. Assists with clinical orientation precepting
and on-going training of all appropriate direct patient care
personnel as well as the orientation of all facility staff to FKC.
Participates in the implementation and evaluation of patient care.
Promote and assist in the maintenance of a safe and clean working
environment. Supports the FKC commitment to the Quality Enhancement
Program (QEP) and Quality Assurance Indicators (QAI) activities,
including those related to patient satisfaction and actively
participates in process improvement activities that enhance the
likelihood that patients will achieve the FKC Quality Enhancement
Goals (QEP).PRINCIPAL DUTIES AND RESPONSIBILITIES: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 FKC.
Functions as preceptor in direct patient care training programs to
support the delivery of quality patient care as per the standards
set forth in the FKC Clinical Services Clinical Training Manual(s),
FKC policies and procedures, and FKC training standards.
Delivers and maintains on-going competency evaluations/audits to
ensure ongoing performance of other LPNs and PCTs.
Collaborates with the Clinical Manager and Education Coordinator in
driving FKC quality standards through education regarding all
Chronic Kidney Disease (CKD) regulatory and legal requirements and
the practice of Continuous Quality Improvement.
Assists in training of applicable direct patient care staff on
Provides coaching and 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 direct patient care staff including
contests and other team-based programs.
Monitors processes in the delivery of patient care through regular
Quality Assurance Indicator (QAI) activities.
Ensures all FKC business policies, procedures and systems are
incorporated into training, including compliance with ethical
PATIENT RELATED:Education: Assists 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.
Treatment: Welcomes assigned patients and inquire as to their
well-being since their last treatment.
Evaluates vascular access for patency.
Obtains necessary pre- and post -treatment vital signs and
Performs vascular access evaluation pre-treatment.
Performs vascular access cannulation.
Performs administration of Heparin, as delegated or as allowed by
Responsible for the setup and operation of hemodialysis
Initiates dialysis treatment according to prescribed orders
including blood flow (QB) and dialysate flow (QD).
Evaluates intradialytic problems and provides intervention as
prescribed by physician order or as directed.
Monitors patients' response to dialysis therapy.
Obtains vital signs prior to reinfusion; performs all relevant
functions necessary for the discontinuation of treatment
Discontinues dialysis treatment according to established
Evaluates patient prior to termination of venous access - standing
& sitting blood pressure.
Obtains Hemostasis and applies appropriate dressings.
Evaluates the patient prior to discharge.
Performs and records 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
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
Responsible for accurate documentation of information related to
patient treatment, including completion of Hemodialysis Treatment
Sheet and, if applicable, progress notes.
Reports directly to the nurse supervisor.
Responsible for reporting and documenting any significant
information and/or change in patient condition, all new or unusual
incidents, information, complaints, or problems to the nurse
Observes patient, and conducts machine safety checks according to
facility policy. Reports any change or unusual findings to the
Performs and documents 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 nurse supervisor.
Obtains all prescribed laboratory testing and prepare specimens for
Assists in developing and following the teaching plan to educate
the patient and family regarding end stage renal disease, dialysis
therapy, diet, and medications.
Assists with all emergency operational procedures.
Administers medications including intravenous in accordance with
physician orders and state nurse practice laws.
Initiates basic CPR measures in the event of cardiac and/or
pulmonary arrest and respond to emergency situations related to
INFECTION CONTROL SPECIALIZATION: Assists with facility Quality
Assurance Indicators (QAI) infection control audits.
Acts as a change agent for infection control practices within
clinic. Under the direction of the CM or designee, monitors staff
and patient adherence to infection control practices.
Reinforces new hire employee adherence to infection control
Policies and Procedures.
Supports ongoing staff and patient engagement on infection control
practices under the direction of CM or designee for example
participation in patient lobby days and staff meetings to reinforce
infection control practice.
Quarterly and under the direction of the CM reinforces patient and
staff adherence to infection control Policies and Procedures
through visual media such as posters, flyers or bulletin
Under the direction of the Education Department, participates in
education response to internal and external facility surveys.
Participates in and reinforces infection control education of new
patients and families under the direction of the CM or
MAINTENANCE/TECHNICAL: Maintains environmental integrity and
aesthetics; ensures all areas are safe and clean.
Cleans and disinfects dialysis machine surface, chair, equipment,
and surrounding area between treatments according to facility
Conducts all tasks necessary for preparation for dialysis treatment
and document where appropriate.
Performs all required pretreatment dialysis machine alarm testing
including Pressure Holding (PHT).
Initiates Solution Delivery System (SDS) system.
Ensures that all blood spills are immediately cleaned with
appropriate disinfectant according to facility policy.
Prepares, organizes, and efficiently utilizes supplies and
equipment to prevent wastage.
RECORD KEEPING: Completes and documents ongoing participation in
Quality Assurance Indicators (QAI) activities.
Enters all treatment data into the designated clinical application
in an accurate and timely manner.
Reviews treatment sheets for completeness, ensure nursing
signatures are documented, and ensure omitted entries are completed
or corrected where appropriate.
Prepares initial patient chart for admission and compile paperwork
for appropriate placement in chart.
Prepares lab requisitions for prescribed or stat Lab specimens
according to laboratory destination.
Collects, labels, appropriately prepares and stores lab samples
according required laboratory specifications.
Ensures collection of lab specimens by appropriate lab courier.
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..... click apply for full job details
Keywords: Fresenius Medical Care, Peabody , LPN, Healthcare , Peabody, Massachusetts
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