* 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 well-being 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.* Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.* Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.* Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.* Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).* Initiate Solution Delivery System (SDS) system.* Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.* Prepare organize and efficiently utilize supplies and equipment to prevent wastage.* May assist HT RN on Home Visit as directed* Reinforces PD / HHD education under supervision of qualified HT RN* Schedules and contacts patients regarding appointments* Weigh patient and obtain vital signs* Collect treatment records and review for completion. Notify RN of incomplete / missing records.* Cleaning and prepping treatment room; prep charts* Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)* Clerical duties as assigned (faxing mailing to physician offices etc.)* Obtain home hemo water sampling as directed by the HT RN* Set-up of the home hemo machine and PD Cycler.* Assist with exit site care when directed by HT RN.* Warm dialysate solution when directed by the HT RN* Draw dialysate solution for testing as directed by the HT RN* Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)* Assembles/breaks down charts/thins charts* Maintains logs as directed and applicable* Inventory of Home Program* Maintains par levels of home department supplies* Files home patient packing slips/invoices* Inventory for Patients* Assists patient with supply management and contacting customer service* Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.* All appropriate state licensure education and training (if any) required.* Previous patient care experience in a hospital setting or related facility preferred.* Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.**#1 Top Workplace in the area.**
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