Job Description

Location: St. Elizabeth's Medical Center
Posted Date: 8/3/2021

At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion, and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.

We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.

In support of this, we commit ourselves to the following values:

Compassion

Accountability

Respect

Excellence

Stewardship

If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.

I. Position Function:

Under the supervision of a Registered Nurse prepares, initiates, monitors and terminates hemodialysis treatments on dialysis patients.

II. Job Relationships:

Supervised and/or reportable to the following:

- Nurse Manager

- RN Charge Nurse

- RN Care Coordinator

III. Authority:

Has the authority to set up the dialysis machine and prepare all disposals.

Has the authority to weigh patients pre-dialysis, obtain vital signs and initiate dialysis.

Has the authority to cannulate vascular access.

Has the authority to pull any equipment off line that fails safety checks.

IV. A. Responsibilities/Essential Functions:

1.) "Provides superior customer service to internal and external clients, customers,

and patients as referenced in the Service Excellence Standards."

Starts up, shuts down, and troubleshoots R/O water delivery system following accepted unit procedures.

Prepares and tests, as necessary, specifically ordered baths for hemodialysis following accepted unit procedures.

Rinses, primes, prepares, and tests hollow fiber, or parallel plate dialyzers for patients' use in accordance with accepted unit procedures.

Is familiar with and responsible for the proper operation of, and recognizes malfunctions of the following equipment:

- Conductivity Test Meter

- Cobe Century III

- Turning the Reverse Osmosis water system on/off.

- Converting to Dionized (DI.) back-up water system and disinfection of dialysis machines.

Assembles all necessary supplies and equipment for dialysis at bedside.

Weighs patient and obtains baseline vital signs and makes initial assessment of patient's condition to establish how dialysis treatment will be carried out in terms of prime, blood flows, and dialysis removal.

Inspects and assesses access sites for signs of infection, infiltration, erosion, thrombus, blood flow, and appropriate method of cannulation.

Obtains blood samples and other specimens as ordered.

Initiates dialysis utilizing only a fistula or graft access route.

Administers intraderal anesthetic as indicated.

Administers pre-dialysis heparing as prescribed.

Measures and adjusts blood flow rates according to established protocols.

Determines need for fluid removal or replacement and carries out appropriate calculations to achieve targeted weight loss fluid replacement respectively.

Monitors and records treatment parameters such as vital signs, weight changes, arterial/venous pressure changes, negative pressure changes, etc.

Observes dialysis equipment for correct operation during dialysis, responds to alarms and makes appropriate adjustments during treatment.

Administers normal saline intravenously as prescribed for fluid replacement and hypo-tension.

Terminates dialysis as ordered or as necessary and returns blood to patient following established procedures.

Is able to test for and recognize blood leaks in the extracoporal circuit and Dialyser ruptures. Can safely and aseptically carry out blood line, and Dialyzer changes during a dialysis treatment.

Documents clearly and completely on all assigned patients.

Is able to produce work, in a time driven environment, that is well conceived and executed.

Is able to accept direction and respond well to supervision.

Is able to be flexible in work assignments knowing that changes can occur from hour to hour.

Maintains a professional appearance and attitude, works well with coworkers, and supports the Hospital's Mission and Values.

B. Responsibilities/Non-Essential Functions:

Maintains the flow of patients through the unit, calls patients from out of waiting room.

Assists occasionally with arranging pick up times for patients after dialysis.

Seeks out work beyond routine assignments.

V. Reporting Requirements:

Reports immediately to RN Care Coordinator any patient related concern pre, during or post-dialysis.

Reports immediately to RN Care Coordinator any deviation of normal machine operation.

In the event of two unsuccessful needle cannulation attempts, the technician must notify another team member to assist with cannulation.

VI. Accountability:

Shall be accountable for maintaining the confidentiality and security of all patient-related data and information.

Shall be accountable for abiding by all relevant Hospital Policies and Procedures, including Infection Control Policies and Procedures.

Shall be accountable for all proper patient identification by asking patients' names and checking ID bracelets.

VII. Qualifications:

Minimum Education:

High School Diploma

Minimum Experience:

Previous dialysis experience preferred.

Previous health care position preferred.

Minimum skills/abilities:

Able to complete mathematical computations required for dialysis treatments.

Speaks, reads, writes in the English language.

Strong organizational skills.

Certification/Licensure:

Training:

Special Qualifications:

Must be able to work in a time driven, highly technical environment.


Additional Information

Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic

Important COVID message

Please note, St. Elizabeth's Medical Center is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence, and convenience: Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled, and professional way.

Application Instructions

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