The Renal Clinical Technician functions under the direction and supervision of the Registered Nurse in providing care and implementing delegated activities of hemodialysis treatment and related renal care to patients.
JOB SPECIFIC RESPONSIBILITIES:
Perform the followingPatient Care Functions including:
- Receive patient into treatment area ,patient transport, positioning and ambulating
- Weigh patient, take temperature and blood pressure pre and post dialysis
- Perform and record patient observation: vital signs and all other parameters of ESRD
Patients, obtains blood sample and culture specimens, and prepares for shipment
- Review dialysis orders, note general physical and mental condition of patient through observation/interview, provide data to determine compliance to dietary through observation and interview, provide data to determine compliance to dietary or medical regimen, and document observations appropriately. Report any significant information or change in patient condition to RN.
- Provide chronic hemodialysis therapy: recommends a dialysis plan for ultra-filtration to RN, initiate dialysis via approved accesses, observe all safety measures, monitor patient vital signs applicable to critically ill patients, administer fluid therapy or other appropriate treatment as directed, document activity appropriately.
- Collect and test of specimens -blood (excluding central and arterial line samples), urine, stool etc
- Assist with all emergency operational procedures. Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment.
- Collect patient data: monitor and document status of vascular accesses, review lab work, Patient observation, and seek guidance when levels are out of “normal” range for ESRD patients
Proper set up and monitoring of dialysis machines and systems
- Set up and monitor dialysis machines and RO water system for correct functioning
- Respond to visual and audible alarms and make appropriate adjustments pre, during and post dialysis treatment.
- Change Pediatric and adult level detectors in HD machines as needed.
- Has the ability to dismantle, clean and disinfect dialysis machines and equipment as per Childrens Medical Center procedures.
- Understand all duties related to dialyzer: dialysis cleaning and sterilization and
Equipment using chemicals, rinses, priming the dialyzers, attachment and installation of all required tubing, positioning of dialyzer, preparation of dialysate delivery system for dialysis, dialyzer connection and all pumps, alarm checks, monitor settings, dialyzer tests.
Water Treatment & Dialysate Preparation
- Open the dialysis unit as assigned in the absence of the equipment tech
- Prepare dialysate as assigned in the absence of the equipment tech
- Document water treatment & dialysate preparation data on the appropriate logs
Mandatory Training required in Hemo dialysis Water Treatment System
- Completes Hemodialysis water treatment system training as part of general ESRD training.
- Document water treatment & dialysate preparation data on the appropriate logs.
Documents legibly and completely care provided per Children’s documentation policies Clinical Practice Policies 4.009-4.012).
- Responsible for the accurate documentation of information related to the patient treatment.
- Patient care data entry via clinical computer system (ex. lab orders, lab results, equipment orders,consults, etc.) and medical record maintenance.
- Assist RN with pre and post dialysis patient assessments and their documentation.
- Monitor and document dialysis treatment parameters on dialysis flow sheets.
- Complete flow sheets to ensure appropriate billing
- Report inventories and supply shortage to Charge Nurse, Renal Equipment Technician and/or Renal Technical Manager.
- Comply with CMC Clinical Practice Policies and in accordance with state and federal regulations for patient care services, injury prevention and safety training.
- Participate in hospital and government quality assurance programs
- Other duties as assigned
- Two Years Patient care experience in Hemo or Peritoneal dialysis required.
- Current Course C, BLS/CPR certification is preferred.
- High school diploma or equivalent. Associate Degree preferred.
- Completion of three month dialysis technician training program
- Completion of other appropriate health care educational program (medical assistant, certified nursing assistant, emergency medical technician, paramedic, or completion of at least one clinical rotation in accredited nursing school) is preferred.
SPECIFIC KNOWLEDGE, SKILLS, AND ABILITIES:
- The ability to read, write and understand technical/patient care information.
- The ability to hear and communicate with others in a clear, understandable, and professional manner that represents Children’s positively.
- The ability to be flexible and adaptable to change.
- The ability to work on multiple tasks and to prioritize.
- The ability to work independently or as a member of a team.
- This job requires the knowledge and skills necessary to provide care appropriate to patients ranging in age from zero to 21 years. The individual must demonstrate knowledge of the principles of growth and development over the life span, must possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs, and must be able to provide the care needed as described in the unit's policies and procedures.
- Physical and emotional health adequate for attendance requirements and performance that may include, but is not limited to: recognizing unsafe patient conditions, lifting/transferring patients and equipment plus obtaining supplies as needed.
- Ability to provide excellent customer service.
- Ability to make sound judgments concerning need to refer situations to more skilled practitioners.
- Hand/eye coordination necessary to assess and respond to instruments, readouts, and dials.
- Ability to lift 40 lbs.
LICENSES and CERTIFICATIONS:
- Current Course C, BLS/CPR certification is preferred.
Significant portions of daily assignment involve prolonged standing, transporting material, equipment, patients, or lifting, moving or carrying heavy materials (check one: 10 lbs. or more but less than 20 lbs. ___, 20 lbs. or more but less than 30 lbs.____, 30 lbs.___, 31 lbs. or moreü_) for intermittent periods throughout the day.