The Hemodialysis Technician demonstrates functional and technical proficiency to support the Dialysis unit and the Nephrology section at the Minneapolis VA Medical Center. The Hemodialysis technician plans, implements, evaluates, and reports on tasks/assignments as directed by the Charge Nurse and section needs. Duties include: 1. Demonstrates advanced knowledge and technical skills necessary to perform assigned duties: a) Setting up, operating, and monitoring operational parameters on Dialysis equipment/water treatment, responding appropriately. b) Skill in performing, interpreting· and logging test results (dialysate chemistries, water treatment testing for contaminates, etc.) including the ability to analyze deviations from the expected norm and responding appropriately. c) Advanced knowledge of the American Association of Medical Instrumentation (AAMI) standards and unit policies as they relate to water treatment. d) Advanced knowledge of physiological and psychological changes and conditions related to end state renal disease. e) Sets up dialysis machines according to the specific patient orders, and facility standards/policies. Assists with transportation and set up of portable dialysis equipment in the intensive care unit. f) Performs independently and competently, sanitization and disinfection procedures of the main medical water treatment system, and portable water treatment systems. g) Basic Cardiac Life Support (BCLS) certification. h) Orders and ensures adequate inventory of dialysis supplies. 2. Demonstrates advanced knowledge of JCAHO and other regulatory requirements. 3. Updates and maintains procedure and policy manuals related to water treatment/equipment operation and maintenance. 4. Performs assignments with minimal need for supervision. 5. Accepts responsibility and accountability for his/her own actions. 6. Effectively uses office automation to accomplish job duties i.e. CPRSNISTA/Outlook 7. Provides advanced instruction and competency validation to providers, nurses, and other personnel on dialysis procedures, equipment operation, and maintenance. 8. Precepts/mentors novice technicians after 2+ years of Minneapolis VA experience. 9. Demonstrates courteous, constructive, and cooperative communication, contributing to the effective operation of the unit. 10. Participates and completes training, self-development activities and mandatory reviews to continually expand knowledge base, in providing dialysis treatment to patients with kidney failure or irreversible kidney disorders. 11. Instructs, motivates, and assists patients to learn and improve functional activities. 12. Interacts/reinforces treatment goals with patient/family and support staff. 13. The Hemodialysis Patient Care Technician performs routine hemodialysis on stable patients with RN supervision which includes: a) Provides routine hemodialysis on outpatients under RN supervision. b) Initiates and terminates dialysis treatments following standard procedures. Monitors patients throughout treatment and makes necessary adjustments according to the patient's medical condition, previous experience, and accepted practices. c) Connects patient to the dialyzer and operates equipment to initiate extracorporeal circulation and performance of dialysis. Prepares and dismantles extracorporeal blood circuits and the dialysis machines to create a sterile, air-free blood circuit using a standard aseptic procedure. d) Monitors patient during treatment which includes: BP and HR every 30 minutes or more often as condition warrants; monitors adequacy of anticoagulation; monitors patients and adjusts fluid removal, administering replacement saline per provider order and under RN supervision; recognizes and responds to adverse responses including, hypotension, dialyzer reaction, air embolism, hemolysis, transfusion reaction, anaphylaxis, seizure, chest pain, pyrogen reaction. Adverse findings are reported to the RN. e) Obtains blood specimens for routine or special tests, per policy and procedure. f) Documents and charts accurately on flow sheets and medical records. Collects data and records the results of the dialysis treatment, reports concerns to RN. g) Recognizes medical complications or altered response to treatment and notifies RN or MD. h) Assist in the cannulation of the hemodialysis fistula or graft for dialysis. i) Recognizes when emergency measures are necessary and institutes life saving measures until medical assistance is secured. Initiates or assists in cardiopulmonary resuscitation and other emergency procedures j) Assists patients with non-nursing requests. 14) Maintains nationally recognized Hemodialysis Technician Certification (i.e. CCHT, BONENT) 15. Other duties as assigned by Clinic Director. Work Schedule: Days Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.