• Provides supply support for production, overhaul, repair, or other operations for equipment and/or parts requiring special handling.
• Determines stock levels needed for non-recurring, specialized items based on usage, inventory, project demands, seasonal demands, changing customer needs, and projected depletion.
• Performs property accountability and management. Reconciles property record balances using property inventory balances.
• Performs document control work involved in the processing of supply transactions.
• Provides assistance to customers, storage depots, or other organizations.
• Performs general clerical support work.

Who we are

For more than 40 years, Covanta has been at the forefront of sustainable materials management, providing companies and communities world-class waste and resource solutions.

Through our diverse and scalable full-service capabilities, we’re leading the charge to a carbon-negative future—reducing, reusing, recycling and reimagining waste for the benefit of both people and planet.

Our differentiator comes from our vast ecosystem of technology, facilities, and partnerships, trusted by the world’s largest organizations to solve their most pressing environmental challenges, and achieve their most ambitious environmental, social, and governance (ESG) goals​.

All that we’re missing is you.  Join us today!!

Our values

Diversity, inclusivity, engagement—these are the values that help us foster a strong sense of community within Covanta. By embracing the unique talents, perspectives, and experiences of our employees, we cultivate an environment that embraces teamwork, encourages open dialogue, and provides opportunities for growth.

About the role

Job Summary:

Covanta is seeking a Field Service Technician to join our team! The Field Service Technician I is responsible for the clean-up and transportation of Hazardous and Non-Hazardous waste. Field Service Technician I is expected to perform various tasks including but not limited to loading and unloading tanks and tankers with bulk liquids, complete inspection of equipment, hoses and connections as well as perform confined space entry. 

Additionally, the Field Technician I will operate a variety of equipment including but not limited to pressure washers, power tools, hand trucks, forklifts and other power tools in accordance with company policies and procedures as well as OSHA requirements, and all local, state and federal laws. 

Responsibilities:

• Begins to learn operations of equipment such as forklifts, pressure washers, skid steers

• Performs labor intensive activities in all weather conditions throughout the day

• Removes materials from tanks, pits, or trenches with hand tools

• Work in confined spaces above or below ground and on or under equipment.

• Performs cleaning duties utilizing an industrial pressure washer

• Learns and uses routine equipment safely and according to safety procedures

• Maintain a neat and clean working environment

• Acts as a professional representative of Covanta while acting in an autonomous manner at a customer site

• Complies with OSHA Health and Safety Rules and completes required training provided by Circon as required

• Perform other duties as assigned

Requirements:

• High school Diploma or GED preferred

• Maintains a valid Drivers License

• Ability to perform multiple tasks

• Must be able to lift a minimum of 50 pounds

• Pass Respirator Fit Test

• Pass 40hr HazWoper Course

Working Conditions and Physical Demands:

• While performing the duties of this job the employee is regularly required to talk, see or hear

• The position involves sitting, walking, crouching, crawling, driving and lifting less than 10 pounds for long periods of time throughout the day or lift-up to 50 pounds.

• May be subject to heat and cold stress environments, both inside and outside

• Climb stairs and scaffolding and works at heights.

Covanta is an equal opportunity employer committed to diversity in the workplace. We offer a competitive salary, comprehensive benefits package, and opportunities for career growth. If you are a motivated individual with a commitment to safety and environmental stewardship, we encourage you to apply.

Our DEI Commitment
 

Covanta is an Equal Opportunity Employer, has developed an Affirmative Action Program (AAP), and will not discriminate against any qualified applicants because of race, color, religion, sex, national origin, sexual orientation, gender identity, disability (including perceived disability, physical, mental, and/or intellectual disabilities), veteran status, liability for service in the Armed Forces of the United States, or any other characteristic protected by law.  

Know Your Rights (Click to view poster)

Please note that Level, Title and/or Salary may be adjusted based on the applicant's experience or skills.

If you are an individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site because of your disability. You can request reasonable accommodations by going to Covanta.com and clicking on the ‘Contact Us’ button. Under Inquires, select ‘Careers’ in the Interest field, fill out all required fields including your message.  In the message section, please note this is a ‘Job Application Accommodation Request’.

Who we are

For more than 40 years, Covanta has been at the forefront of sustainable materials management, providing companies and communities world-class waste and resource solutions.

Through our diverse and scalable full-service capabilities, we’re leading the charge to a carbon-negative future—reducing, reusing, recycling and reimagining waste for the benefit of both people and planet.

Our differentiator comes from our vast ecosystem of technology, facilities, and partnerships, trusted by the world’s largest organizations to solve their most pressing environmental challenges, and achieve their most ambitious environmental, social, and governance (ESG) goals​.

All that we’re missing is you.  Join us today!!

Our values

Diversity, inclusivity, engagement—these are the values that help us foster a strong sense of community within Covanta. By embracing the unique talents, perspectives, and experiences of our employees, we cultivate an environment that embraces teamwork, encourages open dialogue, and provides opportunities for growth.

About the role

Our DEI commitment

Covanta is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

EOE AA M/F/Protected Veteran Status/Disability EEO is the Law Poster (The poster can be found at https://www.dol.gov/sites/dolgov/files/ofccp/regs/compliance/posters/pdf/eeopost.pdf). Level, Title and/or Salary may be adjusted based on the applicant's experience or skills.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting us at careers@covanta.com.

Who we are

For more than 40 years, Covanta has been at the forefront of sustainable materials management, providing companies and communities world-class waste and resource solutions.

Through our diverse and scalable full-service capabilities, we’re leading the charge to a carbon-negative future—reducing, reusing, recycling and reimagining waste for the benefit of both people and planet.

Our differentiator comes from our vast ecosystem of technology, facilities, and partnerships, trusted by the world’s largest organizations to solve their most pressing environmental challenges, and achieve their most ambitious environmental, social, and governance (ESG) goals​.

All that we’re missing is you.  Join us today!!

Our values

Diversity, inclusivity, engagement—these are the values that help us foster a strong sense of community within Covanta. By embracing the unique talents, perspectives, and experiences of our employees, we cultivate an environment that embraces teamwork, encourages open dialogue, and provides opportunities for growth.

About the role

 The Waste Processing Technician I will perform various labor duties including receiving, processing, mixing, and loading non hazardous waste materials and maintaining equipment. Duties will include

• Process inbound material for treatment facility

• Unloads bulk trucks into mix pit and shredders

• Scan drums using hand held scanner

• Compact and load out empty drums

• Operates processing equipment such as shredders, drum line, tote dumper, tow motor

• Receive shipments and unload trucks

• Housekeeping: Maintain a neat and clean working environment

• May begin to train on how to use heavy equipment i.e. Backhoe, Trackhoe, loader in process area 

• Coordinate last minute or unscheduled deliveries

• Comply with OSHA Health and Safety Rules

• Perform other duties as assigned

• 1+ year of experience 

• Able to pass respirator fit test 

• Must exercise good judgement and problem-solving skills 

• Demonstrate attention to detail and time management 

• Must be able to operate cranes, forklifts, hand trucks, and other power tools 

• Must be able to lift and move up to 50 pounds 

• Kneeling, crawling, stooping, bending, or twisting for extended periods of time 

• Walking and/or standing and/or sitting for extended periods of time 

• Proficient in Microsoft Office, specifically Outlook, Word, and Excel 

• Excellent written and verbal communication skills

Our DEI Commitment
 

Covanta is an Equal Opportunity Employer, has developed an Affirmative Action Program (AAP), and will not discriminate against any qualified applicants because of race, color, religion, sex, national origin, sexual orientation, gender identity, disability (including perceived disability, physical, mental, and/or intellectual disabilities), veteran status, liability for service in the Armed Forces of the United States, or any other characteristic protected by law.  

Know Your Rights (Click to view poster)

Please note that Level, Title and/or Salary may be adjusted based on the applicant's experience or skills.

If you are an individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site because of your disability. You can request reasonable accommodations by emailing careers@covanta.com

Who we are

For more than 40 years, Covanta has been at the forefront of sustainable materials management, providing companies and communities world-class waste and resource solutions.

Through our diverse and scalable full-service capabilities, we’re leading the charge to a carbon-negative future—reducing, reusing, recycling and reimagining waste for the benefit of both people and planet.

Our differentiator comes from our vast ecosystem of technology, facilities, and partnerships, trusted by the world’s largest organizations to solve their most pressing environmental challenges, and achieve their most ambitious environmental, social, and governance (ESG) goals​.

All that we’re missing is you.  Join us today!!

Our values

Diversity, inclusivity, engagement—these are the values that help us foster a strong sense of community within Covanta. By embracing the unique talents, perspectives, and experiences of our employees, we cultivate an environment that embraces teamwork, encourages open dialogue, and provides opportunities for growth.

About the role

The Labor Technician position is critical to the effective and efficient operation of the Plant. The Labor Technician associate's main responsibility is to streamline the receipt and distribution of waste materials and other received products. The Warehouse Labor associate will also assist other plant personnel in performing their job duties.

Location: Avon, Ohio

• Processes inbound material for treatment facility
• Pumps and consolidate drums
• Pumps or load tankers
• Scans Material and utilizes Enviroware
• Operates processing equipment such tow motor
• Receive shipments and unload trucks
• Housekeeping: Maintain a neat and clean working environment
• Enter confined spaces as required and in accordance with safety policies and procedures.
• Comply with OSHA Health and Safety Rules
• Perform other duties as assigned

Qualifications:

• High School Diploma or GED
• Production/warehouse experience preferred
• Tow motor experience required
• Ability to perform multiple tasks
• High attention to detail
• Must be able repetitively lift a minimum of 50 pounds

General Laborer Training Requirements

• Be able to pass a Respirator Fit Test (RFT)/Pulmonary Function Test (PFT)
• Abide by Respirator Fit policy.
• Be able to pass a HAZWOPER training class

Our DEI Commitment
 

Covanta is an Equal Opportunity Employer, has developed an Affirmative Action Program (AAP), and will not discriminate against any qualified applicants because of race, color, religion, sex, national origin, sexual orientation, gender identity, disability (including perceived disability, physical, mental, and/or intellectual disabilities), veteran status, liability for service in the Armed Forces of the United States, or any other characteristic protected by law.  

Know Your Rights (Click to view poster)

Please note that Level, Title and/or Salary may be adjusted based on the applicant's experience or skills.

If you are an individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site because of your disability. You can request reasonable accommodations by going to Covanta.com and clicking on the ‘Contact Us’ button. Under Inquires, select ‘Careers’ in the Interest field, fill out all required fields including your message.  In the message section, please note this is a ‘Job Application Accommodation Request’.

We do the right things, right now.  We do them in a way that is relevant to our clients.  Become a part of our history as it continues to be written! 

If you are interested and qualified for this role, we invite you to apply.

This position is to ensure proper computer operation so that the end users can accomplish business related tasks. This includes receiving initial calls/self-service tickets, and prioritizing, documenting and actively resolving associates IT problems. Makes escalation for incidents when necessary.

• Field/answer incoming requests to the Service Desk via both Telephone and ServiceNow tickets to ensure courteous, timely and effective resolution to associates issues. (60%)
• Investigate and resolve association workstation hardware and software issues and escalate more advanced issues to either Tier 2 or 3 for resolution (15%)
• Create initial tracking work orders, document corrective action for problem resolution, use workflow tools and practices to achieve first call resolution (10%)
• Perform preventive maintenance, including checking and cleaning of workstations, printers and peripherals. (5%)

Required Skills

• Exceptional Customer service skills
• MS Certification A+ and or 1-2 year’s related experience with basic computer hardware
• Exceptional written and oral skills
• Experience with Desktop systems and Windows current operating systems
• Strong Documentation skills
• Proven analytical and problem-solving abilities
• Be familiar with Active Directory; resolve associate password related incidents for user environment, and various web based HR applications.

Required Experience

• Knowledge of basic computer hardware
• Experience with desktop systems, including Windows XP
• Exceptional written and oral communication skills.
• Exceptional interpersonal skills, with a focus on rapport-building, listening and questioning skills.
• Exceptional customer service orientation

It is our policy to not discriminate against any individual in violation of federal, state, and local laws as it relates to age, race, color, religion, national origin, sex, marital status, pregnancy, gender identity, disability, sexual orientation, genetic information, veteran/military service, or any other characteristic protected by law.

We are an E-Verify Employer.

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.

• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.

• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment

• 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. 

• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.       

• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure

• Obtain Hemostasis and apply appropriate dressings.   

• Evaluate the patient prior to discharge.

• 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; 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 registered nurse or supervisor.

• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.

• Obtain all prescribed laboratory testing and prepare specimens for collection.      

• 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.       

• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  

• Enters all treatment data into the designated clinical application in an accurate and timely manner.           

• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.

• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      

• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.     

• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.       

• Supports staff and patient Adherence to infection control practices.         

• Follows infection control Policies and Procedures          

• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 

• Reinforces all education and care related matters as it relates to the new patient           as allowed by state law

• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.      

• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.

• Sets and preforms a treatment on all machines used in the transitional care unit.

• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.

• Assists with coordination of transition to patient’s modality choice.         

• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.       

• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials          

• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.

• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.

• All appropriate state licensure, education, and training (if any) required.

• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• Previous patient care experience in a hospital setting or a related facility preferred.

• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

More than a career - a chance to make a difference in people's lives.

Build an exciting, rewarding career with us – help us make a difference for millions of people every day. Consider joining the Duke Energy team, where you'll find a friendly work environment, opportunities for growth and development, recognition for your work, and competitive pay and benefits.

This position may include rotational travel to 9 garages in the Cincinnati, Ohio/Northern Kentucky region.

Job Summary:

Includes, but is not limited to passenger cars, pickup trucks, SUV’s, medium and heavy trucks, trailers, and off-road equipment. Maintenance operations may take place in the garage or at field locations during various work schedules depending on business needs. Performs such duties as:

• Perform preventative maintenance inspections on light & medium duty vehicles/equipment and assist higher classification of technicians with PM’s on all vehicles and equipment.
• Assist with Federal DOT inspections.
• Assist on dielectric test inspections.
• Perform diagnostics and repairs on light and medium vehicles, (gas & diesel) forklifts, trailers, and powered equipment.
• Maintain the appropriate level of technical competence required to diagnose and repair vehicles/equipment.
• Perform hydraulic brake systems and component repairs.
• Assist with hydraulic component repairs.
• Assist with air brake system inspections and repairs.
• Assist higher classification of technicians with diagnostics and repairs on all vehicles/equipment.
• Troubleshoot, diagnose, and repair basic electric system components, cranking, lighting, charging and assist with basic A/C systems and component repairs.
• Complete all training requirements for Vehicle Maintenance Technician I in the timeframe established by the Company.

Basic/Required Qualifications:

• Must have an Associates degree or certificate in auto, diesel, or heavy equipment mechanics from a vocational school; OR at least one year of related work experience in lieu of a degree.
• Must successfully obtain and maintain a Class A CDL license within 6 months of hire date.

​

Job Specific Requirements:

• Must be able to stand and walk on concrete surface for extended periods of time.
• Must be able to work in garage environment with associated noise, fumes and dust and tolerate heights in aerial devices.
• Must be able to lift and/or push at least 100 lbs. several times per shift.
• Must be able to carry at least 50 lbs. a distance of at least 25 feet.
• Repeated bending and twisting are required.
• This position contains a weight restriction of 275 pounds as an essential function of the job. The purpose of this restriction is to ensure that all weight rated equipment is used in an appropriate and safe manner within maximum allowed weight loading. This weight restriction must be maintained throughout employment within the Vehicle Maintenance Technician progression.
• Traveling outside the Company service area for the purpose of training and working within this classification.
• Onsite Mobility Classification – Work will be performed at a company facility. 

Travel Requirements

Relocation Assistance Provided (as applicable)

Represented/Union Position

Visa Sponsored Position

Posting Expiration Date

All job postings expire at 12:01 AM on the posting expiration date.

Please note that in order to be considered for this position, you must possess all of the basic/required qualifications.

Privacy

Do Not Sell My Personal Information (CA)

Terms of Use

Accessibility

Join our team! • Rated Newsweek's Most Loved Workplaces. • Paid Dialysis Training • Tuition reimbursement • Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. • Generous PTO and ESL leave accrual • 401K Retirement benefits with match • Many perks and discount programs available.

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state Law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• 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. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• 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; 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 registered nurse or supervisor.    
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.   
• 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.     
• Monitors patients performing self-care under the supervision of RN

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
• Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement. 
• Provides developmental support to applicable clinical and facility staff. 

Education/Communication:

• Participates in implementing  educational programs for PCT staff including contests and other team-based programs.
• Assists in monitoring processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.        
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.   

INFECTION CONTROL:

• Assists in collecting  information for 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.
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law         

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care   
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.        
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.      
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.         
• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials  
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.

• Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare Services (CMS)All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• At least two years previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

Employee Name (Please Print)

Employee Signature

Date

ADDENDUM:

Home Therapies Program (Not Home Assist)

This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN)  and in compliance with state law.

• May assist HT RN on Home Visit as directed    
• Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law         
• Schedules and contacts patients regarding appointments         
• Weigh patient and obtain vital signs     
• Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; preparing charts prior to clinic visit        
• 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.)      
• Set-up of the home hemodialysis machine and PD Cycler         
• Assist with exit site care when directed by HT RN         
• Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
• Perform water dialysate collection and processing 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)           
• Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements       
• Maintains logs as directed and applicable
• Support patient registration and use of connected health           
• Provide patient home support as indicated and permissible under state law and applicable regulations

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

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Join our team! • Rated Newsweek's Most Loved Workplaces. • Paid Dialysis Training • Tuition reimbursement • Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. • Generous PTO and ESL leave accrual • 401K Retirement benefits with match • Many perks and discount programs available.

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• 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. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.       
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• 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; 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 registered nurse or supervisor.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.      
• 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.       
• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  
• Enters all treatment data into the designated clinical application in an accurate and timely manner.           
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.     
• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.       
• Supports staff and patient Adherence to infection control practices.         
• Follows infection control Policies and Procedures          
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 
• Reinforces all education and care related matters as it relates to the new patient           as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.      
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.         
• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.       
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials          
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

Employee Name (Please Print):

Employee Signature:

Date:

ADDENDUM(S):

Home Therapies Program (Not Home Assist)

This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN)  and in compliance with state laws.

• May assist HT RN on Home Visit as directed    
• Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law 
• Schedules and contacts patients regarding appointments          
• Weigh patient and obtain vital signs     
• Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records.       
• Cleaning and prepping treatment room; preparing charts prior to clinic visit       
• 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.)         
• Set-up of the home hemodialysis machine and PD Cycler         
• Assist with exit site care when directed by HT RN         
• Warm dialysate solution when directed by the HT RN    
• Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
• Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)   
• Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements
• Maintains logs as directed and applicable
• Support patient registration and use of connected health
• Provide patient home support as indicated and permissible under state law and applicable regulations

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          

Employee Name (Please Print):

Employee Signature:

Date:

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.

• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.

• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment

• 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. 

• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.       

• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure

• Obtain Hemostasis and apply appropriate dressings.   

• Evaluate the patient prior to discharge.

• 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; 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 registered nurse or supervisor.

• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.

• Obtain all prescribed laboratory testing and prepare specimens for collection.      

• 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.       

• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.  

• Enters all treatment data into the designated clinical application in an accurate and timely manner.           

• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.

• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      

• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.     

• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.       

• Supports staff and patient Adherence to infection control practices.         

• Follows infection control Policies and Procedures          

• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care 

• Reinforces all education and care related matters as it relates to the new patient           as allowed by state law

• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.      

• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.

• Sets and preforms a treatment on all machines used in the transitional care unit.

• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.

• Assists with coordination of transition to patient’s modality choice.         

• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.       

• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials          

• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.

• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.

• All appropriate state licensure, education, and training (if any) required.

• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• Previous patient care experience in a hospital setting or a related facility preferred.

• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Join our team! • Rated Newsweek's Most Loved Workplaces. • Paid Dialysis Training • Tuition reimbursement • Competitive Pay & Benefits - Eligible for healthcare benefits 30 days after hire date. • Generous PTO and ESL leave accrual • 401K Retirement benefits with match • Many perks and discount programs available.

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• 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. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• 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; 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 registered nurse or supervisor.    
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.   
• 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.     
• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.        
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.       
• Supports staff and patient Adherence to infection control practices.        
• Follows infection control Policies and Procedures         
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care   
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.        
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.      
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.         
• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials  
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

Employee Name (Please Print)

Employee Signature

Date

ADDENDUM:

Home Therapies Program (Not Home Assist)

This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN)  and in compliance with state laws.

• May assist HT RN on Home Visit as directed    
• Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law         
• Schedules and contacts patients regarding appointments         
• Weigh patient and obtain vital signs     
• Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; preparing charts prior to clinic visit        
• 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.)      
• Set-up of the home hemodialysis machine and PD Cycler         
• Assist with exit site care when directed by HT RN         
• Warm dialysate solution when directed by the HT RN    
• Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
• Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)           
• Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements       
• Maintains logs as directed and applicable
• Support patient registration and use of connected health
• Provide patient home support as indicated and permissible under state law and applicable regulations

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          

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Voted by Newsweek as one of the "Most Loved Places to Work" in 2021-2022

No prior dialysis experience required - we offer paid training!

Benefits start after 30 days of employment

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• 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.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• 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. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• 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; 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 registered nurse or supervisor.    
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or 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 registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.   
• 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.     
• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• 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 and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.        
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.      
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.       
• Supports staff and patient Adherence to infection control practices.        
• Follows infection control Policies and Procedures         
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care   
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.        
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.      
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.         
• Assists with supply ordering and inventory for TCU       

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. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials  
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS:

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

Employee Name (Please Print)

Employee Signature

Date

ADDENDUM:

Home Therapies Program (Not Home Assist)

This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN)  and in compliance with state laws.

• May assist HT RN on Home Visit as directed    
• Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law         
• Schedules and contacts patients regarding appointments         
• Weigh patient and obtain vital signs     
• Collect patient’s treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; preparing charts prior to clinic visit        
• 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.)      
• Set-up of the home hemodialysis machine and PD Cycler         
• Assist with exit site care when directed by HT RN         
• Warm dialysate solution when directed by the HT RN    
• Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
• Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)           
• Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements       
• Maintains logs as directed and applicable
• Support patient registration and use of connected health
• Provide patient home support as indicated and permissible under state law and applicable regulations

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          

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.