As a SURFACE MAINTENANCE REPAIRER, WG-5801-8, you will troubleshoot, perform maintenance and major repairs on heavy-duty mobile equipment, combat, tactical and automotive vehicles. Troubleshoot, repair and overhaul major systems. Troubleshoot equipment and diagnose the cause of mechanical failures. Remove and disassemble engines and major assemblies, sub-assemblies, components, and systems. Independently perform repairs and maintenance functions by removing, cleaning, reinstalling, or replacing defective parts of components and systems. Conduct readiness and repair inspections on vehicles and equipment. Perform operational inspections and ensure vehicles and equipment are properly serviced. May maintain and repair equipment to include removing and replacing components and elements. Performs other duties as assigned.
A more comprehensive detailed description of the position may be found in Position Description PDD1193000 on file in the employing unit or in the Human Resources Office. Contact the KY HRO Staffing Section via email for additional information, ng.ky.kyarng.mbx.hro-technicianstaffing@army.mil.

Job Description/Scope of Practice
The incumbent will have knowledge of the processes for Reusable Medical Equipment (RME) as required by this position. The incumbent will be required to maintain current knowledge of the Standard Operating Procedures (SOPs) which document the processes and procedures for cleaning, disinfection, sterilization and preparation of RME appropriate to this position. The incumbent will be able to demonstrate their ability to utilize an acceptable proficiency in the use of RME appropriate to this position.

This is an advance performance level position in Sterile Processing Service as a Lead Medical Supply Technician (Sterile Processing Technician). In this position, the incumbent will provide sterilization, preparation, supply items and reusable medical equipment decontamination and distribution support for the medical center. The term "supply item" as used in this functional statement refers to disposable and reusable items for patient care including instrumentation (scissors, forceps, retractors, etc.), reusable medical equipment (suction machines infusion pumps, etc.), surgical trays and sets and various other items that could be processed or assembled through the Preparation and Decontamination areas of Sterile Processing Service.

This is a full performance level MST position. The Lead works in support of the Sterile Processing Service (SPS) management team. Distributes and prioritizes workload among employees in accordance with established workflow and/ or job specializations. Assures an even workflow and distribution of the workload. Revises work schedules to meet anticipated and unanticipated changes in the workload. Assigns work to staff based on experience and training needs. Monitors and reports on the status of work. Ensures SOPs and SPS mandates are followed during the performance of workflow. Reviews work in progress or spot checks work not requiring review to ensure completed work meets supervisors' instructions on such things as work sequence, procedures, methods, and deadlines. Assesses the quality and quantity of work.by reviewing the cleaning, reprocessing, and distribution of technical medical equipment, material and instrumentation. Provides information to management officials concerning performance issues, assignment changes and task completion. Instructs employees on work-related activities, policies, procedures and goals.

Preferred Qualifications
Hospital Experience in Sterile Processing and Decontamination

Preferred Certification(s)
- SPD Technician Certification

Work Schedule: 8-hour tour Monday-Friday 0730 1600
Telework: No
Virtual: This is not a virtual position.

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 Overview:

As an Electrical and Instrumentation Technician, you will work safely to maintain, diagnose, and repair various types of power plant equipment, this includes maintenance related to: boilers and its associated electrical and control equipment, repair and operation of field controllers, instrumentation, motor control centers and other power plant electrical equipment ranging from 120V to 13.8kv, and AC switchgear.

Key Responsibilities:

• Perform maintenance and testing of low and medium voltage switchgear, circuit breakers, motor starters, and power transformers.
• Perform maintenance of higher voltage switchyard equipment and steam turbine driven generators.
• Perform electrical maintenance work related to energy from waste boilers and its associated equipment, including but not limited to, pumps, fans, motors, conveyors & refuse cranes.
• Perform electrical maintenance work related to energy from waste air pollution control systems.
• Trouble shoot, assess, inspect, adjust, and make repairs as needed to the Continuous Emissions Motoring System (CEMS) as well as all facility flow, pressure, temperature, and level instrumentation, which includes but is not limited to, transmitter flow devices, level controls, temperature measurement, and flue gas analysis equipment.
• Trouble shoot, assess, inspect, and adjust, and make repairs, as needed to the Distributed Control Systems (DCS) and historian devices.
• Perform preventative maintenance tasks, which include but are not limited to, routine calibration, thermography, and ultrasonic testing.
• Operate various calibration equipment and perform electrical and instrumentation maintenance and repair work as assigned using proper Covanta safety practices.
• Troubleshoot electrical and instrumentation problems and complete all maintenance work records.
• Actively participate in plant shutdown work including teardown inspection of electrical plant equipment.
• Maintain work area and tools in clean and orderly manner as well as performing plant and shop housekeeping chores.
• Complete Covanta safety, compliance, and other required training/certification within the assigned timelines.
• Perform other duties as deemed necessary by the E&I management team.

Qualifications:

• High school diploma or equivalent
• Formal technical or apprentice training, preferred

Physical Demands of the Role:

• Ability to walk, stand, sit, and climb
• Ability to lift/carry 50lbs
• Ability to work from heights and in confined spaces
• Qualify to wear a full-face respirator 
• Consistently work in various weather conditions

Shift Work:

This position works on a rotating 12-hour shift including nights, weekends, and some holidays. Overtime will be required.

What Covanta Offers You:

• •    Health Care Benefits - start 1st day of employment
  •    Wellness Program Incentives & Rewards
  •    401k - match up to 7%
  •    Paid Time Off (Vacation & Holiday)
  •    Paid Parental Leave
  •    Short-Term & Long-Term Disability Benefits
  •    Tuition Reimbursement
  •    Employee Referral Bonus

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

Instrument/Controls Technician - $5000 sign-on bonus

Job Overview  

Covanta Huntsville, AL is seeking a dedicated Electrical and Instrumentation Technician who is a skilled, detail-oriented, and self-motivated individual with responsibilities that may include but are not limited to installation, troubleshooting, cleaning, inspecting, calibrating, and maintaining electrical, instrumentation, and distributive control (DCS) equipment throghout the facility safely and professionally.

Key Responsibilities

• This individual must be able to respond and report to work during off hours when emergency repairs are needed; as well as work overtime, and on call for rotating shifts as needed.
• This individual will have a strong electrical background, including experience in instrument calibration, PLC, and DCS programming/troubleshooting (Allen-Bradley SLC-500 and Control Logix).
• This individual must also possess the skills for the maintenance, repair, and operation of field controllers, instrumentation, motor control centers, and other power plant electrical equipment ranging from 24 VDC to 13.8kV.
• Background in Continuous Environmental Monitoring System (CEMS).

Qualifications: (what is required for someone to be successful in the position)

• GED/HS Diploma required.  Additional formal technical training or Military Electrical technical training is preferred
• Proficient with Ladder Logic and or Function Block for PLCs (Siemens S7 1200, Allen-Bradley SLC-500 and Control Logix)
• Ability to read and understand schematics
• Experience repairing Crane electrical controls
• Strong working knowledge of electrical systems
• Maintaining Continuous Environmental Monitoring System (CEMS)

Physical Demands:

• Frequently exposed to high temperatures and outside weather conditions
• Working in a noisy and dusty environment
• Frequently required to stand, sit, climb, kneel, crouch, crawl, and reach
• Climbing ladders and structures; must be able to tolerate heights

Schedule

During training (4-8 weeks) schedule will be Monday- Friday 6:00 am -2:30pm

After the training period this position will be an 8 or 10-hour day shift position. There is a rotating on call schedule and additional hours are scheduled during planned or unplanned outages; possibility of night support may be needed during this time.. This schedule is subject to change based on business needs.

What Covanta Offers You:

• Health Care Benefits - start 1st day of employment
• Wellness Program Incentives & Rewards
• 401k - match up to 7%
• Paid Time Off (Vacation & Holiday)
• Paid Parental Leave
• Short-Term & Long-Term Disability Benefits
• Tuition Reimbursement
• Employee Referral Bonus

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.

PURPOSE AND SCOPE:

Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
• Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
• Perform administration of Heparin as delegated or as allowed by state law. 
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.  
• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the nurse supervisor. 
• Observe patient and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system. 
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. 
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare 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.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed
• Reinforces  PD / HHD education under supervision of qualified HT RN
• Schedules and contacts patients regarding appointments
• Weigh patient and obtain vital signs
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; prep charts
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Obtain home hemo water sampling as directed by the HT RN
• Set-up of the home hemo machine and PD Cycler.
• Assist with exit site care when directed by HT RN.
• Warm dialysate solution when directed by the HT RN
• Draw dialysate solution for testing as directed by the HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
• Assembles/breaks down charts/thins charts
• Maintains logs as directed and applicable
• Inventory of Home Program
• Maintains par levels of home department supplies
• Files home patient packing slips/invoices
• Inventory for Patients
• Assists patient with supply management and contacting customer service

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 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

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
• All appropriate state licensure education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

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

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

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

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

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

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

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

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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 hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient 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.

Patient Treatment:

• Welcome assigned patients and inquire as to their well-being since their last treatment.
• Evaluate vascular access for patency.
• Obtain necessary pre and post treatment vital signs and weight.
• Perform vascular access evaluation pre-treatment.
• Perform vascular access cannulation.
• Perform administration of Heparin as delegated or as allowed by state law.
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures.
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.
• Evaluate the patient 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; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the PCT III (if applicable) or nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

Maintenance/Technical:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.

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

• Initiate Solution Delivery System (SDS) system.

• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.

• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

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 where appropriate.

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

• Prepare 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.

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:

Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
• Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
• Perform administration of Heparin as delegated or as allowed by state law. 
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.  
• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the nurse supervisor. 
• Observe patient and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system. 
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. 
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare 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.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed
• Reinforces  PD / HHD education under supervision of qualified HT RN
• Schedules and contacts patients regarding appointments
• Weigh patient and obtain vital signs
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; prep charts
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Obtain home hemo water sampling as directed by the HT RN
• Set-up of the home hemo machine and PD Cycler.
• Assist with exit site care when directed by HT RN.
• Warm dialysate solution when directed by the HT RN
• Draw dialysate solution for testing as directed by the HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
• Assembles/breaks down charts/thins charts
• Maintains logs as directed and applicable
• Inventory of Home Program
• Maintains par levels of home department supplies
• Files home patient packing slips/invoices
• Inventory for Patients
• Assists patient with supply management and contacting customer service

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 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

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
• All appropriate state licensure education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

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

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.

DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be?

If you haven't considered Nephrology before, read on as we think that you should.

Joining DaVita as Patient Care Technician (PCT) is an exciting opportunity to jump start your career in the health care industry! With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals across the geography where you live. Once you have successfully completed training, you will join a holistic team of care professionals – including nurses, dietitian, social workers, and other experienced PCTs – to care for our patients. It's not a job, it's giving life and a career based on passion and purpose.

DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.

Our PCTs also find DaVita professionally fulfilling. To help advance your career, we offer clear paths to higher levels of responsibility and compensation through our Clinical Ladders program. Through DaVita's Bridge to your Dreams program, teammates who have been in their role for six consecutive months and in good standing, are eligible to receive tuition assistance up front to pursue their dream of becoming a DaVita RN and getting their Associates Degree in Nursing. We also have dedicated training to become a Facility Administrator, and training to become a Regional Operations Director. Your success is driven by your performance and desire.

Some details about this position:

• No Dialysis experience is required.

• Training may take place in a facility or a training clinic other than your assigned home clinic

• Potential to float to various clinics during and after your training

• You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays

What you can expect:

• Direct Patient Care. Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.

• Our PCTs care for multiple patients.

• Technician Duties. To monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.

• Building long-term relationships with your patients who are suffering from end stage renal disease and are receiving treatment on average 3 times/week. You will also be responsible for educating patients on Kidney Dialysis related topics.

• Team. Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN.

What we'll provide:

DaVita Rewards package connects teammates to what matters most including:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

• Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more

• Paid training

Requirements:

• Desire to enter the health care field to care for other people in need

• High school diploma or equivalent

• Must be comfortable working around blood and needles

• Must be comfortable mixing acid or bicarb

• Physical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.

• Willingness to train and work across multiple clinics within the territory as needed.

• Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity&Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.

Ready to make a difference in the lives of patients? Take the first step and apply now.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic. 

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. 

•    Sets up, tests, and operates hemodialysis machines for patient treatments.
•    Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
•    Evaluates vascular access pre-treatment and performs vascular access cannulation.
•    Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
•    Monitors patients’ response to dialysis therapy.
•    Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
•    Reports any significant information and/or change in patient condition directly to supervisor.
•    Enters all treatment data into the designated clinical application in an accurate and timely manner.
•    Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
•    Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
•    Assists other healthcare members in providing patient education.
•    Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
 

EDUCATION AND LICENSES:
•    High school diploma or G.E.D. required.

EXPERIENCE AND REQUIRED SKILLS:
•    Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
•    Previous patient care experience in a hospital setting or a related facility (preferred but not required).
•    Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare 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 basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

Company Overview

Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. BSRO operates more than 2,200 company-owned stores, including Firestone Complete Auto Care, Tires Plus and Wheel Works locations. With locations across North America and more than $3 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career.

Whatever role you fill, when you represent the Bridgestone name, you are a valued teammate, and part of our larger mission to “Serve Society with Superior Quality.” We start by offering each teammate more than just competitive pay. We provide formal training, performance incentives, paid vacation and holidays, competitive healthcare packages for full-time and part-time employees, and a 401k plan to help build towards your future.
 

We believe people can only provide superior service and quality to others when they are allowed to bring their whole self to work and know they are supported. We believe in championing all perspectives, individuals and teams because we understand the importance of seeing the world and our business through many different lenses. We are building a team as diverse as the world we serve. So, show us what you’re made of. Show us the smart stuff, the tough stuff, the bold, beautiful and brave stuff. Because who you are is what we need. 

• Change oil, transmission fluid and filters
• Install batteries and checks electrical systems
• Tire maintenance
• Install parts
• Road test vehicles

• Ability to learn basic mechanical tasks
• Must have a valid automobile driver's license at all times and be able to drive customer and company vehicles
• Must have a minimum 2 years of automotive repair experience, completion of Vocational-Technical School program in a related field or demonstrated skills via third party certificates/assessment.
• A.S.E certification in at least one of A1-A8 is preferred. Will accept equivalent external qualifications or training certifications. (New Hires with external similar qualification/certification will have up to 2 years of employment to comply
• Reading, writing, and math skills

Our Crew Knows Benefits

Health benefits that start on day one of employment, for all of our full-time teammates:

• Paid vacation and holidays
• On-the-job training and company-funded ASE certifications
• Tuition reimbursement program
• 401(k) match
• Vision and Dental Coverage
• On demand pay (daily pay) program available

Our Values Give Back To You

• Professional Development: No matter where you’re at in your career, we’ve got the resources to help you level up.
• Community & Involvement: We pride ourselves on working with our local communities and giving back where we can.
• Integrity & Teamwork: Part of what makes our teams different is our family-like mentality and drive to do things right, always.

Bridgestone is proud to be an Equal Employment Opportunity / Affirmative Action employer.  It is our policy to consider for employment all individuals regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, gender, sex, sexual orientation, gender identity and/or expression, genetic information, veteran status, or any other characteristic protected by federal, state or local law.

Employment Eligibility

If hired, a Form I-9 Employment Eligibility Verification must be completed at the start of employment. Temporary work authorization or the need for sponsorship may disqualify you from 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.
• 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.

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.

PURPOSE AND SCOPE:

Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA 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 FMCNA 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 FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
• Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
• Perform administration of Heparin as delegated or as allowed by state law. 
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.  
• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the nurse supervisor. 
• Observe patient and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system. 
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. 
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare 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.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed
• Reinforces  PD / HHD education under supervision of qualified HT RN
• Schedules and contacts patients regarding appointments
• Weigh patient and obtain vital signs
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; prep charts
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Obtain home hemo water sampling as directed by the HT RN
• Set-up of the home hemo machine and PD Cycler.
• Assist with exit site care when directed by HT RN.
• Warm dialysate solution when directed by the HT RN
• Draw dialysate solution for testing as directed by the HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
• Assembles/breaks down charts/thins charts
• Maintains logs as directed and applicable
• Inventory of Home Program
• Maintains par levels of home department supplies
• Files home patient packing slips/invoices
• Inventory for Patients
• Assists patient with supply management and contacting customer service

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 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

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
• All appropriate state licensure education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

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

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.