Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
To provide patient care and support to adult dialysis patients according to established policy/protocol under direct supervision of a Registered Nurse (RN). Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports Michigan Medicine?s commitment to quality and safety, including patient satisfaction and actively participates in process improvement activities.
General supervision is received from Clinical Nursing Director (CND) and/ or Clinical Nursing Supervisor. Functional supervision is received from nursing staff.
Responsibilities*
Patient Treatment
- Welcome patients into the unit and check two patient identifiers with armband (full name and birthdate)
- Ambulate, move, lift, transfer, and transport patients
- Assist patients with bedpans, urinals, and personal hygiene
- Conduct hemodialysis machine safety checks according to unit policy/procedure
- Obtain necessary pre-, intra-, and post-treatment vital signs and weight
- Place patient on cardiac monitor, pulse oximeter, oxygen and suction as needed; have knowledge of respiratory equipment
- Under the supervision of an RN, initiate, monitor and terminate hemodialysis
- Aseptically prepare the hemodialysis machine according to prescription
- Assist with lab draws, labeling and sending to the lab
- As directed by the RN, monitor patients throughout hemodialysis treatment, including patients? response to hemodialysis, vascular access site and pressures, and visibility of patients? face and access
- Discontinue hemodialysis treatment according to unit approved policies/procedures
- Hold AVF/AVG needle sites post-treatment or perform catheter care per unit policy
- Evaluate patient post-treatment
- Obtain hemostasis and apply appropriate dressings for needles or catheter
- Evaluate patient prior to discharge
- Perform lab draws and/or dressing changes at the bedsidePerform and document pre- and post-hemodialysis evaluation including weight and vital signs
- Report any significant information and/or change in patient condition to the RN
- Prime continuous renal replacement (CRRT) machines
- Drain peritoneal dialysis patients at the direction of the unit charge RN
- Utilize transportation tracking system and input patients
- Other duties as assigned
Patient Education
- Assist multidisciplinary team members in providing patient specific detailed education regarding adequacy measures where appropriate, including disease process, access, online clearance monitoring, adequacy monitoring program and urea kinetic modeling.
Technical Duties
- Maintain environmental integrity by assuring all areas are safe and clean
- Maintain patient care area daily by stocking supplies in the bedside carts and storage cabinets
- Perform all required pre-treatment hemodialysis machine alarm testing
- Conduct daily routine checks of point of care (POC) devices and conductivity meters as assigned by charge nurse
- Accurately operate POC laboratory equipment and conductivity meters
- Clean and disinfect hemodialysis machine surface, equipment, back ledge and surrounding area between treatments according to unit policy
- Disinfect hemodialysis equipment including hemodialysis machines and portable reverse osmosis equipment according to unit policy
- Clean CRRT machine surfaces when CRRT treatments are terminated
- Ensure all blood spills are immediately cleaned with appropriate disinfectant according to unit policy
- Prepare, organize, and efficiently utilize supplies and equipment to prevent waste
- Other duties as assigned
Documentation
- Appropriately document, within scope of practice, all treatment information accurately in the electronic health (EHR) record in a timely manner
- Appropriately document machine disinfections and POC testing
Required Qualifications*
- Graduation from high school or an equivalent combination of education and experience.
- Certification as a Hemodialysis Technician from the Board of Nephrology Examiners Nursing and Technology
(BONENT) or Certification as a Clinical Hemodialysis Technician from the Nephrology Nursing Certification Commission. - This position requires Primary Source Verification.
Desired Qualifications*
1. Basic Life Support (BLS) certified
2. Experience with EHR documentation
3. Knowledge of MM policies and procedures
4. Excellent communication skills
5. Minimum one (1) recent hemodialysis experience
6. Ability to stand for long periods of time
7. Ability to perform at a fast pace, and lift/push heavy equipment
8. Ability to lift, move and position patients
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
- Excellent medical, dental and vision coverage effective on your very first day
- 2:1 Match on retirement savings
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Work Schedule
10-hour rotating shifts; 1500-0130 or 1900-0530. Requires rotation of Saturdays and Sundays.
Additional Information
Required Qualifications
- Must successfully complete all aspects of orientation
- Ability to adapt to a rapidly changing environment
- Ability to push, lift and assist patients as well as push, lift and move heavy equipment.
- Professionalism and Confidentiality
- Personal business will not be conducted in patient care areas. Personal business includes but is not limited to cell phone use, homework and computer use for non-work-related business
- Appropriately document exceptions on the dailies, including tardiness, leaving early or staying late, on the daily staffing schedule
- Maintain patient confidentiality
- Maintain confidentiality around performance and personnel issues that arise with staff
Competency - Remain compliant with MM and unit-based competencies
- PHYSICAL REQUIREMENTS
This position requires moderate standing/walking, as well as lifting, positioning, pushing, and/or transferring of patient
Union Affiliation
This position is covered under the collective bargaining agreement between the U-M and the United Michigan Medicine Allied Professionals (UMMAP), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an equal employment opportunity employer.