4 Jobs in Phitsanulok

**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional duties as assigned.
**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.
+ 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ 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.
+ 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 accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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.**

1. Patient care
+ Prepare hemodialysis area to be ready for operation in each cycle of treatment.
+ Prepare and pick all needed consumables for HD treatment to the machine.
+ Assist in checking and maintenance RO system.
+ Assist in checking and preparing dialyzer for dialysis machine.
+ Collect all consumables of hemodialysis after the treatment end.
+ Assist in internal and external cleaning hemodialysis machines after of each treatment.
+ Prepare bed of dialysis chair and clean them after each treatment.
+ Performs vital sign check in pre, through out and post treatment and record as standard.
+ Check body weight before and after treatment and report to nurse.
+ Assist nurse to observe patient condition, sign and symptom of patient.
+ Assist nurse to collect and delivery all specimen to laboratory.
+ Assist patient during treatment and post treatment.
+ Performs other professional nursing activities as approved by Head Nurse.
2. Quality and safety
+ Provide nursing care and service to all patients with patient safety standard.
+ Check and count all consumable supplies in inventory.
+ Checks and prepares readiness of supplies in treatment cart.
+ Checks and clean emergency cart, treatment cart for readiness.
+ Check and record temperature and humidity in inventory area.
+ Provides for patient safety in the clinical environment.
+ Report all incident and customer feedback to nurse.
+ Demonstrates willingness to initiate or participate in unit quality activities for safety culture.
3. Communication and service
+ Communicates effectively with patient and family and ensures that the patient's problem and feedback receive the rapid response.
+ Assist nurse for checking patient schedule, patient location and identify patient reimbursement category.
+ Communicates and coordinates effectively with multidisciplinary team.
+ Provide service to patient and family with quality of care.
+ Demonstrates willingness to take a good care of patient and family.
+ Provide excellent service Complies with accepted dress code.
+ Maintains a professional image among colleagues and to the public.
4. Education and learning
+ Demonstrates willingness to evaluate own practice.
+ Keeps abreast of current knowledge.
+ Avails self of continuing education programs.
+ Attends company's education courses or conference once a year.
**Clinic Administration**
**Job Description Summary**
The Clinic Administration is responsible for all clinic documentation preparation, record all data of patient volume and finance into system, Office supply and stock inventory management, clinic data report preparation, coordinate with company's finance department for patient reimbursement documentation and cooperate with other departments for proper clinic operation.
**Job Description**
1. Patient care
+ Greeting customer with service behavior
+ Assist patient for body's weight measurement before and post dialysis treatment
+ Coordinate with others department
+ Clinic and patient document preparation
+ Answer calls and respond to emails
+ Handle customer inquiries both telephonically and by email
+ Manage and resolve customer complaints
+ Provide customers with product and service information
+ Enter new customer information into system
+ Update existing customer information
+ Assist nurse for Patient Laboratory coordination
+ Assist Nephrologist when visit patient
2. Administration and Documentation
+ Check patient visit slip and record patient Dialysis payment to system and document
+ Coordinate with Finance department about payment record daily
+ Record patient reimbursement information to online system
+ Record Patient information to nephrology society of Thailand system
+ Summarise daily revenue and patient volume and submit to Finance department or assigned person on time
+ Manage daily and monthly inventory stock and report to Head nurse
+ Summarise used volume of medical supply and equipment daily
+ Manage office supplies stock and place orders
+ Prepare regular reports on expenses and office budgets
+ Maintain and update company databases
3. Communication and service
+ Communicates effectively with patient and family and ensures that the patient's problem and feedback receive the rapid response.
+ Assist nurse for checking patient schedule, patient location and identify patient reimbursement category
+ Communicates and coordinates effectively with multidisciplinary team.
+ Provide service to patient and family with quality of care.
+ Demonstrates willingness to take a good care of patient and family
+ Provide excellent service
+ Complies with accepted dress code.
+ Maintains a professional image among colleagues and to the public.
4. Quality and safety
+ Performs activities as safety standard
+ Follow Infection control policy
+ Report all incident and customer feedback to nurse.
+ Demonstrates willingness to initiate or participate in unit quality activities for safety culture.