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Key Accountabilities • Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed. • Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient' s vascular access, laboratory findings, and the patient' s general health. • Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information. • Discusses patient concerns and answers questions relevant to care. • Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in-depth understanding of the mechanics of dialysis. • Assesses, prepares, and cannulates a patient' s vascular access (including needle insertion in arterioveinous fistula or grafts for aseptic connection with dialysis equipment). • Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient' s vascular access (dialysis catheter , arterioveinous access) per protocols. • Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection • Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data. • Provides patient education/teaching applicable to the patient' s medical condition. • Refers patient to other disciplines or services as needed (nutrition, social work, etc). • Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment. • Oversees disassembly and disinfection of dialysis equipment. • Maintains skills necessary to do regional heparinization, separate and store blood samples, set up oxygen, administer saline, and maintain dialysis equipment. • Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility's written protocols. • Responds appropriately and provides assistance in emergency situations. • Maintains responsibility for providing coverage to the dialysis department. • Checking and recording patients’ vitals before, during, and after dialysis treatment. • Ensuring that hemodialysis treatments are administered to patients correctly. • Promptly notifying the appropriate medical practitioner of any problems that occur during dialysis treatments. • Ensuring all consumables required for dialysis are sufficient for the center to operate efficiently • Assist in all correspondence pertaining to the dialysis center and any related administrative duties as and when required • Undertakes any other duties as and when required by the superior. Deliverables • Ensure all patients that requires hemodialysis are in the best care possible at the center • To ensure the smooth running of the hemodialysis center, in compliance to Ministry of Health Standards and patient’s safety and wellbeing • To ensure all dialysis machines are maintained at the highest standard
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