The Cardiac Monitor Technician is responsible for constant observation of a group of cardiac monitors and for immediately alerting the appropriate nursing staff of changes in tracings. The Monitor Tech will maintain a log of all telemetry patients including patient identifiers, orders, transmitter numbers, time and rhythm on a shift to shift basis with appropriate rhythm strip documentation. The Monitor Tech is responsible for regular measurement of defined cardiac intervals and for recording those.
KEY RESPONSIBILITIES / ESSENTIAL FUNCTIONS
Coordinates clerical unit functions to provide safe and smooth operations by:
- Adhering to cardiac monitor responsibilities:
- Observation of cardiac monitoring status on all patients. For breaks and lunch, makes sure that the monitor station is attended by qualified staff.
- Validates cardiac alarms have been assigned as ordered by the provider
- Assures that unit staff assignments and related contact information are recorded correctly.
- Notifies staff of alarms, changes in cardiac rhythm, and when there is a leads off alarm.
- Validates the monitoring status (rhythm present on sector, status of stand-by, etc.) of each patient at least every 2 hours, at change of shift and during hand-off communication for breaks and lunch. Documents validation on the appropriate form.
- Performs monitor count each shift to assure all monitors are present, as appropriate for area.
- Attends required training and demonstrates ongoing competency and the ability to accurate interpret cardiac rhythm tracings.
- Evaluates telemetry patients at the beginning of each tour and on an ongoing basis to collect data concerning rhythm and any changes.
- Obtains a rhythm strip at the time of admission, at defined interval as per CMU standards and whenever dysrhythmias occur.
- Notifies the RN of all changes in rhythm immediately.
- Adheres to the requirement that cardiac monitors must be observed constantly and arranges for relief by qualified personnel prior to leaving assignment for breaks or shift change.
- Recognizes possible equipment malfunctions and takes actions immediately by applying the defined escalation processes.
- Cleans monitors and lead wires after each patient use.
- Summarizes rhythm tracings as per criteria of Cardiac Telemetry Protocol daily and records outcomes of clinical review by the patient’s nurse.
- Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI
- measures and supporting and implementing changes necessary for improvement.
DCH Standards:
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
MINIMUM KNOWLEDGE, SKILLS, EXPERIENCE REQUIRED
High school graduate or equivalent (GED) required. 1 year of Patient Care Assistant/Unit Secretary (PCA/US) or LPN experience or similar clinical experience preferred.
Must be able to read, write legibly, speak, and comprehend English.
WORKING CONDITIONS
WORK CONTEXT
- Communicate with different personalities and engage in face to face discussion
- Dealing with unpleasant or verbally aggressive personalities
- Must be able to deal with conflict
- Must be able to communicate clearly and accurately
- Must be able to receive delegation
- Must be able to work in groups
- Must be able to perform structured and unstructured work
- Must be meet time pressure and time lines
- Must be able to perform in exact and accurate manner
- Must be able to use electronic mail, telephone and texting
- Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
- Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.
PHYSICAL FACTORS
- Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Must be able to tolerate prolonged periods of standing and walking
- Must be able to reach reasonable distances in any direction
- Must be able to stand, walk, kneel, bend, sit, stoop and lift
- Must be able to run in an emergency
- Must be able to move fingers in a coordinated manner and must be able to feel and perceive temperature, texture, shape and size with fingertips
- Must be able to perform the duties with or without reasonable accommodation
- Hearing and vision must be normal or corrected to within normal range
- Must possess stamina to work prolonged shift
- Physical presence onsite is essential
- Must possess perceptual speed to quickly recognize changes in monitor patterns
- Must be able to make precise coordinated movements of hands and fingers to use the electronic measuring system