To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. EEO/AA/Disability/Veteran
The Cardiac Monitor Technician has the knowledge and ability to assist the Registered Professional Nurse in the delivery of care through the proficient and constant monitoring of the patient''s cardiac rhythm status. This is performed always showing sensitivity toward individual needs. Accepts responsibility for individual job requirements and performance, able to contribute to effective unit operations.
Responsibilities: 1. MAJOR ACTIVITIES 1.1 Assists the nurse in monitoring patient''s heart rhythm 1.2 Runs rhythm strip and accurately ascertain PR interval, QRS duration and heart rate. 1.3 Document findings in both monitor strip logbook each shift and computer hard copy for permanent medical record each twenty-four hours. 1.4 Advises RN or NA to check monitor electrodes in the presence of severe artifact/loss of waveform. 1.5 Admits patient to central monitoring station by assigning remote unit and entering patient information. 1.6 Sets central console with the patients upper and lower rate parameters and monitoring lead as ordered by MD or RN. 1.7 Ascertains that all patient computer alarms are armed and evaluates alarm parameters daily and as needed for appropriateness. 1.8 Discharges patient from central monitoring station and unit as necessary. 1.9 Cleans and stores remote unit for future use. 1.10 Prints full disclosure report for patient record upon discharge. 1.11 Maintains stock of paper, batteries, electrodes and pouches and reorders as necessary 1.12 IMMEDIATELY identify and alert the RN in MSICU and/or Intermediate Care to the following
Any wide complex tachycardia regardless of heart rate
Any instance of extreme bradycardia ( Recognize the significance of the various alarm levels and report to RN in both the MSICU and Intermediate Care Unit
Recognize the significance of the following and report occurrence to RN
Sinus rhythms (bradycardia, tachycardia and arrhythmia).
Atrial/Supraventricular rhythms (PACs, PSVT, SVT, atrial flutter or fibrillation).
Junctional rhythms (PJCs, bradycardia, tachycardia and escape)
Ventricular Rhythms (PVCs, AIVR, idioventricular rhythms and escape rhythms.
Heart Block (First, second and third degree).
Bundle branch blocks
Any dramatic change in heart rate. 1.13 Monitors and documents patient''s cardiac rhythm status during procedures (such as cardioversion) or in the presence of chest pain. 1.14 For cardioversion, documents time of conversion 1.15 For procedures where a specific medication is called for, documents cardiac rhythm prior to and after administration or as requested by the registered professional nurse. 1.16 Give/receive monitor status report to/from other Monitor Technicians 1.17 Give report to physicians inquiring about the status of their patients. 1.18 Notify Nurse Manager, Biomedical Engineering and/or Marquette Electronics of any malfunction of remote or central units and follow-up to make sure problem is addressed. 1.19 Assist with secretarial responsibilities both when the secretary is present as well as not. These include but are not limited to:
Maintaining and updating coronary care register
Checking for and flagging patient allergies
Assemble blank charts and prepare charts for admissions
Thin charts as necessary
Replace chart forms as needed
Recopy temp book including notations for daily weights
Maintain clean work area and monitor screen
Complete Monitor Technician checklist each shift 2. TEAMWORK 2.1 Embraces shared goals versus narrower interests: actively cooperative vs. competitive or non-committal. 2.2 Seeks to understand other-s priorities and processes, and openly shares potentially useful information. 2.3 Understands the importance to the team/group of consistently dependable work. 2.4 Recognizes and takes opportunities to help others through handling an already full workload 3. KNOWLEDGEABLE/ACCOUNTABLE/FISCALLY RESPONSIBLE 3.1 Continually seeks ways to sustain and improve one-s skills. 3.2 Grasps opportunities for feedback and coaching, as the means to contributing one-s best. 3.3 Focuses on performance improvement as an opportunity for learning and an obligation for excellence. 4. FLEXIBLE/OPEN-MINDED 4.1 Listens with an open mind to other-s opinion in the spirit of finding and following the best ideas. 4.2 Willingly sets aside familiar techniques and procedures to learn a new, more effective approach. 4.3 Responds to sudden or frequent changes in assignments and priorities by seeking ways to adjust most effectively. 4.4 Suspends judgment on policies and decisions, which present difficulties, allowing time to earnestly assess their pros and cons. 5. TREATS THE PEOPLE WE SERVE AS GUESTS 5.1 Welcomes patient, visitors and staff in a warm, friendly manner; is courteous; makes eye contact and smiles; introduces self by name and, when appropriate, by position; addresses people by name whenever possible. 6. Listens to patients, visitors and staff and acts promptly to address concerns. 6.1 Uses active listening techniques to understand other-s needs and acts decisively to resolve problems. 6.2 Promotes teamwork between people and services. 7. Respects the privacy and confidentiality of patients, visitors and staff 7.1 Treats all patient related and other discussions with discretion; eliminates gossip; does not discuss patient or hospital business in elevators or other public areas. 7.2 Is sensitive to issues of private space and personal dignity; always knocks before entering a room and introduces self when meeting someone for the first time; closes curtains and doors; provides robes and blankets as appropriate. 7.3 Uses the staff elevators to transport patients. 8. Presents a professional image 8.1 Wears name-badge in a highly visible location; adheres to department dress code; makes sure that appearance is appropriate for professional role. 8.2 Practices good personal hygiene and grooming. Is neat and clean. Avoids colognes, perfumes and after-shave lotions. 8.3 Communicates clearly and positively with co-workers and positively represents Greenwich Hospital in the workplace and our community. 9. Answers the telephone professionally 9.1 Answers the phone promptly following department guidelines; introduces self and department, and as appropriate, offers assistance. Uses a pleasant tone of voice. 9.2 Is a good listener; focuses on caller-s needs, clarifies as necessary; follows through on the caller-s requests. 9.3 Uses the conference key to transfer calls; explains where the call is being transferred to and the extension for future use; gives information to the receiving department about the caller-s needs; brings caller on-line and introduces them. 9.4 Uses communication technology appropriately, (beepers, voice and email, intercoms, overhead pages, etc.) 10. Maintains a clean and safe environment 10.1 Keeps work area safe and clean; keeps hallways clear. 10.2 Corrects unsafe conditions if possible, or, reports them if assistance is required. 10.3 Understands the safety codes and knows how to respond effectively. Knows the location of the Department Safety Manual and is familiar with its contents. 10.4 Uses equipment correctly and reports problems promptly. 11. Anticipates what services and information people need and takes action to provide it. 11.1 Watches for clues that patients or visitors require assistance. Asks, -May I help you?- Escorts them to their destination, if necessary. Encourages people to ask questions. 11.2 Minimizes the anxiety caused by waiting by explaining the reason for the delay to the patient. Communicates with the patient frequently. 11.3 Is sensitive to different cultural, emotional and spiritual needs of people. 12. Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient''s status and interpret the appropriate information needed to identify each patient''s requirements relative to his or her specific needs, and to provide the care needed as described in the unit''s/area''s/ department''s policies and procedures.
High School diploma or GED
Health related career experience (such as EMT) preferred
Ability to read, write, and understand the English language; ability to perform basic mathematics; ability to learn multiple cardiac rhythm abnormalities and convey these to the registered nurse expeditiously carry out directions; must possess a mature, sympathetic and caring attitude with the ability to be sensitive to the varied needs of the GH patient population; must be flexible, cooperative, and able to meet the demands of the Cardiac Monitoring Technician position using appropriate communication techniques. Ability to provide clerical support to the Nurse Manager and staff through various activities. Ability to facilitate unit activities through interaction with other hospital departments. Ability to contribute to the fiscal integrity of the unit. Is a role model for Service Excellence
Sitting for more than half the shift. Ability to remain alert and focused during long periods of tedium and relative inactivity punctuated by frequent false alarms. Must be able to lift heavy boxes at times when assisting the unit secretary or assuming secretarial role. Some light typing required.
Sitting for long periods of time in what frequently is a tedious environment; exposure to dust from working around high voltage electrical monitoring equipment. Fatigue and eyestrain.