Radiology Tech (RT)-Cath Lab

Bridgeport, CT
Feb 27, 2019

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Job Description

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

Summary:
Provides assistance to invasive cardiologist in the performance of diagnostic, therapeutic and interventional cardiac angiographic procedures in the safest and most efficient manner possible with the maintenance of optimal patient care. Essential duties and responsibilities include the following. Other duties may be assigned.

Responsibilities:
  • 1. Provides pre-procedural education of patients scheduled for diagnostic and therapeutic invasive cardiac procedures.
  • 1.1. Provides pre-procedural education of patients scheduled for diagnostic and therapeutic invasive cardiac procedures including both immediate pre-procedural education and teaching in advance of procedure according to departmental standards as observed by supervisor.
  • 1.2. Assesses the patient's anxiety level with empathy and concern and communicates this to the physician and staff as observed by supervisor/charge person.
  • 1.3. Assesses the patient's level of knowledge and provides information and instructions based on their knowledge level as indicated by patient feedback and supervisory observation.
  • 2. Ensures proper preparation of patient and equipment necessary to perform the designated procedure or procedures.
  • 2.1. Greets patients and documents their arrival within 1-2 minutes.
  • 2.2. Prepares patients for their procedure according to the department policy, which includes electrode placement, documentation of baseline vital signs, procedure site preparation, identification of pulses distal to procedure site.
  • 2.3. Communicates with charge person prior to each procedure to determine the functioning status of all necessary procedural equipment as noted by charge person.
  • 2.4. Performs post-procedural care as outlined in the Policy and Procedure Manual as indicated by supervisory observation.
  • 3. Provides a clean and efficient environment for patients, staff and physicians by maintaining the equipment, inventory, and physical plant.
  • 3.1. Maintains neatness and cleanliness within the department by both daily cleaning of equipment and maintenance of assigned equipment according to the Cath Lab Equipment List as observed by supervisor.
  • 3.2. Helps maintain adequate inventory of all items by replacing used stock, insuring that depleted stock is on order and maintaining an accurate count of assigned items from the Master Inventory List as observed by random count by supervisor.
  • 3.3. Documents and notifies charge person or supervisor of equipment malfunction or failure within 15-30 minutes of the incident as noted by direct supervisory contact or random review of Equipment Log Book.
  • 3.4. Performs required quality control tests, instrument maintenance checks, and uses proper calibration techniques on all required equipment as noted by random review of equipment flow sheets.
  • 3.5. Replaces emergency equipment according to departmental protocols after use as observed by charge person.
  • 4. Plans and/or implements care for assigned patients.
  • 4.1. Demonstrates knowledge of developmental stages from adolescence to old age and applies development theories/concepts when planning and implementing care for the adult patient as observed by supervisor and as indicated by feedback from staff.
  • 5. Provides essential anatomic information via the collection, interpretation, documentation, and recording of physiologic information in cardiac cath lab.
  • 5.1. Collects appropriate hemodynamic measurements for specific clinical situations as indicated by random review of cases.
  • 5.2. Records and analyzes hemodynamic data, including pressure measurements, cardiac output determinations, and oximetry as indicated by random review of cases.
  • 5.3. Performs the most common computations and is knowledgeable of the standard formulas most often involved in the assessment of cardiac work, including the calculation of flow resistance, computation of valve areas, and shunt calculations as indicated by random review of cases.
  • 5.4. Identifies all techniques for the measurement of cardiac outputs, understands the difference among cardiac output techniques, is knowledgeable concerning technical considerations when applying these techniques, and is able to perform or demonstrate these techniques with as observed by supervisor.
  • 5.5. Operates and sets up all equipment used for hemodynamic studies, including transducers, pressure manifold, and physiologic recorder as observed by supervisor or charge person.
  • 5.6. Performs basic hemodynamic techniques in order to obtain high quality hemodynamic recordings, understanding all settings and common hemodynamic recording problems as observed by charge person.
  • 5.7. Demonstrates knowledge of normal hemodynamic values and pathological values and how they relate to specific clinical situations as observed by charge person.
  • 6. Understands the fundamentals of the electrocardiogram as used in the cardiac catheterization laboratory.
  • 6.1. Demonstrates knowledge of and identifies equipment utilized in all diagnostic procedures such as catheters and wires as observed by supervisor.
  • 6.2. Demonstrates knowledge of electrophysiologic intervals and electrocardiographic components.
  • 6.3. Accurately identifies common abnormal electrocardiographic changes seen in the cardiac cath lab.
  • 6.4. Accurately identifies normal and unusual complexes and arrhythmias.
  • 7. Understands the fundamentals of the procedures performed in the EP lab.
  • 7.1. EP:
    a.Demonstrates proficiency in the operation of C-arm.
    b.Demonstrates proficiency in the operation of Life-Pak Defibrillator/monitor.
    c.Identifies indications for EPS, Pacemaker, ICD, Bi vent and Ablation procedures.
    d.Performs patient prep for each procedure.
    e.Performs room set up and provides supplies for each procedure.
    f.Accurately identifies the common position for EP catheters.
  • 8. Demonstrates fundamental knowledge of a cardiac catheterization and the cardiac catheterization laboratory.
  • 8.1. Accurately identifies indications for a cardiac catheterization as indicated by physician feedback and supervisory observation.
  • 8.2. Accurately identifies elective versus urgent procedures as indicated by physician feedback and supervisory observation.
  • 8.3. Accurately identifies contraindications for cardiac catheterization as indicated by physician feedback and supervisory observation.
  • 8.4. Accurately identifies complications and risks for cardiac catheterization as indicated by physician feedback and supervisory observation.
  • 8.5. Accurately identifies all pre-procedural requirements for patient preparation as indicated by physician feedback and supervisory observation.
  • 8.6. Demonstrates proper sterile technique when performing field preparation and patient draping as noted by charge person.
  • 8.7. Demonstrates proper sterile tray set-up and identifies the appropriate trays for various procedures and their contents as noted by charge person.
  • 8.8. Identifies the composition of the catheterization team and their functions during all cath lab procedures as noted by charge person.
  • 9. Demonstrates proficiency in the operation and maintenance of all diagnostic and therapeutic equipment used including electrical safety for each piece of equipment.
  • 9.1. Demonstrates proficiency in the operation of ECG/pressure recorder analyzer with computer interface as indicated by physician feedback and supervisory observation.
  • 9.2. Demonstrates proficiency in the operation of pressure transducer with five-bar manifold as indicated by physician feedback and supervisory observation.
  • 9.3. Demonstrates proficiency in the operation of image intensifier/C-arms as indicated by physician feedback and supervisory observation.
  • 9.4. Demonstrates proficiency in the operation of television monitor and camera as indicated by physician feedback and supervisory observation.
  • 9.5. Demonstrates proficiency in the operation of Digital subtraction interface as indicated by physician feedback and supervisory observation.
  • 9.6. Demonstrates proficiency in the operation of thermodilution cardiac output computer as indicated by physician feedback and supervisory observation.
  • 9.7. Demonstrates proficiency in the operation of contrast media pressure injector as indicated by physician feedback and supervisory observation.
  • 9.8. Demonstrates proficiency in the operation of hemochron as indicated by physician feedback and supervisory observation.
  • 9.9. Demonstrates proficiency in the operation of intra-aortic balloon pump and console as indicated by physician feedback and supervisory observation.
  • 9.10. Demonstrates proficiency in the operation of temporary pacemakers as indicated by physician feedback and supervisory observation.
  • 9.11. Demonstrates proficiency in the operation of emergency (code) cart equipment including defibrillator as indicated by physician feedback and supervisory observation.
  • 9.12. Demonstrates proficiency in the operation of pocket doppler as indicated by physician feedback and supervisory observation.
  • 9.13. Demonstrates proficiency in the knowledge and operation of the following; Pressure wires, Angiojet and Rotablator.
  • 9.14. Demonstrates proficiency in the IVUS image interpretation.
  • 9.15. Demonstrates ability to download studies from hard drive to disc.
  • 10. Demonstrates fundamental knowledge of peripheral catheterization
  • 10.1. Accurately identifies indications for peripheral catheterization and intervention.
  • 10.2. Accurately identifies all pre procedural requirements for patient preparation.
  • 10.3. Demonstrates knowledge of and identifies equipment utilized in peripheral procedures such as catheters and wires.
  • 10.4. Demonstrates knowledge of peripheral anatomy including carotid, lower leg and neck.
  • 11. Demonstrates patient and laboratory personal safety.
  • 11.1. Demonstrates correct radiation protection via proper use of shielding, film badges, distance, lead aprons, thyroid shields and lead glasses as indicated by supervisory observation.
  • 11.2. Maintains policies and procedures for infection control as outlined in the hospital policy manual as indicated by supervisory observation.
  • 11.3. Maintains sterility and cleanliness of the procedure equipment and supplies by regular sterile-batch check as indicated by supervisory review.
  • 11.4. Maintains proper electrical hazard protection by regular ground-fault check of all electrical equipment as indicated by supervisory observation.
  • 12. Provides essential coronary anatomic information by optimal angiographic data collection.
  • 12.1. Demonstrates knowledge of the coronary anatomy, including the coronary arteries, main branches, and anomalies as observed by supervisor.
  • 12.2. Demonstrates proper positioning of the patient on the table to maximize obtaining quality images as observed by supervisor.
  • 12.3. Demonstrates various views and projections during coronary arteriography to obtain optimal information highlighting specific and distinct segments of the coronary anatomy and permit a discrete view of underlying pathology as observed by supervisor.
  • 12.4. Identifies the usefulness of various radiographic views and the nomenclature for various radiographic views as observed by supervisor.
  • 12.5. Demonstrates proficiency in the operation of Image acquisition and Date Correction.
  • 12.6. Demonstrates proficiency in the operation of coping studies to CD's, down loading studies from CD's to server and on and off line image retrieval form server.
  • 13. Performs accurate documentation of events during cardiac catheterization necessary to meet medical legal standards and to assure quality, protecting the patient, physician and staff.
  • 13.1. Writes legibly when making entries in the medical records and includes signature and professional status as indicated by random review of medical records.
  • 13.2. Demonstrates the minimum documentation required in the catheterization laboratory as outlined in the Policy and Procedure manual as indicated by random supervisory review.
  • 13.3. Performs accurate documentation during emergencies as outlined in the policy and procedure manual as indicated by random supervisory review.
  • 13.4. Performs accurate documentation for outpatient catheterization as outlined in the policy and procedure manual as indicated by random supervisory review.
  • 13.5. Performs accurate documentation for complications or events requiring an Occurrence Report as outlined in the policy and procedure manual as indicated by random supervisory review.
  • 14. Demonstrates fundamental knowledge of interventional cardiac catheterization procedures.
  • 14.1. Accurately describes the various interventional strategies performed in the catheterization lab, including simple and complex angioplasty as observed by supervisor.
  • 14.2. Accurately identifies indications, risks, complications, results, technical considerations, and disadvantages of the interventional strategies as observed by supervisor.
  • 14.3. Accurately identifies equipment used in interventional strategies as observed by supervisor.
  • 14.4. Demonstrates appropriate knowledge of adjunctive pharmacotherapy for interventional coronary techniques as observed by supervisor.
  • 15. Maintains educational guidelines based on department credentialing matrix and maintains skills and knowledge base to assure competency.
  • 15.1. Maintains educational record along the Credentialing Matrix guidelines as indicated by random review of record.
  • 15.2. Attends mandatory inservices within the department that are based on the specialty requirements outlined in the Credentialing Matrix as observed by supervisor.
  • 15.3. Assists with orientation and mentoring of new staff members as required and observed by supervisor.
  • 15.4. Volunteers and presents inservice(s) to staff members as observed by supervisor.
  • 16. 16. Completes non-therapeutic functions under the direction of MD, PA, APRN, or RN. Remove medication(s) from the pneumatic tube system sent from Pharmacy or Hospital Supply to the unit/patient care area/ procedure room.
  • 16.1. 16 .1 Immediately deliver the medication(s) from the pneumatic tube system to the appropriate Registered Nurse, Physician, Advanced Practice Registered Nurse, Physician Assistant or other appropriate licensed practitioner. 16 .2 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, remove IV solutions from the patient care area's clean utility room and immediately deliver to the appropriate licensed practitioner. 16.3 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, stock IV solutions in the patient care area's clean utility room. 16 .4

    Other information:

    EDUCATION:
    Spec. Procedure Tech.
    BCLS required.

    EXPERIENCE:
    Cath lab experience preferred.

    SPECIAL_SKILLS:
    Telemetry skills preferred.
    ACLS preferred

    PHYSICAL_DEMAND:
    While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. They are also required to stand and walk. They must occasionally lift and/or move up to 50 pounds. Specific vision abilities include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. They are occasionally exposed to moving mechanical parts and fumes or airborne particles. The noise level in the work environment is usually moderate.
    Incumbents as well as external and internal applicants who become disabled must be able to perform the essential job functions with or without the assistance of reasonable accommodation as determined on a case by case basis.

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    Job Info

    Job: 3878

    Department: Cardiovascular 889
    Category: Technologist/tech
    Sub Category: DIAG IMAGING
    Hours: 36.00

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