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Under the supervision of a Registered Staff Nurse, and in accordance with defined policies and procedures for the unit, the Emergency Department technician (EDT) provides technical patient care to a pediatric, adolescent, adult and geriatric patient population as assigned by the Registered Nurse. Assisting the RN in gathering patient data. Monitor non-invasive cardiac activity on patients by means of continuous display of the patient's cardiac rhythm. Initiation and discontinuation of telemetry monitoring, 12 Lead EKGs continuous pulse ox monitoring. Additional training specific to trauma patients and trauma call downs. Perform phlebotomy on both adults and children. Perform point of care testing such as urine pregnancy testing or blood glucose testing. Assisting patients with activities of daily living (ADLs). Patient transportation to inpatient units, all diagnostic areas within the hospital. Responds to all Air Care flights as transporter assist to deliver patients to end destination. Performs decontamination procedures for contaminated patients. Assists with orthopedic injuries, applying plaster splints etc. Department maintenance activities (stocking patient rooms, moving equipment, ordering and procuring supplies, etc.). Basic customer services (directions, visitor control, and other functions as needed). Employees providing direct patient care must demonstrate competencies specific to the population served.

Orientation Requirement:
Full-Time, Part-Time, and PRN hires must be able to commit to full-time hours (three 12-hour day shifts, 7:00 a.m.-7:30 p.m.) during the first 6-8 weeks of orientation.

• High school diploma or general education degree (GED) required
• Previous experience and CNA licensepreferred

• Must obtain BLS Certification by the end of the orientation period. Maintain BLS certification. Certifies in Basic EKG with 80% score or greater so may flex in Monitor Tech role as required by unit population.

  Basic medical terminology knowledge preferred

  Skill and proficiency in oral and written grammar, communication and basic mathematics.

• Successful completion of an accredited EMT program or RMA/CMA certification will be considered in lieu of qualifications above.
• BLS certification required by the end of the core orientation period.
• Maintains BLS certification.
• Successful completion of the organization, unit and job specific competencies within a reasonable
• 1 year EMS or hospital-based experience preferred, Military corpsmen, nursing students with good records and those with a minimum of 1 year experience in a substantially similar position orientation period.
• Successful completion of the 12 Lead EKG Course is required within 6 months from hire date.

A PCA/tech may be asked to assist in a patient safety assistant role while maintaining PCA/tech duties for that assigned patient.

Able to read and interpret data from equipment and computers

Ability to gather data and set appropriate plan of action, in coordination with RN, and within the scope of the EDT role

Ability to rotate to other areas within cluster group

Must be able to communicate effectively both orally and through writing with patients, visitors and all members of the healthcare team.

Must be able to comfortably accept delegation and negotiate task priorities.

Work which is constantly and exceptionally tiring mentally and/or visually. Conditions exist more than 90% of the work time. Involves considerable standing or walking, regular lifting of light-weight objects (i.e., 20 pounds or less) and assisting with heavier tasks such as assisting in lifting and moving patients. Minor straining or fatiguing positions must be assumed, and some fatiguing physical motions are required.

Monitors cardiac rhythms, sets alarm parameters as directed by nurse or physician, performs arrhythmia analysis.

Documents cardiac rhythm strips, rhythm changes and communicates with nurses (e.g. parameter changes).

Communicates with nursing staff regarding changings in patient telemetry status.

Initiates, discontinues, and completes troubleshooting of telemetry patients.

Performs 12 lead EKGs in 5 min or less of patient arrival for Chest pain protocol patients.

Monitors battery life on equipment and informs staff if batteries need changing.

Monitors equipment return from transporting patients to in patient area assuring telemetry boxes are returned to supply drawer.

Performs phlebotomy accurately on pediatric, adult and geriatric patients.

Transports patients to other areas of hospital and diagnostic areas - may also transport monitored patients if other criteria are met for technician transfer (see ED policy re: nurse required transfer).

Responds to Air Care helicopter pad for all arrivals to ensure safe transport of patient to unit.

Performs decontamination procedures for contaminated patients arriving to the Emergency Department.

Responsible for disaster training specific to patient surge and decontamination procedures.

Assists with back boarding, splinting, dressing, crutches, and other orthopedic procedures.

Performs point of care testing (urine pregnancy testing, blood glucose).

Documents all activities in EPIC.

Attends ED technician skill fair once per year for mandatory sign off of procedures and equipment usage.

Sets up room for eye exam, pelvic exams, lacerations, spinal taps, nose bleeds, etc.

Notifies Registered Nurse of any abnormal findings specific to vital signs or procedural set ups.

Provides information, direction, and assistance as appropriate to persons entering the unit.

Communicates with the RN regarding patient status, interventions completed, data collected and pertinent input to facilitate care planning.

Answers signal lights, bells, or intercom system to determine patients' needs.

Ensures that all patients are set up, undressed, and prepped for ED physician to examine.

Ensures that stocking of all critical supplies and equipment is done at the beginning and during shift.

Performs bedside report hand off to on coming Emergency Department Technician.

Ensures report is received from registered nurse team member every shift.

Accompanies patients for diagnostic tests and discharge and/or assists patients to walk.

Turns and repositions bedfast patients, alone or with assistance, to prevent bedsores.

Changes bed linens, runs errands, directs visitors, and answers telephone.

Takes and records demographic information, height, weight, temperature, blood pressure, pulse and respiration rates, and food/fluid intake/output, and calorie counts, as directed.

Monitors patient status and documents specific vital sign information.

Utilizes computer systems to acquire needed supplies and to enter patient data, as defined by role.

Provides skilled technical care according to unit-specific and generic structure standards, protocols and procedures, prescribed medical interventions, and nursing guidelines.

Maintains a clean and orderly environment, ensuring patient safety and comfort at all times.

Accurately documents all care given.

Assumes responsibility for own growth and development; attends 50% staff meetings.

BRONSON SOUTH HAVEN:

• Assists the RN in gathering patient data.
• Initiation and discontinuation of telemetry monitoring, 12 Lead EKGs continuous pulse ox monitoring.
• Perform phlebotomy on both adults and children.
• Start IVs on both adults and children (consult with RN prior to child IV start).
• Perform point of care testing such as blood glucose testing.
• Assisting patients with activities of daily living (ADLs).
• Patient transportation to inpatient units, all diagnostic areas within the hospital.
• Performs decontamination procedures for contaminated patients.
• Assists with orthopedic injuries, applying plaster splints, etc.
• Department maintenance activities (stocking patient rooms, moving equipment, ordering and procuring supplies, etc.)
• Basic customer services (directions, visitor control, and other functions as needed).
• Effective July 1, 2017 all new hire ED Techs must be certified by the State of Michigan and maintain a current CNA certification, or an active nursing student that has completed the first year of a nursing program. The nursing student must stay actively enrolled.
• Preferred completion of an accredited EMT program or RMA/CMA certification will be considered in lieu of qualifications above.
• 6-12 months previous experience required.
• One year EMS or hospital based experience preferred. Military corpsmen, nursing students with good records and those with a minimum of 1 year experience in a substantially similar position will be considered individually in lieu of EMT requirement.
• BLS certification required by end of core orientation period.
• Maintains BLS certification
• Successful completion of the organization, unit, and job specific competencies within a reasonable orientation period.
• Initiates, discontinues, and completes troubleshooting of telemetry patients.
• Performs 12 lead EKGs in 5 min or less of patient arrival for chest pain protocol patients.
• Monitors battery life on equipment and informs staff if batteries need changing.
• Monitors equipment return from transporting patients to in patient area assuring telemetry boxes are returned to supply drawer.
• Performs phlebotomy accurately on pediatric, adult and geriatric patients.
• Transports patients to other areas of hospital and diagnostic area.
• Responds to Air Care helicopter pad for all transfers to ensure safe transport of patient.
• Performs decontamination procedures for contaminated patients arriving to the ED.
• Responsible for disaster training specific to patient surge and decontamination procedures.
• Assists with back boarding, splinting, dressing, crutches, and other ortho procedures.
• Performs point of care testing.
• Documents all activities in EPIC.
• Attends ED Tech skill fair once per year for mandatory sign off of procedures and equipment usage.
• Sets up room for eye exam, pelvic exams, lacerations, spinal taps, nose bleeds, etc.
• Notifies RN of any abnormal findings specific to vital signs or procedural set ups.
• Provides information, direction, and assistance as appropriate to persons entering the unit.
• Communicates with RN regarding patient status, interventions completed, data collected and pertinent input to facilitate care planning.
• Answers signal lights, bells, or intercom system to determine patient needs.
• Ensures that all patients are set up, undressed, and prepped for ED physician to examine.
• Ensures that stocking of all critical supplies and equipment is done at the beginning and during shift.
• Performs bedside report hand off to oncoming ED Tech
• Ensures report is received from RN team member every shift.
• Accompanies patients for diagnostic tests and discharge and/or assists patients to walk.
• Turns and repositions bedfast patients, alone or with assistance, to prevent bedsores.
• Changes bed linens, runs errands, directs visitors, and answers telephone.
• Takes and records demographic information, height, weight, temp, blood pressure, pulse and respiration rates, and food/fluid intake/output, and calorie counts as directed.
• Monitors patient status and documents specific vital sign information.
• Utilizes computer systems to acquire needed supplies and to enter patient data, as defined by role.
• Provides skilled technical care according to unit specific and generic structure standards, protocols and procedures, prescribed medical interventions, and nursing guidelines.
• Maintains a clean and orderly environment, ensuring patient safety and comfort at all times.
• Accurately documents all care given.
• Assumes responsibility for own growth and development; attends 50% of staff meetings.

For Bronson Lakeview Hospital and Bronson South Haven Hospital:

The ED Tech is responsible for completing the Word day CBL -"Swing beds". This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The ED Tech will understand the documentation differences and the specific care required for each individual swing bed patient.

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