Monitor Technician - .8 Evenings
Lancaster General Hospital
3580 Centralized Monitoring Unit
Centralized Monitoring Unit
The Monitor Technician is responsible for continuous observation of cardiac rhythms in the Central Monitoring Room. The Monitor Technician interprets cardiac rhythms and distinguishes between normal and abnormal rhythms. The Monitor Technican reports cardiac rhythm information in an accurate, timely manner to nursing staff.
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
Cardiac Monitoring and Rhythm Analysis
- Admits patient into system and enters all applicable patient information into the system.
- Verifies that the patient is on the correct telemetry transmitter upon admission and every shift. Completes the verification with the appropriate RN.
- Completes all necessary paperwork and files appropriately.
- Obtains report information to include history of cardiac rhythm, code status, anything that affects cardiac rhythms, and applicable medications or therapies.
- Analyzes and documents each patient's rhythm strips upon admission, and at least every 8 hours. Notifies patient's nurse of rhythm.
- Demonstrates accuracy with cardiac rhythm analysis.
- Requests assistance as needed from the RN for rhythm analysis.
- Recognizes conditions that mimic dysrhythmias and alter clarity of rhythm analysis, such as artifact, 60 cycle interference, wandering baseline, loose electrode, etc.
- Maintains vigilance at all times, gives 100% of attention to the cardiac monitors.
- Recognizes situations that require Rapid Response or Code Blue, takes appropriate action.
- Disinfects telemetry transmitters after each patient use.
- Performs appropriate transfers, and discharges from the monitoring system.
- Dusts monitoring equipment and keeps it clean.
- Maintains the Telemetry Monitoring System, effectively troubleshoots within job scope.
- Adapts and becomes proficient in additional uses of remote monitoring
- Documents lead, regularity, atrial rate, P wave integrity, PRI & QRS interval measurement, final interpretation of cardiac rhythm, and action or response required.
- Completes this documentation for every patient at least every 8 hours.
- Documents rhythm strip analysis immediately pre-code, intra-code/resuscitation and immediately post code.
- Notifies appropriate nursing staff of rhythm or patient condition changes upon its discovery.
- Notifies appropriate nursing staff of lethal or malignant rhythms immediately.
- Maintains regular communication with the RN.
- Notifies nursing assistant or other nursing personnel of leads off situation.
- Maintains communication with patient care areas regarding quality of telemetry transmissions, patient activity, transport, admission, discharge, transfer, to ensure continuous and accurate monitoring of patients' cardiac rhythm.
- Communicates patient and unit information to the RN and interdisciplinary care team in a timely manner.
- Seeks help from RN when needed.
- Never leaves the Monitoring Room unattended. Arranges meal or break times with designated RN or other qualified personnel to assure adequate coverage when needed.
- Accepts assignments and performs as a team member.
- Introduces self to patient and explains procedures to patient and family.
SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
- Maintains equipment in working order. Uses equipment appropriately, follows Department policies for equipment and supply use, cleaning and maintenance.
- Keeps patient care area and work environment neat and organized.
- Other duties as assigned
MINIMUM REQUIRED QUALIFICATIONS:
- High school or equivalent.
- Must successfully complete the Dysrhythmia Course and MST orientation.
- Basic computer skills: keyboard, mouse use.
- Ability to clearly and fluently speak, read, write and understand English.
- Ability to successfully complete on the job training for LGH computer programs.
- Must successfully complete annual competency assessment for cardiac rhythm interpretation.
- Experience preferred, but orientation is provided after successful completion of Dysrhythmia Course.
- CPR certification recommended.
- Ability to complete data entry on clinical documentation screens.
Attention/Concentration: The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others.
The position requires strong concentration skills. The individual must have the ability to voluntarily sustain concentration to a task over an extended period of time as a result of an effortful and usually deliberate heightened and focused state of attention.
New Learning and Memory: The following level of ability is essential for the jobholder to learn and retain material.
Job demands are only moderately routine and predictable. Minor changes may occur which require the individual to be able to understand and carry out detailed but uninvolved instructions.
Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought.
The position deals with issues or problems that often require thoughtful reasoning before arriving at approaches or solutions. Some independent thought, planning or origination of options and solutions is necessary. The individual must have the ability to apply principles of reasoning and problem solving to resolve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act.
Repetitive work: Ability to continuously perform the same type of work for extended periods of time, according to set procedures, sequence or pace.
Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.
Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.
EQUIPMENT USAGE REQUIREMENTS
Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies, Telemetry Monitor
Software: Microsoft Office Products
Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%
- Sit: Frequently
- Stand: Occasionally
- Walk: Frequently
- Bend: Occasionally
- Push: Rarely
- Pull: Rarely
- Kneel/Squat: Rarely
- Reach: Rarely
- Twist: Rarely
- Balance: Rarely
- Climb: Rarely
Lifting: Degree of physical exertion is: Moderate, 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.
Sensory Abilities specifically required:
Exposure to hazardous conditions/ materials is negligible.
Position involves exposure to the following harmful elements:
- Blood borne Pathogens
- Moderate Noise Levels
- Radioactive Agents
Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.
Posted on 03/09/2020