Under the leadership of the Clinical Leader of the 5th Floor, provides technical/clerical support to assist in the delivery of quality care to patients. This involves technical/clerical duties which will facilitate the 5th Floor Process operations including routine management of the telemetry room functions and documentation, interpretation of rhythm strips, ensure proper management and maintenance of telemetry equipment, ensure quality patient care through diligent maintenance of continuous telemetry as required by physician order of patient need, and prompt staff notification of dysrhythmias. Knows, follows and actively supports the philosophy, mission and vision of Holy Cross Hospital. Adheres to all hospital policies, procedures and standards of care. Observes and adheres to all corporate compliance requirements and communicates issues as they arise to the appropriate parties. Works in partnership with other patient care employees, pro-actively assists physicians, identifies and provides for individual patient needs, employing appropriate customer relation practices.
PRIMARY RESPONSIBILITIES AND DUTIES:
Ensures that patients are maintained on continuous telemetry. Calls staff as needed to troubleshoot problems quickly.
Maintains constant observation of all monitors for any rhythm changes and responds as appropriate.
Differentiates between artifact and actual arrhythmias and proceeds as necessary.
Alerts RN of any change in patient rhythm.
Pages RN “stat” to room for lethal arrhythmias. Follows up to ensure that staff has arrived in patient room for emergency situations.
Records daily strips for all new patients and rhythm changes.
Interprets all strips to be validated by RN.
Runs strips for each patient once during shift and PRN for all arrhythmias. These will be
Posted to the individual patient chart.
Reviews alarm settings every shift for each patient.
Reviews all alarmable events before erasing red flashing warning.
Admits and discharges patients on monitors appropriately.
Maintains telemetry monitor log each shift.
Maintains census for each shift with patient name, room number, rhythm, rate
Documents on monitor screen location of patients off unit
Reports to next shift important cardiac events and particular patient needs.
Changes batteries, replace electrodes and make lead checks in conjunction with PCTs and RNs.
Maintains responsibility for monitor count.
Reports monitor or equipment malfunction and facilitates repairs as needed.
Keeps accurate daily census;adjusting staff as census decreases/increases,attempt to call in staff to cover call-ins,low staffing issues.Notify nursing supervisor of census, and staffingfor next shift
Demonstrates effective verbal, written, and telephone communication skills with patients, families/significant others, physicians, and coworkers. Communicates using phone and paging systems.
Manages physical resources (supplies and equipment) appropriately, assuring that adequate supplies and equipment are available and in good working order. Files necessary information and faxes orders to pharmacy.
Operates equipment safely and accurately. Orders supplies for Telemetry operations.
Maintains confidentiality and privacy while communicating patient information and managing medical records.
Accesses and retrieves results from various tests and imaging procedures and promptly communicates critical results to the RN.
Transcribes order promptly and accurately. Enters patient data into the computer, and MAR. Consults with MD or RN to clarify orders and communicates when an order cannot be carried out.
Assembles medical record for new admissions and dis-assembles chart for discharged patients using medical record criteria and forwards the chart to the department.Works with the EMR(electronic medical record)process and enters orders on all patients.
Copies and assembles patient records and forms for transfer.
Retrieves medical records from other facilities by completing all the proper forms.
Participates in patient thru-put by:
Assuring that discharges are communicated quickly to the central HUC station
Assuring that open beds are identified and made ready by housekeeping in a timely manner
Updating the nursing supervisor, admitting and the nursing director on patient flow issues
Updates Telemetry issues to supervisor
Communicating new admissions and discharges to the staff in a timely manner.
Maintains control boards and unit specific logs including restraint lists, call-in information, and lab results. Post patient care team assignments.
Responds appropriately to emergency situations(Code Blue, Code Pink,Code Orange, Rapid Response Team Calls,and Code Triage
Maintains a professional appearance of self and clean work environment.
ransports blood and blood products.
Enter daily patient charges in the computer.
Works well with others, is respectful and maintains confidentiality. Communicates with others in a professional manner and tone.
Participates in problem solving activities to address process issues, personnel issues and per-formance issues. Communicates concerns to the appropriate person in a professional manner and tone, and works proactively to avoid problems.
Other duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Must have general academic and social development such as that normally associated with successful completion of high school; must be able to read and write and perform simple arithmetic calculations.
Must be compliant with PPD requirements.
Must have successfully completed Basic Dysrythmia Course.
The ability to listen and communicate effectively. The ability to work well with others.
Physical demands of job are light; mostly sedentary with some walking within unit and to and from other departments; oral and hearing acuity required to receive instructions and converse on telephone; visual acuity required to record information accurately.
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