Cardiac Technician II

Under the supervision of the Lead Cardiac Tech and/or the Cardiac Non-Invasive Lab Manager, and according to precise procedures, acquires electrocardiograms (EKGs) to provide data for diagnosis of heart ailments. Reconciles EKG with order and assigns to Cardiologist for interpretation using Tracemaster IECG EKG Management System. Places Holter monitor recorder, Extended Holter monitors and Cardiac Event monitor recorders on patients according to precise procedures. Upon return Cardiac Event Monitors, assigns reports to Cardiologist for interpretation using Medtronic Paceart Optima. Performs stress tests including but not limited to Exercise Stress Testing (ETT) and Cardiopulmonary Stress Tests according to precise procedures to provide diagnosis of heart ailments with assistance of Cardiac Nurse. Upon completion, based on procedural guidelines enters specified data and scans EKGs into Epic Cupid for Cardiologist interpretation.

RESPONSIBILITIES

Receives order from EPIC for in-patient or referral form from physician's office for outpatients. Pre-registers patients as necessary. Describes procedure to patient considering guidelines for age specific competency. Checks arm bands and has patient confirm name and DOB. Selects patient order from worklist on EKG machine and confirms patient Name and DOB. Properly positions patient for procedure. Measures intercostal space for correct placement of electrodes on chest. Applies electrodes to limbs and in accordance with condition of patient. Views EKG on preview screen to assure technical quality. Identifies critical arrhythmias, including any ST elevations, atrial fibrillation with RVR, and ventricular tachycardia. Escalates critical findings to appropriate personnel. Prints/stores quality EKG and leaves copy for unit or transfers wirelessly to Heart Station. Reconciles EKG with order on Tracemaster IECG EKG Management System and assigns to Cardiologist for interpretation. Schedules in/out-patient Holter monitors, Extended Holter monitors, Cardiac Event Recorders, and walk in EKGs in EPIC. For Holter Recorder, determines proper placement of electrodes, preps area, applies electrodes, reviews leads to determine technical quality of recording, and instructs patient to fill out diary of activities and symptoms with a confirmed monitor return date. For Event Recorder, applies monitor to patient, explains and demonstrates procedure for recording symptoms, and plays back saved rhythm via telephone or wireless device; runs test strip with patient and transfers to monitoring center to confirm receipt and technical quality of recording. Confirms expectations and patient understanding of procedure and maintains records in EPIC Lifetime Clinical Record. Conducts in/out-patient Exercise Stress Tests, Cardiopulmonary Stress Test and other variations of stress testing if required. Preps patient according to precise procedures, obtains pre-test electrocardiograms, and obtains pre-test PFT (pulmonary function test) for Cardiopulmonary Stress Test. Explains procedures to patient and closely monitors patient and equipment during study, acquires quality EKGs throughout exercise, and is alert for EKG rhythm changes. Enters patient demographics, blood pressure, obtained by nurse, and patient symptoms into computer throughout exercise. Participates in CPR if necessary. Complies with infection control policies/procedures at all times.

MINIMUM QUALIFICATIONS

Interpersonal skills to explain procedure and elicit cooperation of patient during test and to exchange information with Physicians, Nurses and other hospital personnel. Medical Assistant Certificate preferred. Ability to recognize changes (but does not need to identify) in rhythm throughout exercise, print and alert nurse as necessary. Clerical skills to prepare reports requiring use of personal computers and knowledge of medical terminology. Ability to perform cardiopulmonary resuscitation, with active certification in American Heart Association CPR required. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Minimum 2 years’ experience in clinical setting performing Adult EKGs, applying Holter Monitor/Cardiac, Event Monitor application and assisting exercise stress testing preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

Patient care area with some exposure to infectious diseases. Considerable walking and standing to perform tests on patients in units; requires pushing of portable medical equipment.

PAY RANGE

Pay Range: $21.33-$22.27

EEO STATEMENT

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

LOCATION

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 #J-18808-Ljbffr Lifespan