Emergency Room Technician

Job Code 1215 CASS

REGIONAL MEDICAL CENTER

Job/Position Description Employee Name:

_____________________________________

Department Name:

Emergency Title:

Emergency Department Tech EEOC Classification:

Service Worker/Non-Exempt Date:

__________________________________

PART ONE

Dimension and Description Primary Purpose :

To provide quality patient care by assisting the physician and/or registered nurse.

Formal Policy-Setting Responsibilities:

No formal policy setting responsibility.

Routine Decision Making :

Determining when to report patient concerns, questions, abnormal tests/vital signs to the RN and determines appropriate supplies necessary to maintain patient care.

Formal Supervisory Responsibility:

No formal supervisory responsibility.

Required Knowledge:

Medical terminology, normal vital signs, referral resources, triage and emergency abuse reporting.

Required Skills and Ability:

Organization, problem-solving, computer skills, customer service, written and verbal communication skills.

Unusual Working Conditions:

Risk of blood, body fluid contamination. Education and Certification/ Registration required for the

Position :

High school education or equivalent and CNA, EMT or equivalent certification or experience, BLS required.

Age Specific Competencies:

Provides care to neonates (birth to 6 weeks), infants (birth

• 2 years), children (2 yrs-12 yrs.

), adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

Population Specific Competencies:

Recognizes the importance of diversity/cultural beliefs when delivering care to the populations served at Cass Regional.

PART TWO

Essential Responsibilities and Tasks A. Assists in the assessment phase of the nursing process for Emergency Department patients. (25% of time) 1. Performs quick registration unless patient is life or limb threatened upon arrival. 2. Correctly obtains and records patient information, vital signs, head circumference, height, weight, and immunization status on all patients according to hospital policy on admission. 3. Assists with preparing patients for exam by the physician upon patient's arrival to the exam room. 4. Informs RN and physician of any patient concerns immediately. 5. Encourages patients to stay for treatment rather than leaving without being seen. 6. Communicates in a non-judgmental, friendly manner with guests at all times. B. Assists in the planning phase of the nursing process for emergency department patients. (20% of time). 1. Collaborates with the RN during planning of patient care for all patients upon arrival in triage. 2. Collaborates with ancillary departments to facilitate the care based on physician orders. 3. Attaches patients name band, allergy band, etc. immediately upon verification with the patient. 4. Appropriately notifies ancillary departments when services are requested on ER patients, after ordered by physician. C. Assists in the implementation phase of the nursing process for emergency department patients. (20% of time) 1. Assists RN and physician each shift as needed. 2. Performs modalities within scope of practice after the order is written by physician. 3. Reports any abnormal findings or changes in patient's condition to RN immediately. 4. Utilizes principles of the Patient Experience culture and AIDET with every interaction. 5. Is knowledgeable of location and appropriately takes care of and operates emergency department equipment. 6. Acts rapidly and calmly during emergencies. 7. Provides necessary materials when called for during emergencies. 8. Correctly performs treatment modalities such as splint applications, dressing changes, sterile aseptic technique, etc. as ordered by physician. 9. Keeps patients informed when waiting and refers patient concerns to RN if unable to meet patient expectations. D. Assists in the evaluation phase of the nursing process for emergency department patients. (15% of time) 1. Obtains patient's vital signs, height and weight (in kilograms), performs first point of contact screening questions immediately upon arrival as appropriate based on patient condition. 2. Reports patients pain score to Charge Nurse if greater than 4/10 immediately. E. Maintains a safe and comfortable unit. (10% of time) 1. Removes malfunctioning equipment from the unit immediately. 2. Reports malfunctioning equipment to RN and supervisor immediately. 3. Completes requisition for repair of malfunctioning equipment before shift ends. 4. Stocks supplies in the registration area every shift. 5. Maintains cleanliness of the Patient Registration area and waiting rooms. 6. Participates in the performance improvement process by collecting and documenting data specific to patient admission times, restraint use, care of patients with cardiopulmonary arrest, falls, stroke, etc. within scope of practice. 7. Participates in hand-off communications at shift change or during admission process. 8. Attends 90% of department meetings. 9. Takes initiative to attend mandatory classes (i.e. Safety) and maintains current BLS and completes competencies on time. F. Perform charting and clerical duties. (5% of time) 1. Understands appropriate forms for use during computer down time, when a patient leaves without being seen, etc. 2. Answers telephone identifying self and department, each call. 3. Assists RN by insuring all supplies are correctly charged on every patient by end of shift. G. Other duties as assigned (5% of time)

ESSENTIAL PHYSICAL REQUIREMENTS TYPE OF WORK

(Check One)

Sedentary Work:

Lifting 10# maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Jobs are sedentary; if walking and standing are required only occasionally.

Light Work:

Lifting 20# maximum with frequent lifting and/or carrying of objects weighing up to 10#. Even though the weight lifted may be only a negligible amount, a job is in this category when it requires walking or standing to a significant degree or pushing and pulling of arm and/or leg controls.

Medium Work:

Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#.

Heavy Work:

Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 50#. x

Very Heavy Lifting:

Lifting objects in excess of 100# with frequent lifting and/or carrying of objects weighing 50# or more.

PHYSICAL DEMANDS

(Check those which apply) x

Lifting:

Raising or lowering an object from one level to another (includes upward pulling). x

Carrying:

Transporting an object, usually holding it in hands or arms or on the shoulders. x

Pushing:

Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions). x

Pulling:

Exerting force upon an object so that the object moves toward the force (includes jerking). x

Climbing:

Ascending or descending ladders, stairs, scaffolding, ramps, poles, ropes, and the like, using the feet and the legs and/or hands and arms.

Balancing:

Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats. x

Hearing:

Ability to determine audible communication. x

Stooping:

Bending the body downward and forward by bending the spine at the waist. x

Kneeling:

Bending the legs at the knees to come to rest on the knee or knees. x

Crouching:

Bending the body downward and forward by bending the legs and spine. x

Crawling:

Moving about on the hands and knees or hands and feet. x

Reaching:

Extending the hands and arms in any direction. x

Handling:

Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved). x

Fingering:

Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling). x

Repetitive Motions:

Substantial movements (motions) of the wrist, hands, and/or fingers. x

Feeling:

Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips. x

Speaking:

Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. x

Seeing:

Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects. Including Major Visual Functions x Acuity, far

• clarity of vision at 20 feet or more. x Acuity, near
• clarity of vision at 20 inches or less. x Depth perception
• ability to judge distance and space relationships so as to see objects where and as they actually are. x Field of vision
• area seen up and down or to the right or left while eyes are fixed. x Accommodations
• adjustment of the lens of the eye to bring an object into sharp focus. x Color vision
• the ability to identify and distinguish colors.

WORKING CONDITIONS

(Check those which apply) x

Inside:

Worker spends approximately 75% or more of time inside.

Outside:

Worker spends approximately 75% or more time outside.

In/Outside:

Activities occur inside or outside in approximately equal amounts.

Extremes of Cold:

Temperature sufficiently low to cause marked bodily discomfort unless worker is provided with exceptional protection.

Extremes of Heat:

Temperature sufficiently high to cause marked bodily discomfort unless worker is provided with exceptional protection.

Temperature Changes:

Variations in temperature which are sufficiently marked and abrupt to cause noticeable bodily reactions. x

Wet:

Contact with water or other liquids.

Humid:

Atmospheric condition with moisture content sufficiently high to cause marked bodily discomfort.

Noise and Vibration:

Sufficient noise, either constant or intermittent to cause marked distraction or possible injury to the sense of hearing and /or sufficient vibration (production of an oscillating movement or strain on the body or its extremities from repeated motion or shock) to cause bodily harm if endured day after day. x

Hazards:

Situations in which the individual is exposed to the definite risk of the bodily injury.

Fumes:

Smoky or vaporous exhalations, usually odorous, thrown off as the result of combustion or chemical reaction.

Odor:

Noxious smells, either toxic dust, fumes, gases, vapors, mists or liquids which cause general or localized disabling conditions as a result of inhalation or action to the skin. x

Toxic Conditions:

Exposure to toxic dust, fumes, gases, vapors. Mists or liquids which cause general or localized disabling conditions as a result of inhalations or action to the skin.

Infectious Disease:

Risk of exposure to biohazardous materials, blood, body fluid contamination.

Dust:

Air filled with small particles of any kind, such as textiles dust, flour, wool, leather, feathers, etc., and inorganic dust including silica and asbestos, which make the workplace unpleasant or are the source of occupational disease.

Poor Ventilation:

Insufficient movement of air causing a feeling of suffocation; or exposure to drafts. Identify and describe any additional physical demands or unusual working conditions that were not previously covered. __________________________________________ EMT-B or

CNA, BLS

upon hire