ER Tech

POSITION SUMMARY:

Assist with care of patients of all ages in the emergency department in accordance with hospital policies and procedures. Under close supervision, provides technical support for physicians and nurse in the Emergency Department.

BCH POLICY STATEMENT:

It is the obligation of each employee of Boone County Hospital (BCH) to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures and related practices. This includes policies relating to Compliance, Infection Control and Safety.

HIPAA SECURITY COMPLIANCE:

Boone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality, and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.

Security Access: High Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.

BEHAVIORAL REQUIREMENTS:

Boone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.

ESSENTIAL FUNCTIONS:

• Perform various functions as a member of the trauma response teams including but not limited to: setting up I.V.'s, placing patient on monitor and setting up pleurovacs.
• Assist professional medical personnel in emergency treatment as directed.
• Document care provided/Vital Signs in EMR or paper documentation.
• Assists emergency physicians by obtaining necessary materials for suturing, dressings and performs basic splinting on fingers, shoulders or ankles.
• Stocks unit supplies and reports defective equipment. Monitor equipment and inventories supplies to maintain proper inventory levels.
• Transport patients to appropriate areas of care and assists with loading and unloading of patients.
• Assists with preparation for transfer of patients from ED to include making copies of chart, lab and x-rays.
• Assists with room/cart preparation and cleaning between patients. Empties sharps containers when indicated.
• Assist with undressing and dressing of patients and toileting of patients.
• Performs finger sticks bedside glucometer testing as directed by RN or Physician.
• Collaborates with RN and physician to keep patients and families updated every 15 minutes when there is a delay in the progression of their care. Attempts to keep patients waiting in the lobby updated at least every 30 minutes as to how long their wait may be.
• Accurately performs EKGs with physician order.
• Obtains weights on all pediatric patients, obtains weight on adults as per RN or physician.
• Makes periodic checks of lobby to check for cleanliness and any potential problems.
• Provides safe environment for all patients (i.e.: side rails) and provides increased attention to those patients who require observation and/or restraint (i.e.: assures that children are not left unattended)
• Identifies patient alarms and reports immediately to RN.
• Answers call lights promptly and summons appropriate staff as needed.
• Answers telephone calls and directs call to appropriate personnel
• Assists physicians and nursing personnel with procedures as directed to include, but not limited to holding of instruments, stabilizing of extremities and adjusting of lighting
• Participates in staff meetings and hospital wide in-service programs as required
• Demonstrates knowledge and skills necessary to assist in providing care appropriate to the ages of the patients served (Neonate to Geriatric) within the department
• Maintains performance in compliance with State and Federal laws, and consistent with high standards of business and professional ethics
• Participates in staff meetings and hospital wide in-service programs as required
• Work within role of ER Technician, which may not include all of the roles within their Licensure: CNA, EMT

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

• To perform this job successfully, and individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required.
• One year of experience as CNA, EMT, Nursing Student or equivalent health care experience required.
• High School diploma or equivalent. Active CNA license, Active EMT certification, or currently enrolled in a nursing program.
• Maintain current Health Care Provider Level BCLS
• Detailed-orientated, adaptive, great communication skills, critical thinker, caring nature, and regular attendance
• Ability to read, analyze and interpret documents such as operating and maintenance instructions, procedure manuals and safety rules. Ability to speak effectively before groups of customers or employees of organization. Ability to write routine reports and correspondence.

 Physical Demands

  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.   Activity Level

Percent of Time

  Sedentary Work:

Exerting up to 10 lbs. of force occasionally and/or a negligible amount of force frequently.

40%

  Light Work:

Exerting up to 20 lbs. of force occasionally and/or 10 lbs. of force frequently.

30%

  Medium Work:

Exerting up to 20 – 50 lbs. of force occasionally and/or 10 - 25 lbs. of force frequently.

20%

  Heavy Work:

Exerting up to 50 – 100 lbs. of force occasionally and/or 20 - 50 lbs. of force frequently.

10%

  Very Heavy Work:

Exerting over 100 lbs. of force occasionally and/or 50 -1 00 lbs. of force frequently.

0%

  Total:

100%

 B. Functions and Activities

  Key

  C = Continuous

F = Frequent

O = Occasional

N = Not Applicable

  More than 5.5 hours (67-100%) > 500 reps/day

2.5 to 5.5 hours (34-66%) 101-500 reps/day

Less than 2.5 hours (1-33%) 1-100 reps/day

Not at all or rarely

  Activity

C

F

O

N

Comments

  Waist to Floor Lift, 0-20 lbs.

X

Waist to floor lift of various equipment, materials, and supplies, and when moving patients ranging in weight from 0-20 lbs. up to approximately 36".

  Waist to Floor Lift, 21-75 lbs.

X

Waist to floor lift of various equipment, material, supplies, and when moving patients ranging in weight from 21-75 lbs. up to approximately 20".

  Unilateral Waist to Floor Lift

X

Not required.

  Waist to Crown Lift, 0-10 lbs.

X

Lifting of various equipment, materials, and supplies ranging in weight from 0-10 lbs. up to approximately 66".

  Unilateral Waist to Crown Lift

X

Not required.

  Horizontal Lift, 0-20 lbs.

X

Horizontal lifting of various equipment, materials, supplies, and when moving patients ranging in weight from 0-20 lbs. at approximately 18".

  Horizontal Lift, 21-75 lbs.

X

Horizontal lifting of various equipment, materials, supplies and when moving patients ranging in weight from 21-75 lbs. at approximately 18".

  Carry (Bilateral), 0-25 lbs.

X

Carrying of various equipment, materials, and supplies ranging in weight from 0-25 lbs. approximately 20 ft.

  Carry (Unilateral)

X

Not required.

  Horizontal Push/Pull, 0-75 lbs. of force

X

Generating up to 75 lbs. of horizontal push/pull force when performing various work related duties (i.e. moving patients).

  Vertical Push/Pull

X

Not required.

  Reach At or Below Shoulder Level

X

Reaching at or below shoulder level to complete various work related activities. Reaching occurring in all planes.

  Reach Above Shoulder

X

Reaching above shoulder level to complete various work related activities. Reaching occurring in all planes. Reaching up to approximately 73".

  Elevated Work

X

Not required.

  Stooping

X

Sustained forward flexion of the trunk to retrieve various equipment , materials, supplies, and to position oneself to perform various work related duties. Sustained trunk flexion for up to 2.5 minutes.

  Bending

X

Repetitive forward flexion of the trunk up to 60 degrees required to retrieve various equipment, materials, supplies and to position oneself for work related duties.

  Twisting

X

Repetitive rotation of the trunk and neck to position oneself for various work related duties.

  Squatting

X

Repetitive full flexion of the hips and knees required to retrieve various equipment, materials, supplies, and to position oneself for various work related activities.

  Sustained Squat/Crouch

X

Not required

  Kneeling

X

Repetitive/sustained kneeling required to position oneself for various work related duties. Sustained kneeling for up to 60 seconds.

  Crawling

X

Not required.

  Climbing Stairs

X

Stairwells between floors with approximately 7 inch steps. Elevators are available for transitioning between floors.

  Climbing Ladders

X

Not required.

  Walking

X

Ambulating throughout hospital on level indoor surfaces to respond to patients and communicate with co-workers.

  Standing

X

Standing on level indoor surfaces while performing various work related duties.

  Sitting

X

When performing charting/documentation.

  Balancing

X

Average level balance required to complete various work related duties.

  Fine Manipulation

X

Average to above average coordination required to complete various work related duties.

  Simple Grasping 0-20 lbs. of force

X

Gross hand grasping, with preferred hand of 0-20 lbs. of force to perform various work related duties.

  Firm Grasping 21-50 lbs. of force

X

Gross hand grasping, with preferred hand of 21-50 lbs. of force to perform various work related duties.

  2-Point Pinch, up to 5 lbs. of force

X

Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities.

  3-Point Pinch, up to 5 lbs. of force

X

Pinching up to 5 lbs. of force with bilateral hands complete various work related activities.

  Lateral Pinch, up to 5 lbs. of force.

X

Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities.

  Repetitive Hand / Wrist Activities

X

Repetitive bilateral finger flexion/extension and wrist flexion/extension/radial deviation/ulnar deviation to complete various work related activities.

  Repetitive Keying / Mousing

X

To perform charting/documentation tasks.

  Operates Hand Controls

X

Operating controls on various medical related equipment throughout facility.

  Operates Foot Controls

X

Not required.

  Drives Car / Truck

X

Not required.

  Operates Moving Equipment, Forklift/Skid Mover/Other

X

Not required.

 C. Talking Required

Ordinary

Loudly or quickly

  D. Hearing Required

Ordinary conversation

Ability to hear alarms, radio/phone, and instructions from others

  E. Seeing Required

  Close Vision

Distance Vision

Color Vision

  Peripheral Vision

Depth Perception

Ability to Adjust Focus

  F. Elevated Work Required

  G. Work in Confined Spaces Required

  Environmental Conditions

  H. Environmental Factors

  Extreme Heat (non-weather)

  Extreme Cold (non-weather)

  Outdoor weather conditions

  Wet and humid conditions

  Quiet Noise Moderate Noise Excessive Noise (Potentially = 85 dB TWA)

  Vibration

  Hazards

1.   Percent of Time Spent in the Performance of Job

Inside: 100%

Outside: 0%

  J. Percent of Time Spent in Temperature Extremes in the Performance of Job

NA

  K. Atmospheric Conditions to Which Employee is Exposed on a Regular Basis

  Fumes:

  Gases:

  Dusts:

  Mists:

Poor Ventilation

Vibration

  Odors

Other (Specify in comments)

  Personal Protective Equipment

  L. General

  Hard Hat

Eye Protection

Hearing Protection

  Steel Toed Boots

Chemical Resistant Clothing

Gloves

  Other: Various PPE according to hospital policy

  M. Respiratory Protection

  Dust/Mist Mask

Half-mask

Full-face Mask

  Powered Air Purifying (PAPR)

SCBA

None

EQUIPMENT/TOOLS:

Operate equipment such as computers, printers, copy machines, calculator, IV pumps, and suction equipment to name a few.

While performing the duties of this job, the employee is frequently required to walk, use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee is occasionally required to stand and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus. Hearing must be in the normal range for telephone contacts and other conversations.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities or requirements.