Staff will report to Clinical Coordinator/ Supervisor of the department.
Clinical Coordinator/ Supervisor will report to the Manager of the department.
Managers will report to the Director of the department.
Directors will report to the VP/Chiefs of the department.
Direct Reports (This position evaluates another position)
With minimal supervision, assists with all cath lab procedures including diagnostic and interventional caths and electrophysiology procedures.Able to meet all performance standards in scrub, panel and circulating positions.Responsible for patient and family education and support.Responsible for all aspects of quality angiographic imaging and film processing, and functions as a department resource in this area.
ESSENTIAL JOB FUNCTIONS
Essential Job Functions
•Scrub: Scrub assistant to the physician. Sets up and maintains the sterile field as well as arterial and venous lines. Positions patient while under the radiation beam to visualize cardiac anatomy, assists in catheter/wire manipulation, injects coronary arteries for the visualization of cardiac anatomy.
•Circulator: Monitors the patient condition and response to treatment pre, during and post procedure. Maintains proper documentation on cardiac cath lab assessment forms. Circulators need to have a basic knowledge of medications patients are receiving in the cath lab. Provides procedural education for patients and family. Safely transports patients to and from the cath lab. Verifies proper patient preparation pre-procedure. Gives and receives patient reports to the nursing units. Performs arterial/venous sheath removal. Able to operate and troubleshoot cath lab procedural equipment.
•Panel: Monitors patients throughout diagnostic and interventional procedures. Responsible for identifying changes in patient's rhythm and hemodynamic status. Responsible for accurate and thorough data collection, measurement and calculations. Performs angiographic analysis. Operates x-ray equipment, balancing quality imaging with radiation safety. Able to function independently with hemodynamic monitoring equipment which includes operations, troubleshooting and calibration. Completes patient charges. Functions as the primary person to communicate with nursing units, OR and patient's families as needed. Responsible for documentation of any equipment problems during the procedure and contacting appropriate repair service.
•Operates, monitors, evaluates and troubleshoots angiographic imaging and processing equipment. Appropriately notifies and documents service needs and provides follow-up. Serves as a technical resource to the department for radiographic equipment. Responsible for the orientation and training of staff members to radiographic equipment and radiation safety including annual training and documentation. Maintains all aspects of the department angiographic imaging program. Responsible for radiation safety apparel and radiation badges. Provides appropriate monthly and annual service reports to the hospital radiation physicist. Ensures radiological services provided are in compliance with standards established by the institution, state, local and federal agencies.
•Informs management of any unusual concerns, situations or conditions relative to staff, patients and physicians.
•Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains working knowledge of all products/procedures related to diagnostic and interventional caths and electrophysiology procedures. Keeps current on radiographic technology that may improve the quality of care in the department.
•Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance. Participates as an active member of the department radiation safety/darkroom committee that requires 100% attendance.
•Communicates regularly with other staff regarding changes in the work flow schedule or physician protocol.
•Assists in identifying products needed (out of stock or new items) and helps restock and clean rooms.
Essential Functions Disclaimer
Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
Performs all other duties as assigned or as needed to meet the needs of the department/organization.
Department or Level Specific Duties and Responsibilities
KNOWLEDGE OF / SKILLS / ABILITIES / COMPLEXITIES AND DIFFICULTIES
· Billings Clinic policy and procedures, both organizational and departmental
· Personal computers, hardware and software
· Billings Clinic Code of Conduct
· Billings Clinic's Compliance and Integrity Program
· HIPAA and confidentiality requirements
· Patient's rights
· Customer service techniques and Personal Service Excellence (PSE)
Knowledge, Skills and Abilities
•• DBC policy and procedures, both organizational and departmental
•• DBC Code of Business Conduct
•• DBC Corporate Compliance Program
•• Personal computers, hardware and software
•• Confidentiality requirements and Personal Service Excellence (PSE) skills
•• Patient's/resident's rights
•• Radiological equipment and radiation safety
•• Cardiac anatomy, physiology and medical terminology
•• Treatment and pathology of cardiovascular diseases to include assessment and evaluation
•• Theory and application of diagnostic and interventional techniques to include invasive and non-invasive procedures
•• Angiography and the use of contrast mediums
•• Therapeutic techniques which include CPR, the insertion of arterial lines for the intra-aortic balloon pump, defibrillator and temporary pacemaker parameters
•• Thrombolytic therapy
•• Surgical procedures in the treatment of CAD and vavular heart disease
•• Hemodynamic monitoring and calculations
•• Pharmacology as it relates to cardiac drugs and conscious sedation
•• Instrumentation, physics, chemistry and mathematics
•• Quality improvement and quality control processes
•• Principles, practices and techniques of radiography, cardiovascular imaging, intravascular sonography
•• Emergency procedures
•• Guidelines for age appropriate care
•• Infection control procedures
•• Transportation/moving of patients utilizing proper body mechanics
•• ACLS guidelines and ECG interpretation
•• Normal and abnormal laboratory findings including blood gases
•• Open wound sterile technique in theory and application according to CORN standards
•• Surgical instrumentation
•• Regulatory requirements and standards (i.e., JCAHO, OSHA)
•• Professional communication skills, both verbal and written
•• Data entry
•• Operating required equipment
•• Providing instructions to patients and families
•• Empowerment principles, conflict resolution
•• Manual dexterity with good hand/eye coordination
•• Radiographic and processing equipment operation
•• Angiography techniques
•• Suturing in/maintenance of arterial and venous lines
•• Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric
•• Communicate clearly and effectively, both verbal and written
•• Establish and maintain collaborative relationships
•• Stand in place and wear a 15 pound lead apron for extended periods of time
•• Analyze patient data and equipment malfunctions while working under difficult circumstances
•• Perform moderate to heavy lifting
•• Function independently at a high level of competency with little supervision
•• Teach radiography concepts to members of the cardiology team
•• Be self directed and self motivated
•• Maintain flexibility to adapt to a variety of workload assignments
•• Function as a preceptor to new cath lab employees in the scrub/panel position
•COMPLEXITY & DIFFICULTY:
•• Independent judgment is required when recording hemodynamic data. Errors in judgment can result in inaccurate data and incorrect diagnosis/treatment. Errors in judgment, while assisting physicians may result in air emboli, infection, thrombosis, myocardial infarction, dysrhythmias or death.
•• Flexibility to adapt to a varied workload assignment. Expected to rotate to three different positions in the department in diagnostic and interventional procedures and also in electrophysiology procedures.
Years Of Experience
Minimum Years of Experience
Required To Have By
Required To Have By
Other Minimum Qualifications
•Graduate of a recognized approved American Medical Association Council of Education program in Radiological Technology
•Certification by the American Registry of Radiological Technologists or board eligible
•Current Montana license as a Radiology Technologist
•Two years work experience as a Radiology Technologist
•Current CPR Class C certification
•ACLS certification preferred
•Registry in invasive cardiology preferred
Minimum Qualifications Disclaimer
· Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered
Working Conditions 2
Working Conditions List
•Normal patient care environment with exposure to unpleasant odors from soiled linen or human waste and contact with patients exhibiting possible infectious diseases. Universal precautions are mandatory when working with all patients.
•May be required to work varying shifts (8, 10, 12 hours), evenings, weekends and/or holidays
•Participates in on-call rotations
•Possibility of exposure to ionizing radiation. Contact with corrosive darkroom chemicals, however, if adherence to safety and protection standards is followed, chance of accident is remote.
•Work in the dark while processing films
•Cath lab room temperatures less than 68 degrees
•Moderate to heavy lifting of patients, equipment and supplies
•Needle and sharp instrument usage
Blood Borne Pathogen Category
Category I: Tasks that involve exposure to blood, body fluids, or tissues. Use of appropriate protective measures are required for every employee engaged in Category I tasks.
Airborne Contaminant Category
Category I: Tasks that routinely require activities that may involve exposure to airborne contaminants.
Sitting: 0-4 hrs
Sitting: 4-8 hrs
Sitting: 8+ hrs
Standing: 0-4 hrs
Standing: 4-8 hrs
Standing: 8+ hrs
Walking: 0-4 hrs
Walking: 4-8 hrs
Walking: 8+ hrs
Reaching - L, R, B
Pushing/Pulling - L, R, B
Grasping - L, R, B
Fine Manipulation - L, R, B
Lifting: 0-10 lbs
Lifting: 11-20 lbs
Lifting: 21-25 lbs
Lifting: 26-50 lbs
Lifting: 50+ lbs
Job Description Disclaimer
The above is intended to describe the general content of and requirements of the performance of this job.It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
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