The Medical Instrument Technician (MIT) - Electrocardiograph (EKG) Technician is a clinical/technical specialist who provides cardiac monitoring and patient care duties under the supervision of the Registered Nurse. The MIT/Monitor Watcher will be responsible for direct and indirect patient care. Clinical skills and proficiency are required for EKG monitoring, assessment, evaluation, age appropriate care and documentation. The major duties of the Medical Instrument Technician (EKG) position include: The MIT/Monitor Watcher assists with providing training to all new MIT/Monitor Watcher staff on the duties of the position in accordance with instructions, policies, previous trainings, or accepted practices with EKG monitoring. The MIT/Monitor Watcher also provides orientation to new staff and ongoing guidance in collaboration with the Registered Nurse. Cardiac Monitoring The MIT/Monitor Watcher will provide continuous monitoring of cardiac rate, rhythm, and patterns of conduction at a monitoring station. The MIT/Monitor Watcher measures, prints, and interprets rhythms at designated intervals and as needed. Recognizes and reports changes in a patient's rhythm that are outside the established parameters. The MIT/Monitor Watcher promptly reacts and validates alarm conditions for each patient. Monitors patient's vital signs and response to treatment throughout a procedure. Recognizes life threatening situations and notifies the Registered Nurse while simultaneously initiating emergency procedures. The MIT/Monitor Watcher maintains patient confidentiality and rights at all times. The MIT/Monitor Watcher demonstrates skills in the operation of and monitoring of EKG monitoring systems. Monitors patient rhythm and determines proper alarm settings after verifying with the Registered Nurse (RN). Monitors for abnormal cardiac rhythms and understands that emergency medical treatment may be needed for such rhythms. Recognizes and reports changes in rhythms to the RN. Demonstrates knowledge of what default alarm setting are and makes adjustments based on RN guidance. The MIT/Monitor Wachter demonstrates skill in operation of monitoring of various equipment, which includes cardiac monitors, 12 lead EKG machines, vital signs machines, pulse oximetry, and various other clinical equipment found in the Telemetry setting. Demonstrates how to measure EKG strips, including the PRI, QRS duration, QT, and rate using a minimum of a 6 second strip. Verbalizes the need to ensure patient is admitted and placed on a cardiac monitor as soon as they arrive on the unit. Demonstrates how to attach cardiac monitor to patient once they arrive on the unit and verbalizes the need to ensure the patient is admitted and placed on a cardiac monitor as soon as they arrive on the floor. Documentation The MIT/Monitor Watcher obtains, measures, and interprets rhythm strip within the first 30 minutes of patient's arrival to the unit. Marks the date and time that the strip was obtained along with initials and documents rhythm strip. Verbalizes the need to repeat this procedure with any rhythm changes. Obtains and analyzes rhythm strips within 30 minutes of each four (4) hours and as needed with change in patient rhythm. Demonstrates how to admit and discharge patients in the EKG monitoring system. Incumbent is responsible for the maintenance of accurate documentation, as well as computer data input for all information gathered to formulate a permanent record of the EKG. They will preserve rhythm samples at regular intervals, label and measure rhythms, then enter them into the medical record with appropriate comments on the documentation. The MIT/Monitor Watcher will detect abnormal or changing rate, rhythm, or patterns of conduction directly from the oscilloscopic rhythm display, from computer triggered alarms, or computer memory. Demonstrates the ability to use computerized software to enter data which can be properly analyzed and stored for subsequent retrieval. Maintains Equipment and Supplies The MIT/Monitor Watcher demonstrates knowledge of what supplies or equipment is needed, prepares set-up and utilizes aseptic technique at all times to assist with and carry out procedures. In collaboration with BioMedical Engineering personnel, troubleshoots, and identifies potential equipment malfunction. Maintains cleanliness of the station equipment and work area. Maintains adequate levels of supplies for performance of duties. Work Schedule: Night Shift Tour; 12 hour (7:30pm to 8:00am) and 8 hour (11:30pm to 8:00am). Financial Disclosure Report: Not required.
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