TELEMETRY TCHN

%

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

60

Computer Aided Telemetry System

• Assures auditory contact with the central monitors is maintained at all times.  Remains within view range of central monitor screen at all times.

  • Sets and maintains alarms on all channels according to physician orders.

  • Monitors ongoing alarms and alerts RN of any increases in ectopy, changes in underlying rhythm and/or life-threatening arrhythmias that may develop.

  • Runs and analyzes rhythm strips at specified times as per telemetry policy and enters rhythm strips into the patient's medical record.

  • Documents pertinent information on telemetry sheet when patient rhythm significantly changes.

  • Reviews computer alarms to verify interpretation of data and storage into alarm trends.

  • Documents on the telemetry sheet when and why the patient has been off monitoring.

  • Analyzes alarm print-outs for rate and rhythm changes.  Enters strips and their interpretation into the permanent record if judged to be significant.

  • Documents a patient summary at the end of a shift based on routine strips and observations of the day.

  • Gives shift report to oncoming telemetry/charge nurse regarding the status of each patient as pertains to EKG monitoring.

10

Clerical

• Completes admission/discharge/transfers in IDX as assigned.
  • Files telemetry sheets in charts upon patient's discharge.
  • Performs and documents equipment checks as assigned.
  • Maintains adequate quantity of administrative forms and supplies at nursing station.
  • Operates nursing unit equipment.
  • Labels, assembles, and maintains all patient charts in functional order, to include filing reports of procedures, studies, and tests. Thins charts as necessary.  Keeps charts in proper location.
  • Dismantles patient chart and prepares for delivery to Medical Records in a timely manner.  Ensures completion of medical record.
  • Accurately transcribes orders, consulting with RN or MD when orders are unclear.
  • Completes all forms and requisitions related to charges/billing.
  • Schedules procedures, tests and x-rays.
  • Receives and records patient information and admitting orders from physician’s office or clinic for same day admissions.
  • Ensures that patient’s valuables are secured according to established procedures.
  • Copies necessary elements of chart as directed.
  • Utilizes Medical Center automated systems to access and maintain patient information.
  • Orders patient medications, equipment, and supplies as requested.
  • Performs other unit clerical duties as assigned.

10

Applies basic verbal and non-verbal skills to achieve intended outcomes from interactions.

• Listens to ideas, opinions and feelings of others.
  • Demonstrates respect, tact and diplomacy in interactions.
  • Expresses and accepts constructive feedback with a focus on positive outcomes.
  • Informs appropriate individuals of actual or potential problems in a calm manner.
  • Initiates appropriate procedures for all emergencies.
  • Receives and relays messages from patients, families and staff to appropriate personnel in a timely manner.
  • Maintains unit-based flow board of patient bed assignments, transfers, discharges, and off-unit procedures.
  • Notifies appropriate nurse and physician when patient arrives on unit.
  • Contacts physician and other appropriate staff when required.
  • Communicates physicians’ orders to nursing staff in a timely manner.
  • Participates in one to one and group discussions to resolve conflicts that inhibit effective working relationships.

10

Utilizes and supports established information systems.

• Gives current, accurate and complete report to oncoming staff, relaying pertinent information about rhythms.
  • Utilizes unit communications systems such as staff meetings and/or minutes and communication book to obtain current information.

5

Assumes responsibility for own development.

• Seeks supervision of own actions.
  • Participates in routine performance evaluation process.
  • Maintains other skills as appropriate.

5

Complies with work related policies.

• Starts work at scheduled time and completes work on time.
  • Follows guidelines on use of sick leave.
  • Complies with dress code, including appropriate identification.
  • Orients new personnel as appropriate.
  • Maintains a clean, safe and functional work environment.
  • Maintains annual employee requirements.
  • Maintains confidentiality in matters related to patients and/or staff.
  • Maintains flexibility in relation to work schedule.
  • Maintains House and Telephone Standards as established by the Medical Center.