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Demonstrates the skill necessary to provide safe and adequate telemetry monitoring for cardiac patients at Huguley Hospital.
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Runs strips Q 2 hours (8am-10pm) and Q 1 hours (11pm-7am) for nurse interpretation with no more than three (3) variances per year.
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Reports any rhythm changes to Charge Nurse/RN 100% of the time.
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Responds to all alarm signals 100% of the time, i.e., bringing needed drugs and supplies and running errands as observed by nurse anesthetist with no more than four documented variances per year.
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Mounts all rhythm strips on appropriate form and files in patient record with no more than four (4) exceptions per year.
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Identifies all life threatening cardiac arrhythmias 100% of the time.
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Gives report to oncoming monitor tech with no more than two (2) documented concerns per year.
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Obtains coverage for telemetry during breaks and mealtime.
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Keeps all telemetry equipment clean as observed by Charge Nurse/RN with no complaints from patients.
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Checks machine for adequate supplies at beginning of each shift.
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Replaces electrodes and batteries.
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Initiates a telemetry charge on all new patients; checks to see that daily charges are correct with no more than two (2) variances per year.
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Performs Unit Secretary duties as needed.
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Answers telephone in a courteous manner, using name, title and location, within four rings, relaying information to appropriate nurse on a consistent basis.
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Answers patient calls via intercom within one minute and refers message to appropriate nurse to promote prompt service to the patients on a consistent basis.
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Notifies Charge Nurse/RN of pending admissions; notifies nurse of patient's arrival on unit or return to room from surgery/procedure with no more than three (3) documented variances, as observed by Charge Nurse/RN.
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Labels charts and door with appropriate identification, allergy information and other pertinent information.
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Keeps patient activity board updated on a consistent basis as observed by Charge Nurse/RN.
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Accurately posts all admissions, transfers and discharges on activity boards and desk calendars each shift on a consistent basis, as observed by Charge Nurse/RN.
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Assists physicians in locating charts, reports and equipment; notifies Charge Nurse/RN of physicians' arrival on unit on a consistent basis.
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Posts and initials tests reports on appropriate patient charts throughout the shift as observed by Charge Nurse/RN.
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Ensures that all patient charts are supplied with additional needed stamped forms to be used during next shift to always have appropriate forms available for documentation by nurses and physicians.
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Checks, orders and distributes supplies and forms, according to unit policy, to maintain necessary supply without stock piling, as observed by Charge Nurse/RN, with less than three (3) variances per year.
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Completes and prepares any forms necessary to contribute to a well-functioning nursing unit (includes diet sheets, vital sign worksheet, census sheets and assignment book) as observed by Charge Nurse/RN, with no more than three (3) complaints per year.
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Follows policy and procedure for placing drug stop order notices on appropriate patient charts by the end of the shift as observed by Charge Nurse/RN.
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Checks, stamps and places in respective racks the C.S. and Pharmacy charge cards according to routine procedure each shift with no more than three (3) documented or verbalized variances per year.
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Performs all assigned tasks related to code/emergency situations according to hospital and department policy in calm fashion.
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Accurately processes all STAT orders immediately notifying Charge Nurse/RN.
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Transports pharmacy orders through fax or pneumatic tube promptly on a consistent basis.
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Completes arrangements for special tests or transfers, including appointments and copies of forms as needed. Guarantees payment and transport arrangements, keeping Charge Nurse/RN informed with no more than three (3) variances per year.
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Does not accept phone or verbal orders from the physician.
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Transfers accurate patient information on the Kardex with no more than six (6) variances per year.
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Participates in teamwork to contribute to the efficient operation of the unit.
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Adapts and responds positively when unexpected changes occur in staffing or workload.
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Remains in assigned work area and/or keeps Charge Nurse/RN informed of whereabouts throughout the assigned shift at all times.
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Assists with unit errands when requested. Volunteers for errands and additional duties when available to do so.
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Maintains neat and organized appearance of nursing station with all supplies in appropriate place and nursing desk orderly as observed by Charge Nurse/RN.
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Demonstrates responsibility for professional growth by maintaining clinical competency in area of responsibility to ensure quality patient care.
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Participates in the orientation of new personnel by serving as resource person and assisting with skills checklist as requested.
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Initials all posted information and unit communications as observed by Charge Nurse/RN.
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Attends a monitor telemetry review class annually as evidenced by attendance record.
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Associate remains flexible to changing systems, is expected to demonstrated quality and effectiveness in work habits and treat staff, physicians, patients and families with consideration and respect.
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Understands the Computerized Physician Order entry process and proficiently uses the electronic medical record for retrieval of patient information.
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Understands computer downtime procedures.
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Monitors Electronic Medical Record for new physician orders and diagnostic results.
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Performs all duties relating to Real Time Scanning accurately and efficiently.
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Performs all other duties as assigned.
