**Employment Type:** Full time **Shift:** 12 Hour Day Shift **Description:** The Emergency Room Technician functions under the direct supervision of the Registered Nurse. He/she provides non-licensed direct patient care to neonate through geriatric patients. He/she assists the healthcare team by providing personal assistance to patients by caring for the patient, equipment and supplies and also by providing clerical and nursing care support services. 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Comments: 2 "Adheres to Corporate Compliance Guidelines 1. Understands and abides by HIPPA privacy and security laws and regulations. 2. Observes all applicable federal, state and local laws and regulations. 3. Observes all Mercy Health System and applicable subsidiary policies and procedures including the Code of Conduct. 4. Observes Mercy Health System Corporate Compliance policy by reporting any concerns about compliance or business practices to his or her immediate supervisor, appropriate management, Corporate Compliance Officer or Compliance Hotline. 5. Completes compliance related education Performance Measures • Completes annual competency on Code of Conduct, HIPAA, and mandatories related to area of practice as assigned on Health Stream Online." Comments: 3 "Demonstrates knowledge and compliance with Hospital Safety and Infection Control policies as required by OSHA and the patient Safety Program. 1. Consistently demonstrates knowledge if universal precautions, isolation procedures, and other infection control measures. 2. Provides a safe environment for all patients, employees, and visitors. 3. Identifies safety problems encountered during the course work that if corrected may result in the prevention of accident/injury to patients, employees and visitors and reports problems to appropriate supervisor or the Patient Safety Hotline. 4. Adheres to System, Hospital and Department-specific safety programs. • Medical / health care error reporting. • Aware of sentinel events definition and reporting procedure. • Completes annual patient safety fair training. Performance Measures • Completes infection control modules as assigned on HealthSteam Online. • Demontsrates 100% compliance with Hand Hygiene program. • Required documentation in MIDAS is 100% accurate." Comments: 4 " Adheres to all Mercy Health System Policies and Procedures • Fully understands and complies • Seeks information and clarity when unsure Performance Measures • Complies with: - Absenteeism Control Policy #60-06-10 and with established departmental “call-out” procedures. - Lateness Control Policy #60-07-09 and with proper notification procedures - Mercy Health System dress code policies - Colleague Responsibility Policy #60-18-08 as well as all other Human Resources Policies. - Review MHS policies and procedures, and references them accordingly when questions arise during the course of work for MHS" Comments: 5 " Performance Improvement • Participates constructively in PI activities in the department • Can discuss performance improvement activities for the department • Contributes ideas for cost reductions, improved efficiency and outcomes without sacrificing quality. • Maintains awareness of cost containment and waste reduction practices. • Maintains and uses material, supplies and equipment in a cost-effective manner. • Encourages and contributes innovative ideas and ways of doing things that increase efficiencies by challenging oneself and others to not accept the status quo. • Recommends changes to policies, procedures and environment to enhance everyone's ability to provide optimum service to all patients, visitors and employees. • Demonstrates understanding of PDSA (plan, do, study, act.) process and Just Culture. • Keeps abreast of regulatory requirements for assigned unit. " Comments: 6 " Population Served • Recognizes special needs/concerns of populations served and adjusts communication accordingly, i.e., language barrier, diminished hearing, concrete terms, etc. • Creates a safe and therapeutic environment that supports the special needs of the population served. • Demonstrates effective abuse free verbal and non-verbal communication with residents/patients, their families, visitors and staff i.e., communicates in a respectful manner according to residential patient's stage of development and cultural background. " Comments: 7 " Organizational and Departmental Policies & Procedures • Actively participates in staff meetings and/or committee on a regular basis • Arrives on time for work and maintains good attendance • Wears appropriate attire and presents a neat appearance, complies with Dress Code policy • Fully understands and complies with organizational and departmental policies and procudures • Aware of access to policies on the MHS intranet, HRHQ (i.e., Administrative Manual, HR policies, etc.) • Seeks information and clarity when unsure of policy prior to initiating procedure • Maintains current immunization and other Employee Health requirements • Adheres to the Substance Misuse policy. Reports any signs of impairment, suspicious behavior or diversion of drugs to supervisor prompty. • Protects all written and electronic patient information from view • Shreds/""Shred It"" all discarded patient related documents • Adheres to the Statement of Confidentiality and all requirements as outlined in the HIPAA policies and procedure • Ensures that all equipment is in proper working order, and takes malfunctioning equipment out of service. Report malfunctions promptly. • Maintains a safe, neat clutter free work environment • Assumes ownership of cleanliness and neatness of work area and throughout the organization • Reports errors, environmental hazards and injuries to supervisor promptly • Responds appropriately to fire drills, codes, etc. • Can locate and reference Emergency/Disaster Preparedness policies and resources • Demonstrates ability to prevent, recognize and report abuse • Demonstrates ability to prevent, recognize and report infant/child abductions • Demonstrates awareness of Safet Haven Protocol • Recognizes patients at risk for falls and follows prevention interventions • Recognizes and responds to changes in patient condition -- ""Rapid Response"" /Code • Seeks to resolve conflicts in a respectful way • Fully shares information that people need to do their job. Expresses ideas, opinions and reactions constructively • Maintains an environment free of discrimination and harassment • Reports disruptive clinician behavior in support of ""Zero Tolerance"" of disruptive behavior • Supports non-retaliation for reporting disruptive behaviors • Participates in continuing education and shows initiative for self-development and documents appropriately • Maintains licensure/certification if applicable • Supports the orientation process • Seeks out information and shares information and expertise with co-workers • Understands role in patient and family education (if appropriate) • Provides the patient/family with appropriate educational materials and information (if appropriate) " Comments: 8 " Skill Set • Demonstrates essential knowledge and skills when performing/assisting in procedures and treatments. • Performs vital signs on admission and at least every 2 hours, or as directed by RN. Documents on EMR and reports results to RN. • Set up low flow O2 by nasal cannula (no application of oxygen) • Replaces O2 removed by patient • Demonstrates appropriate use of pulse oximeter : - Properly uses different sensors based on age, location to be used, and • equipment functioning. • Care of the patient with IV fluids. - Does not disconnect IV fluids. - Reports to licensed nursing staff any site changes or repetitive pump alarms • Performs capillary blood glucose monitoring and PI accurately, documents and reports results to RN in a timely manner. • Performs venipuncture for specimen collection: - Utilizes techniques to insure patients do no develop unnecessary hematomas and bruising, ie, direct entering of vein, direct pressure for appropriate length of time, etc. - Obtains lab specimens timely and processes specimens to the lab - Ensures proper labeling of specimen • Collects lab specimens and cultures according to nursing practice standards i.e. (sputum, stool, urine, wound). Ensures proper labeling of specimens. • Transports stable telemetry patients to unit. • Maintains I&O. • Performs EKG on admission as directed. • Demonstrates the ability to recognize and deal with agitated patients and family in a professional manner. • Assist RN in setting up and preparing the patient for: - Laceration repairs - Lumbar puncture - Thoracentesis/paracentesis - Chest Tube - Eye Irrigation - Gastric Lavage - Application of cast/splints - Assists with traction • Assembles measures and assist in crutch walking. " Comments: 9 " Direct Patient Care • Sets up trays; feed patients as needed. • Assures assigned patients receive a diet once determined clinically cleared by the ED physician / primary RN assigned to patient. • Performs hygiene/comfort measures including baths and mouth care. • Turn patients to ensure proper circulation, reports any skin breakdown to the attending RN. • Assists with patient admission and discharge, and gives assistance to patients to their vehicles. • Transports patients, transfers patients and positions patients so that safety and comfort are assured. • Demonstrates appropriate patient transfer techniques i.e. (utilizes correct body mechanics, bed to chair/chair to bed/chair to chair or toilet transfer, bed to stretcher transfer. • Maintains patient body alignment and positioning i.e. (assist with normal range of motion, hip precautions, pressure relief of high risk areas heels, sacrum, scapula, hips, etc.) • Respectfully completes post mortem care (post mortem, medical examiner/autopsy) • Documents and demonstrates restraint care according to policy when performing 1:1/close observation patient monitoring. - Never leaves patient alone. - Remains within arms length. - Reports any problems to RN immediately. - Monitors patient potential risk factors when performing 1:1 patient monitoring - / close observation patient monitoring. • Maintains ER tech duties for patient(s) • Interacts with patient(s) during 1:1/close observation • Responsible for all patient comfort measures, i.e. blankets, pillows, call bells, etc. and hourly rounding on patients. • Promotes environment/actions to reach/exceed departmental customer service score of ____% or greater. • Demonstrates essential knowledge and skill in caring for an agitated/confused patient (de-escalation techniques, distraction, etc) " Comments: 10 " Plan of Care Assigned patients at the beginning of each shift from assigned RN. He/she is responsible to keep RN updated related to the care of the patient, reports off to RN when leaving unit and or at the end of shift. • Recognizes and reports pain management and supportive care issues. • Adheres to infection control standards specific to patient care. • Responsible for learning policies and nursing procedure. • Communicates with patients and families, utilizing age and culturally appropriate communication. • Recognizes and integrates patient special needs and care. • Pain management and supportive care issues (recognizes and reports) • Demonstrates attributes necessary to function as a team member. • Documents in the EMR thru Meditech. • Communicates and documents change in patients condition to all appropriate individuals. • Consistently demonstrates hand-off communication for patient safety • Places admitted patients in beds, when available, within 2 hours of admission order. • Uses appropriate communication with population served, while recognizing age related and cultural issues, i.e. diminished hearing/vision, cultural differences and language barrier. • Greets patient; prepares patient for exam; responsible for undressing and dressing, gathering expected equipment from stock room, and obtains linen. • Participates with nursing staff members in an organized and systemic manner of care. Communicates proactively to the health care team changes in patients condition and other relevant information. " Comments: 11 " Indirect Patient Care • Provides supportive assistance required to facilitate care of the patient in the Emergency Department. • Checks rooms assigned at end of shift, empty bedpans and urinals; clear over-bed tables. • Responsible to insure rooms are stocked at shifts end. • Maintains, cleans and tracks equipment. Notifies the charge nurse/ manager of malfunctioning or non-functioning equipment and facilitates appropriate process for removing it from the patient care area while retrieving a replacement when appropriate. • Maintains supply of wheelchairs, IV poles, and oxygen tanks. (In proper location) • Directs requisitions for supplies, forms, equipment or equipment checks and notifies proper personnel of any malfunctions. • Assures blanket warmer is stocked. • Assures adequate supplies are available for all shifts (monitors, suture carts) • Provides a climate conducive to educational experiences for students and new employees. • Obtains 2 hours of Stroke related education yearly and documents them in the ED continuing education book. " Comments: 12 " Patient Safety • Cooperates with all areas in the admission and transfer of patients throughout the hospital to ensure efficiency. • Interacts professionally and keeps patient care team informed of patient condition. • Hourly rounding on assigned patients. • Collaborates with nursing staff and ancillary departments to become a multidisciplinary health care team whose goal is to provide care that is continuous and well coordinated. • Promotes a safe hospital environment for patients, employees, visitors and self. • Identifies and reports changes in patient condition promptly to RN. • Assures all patients have a correct identifying wristband in place. • Conducts patient rounds every hour to ensure safety, assures bed is in low position, Bed lock on, side rails raised, call bell with in reach. • Rounds on other patients while other ER Techs are busy or out of department. • Answers call lights promptly and courteously. • Keeps hallways and other common areas on the unit clear and free of supplies and equipment. • Keeps linen carts, utility rooms, supply rooms, etc. neat and orderly. Linen covered at all times. • Greets visitors, patients, families and physicians and directs them appropriately. • Demonstrates ability to prevent, recognize and report abuse. • Recognizes age-related issues and takes necessary precautions i.e., choking, hazards, falls, etc. • Notifies charge nurse when leaving unit. • Utilizes good body mechanics when lifting, pushing or pulling patients or objects • Removes soiled bed linens and makes the bed: - Disposes of linen and trash appropriately. Assures linen hamper are emptied • prior to end of shift and as needed.. • Able to locate and demonstrate appropriate use of safety equipment: - Gloves – latex and latex free - Masks/eye shields - Gowns • Adheres to infection control standards specific to patient care. • Maintains isolation precautions where indicated; - Identifies specific isolation precautions in use (airborne, droplet, contact) and • specific techniques required (gowns, mask - surgical vs. HEPA, gloves) • Disposes of supplies appropriately – used and unused • Assists in keeping rooms clean and orderly. • Empties bed pans, urinals, bedside commodes on ongoing basis. • Demonstrates appropriate use of and alternatives to restraints including least restrictive measures. • Acts as a patient advocate and upholds patient’s rights. • Promotes and maintains a safe, clean and orderly environment. • Defers ethical concerns to appropriate resources. " Comments: 13 " Clerical Support • Assists with unit secretary role and responsibilities. • Accurate completion of admissions, transfers, and discharge records of patients. • Functions calmly and efficiently. • Answers the telephone as scripted; directs all calls appropriately; takes an accurate message and delivers to the appropriate individual while demonstrating proper telephone etiquette, using age appropriate and culturally appropriate communication. • Functions calmly and efficiently. • Facilitates incoming fax information to appropriates staff • Other duties as assigned. " Comments: 14 " Emergency Response • Maintains current BCLS/CPR • Performs BCLS/CPR in Code Blue situation. - Properly uses bag-valve-mask resuscitator (pediatric, adult, geriatric). • Recognizes changes in patients condition and promptly reports to RN • Functions calmly and efficiently in an emergency situation so that the patient’s immediate needs are addressed. • Retrieves emergency equipment in code situations i.e. code cart, IV. Pump, EKG, Portable O2. • Relocates other patients (when possible) and family members during emergency • Makes rounds on all patients during emergency • Recognizes and initiates “Rapid Response” as needed per policy. • Recognizes signs and symptoms of stroke and reports such to professional staff. • Demonstrates awareness of end-of-life policies (DNR). " Comments: 15 Other duties as needed and assigned by the manager. Comments: 16 Adheres to applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures. Comments: Mercy Fitzgerald Hospital has an opening for a full time (72 hours bi-weekly) 7am to 7pm with rotation to every other weekend. Requirements: High school graduate or equivalent; previous nursing assistant, EMT, and/or emergency room experience preferred; Current CPR certification. **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran