DescriptionSenior Telemetry Technician @ Swedish First HillFull Time (36 Hour Week)Night Shift12 Hour ShiftsThe monitor tech II (MT) is responsible for continuously monitoring patients via telemetry of oxygen saturation (Sp02) levels and/or electrocardiogram (ECG) rhythm on patients from a remote workstation located in the TeleICU Clinical Operations Room (COR) or other nursing units. The Monitor Tech communicates all concerns to staff registered nurse (RN) or Charge Nurse. Utilizes TeleICU RN (tRN) as a resource. If the MT is unable to reach the bedside RN in a timely manner, the MT may escalate the concern by calling the charge nurse, Rapid Response Team or Code Blue per unit procedure. Additionally, the MT provides clerical support to the workflows of the TeleICU clinical staff (tMD and tRN), assists and participates with the orientation of new MT and nursing staff, and other duties as assigned.For monitoring oxygen saturation, the MT notifies the bedside RN of significant changes of the patients trending Sp02, which may include trending of the pulse rate and trending of acoustic respiratory rate (RRA). The MT is responsible for alarm management in collaboration with nursing: setting low/high rate alarms and assuring that alarms are on at all times.For monitoring ECG rhythm of cardiac patients, the MT notifies rhythm changes to the RN. The MT documents the ECG rhythm and any significant rhythm changes per unit protocol. The MT is responsible for alarm management in collaboration with nursing: setting heart rate alarms and adjusting arrhythmia detection criteria as appropriate for each patient, and assuring that alarms are on at all times.For both SPO2 and ECG, the MT notifies staff of low battery alerts, network connectivity, any interference of the signal, equipment malfunction, etc. The MT is responsible for documenting initiation and discontinuation of Sp02, RRA, ECG monitoring in the TeleICU Log, as well as reporting quality variances and all safety concerns.In addition to monitoring patients, the MT is responsible for performing general secretarial and clerical duties supporting TeleICU activities such as facilitation of the physician/RN triage model for remote management of TeleICU patients; data collection and processing; and conducting patient safety auditing and patient rounds using various computer applications. The MT assists the nursing staff in coordinating the workflow of the unit. The MT organizes and oversees the orderliness of work areas and orders forms and other clerical supplies. Reports equipment or software issues to appropriate department. Furthermore, the MT interacts with physicians, nurses, HUCs, and other hospital staff and acts as a liaison among members of the health care team.Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.General Customer Service:Greets approved visitors/tours, providing information and assistance as needed. Works with physicians, nurses and other hospital staff to identify needs, resolve problems or provide other information. May facilitate patient movement to other departments. Answers phone calls, providing staff assistance as appropriate. May answer eLerts and triage to RN/MD.New Admissions, Transfer & Discharge Activities in eCareManager:Ensures current ADT and patient data is importing, interfacing and trending to and from eCareManager, EMR, Bedside Monitors, etc. Ensures continuous trending for all ICU and IMCU assigned monitored beds in the system at all times by utilizing eCareManager notifications, text pager notifications, and other communications from staff. Updates patient census: eCareManager patient lists, EMR, assignment sheet/logs, and monitoring screens.Electronic Medical Record “EMR”:Performs all ADT (admission, discharge and transfer) functions. Runs reports and audits as requested by unit manager or designee. Facilitates entry of non-medication verbal orders during a “Code Blue” or other emergencies. Uses computer, telephone or requisition to enter physician orders, diagnostic tests or other procedures. May act as a resource for the EMR for staff and physicians.Environment of Care & Regulatory Readiness:Rounds the unit in accordance with department regulatory standards i.e. keeps hallways clear, workstation and equipment plugged in and functioning at all times. Has knowledge of emergency backup equipment and downtime procedures. Ensures downtime computer is on and checklists are complete. Possess ability to troubleshoot equipment and software issues. Communicates with other hospital departments regarding concerns with faulty equipment, work orders or other issues, and escalates safety concerns appropriately. Utilizes eQVR for reporting all safety issues and “great catches”. Keep work area hygienic, clean and clutter free. Participates in the unit’s monthly cleaning responsibilities. Actively participates in unit, department, and system-wide educational activities including Quality Improvement programs as appropriate.Other Duties:Gives report to relief staff, including items that require follow up. Updates patient census and assignment logs and various monitoring systems (Philips,Spacelabs, eCareManager, Masimo, paper forms, etc.). May assign pagers and locators to nursing staff. Maintains unit worksheets and records. Distributes mail. Sends patient reports to HIM upon discharge when necessary. Maintains confidential shredding practices. Inventories education brochures and office supplies, and orders as appropriate. Notifies nurse manager and/or designee and makes recommendation for par level adjustments. Judiciously orders supplies from MSC, Nutrition etc., as necessary. Facilitates staffing coverage with charge nurses and Nursing Resource Office with fiscal awareness. Performs other duties as assigned, to insure effectiveness of care delivery and unit function.Continuous Remote Monitoring:
Continuously monitors patients via remote Sp02 monitoring; responds to the Sp02, RRA, HR alarms and trending. Communicates significant respiratory changes by alerting the bedside nurse immediately.
Ensures and communicates with the bedside staff that patient identifiers are used to assign Sp02 device upon initiation/discontinuation of patient monitoring. Admit, discharge and document assignment information on patient log and Masimo monitoring system: patient name, room number, monitor and pager assignment, and RN name on TeleICU worksheet.
Continuously views and interprets patients via remote cardiac rhythm monitoring. Monitors patients in leads V1 and III unless there is a clinical reason to use different leads. Communicates changes in heart rate, rhythm, and other significant patient information immediately to bedside RN.
Records each patient’s heart rate, rhythm, and ectopy each hour on monitor log. Admits, discharges, transfers patient within the monitoring system and confirms ADT with bedside RN. Documents each patient’s baseline rhythm strip and any significant changes in rhythm in monitor log and posts a note in EMR as outlined in Monitor Technician Guidelines. Posts HR, rhythm, and ectopy every 4 hours and/or with each set of bedside vital signs in EMR.
Notifies bedside RN immediately when batteries are low in telemetry or oximetry units or when signal is lost due to artifact or patient readings out-of-range.
Escalates unresolved patient safety monitoring issues to the appropriate stakeholders: bedside RN, TeleICU RN consultation, charge nurse, hospital supervisor, manager, etc. The monitor tech may activate RRT or Code Blue in collaboration with TeleICU RN.
Validates patient assignment information is correct during hand-offs such as the beginning of each shift, coverage for breaks and at the nursing unit change of shift.
TELEICU / eICU:
Enters I/O, height, weight, temperature and other data as assigned, delegated by nursing in eCareManager. Ensures patient vital sign flowsheet, intake/output, and bedside trending information is importing/interfacing to the COR.
Completes, processes and files assigned quality improvement rounds/audit tools to the appropriate departments. Utilizes eCareManager and EMR as needed to complete rounds and audits.
Answers and triages phone calls to the eMD and/or eRN to support the TeleICU triage model. May assist in answering eLert calls from the ICUs when clinicians are actively consulting.
Data processing for TeleICU productivity metrics.
Required qualifications:
Successful completion of Basic Cardiac Arrhythmia Interpretation class with a score of at least 80% on final exam. Individuals hired with previous monitor technician experience must pass a challenge exam with a score of at least 80%.
National Provider BLS - American Heart Association upon hire.
1 year ECG monitoring experience with the ability to manage a minimum patient load of 35 patients on monitors.
Internal applicants within Swedish Medical Center only: 1 year of recent ECG monitoring experience with the ability to manage a patient load of less than 35 patients on monitors, successful completion of the Monitor Technician II Training Program, completion of the ECG consortium class and completion of the MT II competencies will also qualify for this position.
Preferred qualifications:
Monitor Tech Certification upon hire.
Previous experience using electronic medical record.
Why Join Providence?Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.About ProvidenceAt Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Check out our benefits page for more information about our Benefits and Rewards.About the TeamProvidence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.Requsition ID: 279266
Company: Swedish Jobs
Job Category: Technical Services
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Night
Career Track: Clinical Support
Department: 3900 SS EICU
Address: WA Seattle 801 Broadway
Work Location: Swedish First Hill 801 Broadway-Seattle
Pay Range: $28.11 - $39.32
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.