The incumbent will be assigned to the Department of Medicine Service. This position is located within the VA Central California Health Care System, Fresno VACCHCS. The MIT (EKG) at this level is responsible for performance of all tests within the scope of certification including electrocardiographs, exercise tolerance testing, Holter monitoring and skilled continuous comprehensive evaluation and documentation of the patients cardiac monitoring system for telemetry and ICU patients. Major duties include but are not limited to the following: The technician will work with all cardiology staff to efficiently process Holter monitor's or other testing within scope of technicians practice. Thorough knowledge of procedures and policies regarding all areas of responsibilities including but not limited to completing EKG's, Holter monitoring, treadmill testing and other studies within their competencies is necessary. The technician will use the application of these processes to complete all required duties and during course of duty assess priorities to best meet veteran's health care needs. The technician is knowledgeable and independently functions in the use of the monitoring equipment as well as the Communication Software System within V ACCHCS in collaboration with the unit RN or cardiology provider. Information is relayed quickly via in house wireless network, telephones and verbally for notification of emergent alarms and potentially emergent situations. The technician will report rhythm changes and arrythmias to the assigned RN or cardiology provider caring for the patient as outlined in the Telemetry Policy. This requires experience in operating and supervising the operation of specialized monitoring equipment related to the responsibilities of the position, which includes calling a Code Blue if necessary. Reviews previous shift's rhythm strips for shift history and reviews patient information on CPRS. Upon admission, reviews telemetry orders and parameters in order to prevent any delay in placing a patient on ordered telemetry and to ensure accuracy of ordered parameters for monitoring. The technician completes shift to shift report between technicians regarding patient's status for monitoring and brief history of shift events related to telemetry monitoring and vital sign and updates RN's, charge nurses, nursing supervisors and MD's upon request. The purpose of the work is to provide completion of all required cardiac monitoring and testing as ordered. The work contributes to a base of standard nursing or physician care upon which further care may be planned and/or provided by cardiology or nursing staff. Ward policies, practices and assigned procedures will be well known by the employee for reference purposes. The technician may vary the order/sequence of procedures and use judgement in selecting the most appropriate application of the guidelines. Unusual administrative developments are referred to the BSS Lead or Supervisor. The technician refers to the BAS Supervisor when existing guides do not apply to the situation or when significant deviations are needed. Work Schedule: Full Time, 8:00am-4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.