Nursing Assistant/Monitor Tech, Emergency Department, Full Time, Nights

Prisma Health•Maryville, TN

About The Position

This is a dual-role position that performs the duties of both a Nursing Assistant and Monitor Tech in the Emergency Department. The role assists Registered Nurses in providing patient care according to individualized plans of care and performs basic nursing activities as delegated. Responsibilities include collecting and documenting patient data, monitoring patient status, protecting confidential patient information, using safe patient-handling practices, and informing the RN about activities performed, patient observations, and status changes. The position also maintains a clean, neat patient environment and observes cardiac monitors to identify abnormal rhythms under RN supervision. As a Monitor Tech, the employee observes cardiac monitors, reports rhythm changes, receives shift reports, documents strips and telemetry summaries, and manages transmitter boxes. The role reports transmission issues and system failures, triages and logs incoming calls, and maintains clean, organized monitoring areas and adequate supplies. As a Nursing Assistant, the employee provides delegated direct care within their scope of practice and established policies. Duties include assisting with activities of daily living, patient admission and orientation, mobility and positioning, data collection and point-of-care testing, delegated clinical procedures, fall prevention, patient transport, comfort measures, documentation, stocking and cleaning, and patient-observer duties as assigned. The employee supports unit operations, participates in training and process improvement, and helps maintain a safe, therapeutic environment. This is a non-management job reporting to a supervisor, manager, director, or executive. The work shift is nights at Blount Memorial Hospital in the Emergency Department.

Requirements

High school diploma or GED.
No experience required.
Complete the required formal arrhythmia training after hire and pass the Prisma Health Arrhythmia exam with a minimum passing score within two attempts and within 30 days of hire.
Maintain arrhythmia competencies annually if selected into a monitor tech role.

Nice To Haves

Completion of a nursing assistant, patient care technician, medical assistant, EMT, paramedic, surgical technician, phlebotomy, military medical corpsman, or nursing fundamentals course.
Previous experience as a nursing assistant, patient care technician, medical assistant, EMT, paramedic, surgical technician, phlebotomist, medical corpsman, or nursing student.
Licensure, certification, or registration in the field of training.

Responsibilities

Observe cardiac monitors and report changes in cardiac rhythm according to policy.
Receive reports from the previous shift and document strips according to policy.
Manage and distribute transmitter boxes, and ensure they are returned to the surveillance center promptly after telemetry monitoring ends.
Report poor transmission and telemetry-system failures to appropriate personnel and departments.
Complete telemetry summary reports according to policy guidelines.
Triage incoming phone calls, provide appropriate information calmly and concisely, and log calls.
Maintain adequate supplies and keep monitoring areas and equipment clean and organized.
Participate in training and the ongoing development of new staff; attend required educational programs, in-services, and meetings.
Provide delegated direct patient care within scope of practice and in accordance with policies, procedures, and protocols.
Assist patients with eating, dressing, toileting, bathing, and transferring.
Prepare rooms for admissions and greet and orient patients and families to the unit.
Assist patients with walking, turning, positioning, ambulating, and applying or removing compression devices.
Collect and document vital signs, oxygen saturation, temperature, cardiac monitoring, non-invasive blood pressure readings, basic or sterile specimens, and fluid intake and output.
Perform point-of-care testing as trained and delegated by an RN, and report lab values to the RN.
Provide delegated care such as soaks, simple dressings, perineal care, basic ostomy care, nasal cannula care, phlebotomy, EKGs, and incentive spirometry.
Perform straight catheter insertion and removal, and Foley catheter removal, when appropriately trained and competency-validated for the assigned unit.
Assist with delegated fall-prevention interventions and patient restraints.
Assist the care team with transporting patients to diagnostic studies and floor assignments.
Provide and document comfort and non-pharmacological pain-management measures.
Document data, observations, clinical information, and procedures in medical records and the EMR, and inform the RN of care activities and changes in patient status.
Use medical equipment and supplies appropriately and return equipment to other units as needed.
Clean and stock carts, rooms, hallways, and kitchens; change linens as needed.
Keep the supervisor informed of unit activities, needs, and patient-care-related problems.
Follow department, unit, and hospital policies and applicable quality, safety, environmental, and infection-control standards.
Protect patient rights and confidentiality.
Help ensure smooth operation of the nursing unit or facility and participate in process-improvement initiatives.
Serve as a role model and help educate and mentor other care-team members.
Use supplies safely and efficiently, attend required meetings, and complete annual compliance training.
Maintain a clean, safe, therapeutic, and caring environment for patients, families, and staff.
Take responsibility for professional development and continuing education.
Perform patient-observer duties as assigned.
Complete formal arrhythmia training after hire and pass the Prisma Health Arrhythmia exam within 30 days of hire, within two attempts; maintain annual arrhythmia competencies if selected for a monitor tech role.