Patient Care Technician II Ed (9 Fte)

Billings Clinic•Billings, MT

5d•Onsite

About The Position

This position is for a Patient Care Technician II in the Emergency Department (ED) at Billings Clinic. The role involves assisting in patient care under the direction of physicians and in collaboration with the healthcare team. Responsibilities include supporting the clinic's mission and values, managing phone lines, greeting patients, recording vital signs, collecting specimens, performing basic patient care, assisting with patient mobility and transfers, performing EKGs, assisting with wound preparation, and maintaining a clean patient environment. The technician will also be responsible for documenting care, assisting with IV fluid setup and peripheral IV line establishment (for PCT II with EMT), and ensuring patient safety. The role requires strong computer skills for documentation in CERNER FirstNet and using Outlook for communication. The technician must also be knowledgeable in admission, transfer, and discharge procedures, as well as EMTALA/HIPAA regulations. They will participate in performance improvement, identify development needs, and maintain competency in safety standards. The position requires the ability to perform basic CNA and/or EMT patient care requirements, including phlebotomy, EKGs, wound care, splinting, vital signs, and patient safety searches. Cross-training to the Unit Clerk role may be required. The role incorporates population-specific needs for all age groups and requires effective time management, clear communication, critical thinking, and professional conduct.

Requirements

High school graduate or equivalent
Minimum 1 year of direct patient-care experience in acute or emergency setting as PCT, CNA, MA, EMT with IV Endorsement, or AEMT
Demonstrated competency with IV starts, phlebotomy, wound care, and EKGs
Proficient in Patient Care Tech procedures and processes encompassing all age groups.
Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Medical Assistant (MA), EMT, AEMT, EMT-I, or college training in a health related field
EMT certification with IV endorsement (Level II)
CPR Certification BLS for infant, child and adult upon hire and continued renewals
Must successfully pass Billings Clinic phlebotomy training upon of hire.

Nice To Haves

Experience mentoring new staff or participating in skill validation preferred

Responsibilities

Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department.
Functions within the core competencies and “Minimum Specifications” set forth by the organization.
Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls.
Adheres to confidentiality (HIPPA) and patient right requirements.
Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse.
Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines.
Collects laboratory specimens as needed.
Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description.
Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN.
Assists patient’s activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility.
Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer).
Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician.
Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse.
Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines.
Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure.
Performs EKGs as required and places patients on cardiac monitors.
Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.).
Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US.
Assists in the safety search of designated patient(s) as needed. (Following safety search policy)
Institutes seizure precautions when applicable
Assists MD/RN with gastric lavage as directed (ED only).
Assists ED physician/RN as needed with tasks such as providing supplies and equipment.
Responds to patient call lights and reports patient requests to MD/RN caring for patient.
Completes documentation following patient disposition, i.e. admission and discharge and transfer.
Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN
Establishes peripheral IV line upon MD’s request. Applicable to PCT II (with EMT) & III only.
Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III.
May establish ultrasound IV’s after class/competency completion (level II (with EMT) & Level III only.)
If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.)
Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit.
Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort.
Knowledge and competence in all equipment cleaning
Utilizes appropriate personal protective equipment
Is versed in aseptic and sterile technique
Performs visual acuity as indicated.
Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens.
Applies and removes restraints according to Billings Clinic policy.
Assists with ambulance/helicopter/flight transfers into the ED.
Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations.
Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook.
Identifies and anticipates problems and safety issues and initiates appropriate action.
Maintains a safe, clean, and orderly environment for patient and visitors.
Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance.
Has well developed computer skills with ability to document in The FirstNet CERNER program.
Able to use Outlook for sending and receiving E-mail communication.
Utilizes performance improvement principles to assess and improve the quality of patient care.
Takes responsibility for identifying own development needs; meets all system and departmental educational requirements.
Attends required meetings and participates in committees as requested.
Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
Refers more difficult problems to the MD, RN, , PCT II and/or III
Active participant in keeping a safe work environment.
Able to perform all basic CNA and/or/EMT patient care requirements
May be cross-trained to Unit Clerk job role