Cardiac Procedure Technician
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POST DATE 8/17/2016
END DATE 3/1/2017
Massachusetts General Hospital(MGH)
JOB DESCRIPTIONGENERAL SUMMARY/ OVERVIEW STATEMENT:
Under the supervision of the Director of Perfusion Services, learns to operate and maintain intra-aortic balloon pumps (IABP), ventricular assist devices (VAD), pacemakers for IABP, bedside cardiac output computers, autotransfusion machines, and other cardiovascular monitoring equipment. Demonstrates competency and ability to work under supervision with increasing independence.
Assists perfusionists with equipment during procedures requiring cardiopulmonary bypass, extracorporeal membrane oxygenation (ECMO), veno-venous (VV) bypass, left atrial femoral artery (LAFA) bypass, and any other form of extracorporeal support within the perfusionists scope of practice.
Independently and as part of a team, supports patient care by performing duties in the operating room, bedside and other settings and works effectively with staff across roles, levels and departments. Attends training and maintains competency in job requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Learns and properly applies knowledge of cardiovascular function, measuring devices and cardiac monitoring equipment. Learns hemodynamic monitoring systems, which includes understanding of EKGs, arterial and pulmonary artery pressures, A-V sequential and TR-3 pacemakers Develop an understanding of and properly use sterile technique, which includes surgical scrubbing, gowning, and gloving. Learns and correctly executes support tasks to include documentation, administrative procedure, data collection and data entry.
Receving on the job training and after demonstrating competency, will perform set up, operation, monitoring and troubleshooing of various pieces of equipment that support cardiac care, assist with and perform bedside IABP placement and removal. With supervision will perform the following::
* Sets up, operates and monitors the IABP, VAD, and autotransfusion devices and may be on call 24 hours at scheduled times for procedures requiring these and other devices
* Under supervision of and as directed by physician, re-positions or removes IABP at bedside as necessary. Confirms placement of balloon by viewing chest film. Enters proper documentation into patients chart. May assist cardiac surgeons and cardiologists with IABP placement and preparation of VAD devices for implantation.
* Breaks down, inspects, and cleans all equipment after patient use. Reports any malfunctions or issues to management.
* Maintains IABP registry database
* Assists perfusionists with data collection and entry for required registries, including Society of Thoracic Surgeons Database and Perfusion Measures and Outcomes Registry
* Performs equipment set up and troubleshooting and supply maintenance that assists perfusionists completing procedures requiring CPB, VV, LAFA, ECMO, or other form of extracorporeal support within the perfusionists scope of practice
Attains proficiency in tasks and responsibility with the goal of independent activity or limited supervision as applicable.
Consults with senior staff members for advice and assistance in the absence of the director..
Participates in departmental meetings and may serve as a member of a departmental committee.
Identifies opportunities for education and attends job related training.
Performs other duties as assigned.
High school diploma or equivalent, Associates degree helpful Minimum 3 years of work experience required
Work experience in a healthcare setting preferred
Certification in perioperative blood management (CPBMT) helpful
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Ability to learn and apply the following:
* Basic knowledge of anatomy and physiology
* knowledge of cardiac and vascular anatomy and physiology
* Knowledge of hemodynamic and electrocardiographic monitoring
* Knowledge of aseptic technique
* knowledge of all mechanical assist devices (IABP and VADs)
* knowledge of all bedside monitoring that relates to assist devices
* Blood management and conservation techniques including intraoperative autologous blood salvage
* Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission (JC), and Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Ability to learn and deomonstrate the following:
* Ability to set up, activate, and monitor all mechanical assist devices
* Ability to set up, operate, and monitor autotransfusion devices
* Ability to recognize normal and aberrant hemodynamic waveforms
* Recognizes, reports, and troubleshoots mechanical assist devices and contacts proper personnel when required
* Provides quality and compassionate care to all patients
* Collaborates with other professionals when appropriate
* Demonstrates flexibility when faced with demanding and changing work schedule
* Utilizes effective interpersonal communication skills
* Organizational and time management skills
Routinely will be exposed to, encounter and/or use human blood products or fluids, electrical equipment, sharp instruments and cleaning chemicals. Will be required to stand and walk for periods of time as well as push, pull and carry objects and equipment. Work settings will include patient bedside as well as the following:
* Operating Rooms
* Cardiac Catheterization Laboratory and EP lab
* Surgical and Medical Intensive Care Units
* Emergency Room
* Multiple testing areas
* Outpatient testing areas
May be on call 24 hours at scheduled times for procedures requiring the above devices
None. In the absence of the Senior Cardiac Procedure Technician may be required to:
* Prepare and process billing/encounter forms for procedures of services rendered.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.