ER TECH II- EMERGENCY SERVICE (PT Afternoons)

The ER Tech II at Riverside Medical Center provides comprehensive support to the emergency care team. This position combines technical skills and emergency medical training to assist with patient care, equipment management, and the overall efficiency of the emergency department. Demonstrates flexibility with assignments within professional scope/duties/licensure. 

Essential Duties

• Patient Care: Assist patients with activities of daily living (ADLs) such as bathing, dressing, grooming, feeding, intake/output, and toileting. Answer call lights promptly, and relay patient concerns to the nursing team.
• Vital Signs: Monitor and record vital signs, including temperature, blood pressure, pulse, and respiration rates, oxygen saturation, weights, and blood sugars as needed and report any abnormalities to the nursing staff.
• Mobility Assistance: Assist patients with mobility, including turning, positioning, and transferring from bed to wheelchair or stretcher, using proper body mechanics and safety techniques.
• Specimen Collection: Collect specimens for laboratory testing as directed by nursing staff. 
• Patient Safety: Observe and report any changes in patients conditions to the nursing staff. Ensure the safety and comfort of patients by following established protocols. Utilize restraints and assistive devices appropriately. Assist with emergency codes as needed.
• Documentation: Document patient care activities and observations in the electronic health record (EHR) system in a timely and accurate manner.
• Infection Control: Adhere to infection control procedures, including hand hygiene, proper use of personal protective equipment (PPE), and environmental cleaning.
• Equipment Handling: Assist with the setup, operation, management, and cleaning of medical equipment as directed by the nursing staff.
• Patient Experience: Engage with patients and their families in a manner that promotes comfort, trust, and understanding. Address patient concerns with empathy and professionalism, striving to create a positive and supportive environment that fosters a sense of security and well-being.

Required Licensure/Education

• CNA, CMA, or EMT-B 
• Current BLS Certification

Employee Health Requirements

Exposure to:

• Chemicals: Refer to MSDS manual 
• Video Display Terminals: Average 
• Blood and Body Fluids: Depends on patients' diagnosis, exposure to urine, blood, stool, vomitus, AIDS, and herpes. 
• TB or Airborne Pathogens: High risk - sputum, secretions, cough

Sensory requirements (speech, vision, smell, hearing, touch):

• Speech: Ability to communicate clearly and accurately with patient, physicians, families, coworkers, ancillary personnel, and other department heads. Ability to ask for help. 
• Vision: Required to observe patients and to read equipment and dials. 
• Smell: Ability to smell smoke, incontinent urine/stool and blood. 
• Hearing: Necessary to hear alarms, calls for help, ability to hear patients' verbalizations. 
• Touch: Contact with patients, need to distinguish between hot and cold.

Activity/Lifting Requirements:

Percentage of time during the normal workday the employee is required to:

• Sit: 5%
• Twist: 5%
• Stand: 25%
• Crawl: 0%
• Walk: 45%
• Kneel: 2%
• Lift: 11%
• Drive: 0%
• Squat: 2%
• Climb: 1% Bend: 5%
• Reach above shoulders: 1%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Frequent
• Up to 20 lbs: Frequently
• Up to 35 lbs: Frequently
• Up to 60 lbs: Occasionally
• Up to 75 lbs: Not Required
• Up to 100 lbs: Not Required
• Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): Lifting of patients off their beds that are unable to move independently is done with assistive lifting equipment. Horizontal movement of patients to and from carts/beds who are unable to move independently is done with assistive lifting equipment. Lifting equipment - carry 25'- 150' waist high (IV bags, patient trays). Carry charts 25'-150' waist high. Filled laundry bags are filled half full so as not to weigh over 35 lbs. Carry fire extinguishers up or down 3-4 flights of stairs and several yards in an emergency.

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 30
• Twist: 15
• Stand: 60
• Crawl: 0
• Walk: 15
• Kneel: 1
• Lift: 5
• Drive: 0
• Squat: 5
• Climb: 1
• Bend: 15
• Reach above shoulders: 5

Repetitive use of hands (Frequency indicated): 

• Simple grasp 15 lbs frequently 
• Pushing & pulling 50-200 lbs occasionally 
• Fine Manipulation: Keyboarding, using pens to document, obtaining vital signs, use of calculators, staplers, scissors, computer.

Repetitive use of foot or feet in operating machine control: N/A

Environmental Factors & Special Hazards

Environmental Factors (Time Spent):

• Inside hours: 6-12
• Outside hours: 0.5
• Temperature: Normal Range
• Lighting: Average
• Noise levels: Average
• Humidity: Normal Range, dry
• Atmosphere: odor 

Special Hazards: Radiation, Chemical, Explosive - Chemical-work with patients receiving chemotherapy. Explosive - oxygen. Radiation - cesium implants and radioactive iodine therapy. 

Protective Clothing Required: Latex gloves, disposable gowns, masks, HEPA masks for TB.