Description
The Emergency Department Technician (EDT) performs duties to enhance patient experience while maintaining patient comfort and a safe patient environment. Some of these duties are beyond the scope of practice of a traditional PCA. The additional training an EDT receives allows them to perform skills and functions necessary for patient care in a critical care, emergency setting. All direct patient care is still provided under the supervision of and is delegated by the Registered Nurse according to the guidelines as set out by the Ohio Board of Nursing. All care is provided based on the concepts inherent in the model of care for TCH which promotes an ongoing partnership between patients and families and the team of healthcare providers.  The care is culturally based and age-specific.  
Requisition Type
Clinical Care
Job Shift
Day
Responsibilities
Clinical
Performs aspects of clinical care as assigned and instructed by the RN per Ohio Board of Nursing guidelines for delegation.
1.Demonstrates knowledge of tests, procedures, treatments, and any potential complications.
2.Performs skills only after demonstrating competency as documented on the Clinical Performance Record (CPR). 
3.Performs tasks delegated by RN as follows (including but not limited to):
Vital Signs (temperature, pulse, respiration, & blood pressure)
Pulse oximetry (where applicable)
Capnography (where applicable)                      
Measures and records patient intake and output
Documents Carbohydrate Count with each meal             
Makes observations as instructed by RN, reporting deviations. 
Collects specimens as directed by RN
Ensures appropriate processing of specimens
Weighs Patients 
Applies hot/cold compresses, ace bandages, non-sterile dressings
Performs custom orthoglass and plaster splinting 
Removes plaster casts
Performs finger sticks for blood glucose levels
Provides tube/catheter care 
Performs IVs insertion
Performs phlebotomy 
Performs foley placement 
Performs wound care
Performs Medtronic and Boston Scientific interrogation 
Performs crutch walking education 
Performs walker teaching
Assembly of crutches
Assists physician with procedures under guidance of clinician
Provides post mortem care
Reapplies and removes oxygen mask/cannula
Turns, cough, and deep breathe
Provides incentive spirometry
Assists with ambulation
Performs range of motion
Applies over-bed trapeze and over-bed frame
Performs EKGs (where applicable).
Performs iStat, Biosite, Clinitek, and Hemoccult testing as ordered 
Assist in psychiatric care 
Maintains CPI training
Performs suicide check
Assist with Code Blue response
Code Violet responder
Maintains Ebola/Emerging path
Maintains BLS certification 
Transports patients between departments for necessary testing
Transports patients to Labor & Delivery
Assists with delivery of infants
Performs orthostatic vital signs
Operates ring cutter to perform ring removal as directed 
Understands and performs tasks specific to different areas of ED (Triage, Express, Pods) 
4. Documents according to policy
5. Provides support with unit clerical functions as needed
Comfort: Provides comfort and personal hygiene for patients, documenting according to policy
1. As directed by RN, provides assistance with clothing and hygiene needs:
- Helps patients change out of street clothes into hospital gown
- When necessary removes clothing and belongings from room, with items labelled with patient identifiers
- helps patients with necessary hygiene needs
- elimination needs
- perineal care
- skin care (reporting any noted reddened areas to RN)
2. Positions, repositions and/or ambulates patient according to clinician’ instructions and/or physician orders. Also helps patients into stretcher or chair for examination and comfort.
3. Nutritional needs:
- Assists with menu selection and tray as needed.
- Assists in feeding patients, as needed
- Provides snacks at ordered times and fluids as instructed
Environment and Safety:
Provides and promotes individual patient and unit safety
Ensures beds and side rails are in appropriate position and locked at all times and that all necessary articles, including call light, are within reach. 
Maintains safe patient handling guidelines according to policy 1.01.160           
Applies safety devices and documents in medical record.
Assures necessary equipment is available.
Demonstrates safe handling of medical gases.
Answers call and bathroom lights promptly.
Performs purposeful patient rounding a minimum of every 2 hours (or fifteen minutes when applicable). 
Maintains organization of patient rooms and unit. Identifies and addresses
potential fall hazards.
Removes any unused equipment from patient rooms
Implements and adheres to infection control policies 
Safety hazards are promptly corrected &/or reported to the appropriate   
Person.
Maintains and demonstrates awareness and knowledge of all fire safety
Equipment.
Maintains understanding of emergency reporting protocol
Responds to unit emergencies, reporting to the charge nurse.
If applicable, provides continuous observation and surveillance of assigned
patients using AvaSys software (see addendum)
Ensures rooms are ready for the next patient by cleaning all surfaces, removing                     trash, and ensuring all equipment is in working order.  
Leadership & Accountability: Demonstrates leadership skills such as the ability to motivate, educate and mentor peers while effectively providing care for patients and family members. 
Serves as a positive role model
2 Responds to scheduling responsibilities with timeliness
Participates in 75% of staff meetings.
Participates in unit based activities/initiatives for performance improvement.
Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care.
Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital.   
Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis.
Complies with organization and department policies and required training.    
Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies. Submits required tests and paperwork in a timely manner.
Follows Time and Attendance Policy 
Trains new employees in both ExCELS core values, and skills necessary to perform in the department. 
Communication
Orients patient & family to the hospital environment & services provided, facilitates communication throughout the entire hospitalization process as follows:
Ensures patient is comfortable and oriented to surroundings. Provides 
explanations of: call signal, visitors lounge, visitor policy, Dine on Demand,
cafeteria and gift shop location and hours of operation, no smoking policy
and Patient Education Video Services. 
Facilitates and maintains communication among all team members of
pertinent patient information and patient care needs.
Ensures appropriate patient care signage is posted as needed.  
Demonstrates appropriate communication skills during death & 
dying process.
Helps patients and family members understand reasonable expectations and                             realities of the ER. 
Age Specific Competency
Demonstrates ongoing competency in clinical performance for age-
related care
Qualifications
KNOWLEDGE AND SKILLS: 
In the sections below, please state minimum education/training (degrees, certifications, and licenses) necessary to enter the job. Provide the minimum job-related, and industry experience necessary to enter the job. Be specific about what qualifications/skills are required to handle the responsibilities of the job.
EDUCATION: High School Graduate/ Diploma or GED equivalent  
YEARS OF EXPERIENCE:  3 or more years of experience as a PCA, MA, EMT, or equivalent role, as decided by Emergency Department management, that must involve direct patient contact in a hospital acute care setting or first responder setting. Or a nursing student who has successfully completed one medical-surgical rotation or another acute care experience. 
REQUIRED SKILLS AND KNOWLEDGE: The EDT demonstrates the knowledge, abilities and skills to provide age and culturally specific patient care and education.  The EDT effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality.  The EDT maintains competence and demonstrates evidence of continuing professional growth.  The EDT demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. Basic computer skills and clinical documentation is preferred.
LICENSES REGISTRATIONS &/or CERTIFICATIONS :
Certification in AHA Basic Life Support for Health Care Providers before patient contact
Certification in Crisis Prevention Institute (CPI) -Nonviolent crisis intervention