Under the direction and supervision of the

physician and in accordance with the authorized scope of practice for the

level, assists in the delivery of patient care. Works collaboratively with the

health care team including nursing staff and other health care providers to

meet the physical, psychosocial, educational and spiritual needs of the patient

and family.

Essential Job Functions

• 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. Works collaboratively within the ED

patient care team

• 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

• Visual acuity’s

• 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. Identifies and anticipates problems and safety issues and

initiates appropriate action

• 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.

~it is the employees responsibility to document all cares (i.e. IVs,

ambulation, vitals, etc) and patient contact they perform. As well as checking

organizational email.

• 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 Competency in:

• Performing basic phlebotomy procedures to

include a variety of draw sites, specimen preparation

• EKGs.

• Wound care/dressings.

• Splinting.

• Vital signs

• Patient safety search

• Understanding and compliance of 1:1 policy

• May be cross-trained

to Unit Clerk job role

Knowledge, Skills and Abilities

• General knowledge of Billings Clinic policy

and procedures, both departmental and organizational

• Regulatory standards and requirements

• Billings Clinic Corporate Compliance

• Billings Clinic Code of Business Conduct

• Customer service techniques and Personal Service Excellence (PSE) skills

• Patient

care treatment, planning and assessment within scope of practice

• Interpersonal (PSE)skills necessary in order

to interact with patients, families, and physicians

• Demonstrates empathy and sensitivity necessary to elicit patient’s

cooperation and allay apprehensions

• Phlebotomy techniques and utilization of vacutainer and other phlebotomy

equipment

• Performing EKG’s

• Performing basic patient care and treatments within scope of

certification/license

• Performing a safety search

• Performing computerized documentation according to unit guidelines.

• Critical thinking

• Patient

Care II (with EMT or CMA) & III

• IV techniques

• I/O insertion

• Incorporate population specific needs into all

aspects of patient care and communications; scope of services will encompass

age groups ranging from infant through geriatric

• Utilize

time management concepts or maximize time effectively

• Communicate clearly and effectively both verbally and in writing

• Utilize

critical thinking skills

• Respond

calmly and professionally in difficult situations and when dealing with difficult

patients and/or family members

• Lift a

minimum of 50 pounds

• Professional

conduct when dealing with co-workers, patients, and visitors. Resourcefulness

in dealing with simple to moderate complexity requires ability to prioritize

duties with assistance of nursing personnel.

• Practices within the scope and level of certification/licensure

Minimum Qualifications

Education

• High school graduate or equivalent

• Medical training as a Certified Nursing

Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic

Experience

• Six-(6) months work experience as a CNA/EMT or

other health related field performing patient care in a health care facility,

preferably an acute care hospital, and/or pre-hospital setting. (Or)

• Formal college coursework relating to health

field or combination of education and experience.

Certifications and Licenses • Current

Montana license as Certified Nurse Assistant and/or EMT certification (or)

• College

training in a health-related field.

• CPR

Certification BLS for infant, child and adult upon hire (ACLS for Level III)

• Must

successfully pass Billings Clinic phlebotomy training upon of hire.

Other Qualifications

• Six-(6) months work experience as a CNA/EMT or

other health related field performing patient care in a health care facility,

preferably an acute care hospital, and/or pre-hospital setting. (Or)

• Formal college coursework relating to health

field or combination of education and experience. Required to