Monitor Tech - TCC - 12 hrs/week - Night Shift (7:00 PM - 7:30 AM)



SUPERVISOR'S TITLE: Clinical Director, Manager




PURPOSE OF POSITION: To monitor physiologic waveforms, video streaming, and other advanced technologies in order to enhance patient safety on in-patient pediatric units. To serve as a communication conduit for members of the multidisciplinary team in responding to emergency situations. To assist the professional staff with one or multiple patients as assigned in the delivery of direct and indirect patient care activities for the division of Patient Services of a Medical Center dedicated to the care of infants, children, and adolescents.

·Monitor Observation:
Continuously observes and accurately recognizes actionable conditions on the cardio-respiratory and video monitors. Reliably detects changes from patient baseline (cardio-respiratory) and observational changes of actual patient (via video) and reports the changes to caregiver. Systematically scans and interprets screens. Utilizes appropriate algorithm in response to monitor interpretation. Distinguishes artifact from valid waveforms. Is able to differentiate life threatening changes. Ensures timely caregiver response to alarm situations. Validates/documents appropriateness of alarm settings, according to age specifications or order with RN caregiver each shift. Participates in daily high level review with clinical staff Maintains on-going documentation of monitor pattern during MRT/code situations. Monitors sound levels and intervenes real time to promote healing environment. Runs/analyzes decibel reports. Works collaboratively with other members of the healthcare team to reduce noise levels. Orchestrates home video connections for families per guidelines. Gives thorough report to covering individuals.
·Customer Service:
Demonstrates the Cincinnati Children's Hospital Medical Center (CCHMC) CARES behaviors in all interactions with patients, families, visitors and co-workers by actively participating as a front-line example of extraordinary customer service and satisfaction; and interacts with parents/guardians to obtain non-clinical information as requested.
Promptly and effectively communicates significant cardiopulmonary events or impending safety risks to RN/RT. Keeps audio station open during emergency situations and responds to requests. Seeks counsel from clinical staff if alarm parameters need to be altered. Gives report to covering individuals. Report present status or changes in patient condition on an ongoing basis and in change of shift summary. Document information appropriately in patient medical record.Utilizes SBAR communication technique when interacting with caregivers in regards to alarm status and/or patient status. Properly responds to phone calls, nurse call system, internal and external customers, and calls placed on hold; and when necessary, takes a clear and concise message that is relayed in a timely manner.
Adhere to safety procedures appropriate to children's ages and developmental levels. Reports malfunctioning equipment and other environmental hazards immediately. Establishes and follows up on information systems and broken equipment issues. Keep Clinical Engineering aware of all monitor equipment malfunctions. Maintain adequate stock and storage of supplies and equipment and anticipate change in needs based on census. Ensures that work areas are organized and present a safe, accessible, effective and efficient environment for employees, patients and families. Reports maintenance (wiping down monitors, troubleshooting printer issues, logging off information, etc.) Attend required Cincinnati Children's training sessions, including but not limited to radiation safety, laboratory safety, blood borne pathogens and OSHA. Demonstrates knowledge of a compliance with infection control policies and procedures.
·Administrative Support:
Responds to communication system/patient alarms and executes with a sense of urgency. Answer the telephone. Assemble charts. Stock clerical supplies.
·Learning and Development:
Participate in staff meetings as assigned. Attend required inservices. Participate in unit and Cincinnati Children's activities and committees. Seek information and guidance when needed.
Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share best practices in safety. Ensures and reviews timeliness, accuracy, availability and security of information (i.e. HIPAA, Informed Consent, Advanced Directive for patients 18 or older) as defined by CCHMC's mission, applicable laws, and regulations.Has in-depth knowledge of HIPAA standards and fosters application to clinical practice
·Patient Care:
Provide input into the plan of patient's care, anticipate needs, and assist in implementation of the plan of care. Perform patient care interventions as designated by department and/or appropriately delegated by licensed personnel. Supervise developmentally appropriate activities. Consistently integrates age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning. Use crisis control techniques and assist in de-escalation of visitors. Assist with patient transport as needed
·Fiscal Responsibility:
Demonstrates fiscal responsibility and accountability with respect to patient charges and Cincinnati Children's charge capture. Performs duties related to charging and reconciling charges as assigned.
·Regulatory Standards:
Comply with policies and procedures protecting patient rights for informed consent and the handling of confidential information as defined by Cincinnati Children's mission and applicable laws and regulations. Respect confidentiality of patients, families, and employees. Provide for the exchange of appropriate patient care information regarding patients.

Skills & Competencies
·Service Orientation:
Demonstrating concern for customer needs and issues; patiently tolerating rudeness and anger and responding with tact and empathy; showing persistent enthusiasm during customer interactions
Recognizing when sufficient information has been obtained to make a decision: evaluating available alternatives and using sound thought processes and relevant experience to make the optimal choice in a timely manner; making difficult decisions even in highly ambiguous situations
·Diversity Appreciation:
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself
·Physical Stamina- LIGHT:
Physical stamina sufficient to perform frequent bending, light or moderate lifting and extensive standing or walking
·Independence and Teamwork:
Ability to work both independently and in a team environment
·Communication - ADVANCED:
Excellent verbal, written and/or interpersonal communication skills

·High School Graduate
·Listing on the State of OH State Tested Nurse's Aide (STNA) registry OR RN Student Nurse in good standing from a Nat'l League of Nurses (NLN) accredited program with completion of one medical-surgical clinical rotation OR is an or has been and EMT or Paramedic
·Completion of required Cincinnati Children's orientation AND Requires training in cardio-pulmonary resuscitation (CPR) and maintenance of certification
·Completion of the CCHMC provided Monitor Tech Class AND a passing score on written exam and competency demonstration.

·Related hospital experience
·Basic EKG interpretation skills