Completion of a basic EKG course at St. Lukes Hospital, or
equivalent, in writing, of having passed a recent dysrhythmia
interpretation course at another institution.
Under the direct supervision of a
Registered Nurse, performs the function of Cardiac
Monitor Observer. This includes: observing a designated
group of patients on cardiac monitors during a designated time
frame, identifying and interpreting cardiac rhythms and
dysrhythmias, documenting this activity and communicating
these observations to the Charge Nurse or Registered Nurse and/or
Physician responsible for the care of the patient. Is
responsible for adhering to all established Nursing Standards and
Hospital Policies and for promoting teamwork with all members
of the healthcare team. Performs duties and responsibilities in a
manner consistent with our mission and values.
% of Time Spent
1. Responsible for knowledge
and actions in the care and
making for a
designated patient population. This is evidenced
A. Operating and understanding
the cardiac monitoring system.
B. Detecting and accurately
interpreting cardiac rhythms and dysrhythmias.
Annual Competency Required.
C. Evaluating and Interpreting
Patients’ rhythm within HP system and documenting per Telemetry
D. Communicating immediately
to appropriate nurse and/or Charge Nurse whenever a change in the
patient’s cardiac rhythm is indicated.
E. Communicating telemetry
information over past 24 hours upon physician or nurse request.
F. Evaluating all “alarm”
G. Evaluating the cause of constant
alarming; trouble shoots if appropriate.
H. Assuming responsibility for
notifying patient’s nurse if patient remains off the monitor.
location of patient while off monitor.
J. Checking memory bank
at least every shift.
2. Organizes workload, sets
priorities and uses time effectively in monitor-related
A. focuses all attention to
the monitor and monitoring system.
B. remains at monitor banks
unless relieved by another person capable of interpreting cardiac
C. reviews all alarm and
suspend modes prior to giving/receiving report and periodically
D. receives report at central
station in order to correlate visual and verbal data.
E. completes assigned work by
end of shift.
F. establishes priorities in
response to a changing workload.
3. Identifies crisis and/or
“stat” situations and takes appropriate action
4. Documents in the HP system
in a timely, accurate and concise
5. Actively participates in
the attainment of divisional goals and objectives and assist
the orientation of new and/or less
experienced members of the nursing staff assigned
6. Responsible for
self-directed learning and development by participating actively
continuing education activities.
7. Responsible for maintaining
a safe, clean, orderly environment for patients /self
standards for safety, infection control and universal precautions
A. adheres to hospital policy
on the handling and disposal of hazardous
and infectious waste.
B. recognizes safety hazards
and acts to protect patient/self, i.e. Standards for Electrical
Safety, Equipment Maintenance, etc.
C. uses all equipment and
supplies with all skill and demonstrates knowledge of its
operation. When functioning as the Monitor Observer this
maintaining all monitor alarms in the “on”, position.
notifying Charge Nurse immediately of any malfunctioning/missing
maintaining monitor station supplies.
D. adheres to the concepts of
infection control by complying with standards
E. appropriately uses Quantros
F. adheres to all
Hospital/Department/Unit standards for:
1. fire report/drills.
2. disaster reporting/drills.
tornado protective measures.
G. Cleans patient telemetry monitor
box between each patients
use, using cleaning techniques outlined in
the operator’s manual.
8. Performs other
work duties as
graduate or GED.
Completion of a
basic EKG course at St. Luke’s Hospital, or equivalent, in writing,
of having passed a recent dysrhythmia interpretation course at
1. Demonstrates familiarity
with medical terminology.
2. Pursues programs of
continuing education, updates and maintains knowledge and skills
related to area of practice.
COMPETENCY WILL BE VALIDATED AT LEAST ONCE
EVERY THREE YEARS. STANDARDS DENOTING AN ANNUAL OR MORE
FREQUENT COMPETENCY VALIDATION ARE LOCATED IN THE SCOPE OF
PRACTICE. COMPLETION OF HOSPITAL SAFETY PROGRAMS ARE REQUIRED
Employee is required to sit continuously
and walk occasionally. Employee must lift/carry a light (1-20
lbs.) and medium (21-50 lbs.) load occasionally. Employee is
occasionally required to bend, squat, crawl, kneel, climb, lift
waist to overhead. Employee is frequently required to
reach forward and overhead. For repetitive action, employee
is required to use both hands for simple grasping and
pushing/pulling. Employee is occasionally exposed to
electrical hazards and CRT terminal work. Verbal and
cognitive, as well as motor coordination and manual dexterity are
required. Speech, hearing and near-visual acuity are required
. May be needed to work any shift due to 24-hour day, as
required, 7 days per week operation. Employee is occasionally
exposed to blood borne pathogens.
Frequently: 34-66%, Continuously: 67-100%)
The most significant of duties are included
but this does not exclude occasional work assignments not
mentioned or developmental duties.
Job Relationships: Member
of a comprehensive healthcare team, including other health care
providers, the patient, the patients family and significant
Takes direction from: Head Nurse,
Associate Head Nurse, RN, and LPN
Faithful to our Episcopal-Presbyterian
heritage and its ministry of healing, St. Luke’s is dedicated to
improving the health of the communities we serve.
Using talents and resources responsibly, we
provide high quality, safe care with compassion, professional
excellence and respect for each other and those we serve.
As an independent healthcare network, we
create healthy communities in the region through our commitment to
high quality, safe and personalized services.
We accept and treat all persons
as being created in the image of God.
We respond with caring to the
needs of others as if they were members of our family.
We honor each person’s rights
and responsibilities in light of the common good.
We set and strive to attain high
standards of performance and continuous improvement.
We use our talents and resources
wisely, with honesty and integrity.
FACES - Friendly - Available -
Caring - Efficient - Safe Communication Standards: Promotes and
provides courteous and effective communication with internal and