The invasive Cardiovascular Technologist II acts as a critical member of the patient care team within the department, collaborates fully with the other care team members in assuring continuity of care for their patients. The invasive Cardiovascular Technologist II promotes a philosophy of patient/family-focused care in all interactions with patients, families, and hospital personnel and focus on understanding and meeting customer needs.
Conducts equipment system warm-up and quality assurance procedures to established guidelines to ensure safe and effective equipment operation.
Assembles, calibrates and verifies the operation of hemodynamic and physiologic monitoring equipment. Adheres to JCAHO compliance regarding quality control of point-of-care testing. Troubleshoots equipment problems when needed. Notifies technical quality specialist of equipment malfunctions and repairs needed.
Conducts Universal Protocol, correctly identifying the patient and procedure by interviewing said patient and checking against requisition and patient ID band prior to the start of procedure. Orients the patient to the procedure room. Explains the exam to the patient, taking into consideration physical and emotional needs, and maintaining ethical standards (patient confidentiality and professional conduct.) at all times.
Maintains aseptic conditions conducting sterile preparation of patients for procedures. Adheres to Safety/Infection Control guidelines and standards while setting up sterile fields and working in the procedure area.
Properly positions, supports, and immobilizes patients to obtain desired cineangiograms and decrease patients' discomfort. Adheres to Radiation Safety protocols set forth by the Massachusetts General Hospital Radiation Safety Officer. Places and positions protective lead shielding and adjusts collimators to protect unaffected parts of the body from ionizing radiation exposure and to optimize angiographic results. Under direct supervision of the attending physician steers procedure table and fluoroscopic c-arm.
Monitors and records electrocardiogram and hemodynamics as indicated by procedure protocol. Collects and analyzes patient specimens/tests for hemodynamic calculations and measurements. Independently performs intracardiac shunt and valve area calculations from data. Remains current on developments and trends in procedures, equipment, and physiologic cardiac monitoring.
Scrubs in as an additional operator to assist the primary physician including catheter/wire management, administration of contrast, and assisting the physician to expedite the case and improve the quality of care.
Under the supervision of the attending physician, enters demographic data from hospital record, edits hemodynamic information, and documents lesion location, event sequence, use of equipment and completion of cath report.
Maintains BLS and ACLS certification. Maintains knowledge of the location and use of the emergency equipment and the procedure necessary to alert the code team.
Maintains knowledge of related topics including, but not limited to: radiation safety, universal precaution, disposal of contaminated material, proper handling of requisitions (both before and after procedure), interpersonal skills, communications, and dealing with difficult situations. Participates in departmental education programs. Participates in research programs, quality assurance, and quality improvement projects within the department.
Consistent demonstrated competency in equipment use including but not limited to: biomedical hemodynamic and physiologic monitoring systems, coronary and peripheral angiography, angioplasty and stenting, intravascular ultrasound, intracardiac echocardiography, doppler measurement, fractional flow reserve measurement, rotoblator, directional debulking, and laser atherectomy, cryoplasty, thrombectomy, intracardiac biopsy, direct gas exchange oxygen consumption measurement, percutaneous valvuloplasty, patent foramen ovale, patent ductus arteriosus, and atrial septal defect closure, intra-aortic balloon pump, left ventricular assistive devices, coil embolization, and neurological cooling.
Maintains inventory control, documenting product use and contributing to the implementation of the electronic inventory control system.
Actively supports Mission, Vision and Values, and departmental initiatives by becoming actively involved in projects. Assists in the organization of new employee orientation, preceptorship of new Technologists and mentorship of new students. Remains up to date on the latest developments and trends. Annually attends two medical, technology, and cardiovascular seminars.
Assumes responsibility for on-call coverage, and remains flexible in all shift coverage and overtime as necessary.
Assists staff in the post catheterization management of patients.
Satisfactorily meets work performance expectations regarding number of cases performed.
Possesses a global awareness of the daily schedule for both the individual as well as the entire staff.
Performs all other duties as assigned.
1. Educated and certified in one of the following ways:
a. Graduated with a Bachelor of Science degree from an accredited school of Cardiovascular Technology or related field
b. Graduated with an Associates Degree from an accredited School of Cardiovascular Technology
c. Graduated with an Associates Degree from an accredited schoolof Radiologic Technology certified by the ARRT, andpossess a valid license to practice as a radiologic technologist in the state of Massachusetts.
2. Completion of BLS and ACLS certification within 3 monthsof employment preferred; within 6 months required.
3. Minimum three years ofcatheterization lab experience required.
5. No documented corrective action over the last year ofemployment.
6. Experience with precepting new employee(s) on at leastone occasion.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.