The full performance, Emergency Department (ED) Intermediate Care Technician (ICT) is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advanced technician for the ED for patients who are present for treatment. Major duties includes, but are not limited to the following: Patient Screening: Duties include performing observation-based screening and collecting patient information in collaboration with licensed personnel. This may involve obtaining patient health history for chief complaints, medication history, and information about health-related or high-risk conditions that may impact the patient's health status. The incumbent will complete approved templates and tools, for example the MiniCog screening established by the agency. Mental Health Services: The incumbent assists in behavioral/psychiatric situations in an emergency setting. This can include assisting licensed personnel with crisis intervention, assists with the management of aggressive or suicidal psychiatric patients, by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB). The incumbent performs duties focused on communication techniques required to complete the questioners and templates approved for use in the ED, including active listening, restating, and mirroring. The incumbent will maintain a safe and therapeutic environment for the patient while promoting a sense of worth and dignity under the supervision of the licensed personnel. Clinical Tasks: The incumbent assists ED licensed personnel with the delivery of care to patients with complex, specialized, and potentially life-threatening situations. This may include setting up equipment and passing instruments in the event of: cardioversions, insertion of thoracostomy tubes, or initiation of mechanical ventilation to restore normal physiological function or prevent deterioration of patient's condition. The incumbent must possess the knowledge to recognize life threatening situations and act to correct these emergent situations according to established national or local protocols. The incumbent initiates cardiopulmonary resuscitation (BLS) and use of automatic external defibrillator (AED) once trained and certified and where appropriate according to American Heart Association (AHA) protocols and policies. Assists with airway management using bag-valve-mask (BVM), oral airway or nasal airway. May use pulse oximetry, capnometry, capnography, and/or other secondary confirmation methods to ensure correct placement of an emergency advanced airway. Operates specialized medical equipment such as defibrillators, electrocardiographs, and oxygen apparatus in accordance with applicable training and standards. Observes patient status and keeps licensed personnel informed of any change in condition. The incumbent provides support, relief, and coverage as needed to central station telemetry. The incumbent documents in the telemetry record and reports all observed electrocardiographic (ECG) changes in the patient's condition to the licensed staff. Incumbent performs measurements of PR, QRS, QT, RR, and QTC intervals, interprets rhythm, and prints rhythm strip every 8 hours or as required for events and informs appropriate staff. Incumbent recognizes lethal rhythms/arrhythmias (i.e. ventricular fibrillation and asystole) and immediately notifies appropriate staff. Incumbent admits, discharges, and assigns telemetry equipment to patients in central monitoring automated system. Work Schedule: Sunday to Saturday / All shifts Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position Relocation & Travel Incentives: Not Authorized Recruitment Incentives: Not Authorized Position Description Title/PD#: Intermediate Care Technician - ED/PDS0031A Financial Disclosure Report: Not required Permanent Change of Station (PCS): Not Authorized
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.