Job Details

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment RequirementsAll new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Patient Care Technician II (0.9)
EMERGENCY DEPT SERVICES (Billings Clinic Main Campus)
req10018

Shift: Day, Evenings, Nights, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 0.90 = 72 hours every two weeks (Non-Exempt)
Starting Wage DOE: $17.00 - 21.25

Under the direction and supervision of thephysician and in accordance with the authorized scope of practice for thelevel, assists in the delivery of patient care. Works collaboratively with thehealth care team including nursing staff and other health care providers tomeet the physical, psychosocial, educational and spiritual needs of the patientand family.

Essential Job Functions
•Supports and models behaviors consistent withthe mission, vision, values and philosophy of Billings Clinic and the EmergencyDepartment. 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 tonext available triage room, if Chief complaint is emergent will immediatelynotify Triage Nurse. Obtains and/or records vital signs, including height andweight and places on white board for RN charts and documents in patients recordaccording to documentation guidelines. Collects laboratory specimens as needed.Performs Point of Care (POC) laboratory testing (glucometer) as listed in thejob description.
•Performs basic patient care, treatments, and documentation approved bythe Physician or delegated by RN.
•Assists patient's activities during ED care, such as showers, ambulating andturning, crutches, walkers, wheelchair or stretchers, transfers and assistswith patient transports within the ED & facility.
•Obtains and records vital signs includingblood pressure, pulse, respiration, temperature, and pulse oximetry usingmanual & 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 withfeedings; output from bodily functions/specified drainage devices and collectsspecimens as directed by the physician. Works collaboratively within the EDpatient care team
•Reports changes in patient condition, patientneeds, and patient/visitor problems to the ED Physician AND Primary Nurse/or EDCharge Nurse.
•Documents all care provided utilizingappropriate 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 patientson cardiac monitors.
•Assists in preparing patient for MD exam,Patients need to be changed into a gown for assessment (i.e., assisting patientto undress, providing warm blankets, ice, extremity elevations, etc.)
•Assists Diagnostic Imaging Tech with X-rayprocedures as needed, as well as assisting in transfer of patients to CT or US.
•Assists in the safety search of designatedpatient(s) as needed. (Following safety search policy)
•Institutes seizure precautions whenapplicable
•Assists MD/RN with gastric lavage as directed(ED only).
•Assists ED physician/RN as needed with taskssuch as providing supplies and equipment.
•Responds to patient call lights and reportspatient requests to MD/RN caring for patient.
•Completes documentation following patientdisposition, i.e. admission and discharge and transfer.
•Sets up initial IV fluid bag includingpriming tubing adhering to aseptic technique at the specific request of theMD/RN
•Establishes peripheral IV line upon MD'srequest. Applicable to PCT II (with EMT) & III only. Discontinuesperipheral IV lines upon MD request per education requirements Applicable toPCT II (with EMT) & III.
•May establish ultrasound IV's after class/competencycompletion (level II (with EMT) & Level III only.)
•If trained/competent in I/O may insert underrequest/supervision of ED physician. (level II (with EMT) & Level IIIonly.)
•Maintains clean patient environment by assisting in the cleaning andmaintenance of the waiting room, patient rooms and the ED unit. Performs linenchanges for occupied beds while maintaining proper patient body alignment andcomfort.
•Knowledge and competence in all equipmentcleaning
•Utilizes appropriate personal protectiveequipment
•Is versed in aseptic and sterile technique
•Visual acuity's
•Performs phlebotomy procedures per established ED and laboratoryguidelines for collection and processing of specimens.
•Appliesand removes restraints according to Billings Clinic policy.
•Assistswith ambulance/helicopter/flight transfers into the ED. Is knowledgeable inadmission, transfer and discharge of patient (including equipment)intra-facility and EMTALA/HIPPA regulations.
•Understands system for disaster callbacks of ED staff andEmergency/Kardex notebook. Identifies and anticipates problems and safetyissues and initiates appropriate action. Maintains a safe, clean, and orderlyenvironment for patient and visitors. Maintains competency in allorganizational, departmental, and outside agency safety standards relevant tojob performance. Identifies and anticipates problems and safety issues andinitiates appropriate action
•Haswell developed computer skills with ability to document in The FirstNet CERNERprogram. 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 checkingorganizational email.
•Utilizes performance improvement principles to assess and improve thequality of patient care.
•Takesresponsibility for identifying own development needs; meets all system anddepartmental educational requirements. Attends required meetings andparticipates in committees as requested. Maintains competency in allorganizational, departmental and outside agency environmental, employee orpatient safety standards relevant to job performance.
•Refersmore difficult problems to the MD, RN, , PCT II and/or III
•Activeparticipant in keeping a safe work environment.
•Able toperform all basic CNA and/or/EMT patient care requirements Competency in:
•Performing basic phlebotomy procedures toinclude 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-trainedto Unit Clerk job role

Knowledge, Skills and Abilities
•General knowledge of Billings Clinic policyand 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
•Patientcare treatment, planning and assessment within scope of practice
•Interpersonal (PSE)skills necessary in orderto interact with patients, families, and physicians
•Demonstrates empathy and sensitivity necessary to elicit patient'scooperation and allay apprehensions
•Phlebotomy techniques and utilization of vacutainer and other phlebotomyequipment
•Performing EKG's
•Performing basic patient care and treatments within scope ofcertification/license
•Performing a safety search
•Performing computerized documentation according to unit guidelines.
•Critical thinking
•PatientCare II (with EMT or CMA) & III
•IV techniques
•I/O insertion
•Incorporate population specific needs into allaspects of patient care and communications; scope of services will encompassage groups ranging from infant through geriatric
•Utilizetime management concepts or maximize time effectively
•Communicate clearly and effectively both verbally and in writing
•Utilizecritical thinking skills
•Respondcalmly and professionally in difficult situations and when dealing with difficultpatients and/or family members
•Lift aminimum of 50 pounds
•Professionalconduct when dealing with co-workers, patients, and visitors. Resourcefulnessin dealing with simple to moderate complexity requires ability to prioritizeduties 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 NursingAssistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic

Experience
•Six-(6) months work experience as a CNA/EMT orother 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 healthfield or combination of education and experience.
•One (1) year work experience as an EMT/PCT with IV endorsement/AEMT or Medical Assistant performing patient care in a health care facility, preferably an acute care hospital and/or pre-hospital setting. Required to develop proficiency in EMT/AEMT/MA procedures and processes encompassing all age groups. (Level II)
•Or CNA w/ one (1) or more years' experience in the ED that has completed leveling program to obtain level II

Certifications and Licenses
•CurrentMontana license as Certified Nurse Assistant and/or EMT certification or collegetraining in a health-related field.
•EMT certification with IV endorsement (Level II)
•CPRCertification BLS for infant, child and adult upon hire (ACLS for Level III)
•Mustsuccessfully pass Billings Clinic phlebotomy training upon of hire.

Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.