SECTION I. JOB DESCRIPTION
TITLE: Exercise Physiologist HR ID# 01-7031-508
Cardiology
DEPARTMENT: Cardiology REPORTS TO: Operations Manager of Non-Invasive
Cardiology
DATE DESCRIPTION LAST REVISED/APPROVED: August 2009, February 2013, August 2015, October 2016
JOB SUMMARY:
Responsibilities include interview and assessment of patients schedules for stress testing as part of myocardial perfusion imaging. Perform and be responsible for treadmill stress testing and pharmacological stress testing according to departmental policy. Preliminary interpretation and report of rest and stress EKGs. Ensures that delivery of all patient care is of the highest standard and meets or exceeds the expectations of the NWH value statement.
ESSENTIAL FUNCTIONS
o Together with the covering physician assess patients before stress tests, decides on adequate informed consent and appropriate procedures to follow, protocols to use, and special precautions if needed.
o Conducts exercise and pharmacological stress testing. Performs the following tasks associated with stress testing:
o Performs intermittent measurements of blood pressure according to established protocols.
o Determines when the test should be terminated due to medical reasons or for patient tolerance.
o Carefully monitors patient during recovery and remains alert for post-exercise complications.
o Recognizes safe completion of recovery period and allows patient to leave the testing area.
o Completes any and all data forms and organizes results into package of information in preparation for the final report.
o Contacts the covering physician with occurrence of any condition that might suggest a medically hazardous condition exists.
o Initiates CPR and calls code Blue when appropriate
o Assists in the development and updating of policy and procedure manuals.
o Informs Clinical Supervisor of new advances in technology and equipment. Offers suggestions and participates in site visits to evaluate new equipment and techniques.
o The primary job of the exercise physiologist will be to do stress tests. However, he/she will also participate in data entry into computer, and other duties in the lab as needed
o Maintains department safety and cleanliness by monitoring area and informing proper personnel according to policy and procedure.
o Provides information to centralized scheduling, physician offices and inpatient services regarding patient preparation and exam requirements.
o Maintains the integrity of the locks on the code cart and medication boxes.
o Fulfills any training required by NWH and/or Partners, as
appropriate.
o Assure compliance with Joint Commission, OSHA, and NWH policies and procedures. Brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.
QUALIFICATIONS:
1. Bachelor of Science in exercise physiology required, Master of Science preferred
2. ACSM Registered Clinical Exercise Physiologists and/or ACSM Exercise Specialist preferred
3. CPR Certified (BLS) required
4. ACLS (Advanced Cardiac Life Support) certification is required. If not currently certified exception will be granted if certification is attained within one year of hire.
5. Testing experience in clinical setting required
6. Knowledge of the special needs and behaviors of infant, child, adolescent, adult and older adult patients preferred.
PHYSICAL REQUIREMENTS: See Checklist
PHYSICAL ENVIRONMENT:
Duties include patient care responsibilities with subsequent exposure to human waste, or other unpleasant elements all within limited working space.
Physical Standards for Job Description
Please check as applicable
Constantly – 75% or more of the worker’s time is spent in the activity
Frequently – 25% to 75% or more of the worker’s time is spent in this activity
Occasionally – 5% to 25% or more of the worker’s time is spent in this activity
Rarely – under 5% or more of the worker’s time is spent in the activity
NA – not applicable
GENERAL TASKS
Basic activity being performed |
C |
F |
O |
R |
N/A |
Comments |
Standing |
x |
67% Perform Tests |
||||
Sitting with back support |
x |
|||||
Sitting without back support |
x |
|||||
Reaching |
x |
|||||
Overhead |
x |
|||||
Forward |
x |
|||||
Lateral |
x |
x |
||||
Low |
x |
|||||
Stooping |
x |
|||||
Bending at waist |
x |
|||||
Crouching |
x |
|||||
Bending at knees |
x |
|||||
Kneeling |
x |
|||||
Climbing |
x |
|||||
Crawling |
x |
|||||
Twisting |
x |
|||||
Balance |
x |
|||||
Other Walking___________ |
x |
91% test / Greeting |
Physical Standards for Job Description – Continued
Basic activity being performed |
C |
F |
O |
R |
N/A |
Comments |
Pushing Tasks by weight |
x |
|||||
5 lbs |
x |
|||||
5-15 lbs |
x |
|||||
15-40 lbs |
x |
|||||
40-75 lbs |
x |
|||||
75-100 lbs |
x |
|||||
Pulling Tasks by weight |
x |
|||||
5 lbs |
x |
|||||
5-15 lbs |
x |
|||||
15-40 lbs |
x |
|||||
40-75 lbs |
x |
|||||
75-100 lbs |
x |
|||||
Sensory Requirements |
||||||
Visual Activity |
||||||
Close paperwork |
x |
|||||
Monitor – CRT |
x |
|||||
Color vision required |
x |
|||||
Visual monotony |
x |
|||||
Auditory Activity |
||||||
Conversation |
x |
|||||
Monitoring Equipment |
x |
|||||
Telephone |
x |
|||||
Transcription |
x |
|||||
Background noise |
x |
|||||
Sensory Discrimination |
||||||
Hot/Cold, Sharp/Dull |
x |
Additional Comments: _____________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Additional Comments:
Radioactive materials are used for some testing. Qualified nuclear technologists will do the handling of those materials. There may be some exposure to low level (harmless) levels of radiation.
JOB RESPONSIBILITIES
A. JUDGEMENT/DECISION MAKING
CRITERIA/STANDARDS:
5. Identifies and responds appropriately to needs of patients and others, in accordance with NWH values.
6. Communicates pertinent information to appropriate persons in a timely manner.
B. JOB KNOWLEDGE/SKILLS
CRITERIA/STANDARDS:
1. Knowledge of standard stress testing equipment including treadmill and electrocardiograph monitoring equipment.
2. Ability to recognize clinical problems prior to and during exercise, such as: significant arrhythmia’s, evidence of severe ischemia/infarction, fall/rapid rise in blood pressures, symptoms, and patient appearance.
3. Ability to initiate management of complications of exercise including rhythm disturbances, hypotension, chest discomfort, or evidence of severe persistent ischemia.
4. Demonstrates proper use of equipment and supplies according to established procedures.
5. Demonstrates knowledge of the Meditech computer software as required by the department policy and procedure.
6. Maintains patient safety while in the department.
7. Demonstrates knowledge of universal precautions and OSHSA regulations.
8. Adheres to departmental/hospital policies and procedures in performing duties and assignments.
9. Seeks guidance as necessary for the performance of duties.
The above is intended to describe the general contents and requirements of work being performed by people assigned to this position. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified. |
QUALIFICATIONS:
1. Bachelor of Science in exercise physiology required, Master of Science preferred
2. ACSM Registered Clinical Exercise Physiologists and/or ACSM Exercise Specialist preferred
3. CPR Certified (BLS) required
4. ACLS (Advanced Cardiac Life Support) certification is required. If not currently certified exception will be granted if certification is attained within one year of hire.
5. Testing experience in clinical setting required
6. Knowledge of the special needs and behaviors of infant, child, adolescent, adult and older adult patients preferred.
PHYSICAL REQUIREMENTS: See Checklist
PHYSICAL ENVIRONMENT:
Duties include patient care responsibilities with subsequent exposure to human waste, or other unpleasant elements all within limited working space.
Physical Standards for Job Description
Please check as applicable
Constantly – 75% or more of the worker’s time is spent in the activity
Frequently – 25% to 75% or more of the worker’s time is spent in this activity
Occasionally – 5% to 25% or more of the worker’s time is spent in this activity
Rarely – under 5% or more of the worker’s time is spent in the activity
NA – not applicable
GENERAL TASKS
Basic activity being performed |
C |
F |
O |
R |
N/A |
Comments |
Standing |
x |
67% Perform Tests |
||||
Sitting with back support |
x |
|||||
Sitting without back support |
x |
|||||
Reaching |
x |
|||||
Overhead |
x |
|||||
Forward |
x |
|||||
Lateral |
x |
x |
||||
Low |
x |
|||||
Stooping |
x |
|||||
Bending at waist |
x |
|||||
Crouching |
x |
|||||
Bending at knees |
x |
|||||
Kneeling |
x |
|||||
Climbing |
x |
|||||
Crawling |
x |
|||||
Twisting |
x |
|||||
Balance |
x |
|||||
Other Walking___________ |
x |
91% test / Greeting |
Physical Standards for Job Description – Continued
Basic activity being performed |
C |
F |
O |
R |
N/A |
Comments |
Pushing Tasks by weight |
x |
|||||
5 lbs |
x |
|||||
5-15 lbs |
x |
|||||
15-40 lbs |
x |
|||||
40-75 lbs |
x |
|||||
75-100 lbs |
x |
|||||
Pulling Tasks by weight |
x |
|||||
5 lbs |
x |
|||||
5-15 lbs |
x |
|||||
15-40 lbs |
x |
|||||
40-75 lbs |
x |
|||||
75-100 lbs |
x |
|||||
Sensory Requirements |
||||||
Visual Activity |
||||||
Close paperwork |
x |
|||||
Monitor – CRT |
x |
|||||
Color vision required |
x |
|||||
Visual monotony |
x |
|||||
Auditory Activity |
||||||
Conversation |
x |
|||||
Monitoring Equipment |
x |
|||||
Telephone |
x |
|||||
Transcription |
x |
|||||
Background noise |
x |
|||||
Sensory Discrimination |
||||||
Hot/Cold, Sharp/Dull |
x |
Additional Comments: _____________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Additional Comments:
Radioactive materials are used for some testing. Qualified nuclear technologists will do the handling of those materials. There may be some exposure to low level (harmless) levels of radiation.
JOB RESPONSIBILITIES
A. JUDGEMENT/DECISION MAKING
CRITERIA/STANDARDS:
5. Identifies and responds appropriately to needs of patients and others, in accordance with NWH values.
6. Communicates pertinent information to appropriate persons in a timely manner.
B. JOB KNOWLEDGE/SKILLS
CRITERIA/STANDARDS:
1. Knowledge of standard stress testing equipment including treadmill and electrocardiograph monitoring equipment.
2. Ability to recognize clinical problems prior to and during exercise, such as: significant arrhythmia’s, evidence of severe ischemia/infarction, fall/rapid rise in blood pressures, symptoms, and patient appearance.
3. Ability to initiate management of complications of exercise including rhythm disturbances, hypotension, chest discomfort, or evidence of severe persistent ischemia.
4. Demonstrates proper use of equipment and supplies according to established procedures.
5. Demonstrates knowledge of the Meditech computer software as required by the department policy and procedure.
6. Maintains patient safety while in the department.
7. Demonstrates knowledge of universal precautions and OSHSA regulations.
8. Adheres to departmental/hospital policies and procedures in performing duties and assignments.
9. Seeks guidance as necessary for the performance of duties.
The above is intended to describe the general contents and requirements of work being performed by people assigned to this position. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified. |
Newton-Wellesley Hospital will provide equal employment opportunities to all applicants and employees without regard to race, color, religion, gender age, national origin, disability, marital status, genetic information, veteran or active military status, gender identity or expression, or sexual orientation.
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