Patient Care Tech II

Job Description Summary

The Patient Care Technician II (PCT II) – Cardiology Stress Lab reports to the Nurse Manager and works under the direct supervision of a Registered Nurse, Advanced Practice Provider, or Physician. The PCT II provides clinical and technical support for noninvasive cardiovascular diagnostic testing, including exercise treadmill stress testing, pharmacologic stress testing, and nuclear medicine stress testing. Responsibilities include patient preparation, electrocardiographic monitoring, vital sign assessment, documentation, and support of safe and efficient cardiovascular testing.

The PCT II serves as an integral member of the cardiovascular care team and contributes to a patient-centered environment focused on safety, quality, and exceptional patient care.

Medical University Hospital Authority (MUHA)

Employee

Regular

CC005704 ORBG - BBEMC Cardiology

Hourly

Health-21

40

• Verify patient identity using approved patient identifiers.
• Review test orders and assist with pre-procedure assessment and screening.
• Obtain and document baseline vital signs, including blood pressure, heart rate, oxygen saturation, and weight as indicated.
• Perform accurate 12-lead ECG acquisition and electrode placement.
• Prepare patient skin to optimize ECG signal quality.
• Obtain baseline ECG tracings prior to testing.
• Within scope, communicate with the patient regarding:
  • Purpose of the test
  • Testing process and expectations
  • Exercise or pharmacologic stress protocols
  • Symptoms that should be reported immediately
  • Post-test instructions and recovery expectations

• Assist physicians, advanced practice providers, and nursing staff during exercise and pharmacologic stress testing.
• Perform continuous ECG monitoring during testing.
• Obtain manual blood pressure measurements at prescribed intervals.
• Monitor and document:
  • Cardiac rhythm
  • Heart rate
  • Blood pressure
  • Oxygen saturation
  • Patient symptoms
• Recognize and immediately communicate significant changes including:
  • ST-segment elevation or depression
  • Ventricular tachycardia
  • Supra ventricular tachycardia
  • Significant bradyarrhythmias
  • Complete heart block
  • Other clinically significant arrhythmias
• Monitor patients for symptoms including:
  • Chest pain
  • Shortness of breath
  • Dizziness
  • Syncope
  • Excessive fatigue
• Assist with implementation of test termination criteria and patient safety interventions.

• Continue patient monitoring throughout the recovery period.
• Obtain and document recovery ECGs and vital signs.
• Recognize delayed adverse responses and promptly notify the supervising provider.
• Ensure patients are stable prior to discharge from the testing area.

• Accurately document:
  • Baseline assessment findings
  • Vital signs
  • Exercise duration
  • Maximum heart rate achieved
  • ECG findings and rhythm changes
  • Patient symptoms
  • Recovery findings
  • Provider notifications and interventions
• Maintain complete and accurate medical record documentation according to organizational standards.

• Perform daily operational checks of stress testing equipment.
• Assist with setup and calibration of cardiovascular diagnostic equipment.
• Verify availability and readiness of emergency equipment including:
  • Defibrillator
  • Oxygen delivery systems
  • Suction equipment
  • Emergency supplies
• Maintain inventory and communicate supply needs.
• Follow departmental protocols, infection prevention practices, and patient confidentiality requirements.
• Respond appropriately to emergency situations within scope of practice and BLS certification.
• Assist with patient stabilization during emergency events.

• Collaborate effectively with physicians,…