• | Responsible for professional testing in conjunction with the administration of anesthesia and the monitoring during adult and pediatric operative procedures. |
• | Provides assistance during invasive hemodynamic monitoring including peripheral artery or pulmonary artery catheterization and subsequent measurement of intravascular pressures for adult and pediatric patients. |
• | Obtains blood samples from intravascular catheters for biochemical analysis including ACT/TEG/ABG. |
• | Performs cardiac output measurements by injection of an indicator and the subsequent computations of hemodynamic parameters. |
• | Monitors hemodynamic real time cardiac output |
• | Sets up Transesophageal Echocardiogram (TEE) Instrumentation and basic functions/ returns for reprocessing |
• | Utilizes Site Rite, Activated Clotting Time (ACT) Hemochron, and Blood Gas Analyzer (quality assurance and test performance) and TEG6 |
• | Submits accurate records of all measurements performed to be placed in the electronic medical record. |
• | Provides and sets up disposable material needed to collect shed blood. |
• | Assists with determining the composition of the fluids in the collection chamber. Determines whether there are sufficient red blood cells (RBCs) to warrant processing. |
• | Processes shed blood from the collection chamber, separating red blood cells from other components. Washes the RBCs until free of debris. Transfers the washed RBCs into an appropriately labeled blood transfer pack. Delivers this blood to anesthesia for reinfusion. |
• | Aseptically assembles autotransfusion disposables. |
• | Maintains chronological intra-operative autotransfusion record via the electronic medical record. |
• | Provides the Anesthesia Department and the nursing staff with the estimated blood loss and the total number of blood units recovered through proper documentation in the electronic medical record. |
• | Properly enters the charge document. Restocks all used supplies. |
• | Disposes of contaminated materials and disinfects equipment in accordance with general operating room policies and procedures concerning biohazardous waste. |
• | Determines that all measurement equipment has been found electrically safe before its use, maintaining particular attention to equipment attached directly to patients. |
• | Ensures that the maintenance of all measurement equipment has been carried out prior to use. |
• | Ensures or provides for the correct calibration of all measurement equipment prior to use. |
• | Collaborates and works in cooperation with the Anesthesia Clinical Biomedical Engineer, the UW Health Plant Engineering Department, and the UW Health Electrical Safety Division to ensure availability of an adequate amount of functioning and safe monitoring equipment in the operating room. |
• | Participates in the training of technical and medical personnel, including medical students, house staff, physicians, and nurses in the proper use of all equipment and procedures utilized by the anesthesia clinical monitoring service. |
• | Evaluates the integration of new designs, corrections, and alternative methodologies into existing technology. |
• | Initiates the investigation and appropriate correction of errors in both precision and assurance of measurements and equipment. |
• | Organizes and delivers lectures and presentations to physicians, nurses, and other medical and paramedical staff on measurements provided by the monitoring service. |
• | Participates in and shares call responsibilities for cases in which clinical monitoring services are required. |
• | Assists Anesthesia/Perfusion with blood gas analysis, transportation, and blood bank needs. |
• | Assists Anesthesia with safe transfer of surgical patients to post-op location. |
• | Assists within the anesthesia work room as needed |