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Billings Clinic Electrophysiology Technologist in Billings, Montana

Electrophysiology Technologist



Department Information

Reporting structure

Staff will report to Clinical Coordinator/ Supervisor of the department.

Clinical Coordinator/ Supervisor will report to the Manager of the department.

Managers will report to the Director of the department.

Directors will report to the VP/Chiefs of the department.

Direct Reports (This position evaluates another position)


Job Summary

The Electrophysiology Technologist assists and performs adult diagnostic and interventional electrophysiology procedures. This includes, EP studies, RF ablations, and device implantation. The EPT is competent in the operation and troubleshooting skills of EP specialty equipment and x-ray system such as EP monitoring/stimulating systems and intra-cardiac echocardiography. High degree of understanding and interpretation of EKG and cardiac arrythmias. Works well with a team and is an effective team member.


Essential Job Functions

•Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

• Scrub/Circulate/Monitor: Scrub assistant to the physician. Sets up and maintains the sterile field and procedural equipment. Performs all procedures with proper sterile technique. Knowledge of medications pertinent to the procedures. Safely transports patients to and from the Cath lab. Provides procedural education to the patient/family. Able to operate and troubleshoot Cath lab procedural equipment. Monitors patients throughout

• Equipment operations: Responsible for operating and troubleshooting all equipment in the EP lab. This equipment includes, but is not limited to x-ray, EP monitoring system and database, intravascular ultrasound, RF ablation system, cardiac stimulator, 12 lead ECG machine, and cautery/grounding. This role will be the primary person for troubleshooting equipment, reporting problems to internal or external service representatives and documenting such. Also, work closely with the Bio Medical Department to ensure that preventative maintenance is done timely.

• Interpretation: Must be able to accurately perform procedural electrogram measurements, calculations, and analysis and interpret 12 lead ECG. Identify Cardiac arrythmias.

• Resource and training: Provide informal training on EP related topics for team members. Assists with the orientation and training of new staff members. Communicates regularly with other staff regarding changes in the EP room, workflow schedule or physician protocols.

• Products: Works with Supply tech to ensure accurate PAR levels and needed equipment is available for procedures. Maintains knowledge of products thorough enough to give appropriate suggestions based on inventory and procedural needs.

• Informs management of any unusual concerns, situations or conditions relative to patients, staff or physicians.

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Attends Cath lab staff meetings and participates in departmental committees as required.

• Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.

• Performs all other duties as assigned or as needed to meet the needs of the department/organization. Utilizes non-procedure time in a constructive manner benefit the department/organization. Assumes equitable share of department housekeeping duties (cleaning, restocking, filing, etc.).

Essential Functions Disclaimer

Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

Performs all other duties as assigned or as needed to meet the needs of the department/organization.

Department or Level Specific Duties and Responsibilities

•Minimum Qualifications

·Minimum License/Education

·Graduate of CVT/CIS school OR ARRT, RT(R)



·Demonstrate Proficiency and Super User

·Demonstrate Proficiency in current Job Description

·Annual Evaluation Score minimum


·Experience related to Cath lab, EP, or equivalent

·None New Hire

·Continue Education hours

·Per Certification and license

·Additional Credentials and Certifications




·Research or Process Improvement, Committee or Council Participation

·Must participate in one of the following:

·Process Improvement Project

·Quality Improvement Project

·Attend an Opex training and/or participate in Kaizen, Belt projects, or A3





•Cross-Training on Information/ SPECIFIC Systems




•Analytical Skills


•Independent Judgement


•Interpersonal Skills


•Service Recovery




•Project Management




•Supervision of Others


•Process Improvement / Quality Assurance /Risk Management


•Fiscal Responsibility


•On-Call Responsibility


•Technical Skills


•Study Assignments


•On-call Responsibility


•Information Systems


•Project Management /Requirements gathering and analysis Skills




•Organizational Skills


•Community/Patient Education


•Professional Affiliations


•Overall Performance




•Patient Care


•USP-797 Media Fill Testing, Environmental Sampling & End Product Testing Requirements


•Promotional Guidelines


•Essential Functions


•Service/Sales Time Allocations


•Pay Plan Components


•Specimen Examination and Submission Authorization


•Research or Process Improvement, Committee or Council Participation






·Billings Clinic policy and procedures, both organizational and departmental

·Personal computers, hardware and software

·Billings Clinic Code of Conduct

·Billings Clinic’s Compliance and Integrity Program

·HIPAA and confidentiality requirements

·Patient’s rights

·Customer service techniques and Personal Service Excellence (PSE)

Knowledge, Skills and Abilities

•Billings Clinic policy and procedures, both organizational and departmental

• Personal computers, hardware and software

• Billings Clinic Code of Business Conduct

• Billings Clinic Corporate Compliance Program

• HIPAA and confidentiality requirements

• Patient’s/resident’s rights

• Customer service techniques and Personal Service Excellence (PSE)

• Budgeting and fiscal responsibility

• Theory and application of Pharmacology, diagnostic, and therapeutic techniques to include all types of electrophysiology procedures

• Therapeutic techniques including CPR, pericardiocentesis, thoracentesis, insertions of arterial lines for intra-aortic balloon pumps, defibrillator and temporary pacemaker parameters

• Quality improvement and quality control processes

• Principles, practices, techniques, equipment and radiation safety as it relates to radiography, cardiovascular imaging, and intracardiac sonography

• Infection control and emergency response practices and procedures

• Guidelines for age appropriate care

• Regulatory requirements and standards (Joint Commission, AORN, AMMI, OSHA, etc.)

•Performs and assists the electrophysiologists with the most complex electrophysiology studies.

• Operates complex electrophysiology specialty equipment including but not limited to 3D mapping systems, stimulation systems, intracardiac echocardiography and EP monitoring and recording system.

• Performs at an expert clinical level and assists the physician in the performance of adult electrophysiology procedures; including both diagnostic and interventional.

• Implements safe, competent and efficient procedure care to EP within policies, procedures and standards of care across a variety of populations and complexity of situations within the scope of practice.

• Duties for this position include but are not limited to hemodynamic monitoring and recording of patients during EP. Intra and post procedure patient assessment and patient care within EP scope of practice, patient teaching, circulating and scrubbing roles for invasive procedures performed in the EP department.

• Implements safe, competent and efficient care to patients within Billings Clinic and departmental policies, procedures and standards across a variety of populations and complexity of situations.

• Foresees potential problems, adapts priorities and plans independently with and without medical direction in response to general information/data indicative of potential urgent or emergent life- threatening risks, initiates action to reduce or correct the risk per ACLS guidelines

•Develops and plans individual professional growth and development in relation to expectations for practice in our specialty area.

• Attend continuing educational programs, in-services and conferences to maintain and advance expert skills and knowledge level

• Participate in ongoing, unit-based quality improvement programs.

• Continue to enhance all clinical skills and expertise.




Education Level




Graduate of CVT/CIS school OR ARRT, RT(R)

Years Of Experience

Minimum Years of Experience



Certification Title

Required To Have By



License Title

Required To Have By


Other Minimum Qualifications

• Current BLS &ACLS

• EP experience preferred

Minimum Qualifications Disclaimer

·Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered


Working Conditions 2



Normal patient care environment with exposure to unpleasant odors from soiled linen or human waste and contact with patients exhibiting possible infectious disease. Universal precautions are mandatory when working with all patients.

Procedures may require employees to work extended and/or varying shifts (8, 10, or 12 hours), evenings, weekends and/or holidays.

Participates in on-call rotations

Possibility of exposure to ionizing radiation

Cath lab room temperatures of less than 68 degrees

Moderate to heavy lifting of patients, equipment and supplies

Needle and sharp instrument usage

Working Conditions List

Blood Borne Pathogen Category

Category I: Tasks that involve exposure to blood, body fluids, or tissues. Use of appropriate protective measures are required for every employee engaged in Category I tasks.

Airborne Contaminant Category

Category I: Tasks that routinely require activities that may involve exposure to airborne contaminants.

Job Analysis

Physical Requirements



Sitting: 0-4 hrs


Sitting: 4-8 hrs


Sitting: 8+ hrs


Standing: 0-4 hrs


Standing: 4-8 hrs


Standing: 8+ hrs


Walking: 0-4 hrs


Walking: 4-8 hrs


Walking: 8+ hrs










Reaching - L, R, B


Pushing/Pulling - L, R, B


Grasping - L, R, B


Fine Manipulation - L, R, B


Lifting: 0-10 lbs


Lifting: 11-20 lbs


Lifting: 21-25 lbs


Lifting: 26-50 lbs


Lifting: 50+ lbs


Job Description Disclaimer

JD Disclaimer

The above is intended to describe the general content of and requirements of the performance of this job.It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Billings Clinic is a community-owned, not-for-profit health care organization in Billings, Montana with approximately 4,000 employees, including over 400 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 ( .

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.