Job Summary
Performs non-invasive diagnostic testing which produces electrocardiographic tracings, to provide data to the physician to aid in the proper diagnosis and treatment of heart disorders. These tests include, but are not limited to, cardiac stress tests, nuclear stress tests and stress echoes.
Essential Job Functions
- Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies.
- Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
- Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
- Document patient care services by charting in patient and department records.
- Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.
- Maintain patient confidence and protects operations by keeping information confidential.
- Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.
- Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
- Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions.
- Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel.
- Resolve patient problems and needs by utilizing multidisciplinary team strategies.
- Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods.
- Contribute to team effort by accomplishing related results as needed.
- Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques.
- Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results.
- Maintains a sufficient level of supplies in all testing areas.
- Maintains records of reports for verification and statistical purposes.
- Cleans and maintains all equipment used to provide safe and sanitary conditions.
- Obtains necessary equipment and supplies when needed.
- Performs other clerical duties as assigned including work in departments outside their home department.
Specialty Job Functions
- Conducts patient interview and identifies any contraindications to exercise or pharmacological stress testing. Prepares patient appropriately.
- Identifies patient using two forms of identification per policy.
- Accurately and efficiently completes patient history.
- Starts IV if trained to do so and appropriately documents the gauge, date, time and site of insertion.
- Explains the test and answers any questions the patient may have.
- Conducts a brief overview of relevant patient history with the physician conducting the test.
- Accurately and efficiently prepares patient per protocol.
- Properly prepares the skin for and attaches the electrodes and leads to the patient.
- Collects vitals and runs 12 leads as indicated per protocol.
- Properly conducts the exercise portion of the test and terminates the test per protocol.
- Runs 12 lead EKGs when indicated per protocol.
- Takes BP readings as indicated per protocol.
- Collects and record any other vitals as indicated per protocol.
- Performs all the technical aspects of using the stress equipment without undue risk to patient, self or others.
- Properly and sensitively informs patient before, during and after the test of what to expect and asks how they are feeling throughout the test.
- Asks the patient why they are having the test.
- Explains the test and answers any questions they may have.
- Asks the patient during the test how they are feeling.
- Records all information on above questions as indicated per protocol.
- Documents all that is indicate per protocol to document and accurately and efficiently compiles all reports for processing.
- Assures all reports are completed and include date, time and signatures.
- Compiles all necessary reports and papers for distribution and processing.
- Signed on inpatient medical record that test has been completed, report to follow.
- Works collaboratively with other techs and nurses to see that all other aspects of the tests are done completely and in a timely manner.
- Considers nuclear scanning aspects of testing and allows for the time involved.
- Considers echocardiography aspects of testing and cooperates in whatever ways are needed to facilitate.
- Administers appropriate medications including but not limited to Dobutamine and Adenosine using aeseptic techniques and according to PA RN License, DOH and JCAHO regulations.
- Other related duties as assigned.
Required Qualifications
- Graduate of an accredited Nursing Program required.
- One (1) year of inpatient nursing experience.
- Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
- Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
- Basic working knowledge of computers and office equipment.
- A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment
- Basic Math and Keyboard Proficiency
Preferred Qualifications
- Bachelor’s Degree in Nursing preferred.
License, Certification & Clearances
- Current licensure to practice as a Registered Nurse in the State of Pennsylvania required.
- Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.
- PA Act 153 Clearance with renewal (Act 33, Act 34, Act 73 FBI Clearance).
- Current ACLS or completion within six (6) months of hire/transfer into department
Supervisory Responsibilities
- This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.
Position Type/Expected Hours of Work
- Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
- Travel may be expected locally between Excela Health locations.
LEAN
- Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.
AAP/EEO
- Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.
- Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Work Environment:
Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
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Physical Condition
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Essential
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Marginal
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Constantly
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Frequently
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Occasionally
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Rarely
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Never
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Extreme Heat
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x
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Extreme Cold
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x
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Heights
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x
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Confined Spaces
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x
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Extreme Noise(>85dB)
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x
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Mechanical Hazards
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x
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Use of Vibrating Tools
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x
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Operates Vehicle (Company)
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x
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Operates Heavy Equipment
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x
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Use of Lifting/Transfer Devices
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x
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x
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Rotates All Shifts
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x
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x
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8 Hours Shifts
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x
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x
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10-12 Hours Shifts
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x
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x
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On-Call
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x
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x
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Overtime(+8/hrs/shift; 40/hrs/wk)
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x
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x
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Travel Between Sites
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x
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Direct Patient Care
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x
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x
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Respirator Protective Equipment
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x
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x
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Eye Protection
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x
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x
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Head Protection (hard hat)
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x
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Hearing Protection
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x
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Hand Protection
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x
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x
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Feet, Toe Protection
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x
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Body Protection
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x
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x
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Latex Exposure
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x
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x
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Solvent Exposure
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x
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Paint (direct use) Exposure
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x
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Dust (sanding) Exposure
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x
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Ethylene Oxide Exposure
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x
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Cytotoxic (Chemo) Exposure
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Chemo Units
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Chemo Units
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X all other
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Blood/Body Fluid Exposure
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x
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x
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Chemicals (direct use) Exposure
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x
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x
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Mist Exposure
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x
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Wax Stripper (direct use)
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x
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Non-Ionizing Radiation Exposure
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x
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Ionizing Radiation Exposure
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x
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Laser Exposure
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x
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Physical Demands
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
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Physical Condition
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Essential
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Marginal
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Constantly
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Frequently
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Occasionally
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Rarely
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Never
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Bending (Stooping)
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x
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x
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Sitting
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x
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x
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Walking
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x
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x
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Climbing Stairs
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x
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x
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Climbing Ladders
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x
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Standing
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x
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x
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Kneeling
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x
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x
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Squatting (Crouching)
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x
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x
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Twisting/Turning
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x
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x
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Keyboard/Computer Operation
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x
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x
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Gross Grasp
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x
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x
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Fine Finger Manipulation
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x
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x
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Hand/Arm Coordination
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x
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x
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Pushing/Pulling(lbs. of force)
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x
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10#
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50#
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Carry
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x
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25#
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Transfer/Push/Pull Patients
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x
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x
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Seeing Near w/Acuity
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x
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x
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Feeling (Sensation)
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x
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x
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Color Vision
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x
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x
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Hearing Clearly
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x
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x
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Pulling/Pushing Objects Overhead
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x
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x
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Reaching Above Shoulder Level
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x
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x
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Reaching Forward
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x
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x
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Lifting Floor to Knuckle
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x
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10#
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Lifting Seat Pan to Knuckle
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x
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50#
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Lifting Knuckle to Shoulder
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x
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20#
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Lifting Shoulder to Overhead
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x
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10#
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
