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Required Skills

1. Performs various laboratory tests, evaluates data, and provides information for the diagnosis and treatment of diseases.

1. Performs quality control and evaluates the quality control data to assess accuracy, reproducibility and validity of laboratory results.

1. Recognizes unexpected results, errors, and problems with patient’s results or knows when to seek advice.

1. Assists with education of new employees or students as assigned.

1. Maintains and communicates departmental records of test performed, test results and equipment maintenance.

1. Participates in the collection of specimens and samples from patients.

1. Takes part in department in-service programs.

1. Is knowledgeable of and abides by safety regulations.

1. Maintains 12 hours of continuing education per year in general laboratory topics.

1. Maintains cross-training in a minimum of two diverse technical areas.

1. Maintains confidentiality of information regarding all patient testing/results as detailed in hospital policies.

1. Assists in the overall operation of the laboratory, including utilization of resources and follows laboratory safety regulations.

1. Contributes to effective customer relations by assisting patients, visitors, physicians to resolve expressed concerns and by demonstrating a welcoming and helpful attitude.

1. Assure compliance with all local, state, federal and national regulatory agencies or organizations.

1. Conserves hospital resources by using equipment and supplies as needed to perform job duties.

1. Ensures that professional and personal activities conform to Memorial Medical Center’s Strategic plan and Mission, Vision, and Values.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Patrols buildings and grounds including fixed posts, walking patrols, or mobile patrols using company vehicle to travel around and between Memorial locations.

• Provides a visible deterrence to crime, prohibited activities, or suspicious activities.

• Intercedes in disputes between individuals by using verbal de-escalation techniques and skills to diffuse potentially violent patient, employee, or visitor situations.

• Physically manages combative, violent persons who criminally endanger staff, physicians, patients or visitors.

• Participates in property control procedures (accepts, records, stores, returns, or releases to authorized persons) for patient valuables, accounting details, and morgue details.

• Responds to emergency situations, emergency codes and alarms.

• Detains unauthorized individuals as defined by policy or state law, and releases them to the proper authorities.

• Assists air medical teams and transports airlifted patients between helipad and hospital.

• Controls parking and traffic flow and enforces parking regulations.

• Provides visitor and employee escorts as appropriate.

• Reports any conditions that might constitute a security or safety hazard.

• Provides access control to restricted spaces by locking and unlocking doors.

• Investigates and reports on any suspicious activity or persons.

• Obtains written or oral statements related to incidents on MH property.

• Prepares incident reports.

• Assists local law enforcement agencies during investigations or emergencies.

Required Skills

• Responsible for routine managerial functions, including, but not limited to; physician and employee staffing and work assignments; employee satisfaction; payroll preparation; hiring and direct supervision of clinic personnel; orientation and/or training of employees;  conducting physician and staff meetings;  implementation of clinic policy, procedures, and process;  assisting in the development and implementation of the budget and strategic plan, including access and growth;  fulfillment of managed care requirements; financial reporting;  maintenance of facilities and equipment; stocking of supplies; purchasing of equipment;  patient satisfaction; identifies quality improvement opportunities and uses appropriate QI tools and techniques to evaluation potential solutions; leads problem solving to ensure resolution of clinical care issues and adoption of “best practices”.   

• Manages the relationships, skills, abilities and working style of direct reports, which includes all clinical nursing, nursing support, non- clinical colleagues, and allied health staff members. Interviews, hires, trains, retains, schedules, evaluates, educates, grows and molds this dedicated clinic team to ascertain the highest of clinical and non-clinical service for our patient base.  Responsible for maintaining the individual satisfaction of this assigned employee workforce. Assists the clinical director with management of adequate staffing levels by provider.

• Assists clinic in meeting financial goals. Works with providers and staff to meet productivity targets, attain reasonable reimbursement through proper coding, hold days in accounts receivable to acceptable level, and hold expenses to targeted levels.   Reports financial data as requested.  Facilitates accounts payable process. 

• Manages the on-site billing and collections process, coordinating efforts with centralized billing office. Responsible for proper submission of bills.  Investigates rejections, taking steps to minimize future problems. 
   
• Assists the clinic director with interfacing with various departments of Memorial Physician Services and Memorial Health System to secure resources for clinic.

• Complies with all clinic policies and procedures. Applies the Minimum Necessary Standard when accessing protected health information.  Monitors employees to ensure they do the same. 
   
• Maintain compliance with Rural Health Standards by maintaining constant clinic readiness, if appropriate. Responsible for quality clinical management, including HEDIS audits, patient centered medical home, and all state and federal programs dealing with outpatient clinical settings.

• Engages staff in developing annual clinic goals and individual goals consistent with MPS’ Strategic Plan for recommendation to the clinic director. Implements mechanisms with staff to fulfill clinic goals and objectives. Reviews goals and plans of actions with staff on a regular basis.
   
• Performs other related work as required or requested.

Required Skills

• Maintains behavior consistent with philosophy of Memorial Medical Center.

• Knows hospital policies and job responsibilities.

• Knows line of communication and authority.

• Continually observes cardiac monitors, leaving the area only when relieved by qualified, trained personnel.

• Analyze and document the patient’s heart rhythm every 8 hours for onsite patients and every 12 hours for offsite patients. The analysis will include:  documentation of rate, rhythm and ectopy. 

• Recognition of any changes in rate, rhythm or presence of arrhythmia requiring a telemetry strip to be printed, analyzed, and placed on the patient’s chart. The telemetry tech will also notify the RN assigned to the patient of the change and document the arrhythmia on the telemetry worksheet. 

• Recognition of lethal arrhythmias and STAT notification to the RN assigned to the patient. The event will be documented in the patient’s chart. 

• The patient’s heart rate, rhythm will be recorded every 2 hours on the telemetry worksheet.

• For offsite telemetry patients, the HR, rhythm, and any ectopy will be documented each shift.

• If requested, assists with cardiac monitoring during a stat code.

• Notifies the RN responsible for the patient if the telemetry pattern is unreadable.

• Understands how to operate telemetry units. Notifies Bio-Medical Engineering and the Nurse Manager of any needed repairs.

• Responsible for maintaining cardiac monitors for appropriate: alarm volumes and alarm limits, maintains/updates a log book tracking the location of all telemetry transmitters at all times and assures all telemetry units are retrieved when discontinued.

• Cleans the telemetry box for on-site patients. Cleans both the telemetry unit and charger upon receipt from unit for patients with off-site telemetry. 

• Appropriately files all rhythm strip information each day in the patient’s electronic health record.

• Initiates telemetry charges/transfer into SMS system.

• Monitors telemetry supply needs and provides ordering information to designated supply person for inclusion in weekly supply orders (telemetry monitor paper, electrodes, batteries, pouches, lead wires, labels, flowsheets, etc.).

• Provides information as requested to physicians regarding patients’ heart rhythm status and arrhythmias over the past 24 hours.

• Conforms to dress code specified by nurse manager.

• Communicates effectively and diplomatically.

• Able to function calmly in stressful situations.

• Maintains and respects confidentiality.

• Performs other related work as required or requested.

Required Skills

• Follows nursing process of assessment, planning, intervention and evaluation, incorporating physical as well as psycho-social needs of designated patient populations in person, and over the telephone. Practices within professional scope and current standards of care. Applies the Minimum Necessary Standard when accessing protected health information.
• Documents according to professional scope and current standard of care ensuring that entries are complete. Reviews quality audits and makes improvements accordingly.
• Assists in various aspects of patient flow process including, but not limited to securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, providing treatments and medications as ordered by the provider and cleaning/disinfecting exam/treatment area after use.
• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider.
• Assists clinic in meeting financial goals related to revenue and expense. Obtains appropriate insurance referrals and pre-certifications. Finds most cost effective means when securing/stocking necessary supplies.
• Responsible for working with team to improve processes and implement quality plans, and provide a high level of patient satisfaction.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

• Follows nursing process of assessment, planning, intervention and evaluation, incorporating physical as well as psycho-social needs of designated patient populations in person, and over the telephone. Practices within professional scope and current standards of care. Applies the Minimum Necessary Standard when accessing protected health information.
• Documents according to professional scope and current standard of care ensuring that entries are complete. Reviews quality audits and makes improvements accordingly.
• Assists in various aspects of patient flow process including, but not limited to securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, providing treatments and medications as ordered by the provider and cleaning/disinfecting exam/treatment area after use.
• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider.
• Assists clinic in meeting financial goals related to revenue and expense. Obtains appropriate insurance referrals and pre-certifications. Finds most cost effective means when securing/stocking necessary supplies.
• Responsible for working with team to improve processes and implement quality plans, and provide a high level of patient satisfaction.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

• Follows nursing process of assessment, planning, intervention and evaluation, incorporating physical as well as psycho-social needs of designated patient populations in person, and over the telephone. Practices within professional scope and current standards of care. Applies the Minimum Necessary Standard when accessing protected health information.
• Documents according to professional scope and current standard of care ensuring that entries are complete. Reviews quality audits and makes improvements accordingly.
• Assists in various aspects of patient flow process including, but not limited to securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, providing treatments and medications as ordered by the provider and cleaning/disinfecting exam/treatment area after use.
• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider.
• Assists clinic in meeting financial goals related to revenue and expense. Obtains appropriate insurance referrals and pre-certifications. Finds most cost effective means when securing/stocking necessary supplies.
• Responsible for working with team to improve processes and implement quality plans, and provide a high level of patient satisfaction.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

Behavior should be as follows:

• Conduct self in a cooperative and considerate manner, being mindful of patient/visitor/customer needs and impressions and MMC department needs, impressions, policies, and procedures.
• Observe and practice good “Guest Relations” skills.
• Participate as a team member in achieving MMC and department goals and objectives.
• Act as a positive, cooperative department representative.

Task assignments will consist of, but not be limited to, the following:

• Conducting scheduled and unscheduled physical inspections and cycle counts of inventory.

• Receives and stocks inventory materials, supplies, and equipment in the department.

• Picking and delivering re-supply inventory materials for par locations, scheduled orders, patient orders, special orders, etc. within accepted timeframes.

• Completes the necessary documentation associated with the receiving, stocking, distribution, and inventory of products and equipment.
• Enters inventory data into an electronic database for the purpose of tracking, monitoring, and documenting inventory levels and movement of durable equipment.
• Contacts other internal and external sources to secure inventory items, if necessary, and coordinates their delivery.

• Handling and transporting floor-stock medications from Pharmacy to procedural area per the Medication Handling, Security, and Access by Non-licensed Hospital Staff Policy and Procedure.

• As needed, collects, decontaminates, and processes durable medical equipment for circulation throughout the facility including equipment that may contain medication.  Must possess knowledge of what devices are used for and how this equipment is decontaminated, following appropriate guidelines.
• Anticipates and recognizes urgent situations, problems (or potential problems) while showing an awareness of and responding to customer needs appropriately; takes action to resolve these issues to produce the most desirable outcome.

Communication, education, and participation should be as follows:

• Complete additional cross training as determined appropriate by supervisor.
• Assist with the orientation, training, and cross training of new and/or existing staff as determined appropriate by supervisor.
• Attend and constructively participate in educational events, informational opportunities, operational committees, and work groups as determined appropriate by supervisor.
• Carry out routine and non-routine assignments in a constructive, cooperative manner, with emphasis on quality and timeliness.

Responsible for team effort in addition to maintaining specific routine assignments, assists other staff members with task completion and appropriate training.

Responsible for condition of equipment, work environment, and MMC property. Should be able to identify and report abnormalities in equipment performance, willing to protect MMC property, and report damage.  Willing to keep work areas neat and clean.

Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Accurately identify and obtain blood specimens from inpatients/outpatients of all ages, employees, etc. as requested by authorized personnel (i.e. physicians, residents, employee health nurse) using the correct technique and appropriate equipment. Verifies accuracy of computer generated orders. Resolves any discrepancies prior to drawing the patient. Ensure specimen integrity by adhering to appropriate laboratory collection protocols. (i.e. checking for IV’s, fistulas, etc). Initial, date, and record time blood was collected on all laboratory requisition forms or specimens.

1. Assists with retrieving blood from tube station, central collecting blood in computer system, stocking of phlebotomy supplies, etc.

1. Monitor daily phlebotomy actions by the use of various computer programs and logs. (i.e. Collection Inquiry, Phlebotomy Dispatch Log, will call board, etc).

1. Maintains phlebotomy area and carts in a neat and clean manner, well stocked with supplies.

Required Skills

1. Minimum cleaning and maintenance of R.T. equipment.

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.

1. Follows and enforces safety rules of the R.T. Department and hospital following special instructions, such as isolation precautions to prevent the spread of infection.

1. Receives, verifies, and processes all necessary documentation for correct order.

1. Documents patient oxygen use for charging purposes by visual inspection of every patient care unit bed.
2. Changes humidifiers and aerosol generators according to department policy.

1. Performs emergency rounds according to department policy.

1. Distributes E-cylinders of oxygen to the designated gas stations within MMC.
2. Receives and documents orders from physicians relating to Respiratory Care Order Set. Also reads and evaluates physician orders and charts that pertain to respiratory care and is aware of contraindication to medications, treatments, and related hazards with their use.

1. Measures and administers prescribed medications to patients (oxygen & aerosolized medications, etc.). Also administers the following therapy:  EZPAP, humidity and aerosols, chest physical therapy, incentive spirometry, pulse oximetry, BiPAP and CPAP administration and bedside pulmonary function/mechanics.

1. Assesses patients’ conditions and response to respiratory therapy by checking patients pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.

1. Recognizes signs of cardiopulmonary arrest and/or failure and assists in performing CPR procedures. Also must be able to recognize life-threatening arrhythmias or EKG strips.

1. Modifies therapy to deal with adverse or ineffective patient response and reports changes to shift supervisor.

1. Records procedures and patient response in appropriate electronic documentation, departmental paperwork, medication administration records, interdisciplinary plan of care and education record and requisitions. Completes both written and oral reports on patients and relays information to oncoming therapists.

1. Participates in in-services, continuing education, and other staff development activities.

1. Performs CPR procedures as part of the Stat Code Team.

1. Keeps confidential all patient information received and follows MMC Guest Relations guidelines.

1. Follows MMC and Pulmonary Medicine infection control policies

1. Performs all duties under supervision of Certified Respiratory Therapist, Registered Respiratory Therapist, or shift supervisor.

1. Performs other related duties as assigned or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.