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Required Skills

1. In collaboration with supervising physician(s), practices within professional scope and current standards to assess, diagnose, and treat patients.

1. Follows protocols according to supervising physician’s direction, which includes encouraging the patient to follow up with their primary care physician accordingly. Partners with the physician(s) to promote effective patient care. Provides to physician visit documentation and associated testing for review and signature. Effectively communicates with physician when needing clarification when deviating from protocol and prior to ordering costly tests, treatments, or referrals.

1. Completes thorough and timely documentation according to standards put forth by Medicare, Medicaid, and other relevant payer sources, as well as Memorial Health policies pertaining to medical records.

1. Coordinates the resources required by the patient.

1. Collaborates, as needed, with other health care professionals, patient advocates, teachers, and family counselors in the formulation and initiation of a health care plan for patients. Routinely evaluates the plan and modifies the plan to improve outcomes.

1. Assumes responsibility for the development, implementation, and evaluation of plans for adherence to evidence-based quality indicators.

1. Serves as a clinical consultant to other healthcare professionals.

1. Reviews and utilizes current literature and research findings relevant to the health care of patients and their families.

1. Assists with implementing research findings and monitoring the impact on patient care outcomes.

1. Utilizes available data to analyze performance and develop plans to improve outcomes.

1. Works to further establish advanced clinical expertise and skills with regards to their specialty area.

1. Assists with the development, implementation, and evaluation of educational activities specific to their specialty area.

1. Maintains an active role in community and professional programs.

1. Assists in meeting financial goals related to revenue and expense. Maintains productivity according to budget. Communicates when expected volumes are not met or when opportunities exist to improve productivity or decrease cost.

1. Assists in meeting customer service goals by delivering care in a manner consistent with a high level of patient satisfaction. Reviews survey results and looks for ways to improve.

1. Demonstrates support for and participates in accomplishing team goals and objectives.

1. Performs other related work as required or requested.

Required Skills

1. Conducts scripted interviews with patients admitted to the hospital.

1. Obtains the patient’s most accurate and current home medication list, including prescription and non-prescription medications.

1. Obtains the patient’s medication allergy history.

1. Resolves home medication list discrepancies with an in-patient hospital pharmacist and/or an MMC approved second source of information.

1. Accurately documents the home medication list and allergy information in the Cerner Health Information System.

1. Performs all other duties as assigned.

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. Performs duties in capacity of “scrub” technologist as prescribed by hospital policies and procedures.

• Sets room for a routine, uncomplicated procedure with supplies and equipment in 5-15 minutes.
• Sets room for complicated or multi-procedure case requiring many special supplies in 30 minutes.
• Assists circulator in checking equipment.
• Assists circulator in obtaining supplies prior to bringing patient to room.
• Has basic knowledge of instrumentation and its appropriate use.
• Checks instrumentation regarding cleanliness, function, correct number of pieces, and completeness of tray.
• Allows adequate time for preparation of supplies and counting (i.e., routine case 15 minutes, complicated case 30-40 minutes).
• Has basic knowledge of surgical procedures.
• Organizes and maintains a neat, clean mayo, instrument, and back tables.
• Attempts reasonable anticipation of sequence of instrumentation.
• Properly identifies medication.
• Handles floor stock medications or medications delivered from pharmacy directly or through the pneumatic tube station. Relocate these medications, in original containers, to designated secure storage locations or delivers directly to appropriate licensed staff.
• Keeps track of sponges, needles, and instruments during procedure at all times.
• Relays accurate identification of specimens and cultures.
• Organizes and assists in end-of-case clean up.
• Separates sharp and delicate instruments during clean up.
• Assists in pulling cases.

1. Assists in maintenance of safe environment for patients and staff.

• Has knowledge and applies principles of good aseptic practice (i.e., appropriate scrub length, OR attire, proper gowning, gloving, and draping methods).
• Checks sterile supplies for proper packaging and dating.
• Actively assists in recognizing and reporting breaks in sterile technique.
• Requests assistance of Sterile Processing personnel in preparation of instruments for immediate reuse.
• Follows protocol for universal blood- and body-fluid precautions at all times.
• Prevents loss of instruments by thorough search of drapes before they are discarded.

1. Assists in the orderly function of the OR.

• Demonstrates flexibility in a team effort (i.e., takes required supplies from circulator when offered).
• Checks room for and puts away excess supplies and equipment.
• Takes initiative and seeks appropriate opportunities to update and maintain surgical skills (i.e., requests certain cases and attends inservices).
• Assists in checking to-follow cases for completeness and accuracy.
• Assists in orientation of new personnel.
• Actively participates in checking and maintaining assignment by participating as a permanent team member.
• Participates in updating surgeon’s preference list.
• Reports to assigned room on time.
• Understands and follows disaster plan.
• Follows hospital/unit policies, procedures, and behavioral expectations.
• Uses designated lines of communication and authority.
• Willingly assists co-workers to facilitate patient care.
• Attends 65 percent or a minimum of 6 unit staff meetings per year, whichever number is greater. Seeks excused absences by OR director or specialty supervisor when needed.  Reviews and signs minutes.
• Attends or participates in JCAHO and other mandatory inservices.

1. Initiates appropriate intraoperative behaviors unique to first assistant, if trained to do so.

• Provides hemostasis to reduce potential for post-operative infection and potential for fluid volume deficit by clamping and/or ligating vessels, using electrosurgical cautery, applying direct pressure, applying chemical agents that promote coagulation, and other means as directed by surgeon.
• Provides exposure of the operative site through the appropriate use of retractors and other instruments and through suctioning and sponging.
• Uses surgical instrumentation skillfully in ways consistent with their design and purpose as directed by the surgeon.
• Handles all variety of tissue appropriately to reduce potential for injury or compromised blood supply.
• Sutures skillfully all varieties of tissue with the appropriate suture materials and suturing techniques.

1. Performs other duties as assigned.

Required Skills

1. Professional Nursing Care

• Age appropriate assessment.
• Data analysis to identify nursing problems.
• Defines individualized patient outcomes.
• Develops an interdisciplinary, individualized plan of care in partnership with patients and families.
• Implements specified interventions to attain expected outcomes.
• Evaluates the patient’s progress toward attainment of outcomes, revising the plan when indicated.

1. Supervision and Delegation

• Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description, individual capability and patient needs.
• Communicates patient status and caregiver performance expectations.
• Appropriately supervises performance of LPNs and unlicensed assistive personnel.
• Directs performance improvement for LPNs and unlicensed assistive personnel.
• Builds teamwork when supervising and delegating to others.

1. Communication and Collaboration

• Demonstrates effective interpersonal skills.
• Uses therapeutic communication techniques.
• Demonstrates assertiveness.
• Communicates relevant patient information to other members of the health team.
• Documents patient care according to Memorial policies and procedures. .
• Ensures appropriate implementation of physician’s orders.
• Accesses electronic data to facilitate patient care.
• Creates and maintains a collaborative work environment.
• Participates in interdisciplinary planning and decision making.
• Precepts new nursing employees and/or nursing students.

1. Quality and Safety

• Identifies and resolves safety risks.
• Participates in continuous quality improvement.
• Participates in the periodic review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Professional Accountability

• Demonstrates ethical decision making.
• Advocates for patients and families.
• Appropriately follows the chain of command.
• Adheres to the Memorial Health System Behavioral Standards.
• Develops annual plan for own professional development.
• Participates in community health initiatives.
• Participates in community organizations.
• Contributes to nursing research activities and applies findings in clinical practice.
• Participates in nurse peer review process.

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

1. Professional Nursing Care

• Age appropriate assessment.
• Data analysis to identify nursing problems.
• Defines individualized patient outcomes.
• Develops an interdisciplinary, individualized plan of care in partnership with patients and families.
• Implements specified interventions to attain expected outcomes.
• Evaluates the patient’s progress toward attainment of outcomes, revising the plan when indicated.

1. Supervision and Delegation

• Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description, individual capability and patient needs.
• Communicates patient status and caregiver performance expectations.
• Appropriately supervises performance of LPNs and unlicensed assistive personnel.
• Directs performance improvement for LPNs and unlicensed assistive personnel.
• Builds teamwork when supervising and delegating to others.

1. Communication and Collaboration

• Demonstrates effective interpersonal skills.
• Uses therapeutic communication techniques.
• Demonstrates assertiveness.
• Communicates relevant patient information to other members of the health team.
• Documents patient care according to Memorial policies and procedures. .
• Ensures appropriate implementation of physician’s orders.
• Accesses electronic data to facilitate patient care.
• Creates and maintains a collaborative work environment.
• Participates in interdisciplinary planning and decision making.
• Precepts new nursing employees and/or nursing students.

1. Quality and Safety

• Identifies and resolves safety risks.
• Participates in continuous quality improvement.
• Participates in the periodic review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Professional Accountability

• Demonstrates ethical decision making.
• Advocates for patients and families.
• Appropriately follows the chain of command.
• Adheres to the Memorial Health System Behavioral Standards.
• Develops annual plan for own professional development.
• Participates in community health initiatives.
• Participates in community organizations.
• Contributes to nursing research activities and applies findings in clinical practice.
• Participates in nurse peer review process.

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

1. Professional Nursing Care

• Age appropriate assessment.
• Data analysis to identify nursing problems.
• Defines individualized patient outcomes.
• Develops an interdisciplinary, individualized plan of care in partnership with patients and families.
• Implements specified interventions to attain expected outcomes.
• Evaluates the patient’s progress toward attainment of outcomes, revising the plan when indicated.

1. Supervision and Delegation

• Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description, individual capability and patient needs.
• Communicates patient status and caregiver performance expectations.
• Appropriately supervises performance of LPNs and unlicensed assistive personnel.
• Directs performance improvement for LPNs and unlicensed assistive personnel.
• Builds teamwork when supervising and delegating to others.

1. Communication and Collaboration

• Demonstrates effective interpersonal skills.
• Uses therapeutic communication techniques.
• Demonstrates assertiveness.
• Communicates relevant patient information to other members of the health team.
• Documents patient care according to Memorial policies and procedures. .
• Ensures appropriate implementation of physician’s orders.
• Accesses electronic data to facilitate patient care.
• Creates and maintains a collaborative work environment.
• Participates in interdisciplinary planning and decision making.
• Precepts new nursing employees and/or nursing students.

1. Quality and Safety

• Identifies and resolves safety risks.
• Participates in continuous quality improvement.
• Participates in the periodic review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Professional Accountability

• Demonstrates ethical decision making.
• Advocates for patients and families.
• Appropriately follows the chain of command.
• Adheres to the Memorial Health System Behavioral Standards.
• Develops annual plan for own professional development.
• Participates in community health initiatives.
• Participates in community organizations.
• Contributes to nursing research activities and applies findings in clinical practice.
• Participates in nurse peer review process.

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

• Performs secretarial, scheduling, and unit clerk duties according to established procedure and specific instructions of supervisor.
• Schedules cases accurately with pertinent information noted; notifies specialty-resource nurses regarding special equipment and instrument requests; checks scheduling computer for conflicts in scheduling; refers physician’s office complaints to appropriate nursing personnel/supervisor; proactively monitors customer satisfaction and addresses any issues or complaints with appropriate personnel/supervisor; schedules other departmental services needed; prepares computerized OR schedule or next day’s surgery; runs reports to support system accuracy and department.
• Answers telephone promptly and identifies unit, self, and job title.
• Uses paging system for physicians, anesthesiologists, and other personnel and uses intradepartmental intercom system.
• Locates surgical personnel and places telephone calls upon request.
• Identifies and sets priorities for received information.
• Receives and delivers telephone messages for doctors and residents; delivers emergency and or patient-related telephone messages to personnel; provides appropriate verbal or written information to other departments as necessary.
• Operates pneumatic-tube system, hospital computer terminals, multi-line phone and several phones, and maintains normal office machines.
• Runs daily schedules for the OR staff and other pertinent hospital departments, and runs scheduling reports for physicians and OR staff.
• Handles floor stock medications or medications delivered from pharmacy directly or through the pneumatic tube station. Relocate these medications, in original containers, to designated secure storage locations or delivers directly to appropriate licensed staff.
• Places supplies in proper location and maintains adequate supplies of required OR forms.
• Follows designated lines of communication and authority in department.
• Assists in on-the-job instruction to new trainees.
• Notifies appropriate staff of all added and cancelled cases.

Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
• Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
• Assures that linens are dry, wrinkle free and that patient is comfortable.
• Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
• Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
• Serves and collects food trays and nourishments. Records percentage of diet intake.
• Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
• Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
• Provides bed pan/urinal. Performs perineal care.
• Performs bladder catheter care and discontinues bladder catheter as directed.
• Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
• Records output. Reports deviations from normal.
•  Other related needs:
• Assists with post-mortem care.
• Assists with admission, transfer and discharge of patients.
• Promptly responds to patient call light or requests (usually in less than ten minutes).

 2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

•  Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5.  Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

•  Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.