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Required Skills

• Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction. Communicates patients’ needs through the tasking mechanism of the electronic health record. Accountable for achieving quality and patient satisfaction standards, including anticipating patient needs, grievances, and service recovery.
• Schedules, reschedules and coordinates patient appointments. Reviews new patient requests.  Appropriately triages patients in urgent/emergency situations over phone or in person.  Monitors patient flow through reception and works with team to minimize and notify patients of waits and delays.  Schedules interpreters if needed.
• Responsible for accurate registration of patient demographics and insurance. Utilizes a variety of external websites to confirm patient’s eligibility.  Determines appropriate copay, registration conversation, and insurance to bill based on appointment type.  Collects patient financial responsibility at the time of registration, including current and past due balances   Determine and provide age appropriate documentation to be completed by each patient.  Obtains and validates proper consent for patient treatment.   
• Assists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits.  Reviews and corrects demographics/insurance errors.  Assists in the clinic’s overall financial performance by monitoring accounts for bad debt balances, pre-payment requirements, and patient portions at the time of service, and other old balances.
• Responsible for several tasks related to the paper flow through office. This may include, but is not limited to; working with incoming mail and faxed correspondence.  Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits, if requested.
• Performs opening and close of day activities. This may include running various reports, cash management, and completing required work lists.
• Complies with all reimbursement rules and regulations, including Corporate Compliance and HIPAA. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards.
• Manages task lists within the electronic health record.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

1. Assists the pharmacist in filling medication orders including orders for IV admixtures, surgical kits, compounded orders, or floor stock.

1. Complies with all Federal, State, or other regulatory requirements as they relate to drug control, drug storage, drug dispensing or drug returns.

1. Monitors medication stock levels and advises appropriate pharmacy staff of depletion or low levels of critical medications and supplies.

1. Adheres to all necessary State, Federal (USP) sterility requirements in preparation of sterile products.

1. Delivers medications in a timely manner, placing patient needs first.

1. Utilizes pharmacy computer program / software to generate labels, post charges and issue credits, run reports, and enter patient specific information.

1. Complies with all department, State and Federal requirements for completing appropriate online and paper records and reports for historical and auditing purposes.

1. Serves as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.

1. Performs other related work as required or requested.

Occupational Hazards:  Potential for exposure to infectious patients and materials, though rare.  Potential for exposure to hazardous and toxic substances including chemotherapy, cytotoxic drugs, and cleaning solutions.  Potential for sticks or cuts by needles and other sharp, potentially contaminated items.  Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.

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

Essential Functions and Job Duties

• Identifies with, shares in, and displays a commitment to the mission, philosophy, and objectives of the organization.  Demonstrates knowledge of the mission, gives consideration to the principles of the mission (core values:  Compassion, Agility, Respect, Excellence, and Service).
• Participates in and supports performance improvement and risk management activities.
• Assembles meal trays.  Stocks Assembler area.  Checks for, prepares and sets up added items to ensure efficiency of room service operations.  Stocks assigned area; maintains area in neat and clean condition.
  • Handles all food and equipment in accordance with the sanitary practices of the hospital, local and State Health Department or other regulatory agencies
  • Assembles meals accurately.
  • Presents meals attractively, assures items are in proper place.
• Checks for, prepares, and sets up added items to ensure efficiency of room service operations.  Stocks assigned area; maintains area in neat and clean condition.
  • Assembles special “build your own” cold food items.
  • Prepares nourishments and special food requested on the diets.
  • Portions the dessert and other cold foods.
  • Serves correct portion sizes; labels, dates, rotates, and stores all food items properly.
  • Cleans up broken dishes and spills.
  • Puts soiled linen in the proper location, using sanitation guidelines.
  • Records refrigerator temperatures.
• Follows all safety precautions and uses personal sanitation and safety procedures.
  • Uses personal protective equipment.
  • Attends and contributes to all safety training sessions and uses good body mechanics.
  • When working dishroom, ensures sanitary dishware and carts.
  • Follows department dress code policy.
  • Washes hands and changes gloves frequently.
• Maintains a clean and organized work area.
• Maintains composure in demanding and difficult situations and attempts solutions.
  • Consults with supervisor or appropriate personnel in regard to food shortages, customer complaints, malfunctioning equipment and inappropriate equipment temperatures.
  • Works well with deadlines.
• Stocks nursing units; prepares special foods.
  • Cleans patient food refrigerators and microwaves.
  • Supplies units with food and paper supplies for their kitchens.
  • Records refrigerator temperatures.
  • Maintain request forms for items.
• Prepares, delivers and returns room service trays of patients.
  • Demonstrates age-related competencies and safety and privacy concerns for all patient populations served.
  • Gathers patient trays and records consumption on computer as needed.
  • Follows scripting guidelines (when interacting with patients in person, while taking calls).
  • Performs other duties as assigned.

Required Skills

Essential Functions and Job Duties

• Identifies with, shares in and displays a commitment to the mission, philosophy, objectives of the organization.  Demonstrates knowledge of the mission, gives consideration to the principles of the mission (core values:  Compassion, Ability, Excellence and Service).
• Participates in and supports performance improvement and risk management activities.
• Oversees diet orders for assigned group of patients of all ages.

• Demonstrates age-related competencies in all patient interactions.
• Verifies diet orders; confers with the dietitian if necessary.
• Expands knowledge through own initiative.
• Voluntarily anticipates and completes duties.

• Prioritizes duties for maximum productivity and efficiency.

• Answers telephone using correct script; takes and relays information
• Assists co-workers to equalize work load.
• Anticipates and adjusts to change in work load.

• Ensures that all patients are seen or called for food preferences appropriate to their age and diet.

• Reviews menus for compliance; selections are logical.
• Patient selections are not to be given non-compliant foods without Registered Dietitian approval.
• Provides suggestions to patients from the room service menu.
• Complies with time guidelines.
• Involves others in menu selections as appropriate.

• Documents nutrition information on appropriate place/format including calorie counts, and supplements.
• Attends required in-services; assist in training new or less skilled staff.
• Uses good judgment and takes appropriate action with minimal supervision; recognizes important information; maintains optimal performance in stressful situations.
• Performs other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required. 

• Basic knowledge of diet therapy, modified diet and food substitutions, basic math skills.
• Ability to work cooperatively with supervisors, co-workers and other health care professionals.
• Must be able to read and write English

General Skill Requirements

In addition to the Essential Functions and Qualifications listed above, to perform the job successfully an individual must also possess the following General Skill Requirements.

• Adaptability – Adapts to changes in the work environment; Manages competing demands; Accepts criticism and feedback; Changes approach or method to best fit the situation; ability to work with frustrating situations; work under pressure and on an irregular schedule such as unscheduled overtime, unanticipated changes in work pace; Works with numerous distractions.
• Attendance and Punctuality – Schedules time off in advance; Begins working on time; Keeps absences within guidelines; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Communications – Expresses ideas and thoughts verbally; Expresses ideas and thoughts in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods.
• Cooperation – Establishes and maintains effective relations; Exhibits tact and consideration; Displays positive outlook and pleasant manner; Offers assistance and support to co-workers; Works cooperatively in group situations; Works actively to resolve conflicts.
• Job Knowledge – Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.
• Judgment – displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions; ability to work with and maintain confidential information.
• Problem solving – Identifies problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Resolves problems in early stages; Works well in group problem solving situations.
• Quality – Demonstrates accuracy and thoroughness; Displays commitment to excellence; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly; Achieves established goals.
• Concentration – Maintains attention to detail over extended period of time; continually aware of variations in changing situations.
• Supervision – ability to perform work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.

Required Skills

Essential Functions and Job Duties

• Collects and documents data regarding physical, psychological, and educational needs of patients of all ages.

• Differentiates among emergent, urgent, and non-urgent patients.
• Evaluates patient telephone calls; follows up with instructions and documentation.
• Seeks supervisor and physician advice as needed.

• Establishes priorities in clinic setting and collaborates with Provider regarding plan of care.
• Delegates care to other members of the healthcare team.
• Offers input the plan of care; educates patient in plan of care.

• Screens telephone calls from patients and evaluates for referral. Coordinates and communicates plan of care with the patient and/or the family.
• Conducts pre-authorization for medication and ordered tests and completes appropriate forms. Schedules specialized procedures at the hospital; monitors need for follow-up.
• Arranges outside laboratory tests. Assists physicians by preparing patients and setting up equipment.

• Shares with nursing staff daily scheduling of patients with acute and/or urgent problems.
• Performs as a team nurse with providers and other staff.
• Reports ideas, concerns, and problems to Manager/Coordinator.
• Scanning and accurate indexing of records from outside sources in the patient electronic health record for provider signature.
• Reviews patient’s medical records from previous physician to incorporate pertinent information into patients completed chart.

• Provides and documents care within the standards of practice, policies and procedures.

• Administers and records immunizations, allergy shots and other parental injections; performs related duties.
• Performs or assists in specimen collection of waived lab tests; performs related follow up.
• Performs various screening tests; sets up equipment and assists with various procedures; assists in emergency situations with appropriate emergency supplies and procedures.
• Manages acute and/or episodic minor illnesses of patients by following doctor’s orders and documents treatment.
• Inserts and maintains continuous IV infusions; monitors progress (if applicable).

• Monitors the patient’s response to care; documents variances and revises plan of care to achieve desired outcomes.

• Involves patient’s family and multidisciplinary team; utilizes teaching skills.
• Makes phone calls to patient’s family to follow up and to communicate test results.
• Sets up referrals based on outcomes and doctor’s orders.
• Administers documents and evaluates medications.
• Explains procedures and answers questions from patients and their families; provides verbal, written and audiovisual materials; diet consultation; advice on wellness, exercise, preventative care and safety. Assesses patient’s ability to accept and understand instructions; maintains and orders educational materials.

• Demonstrates department specific competencies, including age specific competencies for all ages.

• Arranges for medication refills.
• Shares knowledge, nursing skills, experience, and patient education advice with physicians.

• Supports and maintains joint commission standard. 

• Attends nursing in-service and continuing education programs.

• Assumes personal responsibility for quality patient care, environment of care, and professional development.

• Assists in coordinating and implementing policies in compliance with all regulatory standards.
• Reports ideas and concerns to supervisor concerning improved patient care, customer service and efficient clinical operations.
• Maintains clean, well-equipped exam room, and assists in inventory control.
• Attends meetings, in-services and continuing education classes; suggests topics and/or conducts nursing in-services.
• Assists with maintenance of patient medical records.

• Documents vitals, history, meds, procedures and instructions according to DMH policies and unit standards. 
• Demonstrates care and knowledge in medication administration.
• Arranges for medication and medication refills. 
• Performs other duties as assigned.

Required Skills

General Skill Requirements

In addition to the Essential Functions and Qualifications listed above, to perform the job successfully an individual must also possess the following General Skill Requirements.

• Adaptability – Adapts to changes in the work environment; Manages competing demands; Accepts criticism and feedback; Changes approach or method to best fit the situation; ability to work with frustrating situations; work under pressure and on an irregular schedule such as unscheduled overtime, unanticipated changes in work pace; Works with numerous distractions.
• Attendance and Punctuality – Schedules time off in advance; Begins working on time; Keeps absences within guidelines; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Communications – Expresses ideas and thoughts verbally; Expresses ideas and thoughts in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods.
• Cooperation – Establishes and maintains effective relations; Exhibits tact and consideration; Displays positive outlook and pleasant manner; Offers assistance and support to co-workers; Works cooperatively in group situations; Works actively to resolve conflicts.
• Job Knowledge – Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.
• Judgment – displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions; ability to work with and maintain confidential information.
• Problem solving – Identifies problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Resolves problems in early stages; Works well in group problem solving situations.
• Quality – Demonstrates accuracy and thoroughness; Displays commitment to excellence; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly; Achieves established goals.
• Concentration – Maintains attention to detail over extended period of time; continually aware of variations in changing situations.
• Supervision – ability to perform work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.

Required Skills

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

1. Prepares and tests R.T. equipment for proper & safe operation. Reports malfunctioning equipment to charge RT and biomedical engineering.

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

1. Documents patient oxygen use for charging purposes

1. Returns unused equipment to R.T.by visual inspection of every patient care unit; cleaning and storing according to department policy.

1. Restocks intubation boxes daily and completes monthly rounding according to DMH policy.

1. Distributes E-cylinders of oxygen to the designated oxygen storage locations within DMH

1. Orders routine department supplies.

1. Maintains, organizes, cleans, and stocks storerooms.

1. Participates in departmental quality activities including data collection as appropriate to role.

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

1. Follows DMH and Respiratory Care infection control policies. Keeps all patient information confidential and follows DMH guidelines.

1. Performs other related duties as assigned. Duties overseen by charge RT or designee.

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

Essential Functions and Job Duties

• Performs assessment (chest auscultation, need for therapy, ABG results) on assigned patients as ordered by a physician; demonstrates accurate assessment skills in relation to age of patient.

• Establishes priorities and plan of care based on assessment.

• Provides care according to respiratory standards of practice.

• Documents tolerance to treatments and patient variances; revises plan of care to achieve optimal patient outcomes.

• Completes all annual educational requirements; demonstrates competency in respiratory areas, including assessment, 02 administration, patient ventilators, treatment, medications, etc.

• Documents care; completes CQI projects.

• Participates in continuing education and development of department staff by providing inservices and acting as a resource to staff in a specific specialty area of respiratory care (i.e. ventilator management)

• Performs other duties as assigned.

Required Skills

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

• SAFETY: Prevent Harm – I will put safety first in everything I do.  I will speak up, without fear, on matters of patient and colleague safety.  I will take action to create an environment of zero harm.

• QUALITY: Improve Outcomes –  I will continually advance my knowledge and skills.  I will seek out continuous improvement opportunities.  I will deliver evidence-based care that leads to excellence in outcomes.

• INTEGRITY: Show respect and Compassion  – I will respect others and show compassion.  I will behave honesty and ethically.  I will be accountable for my attitude, actions and health.

• STEWARDSHIP: Reduce Waste – I will use resources wisely and maintain financial stability.  I will work together to coordinate care and services across the health system.  I will promote healthier communities.

1. Coordinates daily activities for local affiliate IP team. Provides direction and support of the members of the team including onboarding of new colleagues, triaging of daily tasks.
2. Collaborates with Manger, Infection Prevention with planning and carrying out of special studies or investigations.
3. Attends hospital group departmental meetings and other meetings as assigned.
4. Collaborates with Manger, Infection Prevention with development of department schedule and time card management.
5. Collaborates with Manager, Infection Prevention and Infection Prevention Medical Director on Infection Control Committee agenda development and materials.
6. Identification of infectious disease processes
   • Differentiate among colonization, infection and contamination.
   • Identify occurrences, reservoirs, incubation periods, periods of communicability, modes of transmission, signs and symptoms, and susceptibility associated with the disease process.
   • Interpret results of diagnostic/lab reports.
   • Recognize limitations and advantages of types of test used to diagnosis infectious processes.
   • Recognize epidemiologically significant organisms for immediate review and investigation.
   • Differentiate among prophylactic, empiric, and therapeutic uses of antimicrobials.
   • Identify indications for microbiologic monitoring.

1. Surveillance and epidemiologic investigations

• Design of surveillance systems.
• Collection and compilation of surveillance data.
• Interpret surveillance data.
• Outbreak investigation.
• Ability to apply and use surveillance data to improve practice.
• Ability to use advanced statistical methods and tools including infection ratio, risk assessment, hazard vulnerability analysis.
• Participates in Antimicrobial Stewardship programs as needed.
• Communicates hospital associated infection data monthly to key stakeholders.

1. Preventing/controlling the transmission of infectious agents

• Develop and review infection prevention and control policies and procedures.
• Collaborate with public health agencies in planning community responses to biologic agents (e.g., anthrax, influenza).
• Identify and implement infection prevention and control strategies according to specific topics:
  • Hand hygiene
  • Cleaning, disinfection and sterilization
  • Specific direct and indirect care settings
  • Therapeutic and diagnostic procedures and devices
  • Product/equipment recall procedures
  • Use of isolation/barrier precautions when indicated
  • Patient placement, transfer, discharge
  • Environmental hazards
  • Use of patient care products and medical equipment
  • Patient immunization programs
  • Construction and renovation
  • Influx of patients with communicable diseases

1. Colleague health: Collaborates with Colleague Health in the development of strategies that address the risk of disease transmission to HCW and ancillary staff.

• Review and/or develop screening and immunization programs.
• Provide counseling, follow-up, work restriction recommendations related to communicable diseases or following exposures in collaboration with Employee Wellness nurse.
• Assist with analysis and trending of occupational exposure incidents and information exchange between Employee Wellness and Infection Prevention and Control Departments.
• Participates in development and review of EW policies and procedures related to infection prevention and control.
• Assists in the influenza campaign.
• Consults on post-exposure protocols and activities related to communicable diseases.
• Assess the risk of occupational exposure to infectious diseases when indicated.

1. Education and research: Serves as an educator and educational resource for HCW, ancillary staff, patients, families, and the general public.

• Assess needs, develop goals and measurable objectives and prepare plans for educational offerings.
• Apply principles of adult learning to educational strategies and delivery of educational sessions.
• Prepare, present, or coordinate educational workshops. Lectures, discussion or one-on-one instruction on a variety of infection prevention and control topics.
• Apply critical reading skills to evaluate research findings.
• Utilizes appropriate information technology in educational design and delivery.
• Incorporates research findings into practice through education and consultation.

1. Professional development: Acquires and advances current knowledge and skills in the area of infection prevention, control, and epidemiology. 

• Demonstrates expert knowledge and advances education, knowledge, and skills as they relate to infection prevention and control
• Participates in professional organizations and networking opportunities
• Leads in the integration of prevention activities within and across departments
• Seeks leadership development opportunities through Leadership Development Institute

1. Professional accountability: Responsible for the development, evaluation, and improvement of own practice in relations to the Practice Standards.

• Establishes and works toward professional goals and objectives.
• Performs regular self-evaluations to identify strengths and areas for improvement.
• Seeks constructive feedback regarding professional practice.
• Keeps current on best practices through evidence based research and guidelines.
• Participates in education opportunities that promote personal professional growth and development.
• Acquires and advances current knowledge and skills in the area of infection prevention & control.
• Communicates effectively with internal and external customers.
• Possesses team and consensus building within and across stakeholder groups

1. Leadership: Serves as a leader, mentor, and role model.

• Coordinates local affiliate IP work and works collaboratively with others.
• Shares knowledge and expertise.
• Mentors less experienced health care providers and ancillary personnel.
• Recommends specific equipment, personnel, and resources for the infection prevention and control program.
• Assists with evaluation of accreditation/regulatory compliance issue and facilitates compliance.
• Conduct or assist with completion of an infection risk assessment of the organization.
• Assist with the development of goals, measurable objectives, and action plans for the infection prevention and control program.
• Participate in cost benefit assessments, efficacy studies, and product evaluations.
• Recommend changes in practice based on clinical outcomes and financial implications.
• Provide infection prevention and control findings, recommendations, annual reports and policies and procedures to appropriate individuals, committees department and units.
• Demonstrates clear understanding of Joint Commission and CMS requirements for Infection Control programs.

1. Consultation: Provides expert knowledge and guidance in infection prevention, control, and epidemiology.

• Stays current with developments in infection prevention and control.
• Integrates into practice, policies, and procedures: pertinent regulatory requirements, accreditation standards, and guidelines.
• Supports patient/families, administration, committees, HCW, and ancillary staff in infection prevention, control and epidemiology issues.
• Provides input into patient safety and health care quality initiatives.

1. Performance improvement: Functions as an integral part of performance improvement initiatives to promote positive patient and employee outcomes. 

• Identifies opportunities for improvement based on observations, process and outcome indicators, and other findings.
• Acts as an agent of change and participates in the change process.
• Directs the organization’s infection prevention and control improvement activities.
• Participates and/or leads performance improvement teams for the organization/system based upon project needs.
• Utilizes established measurement tools and techniques, e.g., outbreak investigation, root cause analysis, etc.
• Integrates surveillance findings into formal plans for improvement of practice and patient outcomes.
• Collaborates with risk management/quality management in the identification and review of adverse and sentinel events.
• Completes Lean Six Sigma Green Belt certification training, and applies those principles to activities within the department.
• Participates on Defect Huddle as needed.

1. Patient contact: Provide patient contact for limited activities.

• Serve as consultant to patient and families related to infection control concerns.
• Interprets lab cultures and explain results to patients and families.
• Performs patient rounding on all patients with new diagnosis of multidrug resistant organism.
• Review and analyze patient charts for vaccine status if indicated.
• Assist with pneumococcal and influenza vaccination programs.
• Assess compliance with healthcare acquired infection prevention bundles with direct patient contact and evaluation of process measures.

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.