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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 in-services).
• 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 in-services.

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. 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 in-services).
• 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 in-services.

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. Provides quality patient treatment.

1. Provides accurate and timely documentation as directed by the Physical Therapist.

1. Provides interdepartmental communication with areas such as nursing, social service, and occupational therapy.

1. Serves as a clinical resource for PTA’s and rehab techs.

1. Is active in his/her professional development through utilization of staff expertise and the department’s annual education program.

1. Assists in overseeing inventory of assigned areas..

1. Maintains equipment and environment in safe order and in compliance with Joint Commission Infection control standards.

1. Assists with PTA students in combination with Physical Therapist.

1. Participates in department’s educational and community service activities.

1. Participates in program development or special projects under the auspices of the assigned Physical Therapist or Program Coordinator.

1. Assists with department projects, planning and problem solving through task force and/or community participation.

1. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.

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. 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. 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.

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

• Greet and assist the majority of visitors and patients, answering questions via telephone or in person, and providing directional information.
• Effectively perform general clerical and administrative functions.
• Complete all steps of pre-registration and registration, including patient interviews, obtaining signatures, providing Advance Directive information, and distributing hospital-specific literature.
• Pre-register and register all types of patients across multiple software systems.
• Demonstrate flexibility, organization, and the ability to function well in stressful situations while maintaining a professional demeanor with patients and colleagues.
• Conduct financial collections and referrals for Financial Counseling, interviewing and prescreening self-pay patients for potential financial assistance.
• Understand and comply with state and federal regulations, as well as hospital, department, and The Joint Commission policies related to patient access.
• Communicate effectively with ancillary departments, physicians, medical offices, and within the Patient Financial Services department.
• Conduct insurance verification tasks, pre-certification, and referral information from MD offices and insurance companies for both elective and emergent patients.
• Complete legal admission paperwork for psychiatric admissions in accordance with DHS guidelines.
• Ensure accurate documentation of patient information.
• Check and restock supplies as needed.
• Participate in performance improvement activities for the department and organization.
• Adhere to all HIPAA guidelines and maintain patient confidentiality.
• Complete annual educational and training requirements.
• Promote the mission, vision, and goals of the organization and department.
• Perform other related duties as required or requested.

Required Skills

• Greet and assist the majority of visitors and patients, answering questions via telephone or in person, and providing directional information.
• Effectively perform general clerical and administrative functions.
• Complete all steps of pre-registration and registration, including patient interviews, obtaining signatures, providing Advance Directive information, and distributing hospital-specific literature.
• Pre-register and register all types of patients across multiple software systems.
• Demonstrate flexibility, organization, and the ability to function well in stressful situations while maintaining a professional demeanor with patients and colleagues.
• Conduct financial collections and referrals for Financial Counseling, interviewing and prescreening self-pay patients for potential financial assistance.
• Understand and comply with state and federal regulations, as well as hospital, department, and The Joint Commission policies related to patient access.
• Communicate effectively with ancillary departments, physicians, medical offices, and within the Patient Financial Services department.
• Conduct insurance verification tasks, pre-certification, and referral information from MD offices and insurance companies for both elective and emergent patients.
• Complete legal admission paperwork for psychiatric admissions in accordance with DHS guidelines.
• Ensure accurate documentation of patient information.
• Check and restock supplies as needed.
• Participate in performance improvement activities for the department and organization.
• Adhere to all HIPAA guidelines and maintain patient confidentiality.
• Complete annual educational and training requirements.
• Promote the mission, vision, and goals of the organization and department.
• Perform other related duties as required or requested.

Required Skills

Client Services

• Develop initial preliminary assessment data including clients’ presenting problems, mental status, relevant psychiatric, medical and developmental histories to make decisions regarding diagnosis (according to DSM-V) and/or to provide information and make appropriate referrals to other treatment resources in the community.
• Provide direct service intervention for emergency department patients.
• Implement crisis or pre-crisis intervention procedures with potentially suicidal, homicidal, or severely disabled clients. Make appropriate referrals to consulting psychiatrists or inpatient psychiatric facilities to prevent further destabilization.
• Coordinate referrals to inpatient and outpatient levels of care for emergency psychiatric assessments.
• Interview collateral contacts, previous and current treatment professionals, and significant others, as needed, to further assess appropriate plan of care.
• Conduct screenings and facilitates referrals from local hospitals, other agencies and/or internal programs to the state psychiatric facility (AMMHC) when applicable.
• Utilize MS Teams/Telehealth to conduct assessment of clients presenting to LMH, TMH and JMH with behavioral health concerns as requested by the ED providers

Client Information System

• Complete required administrative and legal paperwork (such as: voluntary and involuntary paperwork, Case Openings, SMI/SED, Acknowledgment of Voluntary Admission, Insurance Pre-Certifications, etc).
• Collect necessary information for billing and fee collection.
• Provide necessary client information to other agencies or health care providers to coordinate services to identified clients.
• Document assessments directly into the hospital EHR, where applicable, and ensure ED is provided with copies of all documentation when not able to enter directly into the client record.
• Complete insurance pre-certifications, when applicable, for patients being admitted to an MHS inpatient behavioral health unit.

Training Activities/Professional Growth

• Manager and employee mutually identify professional goals, which will enhance job related skills.
• Participate in ongoing agency meetings, committees, and special projects to enhance professional expertise.
• Attend and participate in mandatory monthly clinical supervision with manager as required by the IL Department of Human Services.
• Complete all mandatory education requirements by specified deadlines.
• Participate in required staff meetings and in-service meetings to keep abreast of agency policy and administrative procedures, meet requirements for continuing education, and upgrade professional knowledge.

Consultation/Networking

• Engage in appropriate team work functions (such as mutual support, clarification of office responsibilities and procedures) according agency policy to provide a professional working environment and effective service delivery.

Job Relationships

• Communicate directly with manager for clinical supervision, clarification of agency policy, and program evaluation to promote a professional working environment and effective service delivery system.
• In absence of immediate manager, will reach out to Director for clinical supervision.
• Adhere to MHS/MBH Behavioral Standards.

Other Job Responsibilities

• Respond to requests for service from the community and link to appropriate clinic program or outside agencies.
• Participate in On Call Rotation and assist manager in ensuring coverage of open shifts as needed
• Perform other duties as required by agency needs.

Required Skills

Client Services

• Develop initial preliminary assessment data including clients’ presenting problems, mental status, relevant psychiatric, medical and developmental histories to make decisions regarding diagnosis (according to DSM-V) and/or to provide information and make appropriate referrals to other treatment resources in the community.
• Provide direct service intervention for emergency department patients.
• Implement crisis or pre-crisis intervention procedures with potentially suicidal, homicidal, or severely disabled clients. Make appropriate referrals to consulting psychiatrists or inpatient psychiatric facilities to prevent further destabilization.
• Coordinate referrals to inpatient and outpatient levels of care for emergency psychiatric assessments.
• Interview collateral contacts, previous and current treatment professionals, and significant others, as needed, to further assess appropriate plan of care.
• Conduct screenings and facilitates referrals from local hospitals, other agencies and/or internal programs to the state psychiatric facility (AMMHC) when applicable.
• Utilize MS Teams/Telehealth to conduct assessment of clients presenting to LMH, TMH and JMH with behavioral health concerns as requested by the ED providers

Client Information System

• Complete required administrative and legal paperwork (such as: voluntary and involuntary paperwork, Case Openings, SMI/SED, Acknowledgment of Voluntary Admission, Insurance Pre-Certifications, etc).
• Collect necessary information for billing and fee collection.
• Provide necessary client information to other agencies or health care providers to coordinate services to identified clients.
• Document assessments directly into the hospital EHR, where applicable, and ensure ED is provided with copies of all documentation when not able to enter directly into the client record.
• Complete insurance pre-certifications, when applicable, for patients being admitted to an MHS inpatient behavioral health unit.

Training Activities/Professional Growth

• Manager and employee mutually identify professional goals, which will enhance job related skills.
• Participate in ongoing agency meetings, committees, and special projects to enhance professional expertise.
• Attend and participate in mandatory monthly clinical supervision with manager as required by the IL Department of Human Services.
• Complete all mandatory education requirements by specified deadlines.
• Participate in required staff meetings and in-service meetings to keep abreast of agency policy and administrative procedures, meet requirements for continuing education, and upgrade professional knowledge.

Consultation/Networking

• Engage in appropriate team work functions (such as mutual support, clarification of office responsibilities and procedures) according agency policy to provide a professional working environment and effective service delivery.

Job Relationships

• Communicate directly with manager for clinical supervision, clarification of agency policy, and program evaluation to promote a professional working environment and effective service delivery system.
• In absence of immediate manager, will reach out to Director for clinical supervision.
• Adhere to MHS/MBH Behavioral Standards.

Other Job Responsibilities

• Respond to requests for service from the community and link to appropriate clinic program or outside agencies.
• Participate in On Call Rotation and assist manager in ensuring coverage of open shifts as needed
• Perform other duties as required by agency needs.

Required Skills

• Understands how soiling occurs and the difference between soluble and insoluble soil and what occurs during the cleaning process.

• Keeps cleaning cart and Environmental Services closet clean, stocked, and organized as described by department policy.

• Understands the specific use of all Environmental Services chemicals and their dilution rates.
• Performs hard surface floor dust mopping and hard surface floor wet/microfiber mopping.

• Vacuums carpeted surfaces utilizing an upright vacuum cleaner.
• Handles and disposes all waste streams generated including regulated waste in the hospital setting.

• Cleans and handles intravenous pumps (IV or Sigma Smart Pumps).

• Cleans in-patient rooms daily.
• Performs A.I.D.E.T. (acknowledge, introduce, duration, explanation, thank you) and Greet and Feet techniques as described in policy and has a general understanding of how they affect a 3rd party patient survey process.

• Performs discharge/transfer cleaning procedures in both the in-patient and out-patient settings.

• Performs and has a solid understanding of all isolation cleaning and precaution procedures utilizing the appropriate Personal Protective Equipment.

• Responsible for office cleaning, conference room cleaning and furniture set-up/arrangement.

• Proficient in, performs, and has a solid understanding of the unique cleaning procedures in the laboratory setting.

• Routinely cleans public and non-public restrooms and locker rooms.

• Performs between case and terminal cleaning in both the in-patient and out-patient in special procedure areas.

• Cleans the pharmacy clean (IV) room.

• Reports all noted facility repair issues (wall patching/painting, ceiling tile replacement, leaking fixtures, burnt out lights, etc.) to department leadership and/or submits appropriate work orders.

• Maintains all equipment (cleaning carts, upright vacuums, pagers, etc.) within department guidelines.

• Performs general maintenance of hard/soft flooring.

• Follows departmental safety procedures with chemical and equipment use and reports any noted discrepancies.

• Reports any obtained or witnessed injuries to department leadership and submits an appropriate injury report as required.

• All duties are completed proficiently and within the designated time frames.

• Participates in all required trainings, meetings, and completes annual required computer based learning modules within designated time frames.
• Follows and is familiar with all departmental policies and procedures and monitors all department communication boards.
• Performs other related work as required or requested.