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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.

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

• Performs and results waived point-of-care testing such as urine pregnancies, urine dipsticks, rapid strep screens, RSV, influenza, and Hem occult testing.
• Correctly enter patient demographic and billing information into the hospital admitting system. Understands insurance policy numbers and carrier codes.  Verifies diagnosis with test order for Medicare reimbursement. Prints the ABN and obtains necessary patient information on required situations. Provides accurate communication to assist outpatients in the Medicare process.
• Accurately identify and obtain blood specimens from patients of all ages, employees, etc. as requested by authorized personnel (i.e. physicians, nurses, residents) using correct technique and appropriate equipment. Maintains productivity at a rate comparable to other experienced staff (6-8 patients per hour).
• Reads, interprets and correctly enters outpatient and non-patient physician orders, questioning any unclear order with supervisor. Rechecks the order for errors, making any necessary corrections.  Performs cancellations requested by authorized personnel using proper documentation.
• Participates in the collection of special procedures (ISP, drug screens, EBT, cultures, Influenza/RSV’s, research studies, bone marrows, capillary collections, therapeutic phlebotomy, cortisol stimulation testing, etc.). Assist non-laboratory personnel with specimen requirements and collection procedures.
• Ensures specimen integrity by adhering to appropriate laboratory packaging protocols. Ensures that all specimens received from client and physician offices are documented against packing lists and follows up with the site in the event all specimens are not received. Completes tracking logs and prepares specimens for courier pick up.
• Monitors daily phlebotomy actions by the use of various computer programs and logs (ORV, collection list, will call board, etc.). Maintains specimen tracking by correctly logging in all specimens with the correct time and date of specimen collection.
• Maintains Phlebotomy and clerical areas in a clean and orderly manner. Order and maintain supplies and keep areas stocked accordingly.Inputs all faxed orders into the lab orders database, questioning any illegible order, calls physician’s office with clarification of test order and patient demographics and order request (standing or one time).
• Communicates telephone or verbal messages effectively to appropriate lab divisions, personnel or administrative staff. Provides effective communication to the outpatient either in person or by telephone. Gives patient test results to nursing units and physician offices in accordance with medical center policies either verbally or by fax communication.Performs other related work as required or requested.

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.

• Identifies signs or symptoms, which indicate a significant variance.
• Reports variances to Provider.
• Establishes priorities in clinic setting and collaborates with Provider regarding plan of care.
• Offers input to plan of care.
• Educates patient in plan of care; coordinates and communicates plan of care with the patient and/or patient’s family.

• Screens telephone calls from patients and evaluates for referral.
• Conducts pre-authorization for medication and ordered tests; 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.
• Reports ideas, concerns, and problems to Manager/Coordinator.
• Scans and accurately indexes patient records from outside sources in the electronic health record for Provider signature.
• Reviews patient medical records from previous physician to incorporate pertinent information into patient’s completed chart.
• Under the supervision of a Physician, provides and documents care according to established standards of practice, policies, and procedures, and follows Physician orders.
• Prepares equipment for diagnosis and treatment; prepares patients.
• Performs blood draws test (where applicable), treatments, and screenings, and assists with examinations and minor surgery; sets up and assists with procedures; cleans and sterilizes instruments and equipment as needed.
• Administers medications and immunizations according to established guidelines.
• Runs laboratory controls, keeps lab logs and maintains OSHA log book.
• Assists in inventory of clinical supplies; checks expiration dates; maintains clean, well-equipped exam rooms, laboratory and procedure room.
• 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.

• 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.
• 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

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 MHS 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

Routine Duties:

• Responsible for checking, cleaning and stocking rooms with supplies and linens in preparation for daily work schedule.

• Responsible for performing equipment checks as directed, reporting all instances of malfunctioning to Biomed Department per MHS reporting policy.

• Responsible for maintaining a clean, organized and therapeutic environment.

• Responsible for utilizing supplies in a cost effective manner.

• Practices positive “Guest Relations” skills with public, with physicians, with other staff and other Medical Center personnel.

• Responsible for documentation of appropriate tasks.

• Responsible for following GPE initiatives directed by MPS/EC.

• Attends at all mandatory in-services.

• Completes all required unit specific training programs.

Patient Care Services:

• Provides care to patients under the direction of a Registered Professional Nurse and/or Licensed Physician according to Memorial Health System policies, procedures and standards of care.

• Maintains a level of clinical knowledge and skill commensurate with the level of patient care provided in accordance with the Department standards.

• Assist in the admission of patients, (i.e. placing patients in room, preparation of patient for examination, obtaining initial and/or repeat vital signs, communicates any unusual circumstances to the Registered Professional Nurse and/or Licensed Physician).

• Assists in the preparation and/or examination of the patient, (i.e. patient positioning, equipment, collection of specimens, surgical scrubs) while maintaining the privacy of the patients.

• Assists in executing Physician orders.

• Communicates with patient, family and/or significant other concerning procedures to be performed, anticipated waiting time and/or obtains information if unknown.

• Maintains an operating knowledge for providing appropriate assistance with various procedures (i.e. Splinting, Bandaging, Heat and Cold Applications, Cast Application and/or removal, oxygen application and maintenance, electrode placement and use of monitoring equipment, application of oral suctioning, preparation for suture application, cannot do any wound closure such as derma bond, steri-strips or sutures, can only apply steri-strips to wounds that are already closed and edges of the wound have been approximated, glucose monitoring and EKG application and testing.

• Transport patients in an appropriate manner with appropriate records.

• Maintains appropriate documentation skills.

• Performs clerical functions

• Provides preceptor functions as directed by Clinical Manager.

• Maintains familiarization with location and operation of equipment and procedure manuals for Department.

• Practices appropriately for the safety of patients, (i.e., uses side rails appropriately, disposes of infectious waste appropriately, addresses spill appropriately and initiates incident reports as appropriate).

• Demonstrates professionalism (i.e., attends or reviews 75% of staff meetings minutes, documenting review with signature and date; actively pursues opportunity to increase knowledge within area of responsibility; maintain patient confidentiality; complies with professional appearance policy; presents at work on time and maintains satisfactory attendance in accordance with department Ill/Absent policy).

• Participates in collecting data for Quality Improvement activities, assists in identifying patient care problems for study and applies Quality Improvement findings to patient care.

• Performs EC Triage on Patients according to policy.

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

• Performs and results waived point-of-care testing such as urine pregnancies, urine dipsticks, rapid strep screens, RSV, influenza, and Hem occult testing.
• Correctly enter patient demographic and billing information into the hospital admitting system. Understands insurance policy numbers and carrier codes.  Verifies diagnosis with test order for Medicare reimbursement. Prints the ABN and obtains necessary patient information on required situations. Provides accurate communication to assist outpatients in the Medicare process.
• Accurately identify and obtain blood specimens from patients of all ages, employees, etc. as requested by authorized personnel (i.e. physicians, nurses, residents) using correct technique and appropriate equipment. Maintains productivity at a rate comparable to other experienced staff (6-8 patients per hour).
• Reads, interprets and correctly enters outpatient and non-patient physician orders, questioning any unclear order with supervisor. Rechecks the order for errors, making any necessary corrections.  Performs cancellations requested by authorized personnel using proper documentation.
• Participates in the collection of special procedures (ISP, drug screens, EBT, cultures, Influenza/RSV’s, research studies, bone marrows, capillary collections, therapeutic phlebotomy, cortisol stimulation testing, etc.). Assist non-laboratory personnel with specimen requirements and collection procedures.
• Ensures specimen integrity by adhering to appropriate laboratory packaging protocols. Ensures that all specimens received from client and physician offices are documented against packing lists and follows up with the site in the event all specimens are not received. Completes tracking logs and prepares specimens for courier pick up.
• Monitors daily phlebotomy actions by the use of various computer programs and logs (ORV, collection list, will call board, etc.). Maintains specimen tracking by correctly logging in all specimens with the correct time and date of specimen collection.
• Maintains Phlebotomy and clerical areas in a clean and orderly manner. Order and maintain supplies and keep areas stocked accordingly.Inputs all faxed orders into the lab orders database, questioning any illegible order, calls physician’s office with clarification of test order and patient demographics and order request (standing or one time).
• Communicates telephone or verbal messages effectively to appropriate lab divisions, personnel or administrative staff. Provides effective communication to the outpatient either in person or by telephone. Gives patient test results to nursing units and physician offices in accordance with medical center policies either verbally or by fax communication.Performs other related work as required or requested.

Required Skills

Essential Functions and Job Duties

• Communicates with medical information to clients.

• Teaches wellness habits and educates patients on prevention of potential health problems.
• Develops educational programs with age-specific teaching tools for practice patients.
• Works closely with the Physician with client issues.
• Provides information and materials relating to patient health care needs.

• Review lab results and performs other medical monitoring, adhering to medical policies and procedures.

• Makes appropriate referrals to physicians.
• Coordinates patient care and family counseling with public and agencies.
• Collaborates and communicates with other nurses, physicians and outside agencies as appropriate.

• Performs medical case management, following established departmental policies and procedures.
• Performs routine exams and obtains patient histories.
• Manages patient treatment program based on assessment of needs.
• Initiates treatments via prescriptions, tests, exams, and procedures.
• Performs routine health maintenance activities for established patients.
• Evaluates and treats work related injuries.
• Documents all care and completed all other required paperwork.

• Writes progress notes on patients’ charts indicating patient status and treatment or procedures performed.
• Develops, writes and /or updates Nurse Practitioner practice protocol annually, with physicians review.
• Assists the physician in monitoring the quality of medical services provided within the department.
• Performs administrative duties such as writing admission orders, working with staff regarding patient problems scheduling, records and other related duties.

• Maintains and uses knowledge of current medical practice and skills.

• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
• Attends meetings as required.
  
• Performs other duties as assigned.