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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 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

1. Responsible for driving sustainable quality improvements resulting in the reduction of waste, increased efficiencies, and improved product quality.

1. Coordinate, develop and facilitate the implementation of quality improvement initiatives.

1. Identify, track, and report on quality and continuous improvement Key Performance Indicators (KPIs) to meet business objectives and initiatives.

1. Formulates quality control objectives and coordinates objectives with quality goals in cooperation with system and operational leadership to enhance patient safety, maximize process reliability and/or minimize costs.

1. Evaluates and recommends new tools and processes that can improve current work methods, increase safety and operational efficiencies.

1. Executes continuous improvement strategies by translating business objectives into actionable projects.

1. Develop and implement quality training programs that provide necessary organizational knowledge to achieve company and regulatory objectives.

1. Works closely with cross-functional teams to identify and mitigate quality risks.

1. Develop data collection plans, measurement definitions, and work collaborate with data engineering and data science colleagues to collect and retrieve data.

1. Conduct basic and advanced analyses to improve processes, performance and outcomes.

1. Develop and analyze mathematical and discrete event simulation models to analyze potential business improvements before implementation.

1. Conduct FMEAs, Risk Assessments, and Prioritization Matrices.

1. Works with senior and system leadership team, system directors, managers and any other assigned parties to help identify and scope quality improvement opportunities within their departments or given areas based on system and department goals, financial savings opportunities, or performance opportunities.

1. Apply Six Sigma techniques and Lean methodology expertise to improve operational efficiency and quality.

1. Assist organizational leaders with the prioritization of opportunities in an assigned value stream to achieve performance excellence through the reduction or elimination of process or outcome variation.

1. Mentor individuals in the use of quality improvement methodologies and safety tools and techniques.

1. Designs and delivers Lean Six Sigma education throughout the health system.

1. Participate in community outreach and networking programs. Participates in local civic organizations, clubs and activities whose purpose may be in concert with, or benefit to, Memorial Health System.

1. Maintains professional growth and development through continuing education, seminars, workshops and professional affiliations.

1. Perform other related work as required or requested.

Required Skills

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

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

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

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

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

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

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

1. Takes part in department in-service programs.

1. Is knowledgeable of and abides by safety regulations.

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

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

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

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

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

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

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

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

1. Performs other related work as required or requested.

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

Required Skills

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.

Required Skills

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. Serves the spiritual needs of assigned patients and families receiving hospice care.

1. Documents spiritual assessments and all other contact with the patient, family, significant others, community clergy and anyone else with whom there is contact related to care, care planning or interventions. Communicates findings to the appropriate hospice team member and at team meetings.

1. Coordinates the spiritual care of patients and families with community clergy.

1. Participates in the agency’s formal process for addressing ethical issues as needed.

1. Abides by Federal and State confidentiality laws, by the confidentiality requirements of their faith communities and by the provisions of relevant professional code of ethics.

1. Accepts an advocacy role within the organization consistent with the traditional prophetic role of ministry.

1. Incorporates the principles of formal bereavement care and effective grieving within the rites, liturgies, orders, et al of the bereaved’s cultural, spiritual and religious values and practices.

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. Anticipates the needs of patients and their families and serves as a link between hospital departments, physician offices and outside agencies to connect patients to the resources and programs that will meet their disease and individual needs based on the research protocol.

1. Works closely with physician offices to provide physicians, office staff, and patients a seamless entry for clinical services from the office setting to the services necessary for the patient in the research protocol.

1. Coordinates the physician and nursing care plans between settings via personalization and customization to enhance the patient experience.

1. Prepare and submit written adverse drug reaction reports to the NCI and research bases as required.
2. 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. Serve as a liaison between Memorial, the research bases, the Heartland NCORP (National Cancer Institute Community Oncology Research Program), and the individual investigators (physicians).

1. Serve as a professional resource and/or instructor regarding clinical trials, protocol procedures, and protocol compliance for investigators, nurses, pharmacists, pathologists, radiologists, and other health care personnel both inside and outside of Memorial.

1. Coordinates the timely scheduling of tests, procedures, appointments and treatments.

1. Assist investigators in developing individual office systems to make protocol procedures convenient and help ensure protocol compliance.

1. Responsible for data management activities that relate to any research studies coordinated through the Regional Cancer Center.

• • Patient screening and determining eligibility.
  • Obtaining informed consent and patient teaching.
  • Registering patients on research studies.
  • Clinical follow-up and data submission maintenance.
  • Quality control regarding documentation, protocol compliance, and data submission requirements.
  • Evaluations and analysis of research/data management activities.

1. Maintain a record keeping system that documents patients registered on research studies, their protocol status, and copies of the informed consent, source documents and the data submitted.

1. Order and monitor investigational and provided drug inventories and drug accountability records in central and satellite pharmacies.

1. Delegate/prioritize responsibilities when appropriate due to fluctuations in workload.

1. Attends general and site-specific cancer case conferences to identify patients who can benefit from research protocols and opportunities for Memorial to improve cancer care delivery services.

1. Represent Memorial’s Regional Cancer Center’s policies and philosophy to others.

1. Train new employees of research division in protocol coordination activities and data management.

1. Coordinate and/or assist with clinics designed to collect research data.

1. Coordinate and manage selected pharmaceutical trials as assigned.

1. Promotes programs and resources of the Regional Cancer Center and Memorial Health System to patients and families, hospital departments, and physician partners.

1. Observe institutional and federal regulations related to informed consent and scientific integrity of research.

1. Identifies gaps in patient care experiences and modifies interventions and service offerings to accommodate patient needs.

1. Coordinates patient care with inpatient and clinic nursing staff and patient care facilitators to anticipate patient needs and plan for coordination of services following discharge.

1. Perform additional duties and responsibilities as required by the Administrator and program Director.

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. Perform Patient assessments with patients in a specific service area.

1. Assign an Occupational Therapy treatment diagnosis.

1. Establishes plan of care with objective, measurable goals.

1. Provides interventions supported by evidenced based practice in accordance to the established plan of care.

1. Assesses the effectiveness of treatment and modifies treatment to achieve goals.

1. Plans for discharge.

1. Communicates with patient, family, caregivers and members of team to promote maximum benefit of care.

1. Provide patient care documentation that meets quality standards and supports ethical billing practice.

1. Demonstrates ability to organize workload and manage time effectively.

1. Maintains positive working relationship with patients and referral base.

1. Triages patient care in the event of high volumes, call ins, etc.

1. Serves as a role model/facilitator in handling difficult and/or stressful situations.

1. Demonstrates initiation in flexing to other service areas when needed.

1. Shares expertise through program development, and performance improvement opportunities.

1. Called upon to lead task forces, workgroups, etc.

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

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. Operate a variety of electrical equipment in a cardiovascular catheterization laboratory during a variety of procedures.

1. During the procedure, monitor the patient’s electrocardiogram, alert the physician of any irregular heart activity or change in pressure. Charge the patient appropriately for the procedure.

1. Is able to properly perform patient pre-procedure teaching. Obtain consent forms signed by the patient prior to the procedure, when appropriate.

1. Is able to prepare patient for the procedure.

1. Act as a circulator in the case, connect monitoring lines, check pulses, collect and set up appropriate equipment for the case.

1. Perform as a sterile assistant, assist the physician in scrubbing and maintaining a sterile field, assist the physician with catheter and/or equipment insertion and removal. Dress and/or suture insertion site following the procedure.  Set up arterial pressure line (if needed) or pull sheath and obtain hemostasis.

1. Can assist in the use of arterial closure devices.

1. Record, interpret, and calculate various types of data collected during the procedure.

1. Maintain equipment, correct equipment malfunctions and report malfunctions for repair.

1. May instruct technologists and others in the performance of technical procedures, operations of equipment, and collection and interpretation of data.

1. Has knowledge of the proper operation of x-ray equipment used in the Cath Lab.

1. Responsible for Quality Assurance of the x-ray equipment. These tests are outlined in the Procedure Manual.

1. Maintain continuing education classes to assure certification.

1. Will take call as scheduled.

1. Can collect appropriate past patient information for the physician to review (old cine films, cath records, etc.)

1. Adhere to behavioral standards.

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.