Work With Us

Required Skills

Assesses patient’s health status through interview, observation and physical assessment skills.

Responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process.

Participates in research when appropriate and incorporates research findings into evidence-based clinical practice.

Contributes to quality improvement processes.

Completes documentation in the patient medical record accurately and in a timely manner

Demonstrated technical knowledge and skill to safely utilize patient care equipment.

Prioritizes work based on changes in the patient condition, changes in assignments and unanticipated interruptions.

Performs all nursing care activities using techniques to promote safety, reduce risks, and follows policies and procedures.

Acts as an advocate for the patient with families, physicians and other healthcare team members.

Adapts teaching strategies based on the patient’s response, readiness to learn and level of comprehension.

Implements cultural, age-specific gender and developmental factors into patient/family education about health concerns, disease specific conditions, self-care and long-term management of chronic conditions.

Perform tactics to support great patient experience and lead others to support initiatives in patient experience.

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.

11/2018

Required Skills

1. Assesses patient’s health status through interview, observation and physical assessment skills.

1. Develops an individualized plan of care with specific goals and target date in collaboration with the patient, family, provider and other members of the health care as appropriate.

1. Implements appropriate interventions identified in the plan of care to move the patient toward established goals or outcomes.

1. Systematically evaluates and documents patient’s progress to expected outcomes / goals on an ongoing basis throughout the shift and modifies plan of care based on patient’s responses to expected outcomes.

1. Completes documentation in the patient medical record accurately and in a timely manner

1. Demonstrated technical knowledge and skill to safely utilize patient care equipment.

1. Prioritizes work based on changes in the patient condition, changes in assignments and unanticipated interruptions.

1. Collaborates with the health care team to organize tasks and activities from the patient’s admission through discharge. Delegates tasks and activities to other members in the health care team using appropriate

1. Performs all nursing care activities using techniques to promote safety, reduce risks, and follows policies and procedures.

1. Acts as an advocate for the patient with families, physicians and other healthcare team members.

1. Adapts teaching strategies passed on the patient’s response, readiness to learn and level of comprehension.

1. Implements cultural, age-specific gender and developmental factors into patient/family education about health concerns, disease specific conditions, self-care and long-term management of chronic conditions.

1. Promptly follow up on patient’s/ family requests/concerns

1. Provides care to all age groups as defined by nursing standards on each unit. Uses age appropriate communication techniques. 

1. Perform tactics to support great patient experience and lead others to support initiatives in patient experience.

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

• 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

• 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

Principal Duties & Responsibilities: 

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).

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.

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.

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.

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.
•  

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.

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

Performs other related work as required or requested.

Required Skills

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

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.

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

1. Receives, verifies, and processes all necessary documentation for correct order.

1. Documents patient oxygen use for charging purposes by visual inspection of every patient care unit bed.
2. Changes humidifiers and aerosol generators according to department policy.

1. Performs emergency rounds according to department policy.

1. Distributes E-cylinders of oxygen to the designated gas stations within MMC.
2. Receives and documents orders from physicians relating to Respiratory Care Order Set. Also reads and evaluates physician orders and charts that pertain to respiratory care and is aware of contraindication to medications, treatments, and related hazards with their use.

1. Measures and administers prescribed medications to patients (oxygen & aerosolized medications, etc.). Also administers the following therapy:  EZPAP, humidity and aerosols, chest physical therapy, incentive spirometry, pulse oximetry, BiPAP and CPAP administration and bedside pulmonary function/mechanics.

1. Assesses patients’ conditions and response to respiratory therapy by checking patients pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.

1. Recognizes signs of cardiopulmonary arrest and/or failure and assists in performing CPR procedures. Also must be able to recognize life-threatening arrhythmias or EKG strips.

1. Modifies therapy to deal with adverse or ineffective patient response and reports changes to shift supervisor.

1. Records procedures and patient response in appropriate electronic documentation, departmental paperwork, medication administration records, interdisciplinary plan of care and education record and requisitions. Completes both written and oral reports on patients and relays information to oncoming therapists.

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

1. Performs CPR procedures as part of the Stat Code Team.

1. Keeps confidential all patient information received and follows MMC Guest Relations guidelines.

1. Follows MMC and Pulmonary Medicine infection control policies

1. Performs all duties under supervision of Certified Respiratory Therapist, Registered Respiratory Therapist, or shift supervisor.

1. Performs other related duties as assigned 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

• Responsible for completing all steps of pre-registration/registration including patient interview, collecting insurance information, obtaining picture identification and signatures for consents, providing Advance Directive information and distributing required patient information.
• Coordinate accurate patient data collection to verify insurance eligibility and determine financial obligation, which may include collection of copayments.
• Act as the communication hub for the hospital and demonstrate ability to function well in stressful situations. Monitor alarms and weather information. Call and process all codes as needed, and provide ongoing communication support during all code and disaster situations according to policies and procedures.
• Dispatch calls to all call staff including: Administrator on Call, nurse managers, house supervisors, surgery staff, respiratory therapy, and Plant Operations. Maintain records of current on call staff. Answer incoming calls to main hospital switchboard.
• Answer incoming calls for emergency line (56700) and process timely and correctly.
• Answer Stat Code and Rapid Response calls and process timely and correctly.
• Demonstrates an ability to be flexible, willing to work alternative shifts and cover call-ins as needed. May be required to work night or weekend shifts.
• Ensures compliance with all applicable HIPAA, Joint Commission, CDC, LMH, and state and federal statues, providing required associated literature to patients at all PAS access points.
• Coordinate security efforts for LMH through monitoring of security cameras and coordination of necessary actions with Plant Operations and/or police as needed, according to policy and procedure. Check in and log visitors entering the building after normal business hours.
• Responsible for patient flow in the ED, Diagnostic Center, Acute Care Unit, Obstetrics, and Special Procedures Area. Enters patient information into department whiteboards for tracking purposes.
• Monitors the patient volumes and flow throughout the day, adjusting Patient Access staff as needed. Work with staff and leaders in other areas in order to coordinate timely patient flow and services.
• Coordinate admission and patient placement in collaboration with the Case Management Team, Nursing Leadership, and Environmental services. Consult with other departments to provide for an interdisciplinary approach to patient’s needs.
• Conducts daily audits of accounts for quality assurance and performs necessary action to correct patient accounts. Distributes corrections as appropriate.
• Conduct insurance verification tasks, including referrals and authorization for elective and emergent patients. Check eligibility for Medicare, Medicaid, private insurance, etc.
• Demonstrates ability to be organized and perform daily tasks including reporting and closeout duties. Verify census information and patient data at the end of each day to ensure accurate patient accounts.
• Monitor the patient safe, recording and securing patient valuables as needed.
• Maintain petty cash and service recovery funds. Perform daily closing duties associated with the cash drawer.
• Orients and cross-trains others within assigned area of responsibility as directed and defined by management. May assist other areas within the unit or department, as necessary, during times of special needs or staff absences.
• Greet visitors and patients; answer patient questions (via telephone/ in person) and provide directional information as requested. Contribute to the positive customer relations and work to address any issues that arise when patients are present in order to maintain the positive experience.

Required Skills

1. Responds to unusual or emergency situations at MMC using the appropriate escalation of force level up to, and including, armed response by following established protocol.

1. Observes and reports activities and incidents, providing for the security and safety of MMC property, staff, patients, and visitors.

1. Makes periodic tours to check for irregularities and inspects security devices.

1. Preserves order and acts to enforce laws, regulations, and directives pertaining to staff, patients, visitors, and premises.

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. Patrols assigned site on foot or in vehicle; checks for unsafe conditions, hazards, unlocked doors, security violations.

1. Observes and reports incidents or suspicious activity to MMC Security dispatch or Springfield Police department as appropriate.

1. Prepares logs and reports as required.

1. Complete assigned Computer Based Learning (CBL) modules annually.

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

• CLINICAL JUDGEMENT – Clinical reasoning, which includes decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines.
  • Demonstrates the ability to assess the full scope of patient needs, using the nursing process on a continuous basis.
  • Utilizes past nursing experience to anticipate problems while seeking out multi-disciplinary collaboration with comfort, when necessary.
  • Recognizes patterns and trends that may predict the direction of illness.
• CARING PRACTICES:  Nursing activity that create a compassionate, supportive, and therapeutic environment for patients/families and staff.  Working on another’s behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting.
  • Promotes safety throughout patient’s and family’s transitions along the healthcare continuum.
  • Actively anticipates and monitors patient and family changes, responds appropriately.
  • Effectively resolves patient complaints.
  • Engages all patients in a personalized, compassionate manner.
• COLLABORATION/SYSTEMS THINKING – Working with others (e.g., patients, families, healthcare providers) in a way that promotes/encourages each person’s contribution toward achieving optimal/realistic patient/family goals.  Involves intra-and inter- disciplinary work with colleagues and community.  Body of knowledge and tools that allow the nurse to manage whatever Environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems.
  • Consults and coordinates with team members to assess, plan, implement and evaluate patient care plans.
  • Actively utilizes evidence-based practice and customer service data to improve caring practices.
  • Effectively plans and communicates patient care plans.
  • Facilitates active involvement of others in team meetings regarding patient care and/or practice issues.
  • Seeks out opportunities to be taught, coached, and mentored.
  • Recruits diverse resources when appropriate to optimize patient outcomes.
  • Serves as a resource to department and patient/family.
• RESPONSE TO DIVERSITY – The sensitivity to recognize, appreciate and incorporate differences into the provision of care.  Differences may include, but are not limited to, cultural differences, personalities, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values.
  • Integrates cultural differences into patient/family care; incorporates appropriate alternative therapies.
  • Tailors healthcare culture to meet the diverse needs and strengths of each patient/family. 
• FACILITATION OF LEARNING – The ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and community.  Include both formal and informal facilitation of learning.
  • Develops and modifies patient/family education programs throughout delivery of care, collaborating and incorporating all healthcare providers’ and educational plans.
  • Provides individualized care.
  • Evaluates patient’s understanding by observing behavior changes throughout plan of care.
  • Sets patient-driven goals for education.
  • Work toward achieving Bachelor of Science in Nursing degree.
• CLINICAL INQUIRY (INNOVATOR/EVALUATOR) – The ongoing process of questioning and evaluating practice and providing informed practice.  Creating practice changes through research utilization and experimental learning.
  • Adapts standards of care to serve particular patient populations.
  • Seeks out advice to improve patient care.
  • Evaluates current practices based on patient responses, analysis of literature, research, and education.
  • Incorporates evidence based practice into care delivery.
  • Actively pursues continuing educational opportunities.
• Performs other duties as assigned.

Recruiter:

Jessica Brown, Senior Talent Acquisition Partner

brown.jessica@mhsil.com 

Required Skills

RESPONSIBILITIES:

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.

2. 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.

3. Assists in the orderly function of the OR.

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

4. 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.

5. Performs other duties as assigned.