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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.

Required Skills

Other Knowledge/Skills/Abilities:

• Achieves and maintains >31 points on the Clinical Ladder Grid.  
• Basic computer skills required.
• Ability to clearly and effectively communicate with patients, families, peer and other team members as needed for assessment, intervention, and professional development. 
• Must be physically able to lift, support, move patients 50 – 100 lbs.

Universal Precautions Category I.

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

1. Assign a physical 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. 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. 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. Develops collaborative relationship with physicians in area of specialization.

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. Develops Annual Plan related to area of clinical expertise.

1. Shares expertise through implementation of evidence based practice, participation in research, presenting at national conferences.

1. Serves as a resource to respective professional community through participation with professional associations.

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

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. 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. The technologist checks the patients’ chart or scripts to be sure the exam ordered by the physician matches the requisition received by the department.
2. Use independent professional judgment to assure exam will clinically evaluate the given diagnosis. Refer discrepancies to radiologist or ordering physician.
3. Prepares the room, equipment, medication and secures supplies need to perform the exam and maintain a clean and safe environment for patient. Chooses appropriate transducer and disinfects used medical equipment per policy.
4. Will adhere to safety standards set forth by the organization in accordance with ACR guidelines.
5. The technologist will explain the procedure and the function of the equipment to the patient as well as answer any questions the patient may have, will intently review the medical history prior to starting procedure, check patient record for previous pertinent information or procedures, contact radiologist when direction is needed, document appropriate information in the patient record/PACS system.
6. Performs requested US exams of appropriate regions in accordance with accepted standards of practice and protocols of the organization and the reading radiologist. Observes patient during procedure, reports unusual occurrences and records patients’ condition when necessary.
7. Lifts, moves, and transports patients via wheelchair or cart when necessary.
8. Transfers, maintains basic quality assurance issues and recalls images from PACS system.
9. Performs equipment quality checks and troubleshoots when appropriate. Reports any need for service or repair to appropriate leadership.
10. Participates in ongoing QA/QC and process improvement programs.
11. Assists in providing a safe work environment and is dedicated to providing patient satisfaction.
12. Maintain continuing education credits in compliance with licensing agency.
13. Maintains clinical competency.
14. Adheres to all hospital and departmental policies and procedures including, but not limited to, those regarding infection control, hand hygiene, attendance, and appearance.
15. Performs other duties 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. Completes digital radiographic process according to professional guidelines and professional standards.

1. Schedules and coordinates exams, explaining procedures and preparations to patients. Obtains and documents necessary history and symptomology.  Critiques technical quality of digital image. 

1. Implements and oversees quality control (Q.C.) processes. Makes adjustments to equipment as indicated by Q.C. test results or notifies supervisor that service is required.  Performs all Q.C. testing in accordance with regulatory requirements.  Maintains documentation of all Q.C. test results and actions taken in accordance with regulatory requirements.  Deals directly with physicist support from MMC regarding all aspects of quality control programs.

1. Maintains x-ray and other equipment in efficient operating order; performs preventative maintenance on a regularly scheduled basis; contacts outside service for major malfunctions. Reports equipment malfunctions to supervisor.  Request and orders supplies as necessary to keep materials on hand at all times.

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. Complies with all clinic policies and procedures including, but not limited to blood borne pathogens, chemical safety, administrative, and corporate compliance. Applies the Minimum Necessary Standard when accessing protected health information. 

1. Responsible for working with team to improve processes for quality improvement and provide a high level of patient satisfaction.

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

Principal Duties & Responsibilities:
1. Advocacy: Promote individual choice, self-advocacy, and integration of recovery services.
2. Professional Responsibility: Maintain ethical standards, confidentiality, and cultural humility.
3. Mentoring: Model recovery principles and support individuals in acquiring life skills.
4. Recovery Support: Assist individuals in identifying strengths, resiliencies, and stages of change.
5. 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.
6. Conduct SBIRT (Screening, Brief Intervention, and Referral to Treatment) to determine level of care and discharge needs.
7. Facilitate addiction treatment and education services across age groups.
8. Provide recovery-oriented education and materials to individuals and families.
9. Coordinate discharge planning and linkage to community resources.
10. Maintain current knowledge of community resources and collaborate with agencies.
11. Partner with individuals to develop personalized recovery and relapse prevention plans.
12. Participate as an active member of treatment teams, promoting person-centered recovery.
13. Document all services accurately per regulatory and organizational standards.
14. Respond appropriately to risk indicators, including suicide prevention and abuse/neglect concerns.
15. Participate in quality improvement initiatives and maintain continuing education requirements.

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. Plan and coordinate colleague health programs and activities in collaboration with Colleague Health Manager, Benefits and colleague health. Assists with the analysis, design and communication of the colleague health plans and programs.

1. Coordinate post-employment offer physical exam process. In conjunction with Medical Director of EHS, obtain health history for all new colleagues and volunteers. Provide prompt information to appropriate HR staff regarding problems affecting anticipated start date of new hire.  Revise and implement health screening procedures as needed to comply with current regulatory requirements.

1. Implement pre-drug/alcohol screening on all new hires. Provide consultation to those with positive results.  In conjunction with Colleague Relations and the Employee Assistance Program, provide drug/alcohol testing for cause pursuant to the Fitness for Duty policy. 

1. Provide tuberculin testing to specific employee groups as indicated by TB Risk Assessment Committee.
2. Manages Fitness for Duty requests from leaders to assess a colleague’s ability to carry out their essential job duties.

1. Manages the Leave of Absence program that includes the review and approval of Family Medical Leave and Medical Leave requests and case management of leaves. Serves as a subject matter expert on Family Medical Leave for colleagues, leaders and the Human Resources Division.

1. Acts as a resource to Infection Prevention when colleagues have been exposed to a communicable disease. Provides testing and follows up on colleague exposures with a plan for treatment/follow up. Provide annual detailed report of all exposures, including results of any colleague testing to the Infection Prevention Committee before the end of the year in which the exposure occurred.

1. Provide counseling to System colleagues in the arena of health education, illness prevention and infectious disease exposure as indicated. Provide appropriate treatment, testing, and counseling to all System colleagues following all blood/body fluid exposures.

1. Coordinate and implement communicable disease policy as designated per Illinois Department of Public Health, Centers for Disease Control and Occupational Safety and Health Administration requirements.

1. Provides consultation and assistance to the Workers’ Compensation Coordinator, as needed, including first aid within the RN scope of practice, treatment, testing and counseling to system colleagues following blood/body fluid exposure and supports the decision making process regarding approval or denial of claims and/or return to work capabilities.

1. Plans, coordinates and administers the annual system-wide influenza program, including development and implementation of communication plan, vaccine/supplies/materials ordering, vaccination administration, exemption processes as well as plan for non-compliance. Maintains vaccination data, supplies completion reports on both the individual department level as well as the affiliate and overall system level.  Oversees the process for annual CMS influenza reporting.

1. Develop or participate in other health screenings as indicated on an as needed basis. Evaluate all colleagues returning to work from a medical leave, FML, and non-work-related illness or injuries to determine capability of performing essential job duties. 

1. Maintain policies, programs and data management to assure compliance with regulatory requirements (JCAHO, OSHA, IDPH, FML, ADA, etc). Develop and maintain colleague health policies as needed.

1. Documents assessments, treatments, outcomes, work and disability status, screenings and educational offerings in a thorough manner. Ensures confidentiality and oversees maintenance of all colleague health files to include blood borne pathogen exposures.

1. Develop educational materials and present topics on Workers’ Compensation and colleague health to colleagues and managers; present topics during mandatory education, departmental management meeting and as requested.  Provide updated information for annual Safety CBL’s on colleague health related topics.

1. Maintain professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends and regulatory requirements in field of expertise, and encourages adoption of best practices by organization.

1. Performs other related work as required or requested.

Required Skills

1. Nursing Care

• Data Collection:
• Observes, records and reports objective and subjective patient data.
• Demonstrates ability to detect signs and symptoms of deviation from normal health status.
• Informs RN of abnormal or changing data and of patient/family responses to interventions.

• Planning:
• Provides information to assist the RN in developing the nursing plan of care.

• Intervention:
• Completely performs tasks/procedures as appropriately delegated (see Table 1).
• Uses equipment safely.
• Takes appropriate action in life-threatening situations/emergencies.
• Accurately administers medications by appropriately delegated routes.
• Utilizes appropriate infection control safety measures.
• Acts to prevent harm or injury to patient, self and others.
• Documents and communicates to RN nursing interventions and patient responses.
• Seeks supervision prior to initiating new or unfamiliar nursing activities and/or with a change in patient condition.

• Evaluation:
• Observes, records and reports patient responses to nursing interventions and other relevant data to the RN.
• Assists the RN to evaluate and modify the plan of care.

• Patient/Family Education:
• Assists the RN to identify, implement and evaluate age appropriate teaching interventions.
• Reinforces teaching initiated by other members of the healthcare team.

• Communication:
• Informs RN of abnormal and/or changing data and patient/family response to interventions.
• Develops and maintains interviewing skills required for data collection.

1. Quality and Safety

• Communicates and documents potential risk issues to appropriate personnel.
• Participates in continuous quality improvement.
• Participates in review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

1. Accountability

• Advocates for patients and families.
• Appropriately follows the chain of command. .
• Participates in community organizations
• Identifies annual goals for own professional development.
• Provides constructive feedback to strengthen the Division of Nursing and the colleague’s department/unit.

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.