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Required Skills

Performs and documents nursing care measures to meet the physical needs of patients.

• Provides or assists patient with hygiene activities.
• Assists with patient activity using proper body mechanics, transfer techniques, and assistive devices.
• Adheres to safety precautions with patient mobility.
• Feeds and/or assists patients with food trays and nourishments while providing continuous monitoring of utensils during meals.
• Assists patient with elimination needs and follows steps to prevent infection.
• Collects and records intake and output.
• Assists with admission, transfer and discharge of patients.
• Performs patient care tasks as delegated by the nurse.
• Obtains and records vital signs, weight, and blood glucose readings.
• Reports data about the patient to the nurse.
• Observes and reports unusual conditions and/or change in patient behavior or appearance to the nurse.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.
• Follows unit protocols and records findings.

Observes safety precautions for patient/family/self/others.

• Follows hospital policies to prevent the transmission of infections.
• Provides continuous observation and documentation for high-risk patients.
• Performs searches of persons, patient belongings, and rooms to ensure a safe environment.
• Collaborates with the nurse and security to manage patients in crisis.
• Transports and provides continuous observation for all patients requiring testing or procedures in another department.
• Required to provide 1:1 supervision for high-risk patients and/or equipment, as delegated by the nurse.
• Maintain unit awareness through continuous monitoring of the milieu.
• Controls the entry and exit of colleagues and visitors to the unit.
• Provides constant monitoring of all legal proceedings.
• Checks in visitors and ensures all visitor belongings are correctly stored before allowing access to the unit.
• Unit Surveillance and monitoring cameras and alerting colleagues of potential safety issues.
• Under the direction of the Registered Nurse, intercedes in disputes between individuals using verbal de-escalation techniques and skills, to diffuse potentially violent patient or visitor situations.
• Under the direction of the Registered Nurse, physically manages combative, violent persons who endanger staff, physicians, patients or visitors.
• Applies and maintains restraint devices and documents as delegated by the nurse.
• Conducts continuous patient observation rounds every fifteen minutes.
• Complies with established policies, procedures, standards and guidelines.

Promotes efficient and effective functioning of the unit/hospital.

• Completes assigned aspects of unit inventory management.
• Assures adequate supplies are stocked and available.
• Reviews receipts of new supplies and equipment upon arrival; validates accuracy and places supplies in assigned location.
• Facilitates maintenance of equipment with Biomed or appropriate department.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocates these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.
• Uses designated lines of communication and authority.
• Facilitates telephone, verbal, written, and electronic communication with nursing staff, physicians, patients, and visitors promptly, accurately, and professionally.
• Maintains cleanliness and safety of unit, service area and equipment.
• May be required to flex into a different role or between the different psychiatric departments as required for adequate staffing.
• Upholds the Illinois Mental Health Code, regarding patient rights and confidentiality.

Information Processing

• Prioritizes stat orders and immediate needs.
• Processes orders accurately.
• Accurately inputs data into the electronic medical record and maintains accurate paper records for those items that are not computerized.
• Refers patient/visitor concerns to nursing and/or customer service staff.
• Refers news media to nursing or public relations staff.

Medical Records Maintenance

• Assembles admission chart packs.
• Puts patient identifier on all chart forms.
• Scans patient documents to Medical Records.
• Gathers and copies appropriate paperwork from the RN for patient transfers to other units and facilities.
• Manages large amounts of sensitive and confidential information concerning patient and family information in medical documents.

Creates a Great Patient Experience.

• Promptly and courteously greets others in a friendly manner.
• Receives and directs others by using AIDET and Greet & Feet.
• Responds to patient requests in a timely manner.
• Within scope of job description, responds to questions and provides direction.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Provides therapeutic activities and psychoeducational groups for patients.
• Provides individualized social skills training.

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

• Complies with all federal guidelines and clinic policies and procedures including, but not limited to laboratory, drug and alcohol testing, blood borne pathogens, chemical safety, administrative policies and procedures, and corporate compliance. Applies the Minimum Necessary Standard when accessing protected health information.  Practices within scope and current standards of care. 

• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing.  Depending on clinic, may perform EKG’s/rhythm strips, breathing treatments, pulse ox, oxygen administration and place/remove Holter monitors. 

• Adheres to strict quality control policies, procedures and manufactures guidelines. Maintains appropriate documentation related to quality processes. Accountable for achieving quality standards. 

• Assists with the ordering, care and maintenance of department equipment and supplies. Assists in the clinic overall financial performance.

• Completes all required paperwork to accompany specimens for testing via computer entry.

• Participates in the orientation and/or phlebotomy training of personnel as directed by administrative staff, supervisor or other authorized personnel.

• Assists clinic in meeting goals related to quality and patient satisfaction by providing outstanding service and compassion while completing phlebotomy/lab tasks.

• Demonstrates support for and participates in accomplishing team goals and objectives.

• Performs other related work as required or requested

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. Professional Nursing Care

• In assessment and giving care, demonstrates compassionate and holistic approach with sensitivity and adaptability to the family unit as well as the patient.
• Perform age appropriate assessment utilizing critical thinking skills.
• Demonstrates effective symptom management in chronic, complex disease states.
• Function as a case manager for a group of patients in a particular geographic location.
• Provide after-hours care on a rotation basis.
• Develop and revise an individualized Plan of Care in partnership with patient/caregiver based on Identification of patient problems/need.
• Implement specific interventions to attain outcomes.
• Communicate/collaborate with other disciplines to provide optimal patient care and services.
• Active collaboration and participation in interdisciplinary team meetings.
• Participate in educational offerings (ex: skills day; oxygen inservice; etc.)

1. Supervision and Delegation

• Appropriately supervise performance of LPN.
• Appropriately supervise performance of HHA and provide documentation to support such.

1. Communication and Collaboration

• Demonstrates critical thinking skills.
• Demonstrate effective interpersonal skills.
• Use therapeutic communication techniques.
• Demonstrate assertiveness.
• Communicate relevant patient information to other disciplines and MD as appropriate.
• Document patient care according to MHSvc policies/procedures.
• Ensure appropriate implementation of MD orders.
• Participate in operational meetings (ex: All Staff; MHS Connect; etc)
• Promote patient/family education.
• Precept nursing students, med. Students, residents.
• Participate in clinically/operationally related focus groups.

1. Quality and Safety

• Identify and resolve patient safety risks.
• Participate in continuous quality improvement (Quality Initiative measures) including efforts to improve patient outcomes.

1. Professional Accountability

• Demonstrate ethical decision making.
• Advocate for patients/families/caregivers.
• Responsibly manages all equipment, supplies in his/her possession, including, but not limited to, laptop computer, FAX machine, cell phone, patient care supplies, 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

1. Initiates suggestions to RN to clarify, alter, or individualize nursing care for changing patient needs.

1. Demonstrates competent performance & completion of technical skills within scope of nursing technician.

1. Reinforces patient teaching relative to presenting conditions.

1. Assures that department is survey-ready at all times.

1. Communicates effectively with all members of the patient care team.

1. Promotes cooperation and teamwork between departments.

1. Documents care provided in the medical record according to policies & procedures.

1. Becomes familiar with all aspects and requirements of patient’s medical record.

1. Provides safe patient care during patient transport utilizing appropriate protocols.

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 age appropriate assessments.
2. Analyzes data to identify nursing problems.
3. Provides direct patient care, develops individualized plan of care in partnership with patients & families. Evaluates patient progress toward attainment of goals, revising plan of care when indicated.
4. Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description and patient needs.
5. Appropriately supervises performance of LPNs and unlicensed assistive personnel.
6. Builds teamwork when supervising and delegating to others.
7. Documents patient care according to policies and procedures.
8. Ensures appropriate implementation of physician’s orders.
9. Precepts new nursing employees and/or nursing students.
10. Identifies & resolves safety risks.
11. Participates in continuous quality improvement, periodic review of policies, procedures and pre-printed physicians orders.
12. Assists with educational activities for other staff on the nursing unit.
13. 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 age appropriate assessments.
2. Analyzes data to identify nursing problems.
3. Provides direct patient care, develops individualized plan of care in partnership with patients & families. Evaluates patient progress toward attainment of goals, revising plan of care when indicated.
4. Delegates patient care tasks to LPNs and unlicensed assistive personnel based on job description and patient needs.
5. Appropriately supervises performance of LPNs and unlicensed assistive personnel.
6. Builds teamwork when supervising and delegating to others.
7. Documents patient care according to policies and procedures.
8. Ensures appropriate implementation of physician’s orders.
9. Precepts new nursing employees and/or nursing students.
10. Identifies & resolves safety risks.
11. Participates in continuous quality improvement, periodic review of policies, procedures and pre-printed physicians orders.
12. Assists with educational activities for other staff on the nursing unit.
13. 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

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

Direct Clinical Services

1. Develop initial comprehensive assessment data including clients presenting problems, mental status, relevant psychiatric, medical and developmental histories to make decisions regarding diagnosis (per DSM-V), treatment objectives and ongoing treatment plans and/or to provide information and make appropriate referrals to other treatment resources in the community.
2. Provide 25 hours of billable services per week to clients.
3. Implement crisis or pre-crisis intervention procedures with potentially suicidal, homicidal, or severely disabled clients. Where appropriate referrals will be made to consulting psychiatrists or inpatient psychiatric facilities to prevent further destabilization.
4. Interview collateral contacts, previous and current treatment professionals, and significant others, to further establish a database for assessment and ongoing treatment plan as needed.
5. Clarify priority problems, goals for change, and session limits according to agency policy to assist clients in developing appropriate expectations for treatment in relationship to the agency. Use a variety of psychotherapeutic treatment approaches and interventions to change targeted behaviors and stabilize adaptive behaviors with individuals, couples and families.
6. Manage the termination process and discharge planning to enhance clients’ abilities to retain treatment changes and/or use other available support services.
7. May organize, plan and participate in therapy groups for clients and/or their families, as assigned.

Client Information System

1. Establish appropriate professional files, including: comprehensive assessments, progress notes, treatment objectives and plans, previous treatment records, clients’ consent to current treatment and for exchange of information.
2. Complete required administrative forms. Collect necessary information for billing and fee collection for both community mental health and private pay clients.
3. Provide necessary client information to other agencies or health care providers to coordinate services to identified clients.
4. May prepare necessary documents/reports for DCFS as needed.

Training Activities/Professional Growth

1. Supervisor and employee mutually identify professional goals that will enhance job related skills.
2. Participate in ongoing agency meetings, committees and special projects to enhance professional expertise.
3. Complete mandatory education requirements by specified deadlines.
4. Participate in required staff meetings and in-services to keep abreast of agency policy and administrative procedures, meet requirements for continuing education, and upgrade professional knowledge.

Consultation/Networking

1. Engage in appropriate team work functions (such as mutual support, clarification of office responsibilities and procedures) according to best professional judgment and agency policy to provide a professional working environment and effective service delivery.
2. Develop cooperative relationships outside the agency with family, physicians, public officials or interested agencies to provide for the development of mental health services in the community.

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.

Job Relationships

• Demonstrate through initiative and apparent effort involvement in clinical supervision.
• Communicate directly with supervisor for clarification of administrative policy, program evaluation to promote a professional working environment and effective service delivery system.
• Adhere to MHS/MBH Behavioral Standards

Other Job Responsibilities

• Ability to accommodate evening/weekend hours.
• Perform other duties as required by agency needs.

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

Required Skills

• Greet the majority of visitors and patients, answer patient questions (via telephone/ in person) and give directional information.

• Effectively perform general clerical/administrative functions.

• Responsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature.

• Pre-register and register all types of patients in multiple software systems.

• Demonstrates an ability to be flexible, organized and function well in stressful situations.

• Maintains a professional demeanor in respect to patients and fellow employees.

• Ability to conduct financial collections and referrals for Financial Counseling. Ability to interview/prescreen self pay patients for possible financial assistance.

• Understands and complies with state and federal regulations as well as hospital, department and The Joint Commission policies and procedures related to patient access.

• Communicates with ancillary department, physicians, medical offices and within Patient Financial Services department.

• Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.

• Ability to complete legal admission paperwork for psychiatric admits in accordance to DHS guidelines.

• Ensures accurate documentation of patient information.

• Responsible for checking and re-stocking supplies as needed.

• Participates in performance improvement activities for the department and organization.

• Adheres to all HIPAA guidelines and patient confidentiality policies.

• Completes annual educational and training requirements.

• Promotes the mission, vision, and goals of the organization and department.

• Performs other related work as required or requested.