Prepares all necessary menu items in accordance with established standards, serves food attractively and at proper temperatures. Implements proper cleaning techniques to ensure optimal infection control. Mission: Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Lukes Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve. Core Values: Human Dignity, Justice, Excellence, Compassion & Stewardship. Human Dignity: Demonstrates respect for dignity and needs of patients, visitors, physicians, and co-workers. Justice: Honors each person's rights and responsibilities by working as a team player to provide positive patient outcomes. Excellence: Demonstrates creativity and inventiveness in improving the ways in which work- related tasks are performed. Also strives for excellence in the services that he/she provides. Compassion: Demonstrates caring beyond 'It's My Job' and utilizes positive interpersonal skills. Stewardship: Demonstrates honesty and acts with integrity. Also demonstrates the ability to work in a safe, cost-effective and efficient manner. Communication Standards: Promotes and provides courteous and effective communication with internal and external customers..
% Of Time Spent Principle Accountabilities:
1. Reads menus, reviews recipes, and discusses with dietetic service supervisor all necessary steps in meal preparation. 1%
2. Prepares all necessary menu items in accordance with established standards. 38% Determines quantity of all food needed in meal preparation Follows recipes Prepares substitute items to meet individual needs.
3. Serves meal using portions listed on the menu 16%
4. Cover, dates, and labels all leftovers, and stores properly. 2%
5.Cleans cook's area and equipment used in food preparation. 10%
6.Receives and checks all deliveries against invoices in the absence of Head Cook/Food Service Supervisor. Assists with stocking. 1%
7. Supervises dietary personnel in absence of Head Cook/FSS. 10%
8. Follows established security routine. 1%
9.Maintains open communication with co-workers to ensure that all foods are properly prepared and served. 5%
10.Implements proper food handling and cleaning techniques to ensure optimal infection control. 10%
11.Observes proper techniques of body mechanics in lifting and other physical labor. 2%
12.Observes proper techniques of food handling, i.e. receipt, storage, preparation and service, to ensure good cost control. 2%
13. Conducts oneself in a manner which contributes to an environment conductive to the provision of quality resident care. 2%
14. Performs other work duties as assigned.
Prepares all necessary menu items in accordance with established standards, serves food attractively and at proper temperatures. Implements proper cleaning techniques to ensure optimal infection control. Mission: Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Lukes Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve. Core Values: Human Dignity, Justice, Excellence, Compassion & Stewardship. Human Dignity: Demonstrates respect for dignity and needs of patients, visitors, physicians, and co-workers. Justice: Honors each person's rights and responsibilities by working as a team player to provide positive patient outcomes. Excellence: Demonstrates creativity and inventiveness in improving the ways in which work- related tasks are performed. Also strives for excellence in the services that he/she provides. Compassion: Demonstrates caring beyond 'It's My Job' and utilizes positive interpersonal skills. Stewardship: Demonstrates honesty and acts with integrity. Also demonstrates the ability to work in a safe, cost-effective and efficient manner. Communication Standards: Promotes and provides courteous and effective communication with internal and external customers..
% Of Time Spent Principle Accountabilities:
1. Reads menus, reviews recipes, and discusses with dietetic service supervisor all necessary steps in meal preparation. 1%
2. Prepares all necessary menu items in accordance with established standards. 38% Determines quantity of all food needed in meal preparation Follows recipes Prepares substitute items to meet individual needs.
3. Serves meal using portions listed on the menu 16%
4. Cover, dates, and labels all leftovers, and stores properly. 2%
5.Cleans cook's area and equipment used in food preparation. 10%
6.Receives and checks all deliveries against invoices in the absence of Head Cook/Food Service Supervisor. Assists with stocking. 1%
7. Supervises dietary personnel in absence of Head Cook/FSS. 10%
8. Follows established security routine. 1%
9.Maintains open communication with co-workers to ensure that all foods are properly prepared and served. 5%
10.Implements proper food handling and cleaning techniques to ensure optimal infection control. 10%
11.Observes proper techniques of body mechanics in lifting and other physical labor. 2%
12.Observes proper techniques of food handling, i.e. receipt, storage, preparation and service, to ensure good cost control. 2%
13. Conducts oneself in a manner which contributes to an environment conductive to the provision of quality resident care. 2%
14. Performs other work duties as assigned.
The Telecommunication Operator is responsible for answering all incoming telephone calls in a professional and courteous manner, providing routine information, and directing call to the appropriate parties.
Principle Accountabilities:
1. Channels all incoming calls within 5 rings; provide direct numbers as required. Connects inside callers with out-of-sate lines when appropriate.
2. Maintains established department policies and procedures, objectives, quality assurance program, and safety standards.
3. Responds to emergency calls following established protocols.
4. Assists callers by using beepers, pagers, voice page as necessary, or other means.
5. Maintains a log recording the volume of beeper, long distance calls, and voice pages.
6. Updates attendant directory as necessary in order to maintain a complete and accurate listing. Making sure all daily information is updated before the end of shift.
7. Cleans position before leaving at the end of shift.
8. Attends meetings as required.
9. Performs other duties as assigned.
Serves as a liaison between patients, families and all departments and sites of service, providing a neutral resource for the timely resolution of customers' concerns, problems, and unmet needs. Identifies and interacts with all appropriate organizational leaders to coordinate and facilitate the investigation, mediation and effective resolution of areas of concern with a special emphasis on those related to clinical care. Assists hospital leadership in de-escalating difficult service recovery situations. Ensures compliance with all regulatory bodies and documents all interactions in the departmental database. Performs all duties in a manner consistent with our mission, vision and values.
Principle Accountabilities:
1. Serves as a liaison between patients, families and all departments and sites of service, providing a neutral resource for the timely resolution of customers’ concerns, problems, and unmet needs. 25%
2. Identifies and interacts with all appropriate organizational leaders to coordinate and facilitate the investigation, mediation and effective resolution of patient experience, clinical care and billing related areas of concern. 25%
3. Assists hospital leadership in de-escalting difficult service recovery situations. 20%
4. Ensures compliance with all regulatory requirements, including but not limited to CMS and The Joint Commission, regarding grievance resolution and patient rights policies. 10%
5. Enters appropriate and complete documentation of patient complaint interactions in the departmental database. 10%
6. Performs rounds on patient areas, waiting areas and other areas of the facility. Prepares and delivers gifts to patients as appropriate. 5%
7. Performs other tasks and duties assigned by patient relations representative. 5%
Total 100%
This position is a non-licensed/certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This includes staff who do not have the authority to prescribe, dispense and/or administer medications.
Perform inventory counts of applicable bins / cabinets / shelves / rooms / etc. at each designated stocking areas and department. Pull requisitions from the Materials Management Information System (MMIS), currently McKesson Pathways Materials Management (PMM). Pick supplies from Surgical Services and Materials Distribution Storeroom(s) to fill each requisition. If a Materials Management Information System (MMIS) is being used, enter requisitions and pull supplies per pick ticket. Deliver supplies to designated stocking areas / departments / individuals, as appropriate, in a timely and efficient manner, per designated delivery schedule(s) and upon request. Replenish inventory in the applicable bins / cabinets / shelves / rooms / etc. at each designated stocking areas to established par levels. Deliver additional supply requirements in a timely and efficient manner upon request. Rotate stock and check expiration dating / outdates of inventory at designated stocking locations for product safety and to minimize obsolescence. Identify, document and notify Management of quality and quantity issues relating to supplies and inventory (e.g., stock-outs; insufficient safety stocks; excessive inventory; etc.). Support requisition fulfillment levels as determined by Management. 25%
Support Surgical Services Storeroom Inventory operations. Sort and put away incoming supplies to designated bin / shelf / stocking locations. Maintain a clean, orderly and safe work environment. Validate physical receipts with delivery ticket / documentation to ensure inventory accuracy; identify and report any discrepancies to Management and Inventory Specialist-SCM Surgical Services, as appropriate. Pick supplies from Storeroom inventory to fill supply requests received via phone, email, and/or door requests. Record all phone, email and door requests on Run Board. All requests are processed to deliver excellent customer service. Maintain accurate records of all such supply requests on order sheets / par levels / documentation (e.g., Issues & Receipts). Deliver Run Board supplies to designated stocking areas / departments / individuals, as appropriate, in a timely and efficient manner. Replenish inventory in the applicable bins / cabinets / shelves / rooms / etc. at each designated stocking areas to established par levels if the Run Board request involves par level replenishment. Support requisition fulfillment levels as determined by Management. Identify, document and notify Management of quality and quantity issues relating to supplies and inventory (e.g., stock-outs; insufficient safety stocks; excessive inventory; obsolete and expired inventory; etc). 20%
Collect and return excessive inventory quantities from bins / cabinets / shelves / rooms / etc. to the Surgical Services Storeroom in a timely and efficient manner, per designated service schedule and upon request. Collect and return obsolete and expired supplies from bins / cabinets / shelves / rooms / etc. to the Surgical Services Storeroom in a timely and efficient manner, per designated service schedule and upon request. Identify, document and notify Management of quality and quantity issues relating to obsolete and expired inventory. 10%
Assist with cycle counts, monthly and annual physical inventory counts, and variance report analysis and recounts. 5%
Work closely with Surgical Services Team Leaders, SCM and Surgical Services Management relating to supply availability, delivery and par levels, and special supply requests. Make recommendations to Management regarding items with high Run Board Activity that may need (a) to be stocked in specific departments / designated stocking locations; (b) to htave the stocking levels increased or decreased for specific supplies; or (c) improved inventory accuracy validation in specific departments.
5%
MMIS and Inventory Reporting Functionality: 20%
This position is a non-licensed/certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This includes staff who do not have the authority to prescribe, dispense and/or administer medications.
Utilize knowledge of MMIS, PMM and PC applications, as appropriate, to perform job responsibilities. Enter inventory counts from Replenishment stocking locations to create requisitions and pick tickets. Input requisitions into PMM, as appropriate, for issues from stock. Maintain accurate records of inbound and outbound inventory items, within PMM, per Run Board and per supporting backup documentation. 10%
Assist with the confirmation and processing of receipts to update on-hand inventory within the MMIS (or manual records). Process the return of items stocked in the Materials Distribution Storeroom within the MMIS system (or manual records). Ensure that these transactions result in the correct adjustments to department’s expense and inventory, both on-hand quantity and General Ledger. Maintain reporting on Inventory adjustments and the reasons for noted adjustments 5%
Input patient charges timely and accurately into PMM and/or Patient Financial Services STAR system(s), as appropriate. Validate transmittal of patient charge inputs via batch totals. 5%
Operations and Customer Service: 15%
This position is a non-licensed/certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This includes staff who do not have the authority to prescribe, dispense and/or administer medications.
Develop and maintain standards for customer service regarding request processing, order fill rates, and order accuracy to process requests in a timely, effective, and professional manner. Assist Management in establishing expectations, develop plans, and manage processes to measure, assess, and improve the quality of the Department’s governance, management, clinical and support activities, including feedback to proactively identify opportunities for improvement, with primary focus on Materials Distribution Storeroom supplies and equipment and replenishment processes. Assist Management to continuously assess and improve department’s performance by: helping to maintain the appropriate quality control programs, providing orientation, in-service training, and continuing education of all persons, and reviewing and making recommendations on needed resources and services. Provide assistance to others, as appropriate; as directed, precepts and mentors new employees.
5%
Support “Company’s Coming” program. Supports and participate in Employee Opinion and Hospital surveys. Support and participate in Employee Action Plans; may help facilitate departmental Impact Plan(s). Demonstrate St. Luke’s Hospital FACES Culture. 5%
Support the achievement of Department Balanced Scorecard objectives.
Perform other work duties as assigned 5%
Transport and/or stock medications
TOTAL 100%
This position is a non-licensed/certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This includes staff who do not have the authority to prescribe, dispense and/or administer medications.
Performs in the scrub role during surgical procedures, following all established Nursing Standards and Hospital Policies.
- Assists with other patient care activities under the direction of a Registered Nurse
- Assists with promoting teamwork with all members of the healthcare team
- Performs duties in a manner consistent with St. Luke's Hospital mission and values
This position is a non-licensed/certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This includes staff who do not have the authority to prescribe, dispense and/or administer medications.
Principle Accountabilities: % of Time Spent
- Scrubs surgical procedures 80%
- Participates in checking/maintaining supplies and equipment, and the physical environment 10%
- Participates in committees, educational activities, special projects 2%
- Participates as preceptor for orientees and students in the scrub role 2%
- Takes specialty call for assigned team, and works with team members to assure that all specialty call and late cases are covered 2%
- Performs clerical/computer tasks 2%
- Performs all other duties as assigned 2%
TOTAL 100%
Principle Accountabilities: % of Time Spent
- Directs all care to team members, students, PCT's, and UA's. 5%
- Acts as a patient liaison and advocate. 5%
- Assures proper documentation. 15%
- Documents assessments.
- Initiates care plans.
- Formulates, updates, and revises treatment plans and goals.
- Participates in discharge planning: 5%
- Identifies home educational needs.
- Instructs and educates patients to diet, medications, activities, etc.
- Assures orders are processed as follows: 5%
- Checks and signs off orders.
- Accepts telephone orders from physicians.
- Ensures documentation of advanced directives.
- Makes initial and continuous patient assessment: 20%
- Communicates the interpretation of lab data, EKG’s, etc.
- Consults with physician.
- Makes patient rounds, using ICARE model.
- Manages patient’s in-house transfer through system.
- Reviews drug therapy.
- Assesses ADL’s
- Coordinates administration of treatments between disciplines.
- Coordinates all aspects of patient care, including planning, intervention, education, and evaluation: 18%
- Develops, maintains, and applies age-specific knowledge relevant to the care of the patient population served.
- Inserts NG tube.
- Initiates TPN, blood, and blood products.
- Performs IV insertions, troubleshooting and maintenance.
- Performs phlebotomy.
- Accesses and flushes ports. (unit specific)
- Performs IV push medications and flushes.
- Performs staple removal.
- Performs drain removal. (unit specific)
- Initiates physician orders.
- Participates in Code Blue/RRT team response.
- Provides patient education.
- Assists with the insertion and management of central venous catheters (CVC): 2%
- Assists with the insertion of a CVC.
- Cleanses the CVC hub appropriately prior to specimen collection or medication administration.
- Maintains line patency through proper flushing techniques.
- Changes sterile dressing.
- Participates as a team member on the division 5%
- Participates in the "Every Patient is My Patient Initiative"
- Displays FACES behaviors.
- Participates in bedside shift report.
- Ensures patient handoff to other disciplines through verbal or written communication.
- Interprets Hospital Policy for team members.
-
- Participates as committee chair or member of various nursing or interdisciplinary committee meetings as requested.
- Participates in and makes suggestions for HCAHPS improvement initiatives.
- Assists in providing adequate staffing.
- Participates with Policy development.
- May function as a charge nurse, assigning care of patients to caregivers according to
hospital policy.
- Oversees the education of staff and staff development: 5%
- Develops and educates staff.
- Orients new employees.
- Participates in performance monitoring (peer review).
- Participates in continuing education activities relevant to Nursing Practice. 5%
- Performs other work duties as assigned. 5%
- Essential function of the job.
- Non-essential function of the job, can be assigned to another employee.
Total 100%
Performs the primary functions of a registered professional in evaluating a designated group of residents in accordance with all established Nursing standards and hospital policies. Is responsible for managing all assigned personnel, supplies and equipment on the unit and for promoting Team work with all members of the health care team. Performs duties and responsibilities in a manner consistent with our mission and values.
% Of Time Spent Job Duties:
1. Directs all care to team members 10%
a. Assists with scheduling/coordinating treatments with all disciplines
2. Acts as resident liaison and advocate. 10%
3. Assures proper documentation 10%
a. Monthly summaries
b. Care Plans
c. MDS d. Narcotic CTS. e. Documentation assessments.
4. Participates in discharge planning 10% a. Attends care plan meetings
b. Identifies home educational needs. c. Instructs and educates residents/significant other to diet meals, activities, etc.
5. Assures orders are processed as follows 10%
a. Checks and signs off orders
b. Accepts telephone orders from MD/s offices
c. Processes monthly orders
6. Makes initial and continuous resident assessment: 10%
a. Communicates the interpretation of lab data, EKG's, etc.
b. Consults with doctor
c. Makes residents rounds
d. Manages residents in house transfer through system
e. Reviews drug therapy
f. Assess ADL's
g. Coordinates administering of treatments between disciplines.
7. Coordinates all aspects of resident care, including planning, intervention, education and evaluation: 10%
a. Inserts/maintains NG tube
b. Performs IV insertions, trouble shooting, maintenance c. Accesses and flushes ports.
d. Performs IV push meds
e. Performs suture removal
f. Performs drain removal/maintains drains.
g. Participates in stat team response
h. Participates in all fire drills
i. Provides resident education
j. Conducts resident care conferences
k. Draws labs/specimen collection
l. Performs EKG's m. Performs CAPD
n. Administers respiratory treatments i.e., pulse oximetry, Nebs, oxygen
o. Assist residents with ADL treatment ambulation
p. Shift report
q. Knowledge of accessing variety of central lines.
8. Performs other resident care activities to include 10%
a. Applying slings/binders/braces
b. V.S.
c. Sterile/aseptic dressing changes
d. Insertion of Foley catheters
e. Complex skin care
f. Giving enemas
g. Applies restraints
h. Checks emergency equipment
i. Collects CQI data
j. Measures for/applies TED hose
k. Assist with feeding.
l. Trach care/suctioning
9. Performs supervisory duties 10%
a. Supervises care team members
b. Supervises students
c. Interprets Surrey Place policy for team members
d. Participates in various nursing or interdisciplinary committees PRN
e. Assists in providing adequate staffing
f. Participates in rounds
g. Participates with standards development
10.Oversees the education of staff 4%
a. Develops and educates staff
b. Orients new employees
c. Participates in performance monitoring (peer review)
d. Maintains core and unit specific competencies
11.RN's on centralized IV therapy team (SLH) will participate by: 3%
a.Inserting/discontinuing picc lines
b.Inserting landmark catheters.
12.Performs other duties as assigned. 3%
Performs the primary function of a Registered Professional Nurse in assessing, planning, implementing, educating, and evaluating a designated group of patients in accordance with all established Nursing Standards and Hospital Policies. Is responsible for managing all assigned personal supplies, equipment on the unit, and for promoting teamwork with all members of the healthcare team. Performs duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities: % Of Time Spent
1. Directs all care to team members, students and PCT's. 5%
2. Acts as a patient liaison and advocate. 5%
3. Assures proper documentation. 15%
a. Documents assessments.
b. Initiates careplans.
c. Formulates, updates, and revises treatment plans and goals.
4. Participates in discharge planning: 5%
a. Identifies home educational needs.
b. Instructs and educates patients to diet, medications, activities, etc.
5. Assures orders are processed as follows: 5%
a. Checks and signs off orders.
b. Accepts telephone orders from physicians.
c. Ensures documentation of advanced directives.
6. Makes initial and continuous patient assessment: 20%
a. Communicates the interpretation of lab data, EKG’s, etc.
b. Consults with physician.
c. Makes patient rounds, using ICARE model.
d. Manages patient’s in-house transfer through system.
e. Reviews drug therapy.
f. Assesses ADL’s
g. Coordinates administration of treatments between disciplines.
7. Coordinates all aspects of patient care, including planning, intervention, education, and evaluation: 18%
a. Develops, maintains, and applies age-specific knowledge relevant to the care of the patient population served.
b. Inserts NG tube.
c. Initiates TPN, blood, and blood products.
d. Performs IV insertions, troubleshooting and maintenance.
e. Performs phlebotomy.
f. Accesses and flushes ports. (unit specific)
g. Performs IV push medications and flushes.
h. Performs staple removal.
i. Performs drain removal. (unit specific)
j. Initiates physician orders.
k. Participates in Code Blue/RRT team response.
l. Provides patient education.
8. Assists with the insertion and management of central venous catheters (CVC): 2%
a. Assists with the insertion of a CVC.
b. Cleanses the CVC hub appropriately prior to specimen collection or medication administration.
c. Maintains line patency through proper flushing techniques.
d. Changes sterile dressing.
9. Participates as a team member on the division 5%
a. Participates in the "Every Patient is My Patient Initiative"
b. Displays FACES behaviors.
c. Participates in bedside shift report.
d. Ensures patient handoff to other disciplines through verbal or written communication.
e. Interprets Hospital Policy for team members.
f. Participates as committee chair or member of various nursing or interdisciplinary committee meetings as requested.
g. Participates in and makes suggestions for HCAHPS improvement initiatives.
h. Assists in providing adequate staffing.
i. Participates with Policy development.
j. May function as a charge nurse, assigning care of patients to caregivers according to hospital policy.
10. Oversees the education of staff and staff development: 5%
a. Develops and educates staff.
b. Orients new employees.
c. Participates in performance monitoring (peer review).
11. Participates in continuing education activities relevant to Nursing Practice. 5%
12. Performs other work duties as assigned. 5%
a. Essential function of the job.
b. Non-essential function of the job, can be assigned to another employee.
Total 100%
Under the direction of the D.O.N. performs functions of a R.N. Manager in designing, implementing and evaluating the resident care delivery systems through supervision of staff productivity and effectiveness. Will perform duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities % Of Time Spent
1.Promotes Surrey Place philosophy, goals and objectives (5%)
2.Develops and implements patient care services, policies and procedures. (5%) 3.Monitors and maintains appropriate staffing levels for all divisions (7%)
4.Makes nursing/housekeeping rounds. Identifies and institutes corrective action. (5%)
5.Follows up on complaints, concerns from residents, family and staff. (10%)
6.Assists in the development of all division personnel. (5%)
7.Interviews, hires, supervises and assists with evaluating all staff members. ( 5%)
8.Assures departments meet or exceed the requirements of JCAHO, division of Aging and other federal regulatory and reimbursement agencies. (10%)
9.Monitors staff productivity and effectiveness (10%)
10.Serves as liaison to other departments, medical staff, residents and families to facilitate information sharing and problem solving. (5%)
11.Assists nurse managers with MDS 2.0 process/education of staff. (3%)
12.Participates in seminars/education programs (3%)
13.Assists staff with problem solving (3%) 14.Assists with writing policies/procedures (9%)
15.Provides informal inservices for facility (3%)
16.Knowledge of Medicare/Medicaid regulations and ensures compliance while on duty. (5%)
17.Performs other work duties as assigned. (5%)
18.Performs other work duties as assigned. (2%)
· The Non-certified Anesthesia Technician assists the licensed anesthesia providers in the acquisition, preparation and application of the equipment and supplies required for the administration of anesthesia providing support in anesthesia for routine and complex surgical cases.
· The Anesthesia Technician prepares and maintains patient monitoring devices and anesthesia delivery systems before, during and after anesthesia.
· The Technician maintains equipment and provides servicing such as cleaning, assembling, calibrating and testing, troubleshooting, requisitioning and recording of inspections and maintenance of anesthesia equipment.
· May set up a variety of mechanical, pneumatic and electronic equipment used to monitor, evaluate and manage the patient undergoing anesthesia.
· The anesthesia tech participates in Operating/Procedure room turnover and performs activities as directed to ensure efficiency and safe patient care in Surgery/Procedure environment.
· Provides supply management including stocking of non-narcotics medications.
· Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
· This position is a non-licensed/non-certified staff member authorized to transport and/or stock medications to meet specified essential job duties. This staff does not have the authority to prescribe, dispense and/or administer medications.
· The uncertified Anesthesia Technician acts at the delegation and supervision of the RN Circulator and Anesthesia Provider. Tasks delegated may be relayed by charge nurses and secretaries.
· Responsible for promoting teamwork with all members of the healthcare team.
· Performs duties in a manner consistent with St. Luke’s Hospital mission and values.
Principle Accountabilities:
· Responsible for turnover of anesthesia (circuit replacement/check, cleaning, securing medications). 25% · Checks/ restocks inventory of peel packed/sterile items in supply carts to par levels. 25%
· Assists the Anesthesia Provider with preparation of the patient monitoring equipment. 15%
· Prepares the Anesthesia Provider's work area including medications at start of day. 10%
· Performs and documents anesthesia daily machine checks (Full Test, Low-P, and circuit leak) calibrations. 10%
· Makes IV fluids, arterial lines, fluid warmers, and medication infusion pumps readily available. 5%
· Obtains/Transports Blood and Blood Products from the Blood Bank; transports specimens.
· Transports patients as needed. 5%
· Transports anesthesia equipment/supplies in areas outside of the OR. 2%
· Responds to codes. 2%
· Performs all other duties as assigned. 1%
TOTAL 100%
The Registered Nurse is responsible for the delivery of quality patient care through the nursing process of assessment, planning, implementation and evaluation. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act, St. Luke's Hospital and Patient Care Services policies and practice guidelines, and performs in a comparable manner to peers with similar training, experience and circumstances.
Principle Accountabilities:
1. Assesses the physiological health status of the patient including, but not limited to, proper patient identification and operative procedure verification. Performs Initial Patient Assessment. Alerts appropriate team member(s) or physicians as necessary regarding deviations from norm with respect to the physiological health status of the patient, changes in laboratory and diagnostic testing as well as vital signs. Maintains awareness of changes in patients’ conditions and reports appropriately. Recognizes medical-surgical risk factors.
2. Provides preoperative nursing care for same day admit patients, observation patients and outpatients for the Operating Room, Cardiac Cath Lab, and other areas as needed.
3. Assists surgeon and anesthesia personnel with preoperative facilitation of the patient for surgery. Communicates with Operating Room personnel regarding surgery schedule status, patient condition and via the OR tracking board, the patient’s readiness for surgery.
4. Inserts intravenous infusion catheters, calculates intravenous infusions and administers intravenous push medications. Assists anesthesia personnel with preoperative and postoperative procedures.
5. Provides preoperative care and postoperative care for patients who have received general anesthesia, monitored anesthesia care, never blocks, spinal/epidural anesthesia and local anesthesia.
6. Assesses, monitors and manages the patient’s pain needs throughout all stages of care while in the Outpatient Department.
7. Assures completion or obtains results of appropriate testing including but not limited to glucometer testing, electrocardiogram, lab tests, x-rays on patients as required.
8. Evaluates the patient’s teaching needs based on age and development level. Provides and explains to patients and/or family instruction and handouts on pre-, intra- and post-procedure preparation, discharge instructions and education information relating to their intervention.
9. Documents in patient’s record according to hospital policy to assure pertinent information is communicated for continuum of care. Provides hand-off communication including all crucial and critical information.
10. Performs other duties as assigned.
The Registered Nurse is responsible for the delivery of quality patient care through the nursing process of assessment, planning, implementation, and evaluation. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act, St. Luke’s Hospital and Patient Care Services policies and practice guidelines and performs in a comparable manner to peers with similar training, experience, and circumstances.
Principle Accountabilities:
1. Assesses the physical and psychosocial dimensions of patients using a holistic approach, within the scope of knowledge and experience base, upon admission and throughout the nursing process, and documents appropriately into the patient record following established standards of the patient care services department.
2. Plans, implements, and evaluates a formal written individualized plan of care within the appropriate time frame based on the nursing assessment and diagnosis and appropriate Standards of Care.
3. Provides quality patient care from admission to discharge by collaborating with all healthcare team members and other departments and maintaining cost-effectiveness in accordance with established policies and practice guidelines.
4. Demonstrates competencies of the Missouri Nurse Practice Act by practicing within established policies and practice guidelines.
5. Demonstrates unit-defined competencies as required.
6. Acts as resource person for patients, visitors and staff in both routine and crisis situations. Addresses problems and complaints thoroughly and responds appropriately and promptly.
7. Plans work assignments for Patient Care Technicians, using the Patient Care Services guidelines to ensure adequate and appropriate care is given. Demonstrates flexibility in response to unexpected changes in work volume, schedule changes and emergencies.
8. Assumes accountability for professional growth by functioning as a resource to other healthcare professionals and maintaining a current professional knowledge base.
9. Participates in unit-based quality improvement processes as required.
10. Performs other duties as assigned.
Hematology Supervisor: responsibilities include oversight of Hematology, Coagulation and Urinalysis testing in the main hospital laboratory. Assures safe, efficient and quality operation and workflow through supervision, guidance and support of the staff. Responsible for the operating procedures, quality control, maintenance and proficiency testing programs for area of responsibility under the direction of the sections manager, director of laboratory and/or medical director. Performs duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities:
- Safety/Risk Management: Maintains an environment for employees, patients, medical staff, and visitors that promote safety consciousness in order to achieve a safe physical environment.
- Complies with Infection Control guidelines.
- Adheres to chemical hygiene policies.
- Follows confidentiality policy/procedure.
- Adheres to hospital wide and department specific safety regulations.
- Conducts quality/safety audits and writes quality improvement reports as necessary.
- Creates a safe and clean work environment and addresses safety issues as needed.
- Operations Management: Plans, organizes and controls workflow of the appropriate section in order to accomplish all laboratory functions in a safe, efficient and accurate manner.
- Maintains current knowledge of section policies and procedures and interprets them accurately to staff. Recommends and writes updates to section policies and procedures
- Assists with keeping accurate records in order to comply with requirements and standards of inspection and accreditation agencies.
- Supports Lab Management in initiating change/updates to the Laboratory Information System Test Menu and the Hospital Information System SIM file to ensure accurate orders, patient reports and charges for all of the section’s test procedure
- Maintains appropriate staffing to meet department needs and Hospital requirements (i.e. scheduling, productivity rate, and turnaround time).
- Responsible for or assists manager with data entry into the time & attendance system.
- Assists manager with budget preparation and cost accounting.
- Responsible for or assists manager with following up on inventory or purchasing problems.
- Identifies and investigates both operational and technical problems and implements corrective action or refers problems to manager as required.
- Maintains appropriate records.
- Planning and Goal Management: Develops goals and objectives for the section consistent with the Hospital’s strategic and operating plans.
- Directs, leads and supervises the employees toward attainment of the objectives.
- Assist with planning, organizing and control of the operation and workflow in accordance with CLIA-’88, OSHA, and other regulatory entities.
- Ensures employee compliance.
- Assures all services are carried out accurately, efficiently, timely and optimally safe.
- Delegates responsibilities appropriately.
- Provides guidance and support as needed.
- Leadership and Management: Acts as liaison within laboratory section as well as between laboratory sections, other hospital departments, other hospitals or health care facilities, and physicians or their offices to ensure coordination cooperation and appropriate service.
- Meet with manager to discuss status of section and any problems.
- Assist with providing education, training, and/or quality review items to nursing service, other hospital departments or physician offices performing laboratory procedures.
- Attends other meetings as required and dispenses information to appropriate persons.
- Facilitates and promotes team-building, and decentralized decision-making.
- Supports and participates in the Hospital activities.
- Remains current in Laboratory and management developments through participation in continuing education and self-study. (15 hours per year)
- Human Resources Management: Assist with managing personnel functions including hiring, transfer, promotion, discipline and discharge.
- Coordinates and participates in orientation to the department and Hospital policies and procedures, and interprets as necessary.
- Monitors staff performance and participates in employees performance appraisals, which may include writing and presenting.
- Recommends hiring, transfer, promotion, discipline and discharge.
- Identifies staff development needs and encourages individual growth and development.
- Maintains employee records.
- Keeps employees informed of events and issues within the department, St. Luke’s Laboratory and Hospital.
- Solicits and utilizes staff input on issues or projects.
- Quality Management: Monitors assignments to assure accurate and thorough work performed according to policy and procedure in order to provide a continuous level of quality in patient care.
- Prepares, maintains, and reviews appropriate section’s quality improvement standards and policies (with direction from the manager and medical director).
- Monitors to ensure the quality improvement effectiveness in performing quality services.
- Assists the manager and medical director in test procedure review, investigation, development and implementation.
- Directs and supervises proficiency testing, reporting, and follow up actions when needed.
- Assists in identifying and investigating operational and technical problems.
- Implements corrective action or refers problem to manager, director or medical director.
- Acts as resource in problem resolution.
- Technical Responsibilities: Assists with running equipment and technical expertise in order to provide a continuous level of quality in test results.
- Acts as a liaison between sections within the laboratory, physicians and/or other Hospital departments in order to assure appropriate services.
- Functions as a technical resource to physicians and employees.
- Assists employees with troubleshooting technical problems.
- Maintains current knowledge of technical and supervisory development through participation in continuing education and self-study.
- Performs all other work duties as assigned.
The Registered Nurse is responsible for the delivery of quality patient care through the nursing process of assessment, planning, implementation and evaluation. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act, St. Luke’s Des Peres Hospital and Patient Care Services policies and practice guidelines, and performs in a comparable manner to peers with similar training, experience and circumstances.
Principle Accountabilities:
1. Assesses the physical and psychosocial dimensions of patients using a holistic approach, within the scope of knowledge and experience base, upon admission and throughout the nursing process, and documents appropriately into the patient record following established standards of the patient care services department.
2. Plans, implements and evaluates a formal written individualized plan of care within the appropriate time frame based on the nursing assessment and diagnosis and appropriate Standards of Care.
3. Provides quality patient care from admission to discharge by collaborating with all healthcare team members and other departments and maintaining cost-effectiveness in accordance with established policies and practice guidelines.
4. Demonstrates competencies of the Missouri Nurse Practice Act by practicing within established policies and practice guidelines.
5. Demonstrates unit-defined competencies as required.
6. Acts as resource person for patients, visitors and staff in both routine and crisis situations. Addresses problems and complaints thoroughly and responds appropriately and promptly.
7. Plans work assignments for Patient Care Technicians, using the Patient Care Services guidelines to ensure adequate and appropriate care is given. Demonstrates flexibility in response to unexpected changes in work volume, schedule changes and emergencies.
8. Assumes accountability for professional growth by functioning as a resource to other healthcare professionals and maintaining a current professional knowledge base.
9. Participates in unit based quality improvement processes as required.
10. Performs other duties as assigned.
Principle Accountabilities: % of Time Spent
- Acts a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care contracts and CMS regulations. Conducts face to face interview with patient to achieve successful clinical outcome and maintain charge integrity in clinically driven revenue cycle. Processes patient accounts in accordance with the departmental and institutional policies and procedures. Responsible for accurate registration of patient demographics and insurance and assures the validity of incoming data, corrects information as needed, and processes the registration including explaining and obtaining the patients signature on the Consent for Admission/Treatment, Release of Information/Assignment of Benefits and Financial Responsibility, and completing Medicare Secondary Payer (MSP) questionnaire. Collects proper consent for Missouri Health Connection to share PHI data. Assess and interpret Medical Necessity guidelines with providers to prevent denials and to comply with CMS regulations to formally notify patient via the appropriate format of their rights and limitations. Documents actions taken, answers inquiries involving patient registrations and researches problems to assure payment. Scans documents to the patient’s medical record via Cerner Imaging Functions. Verifies insurance eligibility and benefits to notify patients of expected financial responsibility and collect at the time of service. Provides financial counseling concerning payment options with patients and financial assistance. Reviews provider orders for accuracy and completeness and follows up with physician offices as needed. (60%)
- Assures integrity of critical system data elements. Completes assignments in the prescribed time periods with efficiency and attention to detail. Answers patient and/or third-party inquiries of patient account, insurance eligibility and coverage questions, and/or institution or department policies or procedures. Adheres to Patient Access and St. Luke's Hospital's policies, hospital/physician billing practices, and third-party requirements and HIPAA regulations and obtains patient signatures on the Patient Representative, Motor Vehicle Accident, and Out of Network form. Teaches new employees and other staff members procedures. Works efficiently with other staff members to accomplish work and departmental projects. (25%)
- Provides information and assistance to physicians regarding billing and pre-certification procedures. Works to resolve patient complaints and workflow issues before escalating to manager. (5%)
- Performs other duties as assigned. (5%)
Total: 100%
Knowledge, Skills & Abilities
- Computer literate, with keyboard skill of 35-40 words per minute.
- Knowledge of medical terminology; medical terminology certificate helpful.
- Knowledge of CPT and ICD-10 coding.
- Ability to read and interpret physician notes, diagnosis and other clinical documentation.
- Effectively communicate patient assessments which include complications, conditions, diseases, diagnosis, previous treatment and severity of illness to clinical staff to ensure successful patient outcomes.
- Must possess excellent communication and customer service skills:
- Active Listening-Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Reading Comprehension-Understanding written sentences and paragraphs in work related documents.
- Time Management-Managing one's own time and the time of others.
- Speaking-Talking to others to convey information effectively.
- Writing-Communicating effectively in writing as appropriate for the needs of the audience.
- Active Learning-Understanding the implications of new information for both current and future problem-solving and decision-making.
- Critical Thinking-Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Social Perceptiveness-Being aware of others' reactions and understanding why they react as they do.
- Judgment and Decision Making-Considering the relative costs and benefits of potential actions to choose the most appropriate one.
- Service Orientation-Actively looking for ways to help people.
- Pleasant speaking voice and demeanor.
- Neat, professional appearance.
- Must be self-motivated and able to work with others as part of a team.
- Ability to perform in a highly stressful situation.
- Ability to multitask.
- Ability to focus and maintain direction in the tasks at hand under pressure.
- Ability to establish effective working relationships with patients, physicians, insurance representatives and other medical support staff.
The Nurse Practitioner will be responsible for providing episodic care, screening and education for patients of all ages. Maintains current licensure and certification. Functions in accordance with the Collaborative Practice Agreement. Nurse Practitioners that are sole on-site provider for patient care, will collaborate by phone with the designee physician at the closest Urgent Care Center (UCC), if needed. The Nurse Practitioner is a vital member of the healthcare team within the UCC and is committed to providing and promoting patient-centered health care. Performs duties and responsibilities in a manner consistent with our mission and values.
MAJOR DUTIES AND RESPONSIBILITIES:
Provide care to acute and chronic illness, including minor trauma as well as counseling and education to the urgent care population.
Provide episodic and continuous care for Occupational Health and DOT patients.
Identify normal and abnormal findings in history and physical exam. Order appropriate laboratory tests and radiology exams supported by evidence-based research.
Support and follow the most current evidence-based guidelines of practice in providing quality patient care.
Write prescriptions as permitted by the State of Missouri.
Collaborate with a UCC Physician on complex cases.
Document pertinent information in the medical records and ensure proper review of charting by collaborative physician or designee.
Participate in national, state and local level Nurse Practitioner organizations and education.
Communicate with the Nurse Manager to improve patient-focused care.
Perform other duties as deemed necessary by the UCC Medical Director.
The Nurse Practitioner is required to take call as follows:
- Full-time FTE will take call 3 times per month
- Part-time FTE will take call 2 timer per month
- PRN will not be required to take call
Responsible for assisting physician(s) and physician extender(s), as applicable, with clinical patient medical care duties, including patient triage, rooming of patients, and other clinical duties as assigned by physician. Displays maturity, flexibility, and effective organization and communication skills in dealing with other people. Works cooperatively with other departments and promoting teamwork within the department. Assists with front office duties as needed (staffing contingency) and performs in a timely manner and with accuracy, other job duties as assigned. Responsible for adhering to all established Hospital Policies and Nursing Standards. Performs duties and responsibilities in a manner consistent with our mission and values.
Principial Accountabilities:
1. Clinical
a. Rooms patients.
b. Measures and records vital signs in EMR
c. Records chief complaint and patient history in EMR
d. Prepares patients for examinations.
e. Assists physicians with exams and minor office procedures.
f. Administers medications per physician orders.
g. Provides patient education per physician orders.
h. Returns patient calls per physician orders.
i. Stocks, cleans, and maintains sufficient supplies and equipment.
j. Disposes of biohazard and waste according to OSHA standards.
k. Performs accurate documentation.
2. Front Office
a. Answers the phone and schedules appointments.
b. Greets patients and completes required forms.
c. Covers front desk reception as needed.
3. Performs other work duties as assigned.
Performs the primary functions of a Professional Registered Respiratory Therapist in assessing, planning, implementing, educating, and evaluating a designated group of patients in accordance with established Respiratory Care Standards, Hospital and Departmental Policies. Is responsible for managing all assigned personnel, duties, supplies, and equipment in the hospital or on their assigned unit and for promoting team work with all members of the healthcare team. Performs duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities:
1. Performs therapeutic and life support procedures including the administration of oxygen, aerosolized medication, breathing treatments, chest physiotherapy, arterial blood gas, and invasive and noninvasive ventilation. Takes vital signs and listens to breath sounds. Explains procedures and treatments to gain cooperation and lessen apprehension of the patient. Applies Respiratory Therapy knowledge and clinical expertise to evaluate, initiate, and update Respiratory Therapy assessment as necessary. Participates in physician rounds and discharge planning.
2. When administering therapeutic procedures and treatments ongoing assessment of a patient is maintained. Watches for change in condition or reactions. Observes and
reports reactions, changes and/or significant incidents to nurse and/or physician, physician assistant, and supervisor when appropriate. Evaluates emotional status of patient and offers counsel and support to patient and their family. Educates patients on disease prevention, lung health, use of inhalers and inhalation devices Uses equipment properly to give therapeutic treatments. Makes rounds with physicians
and assist in examination and treatments.
3. Demonstrates advanced clinical skills and critical thinking skills to support ECMO ventilator management, bronchoscopies and bedside tracheostomies Responsible for operating and maintaining acute care ventilators for both short term and long term mechanical ventilation of adults, pediatrics and neonates.
4. Plans, coordinates, and provides professional Respiratory Care to patients according to assessment, care plans, protocols, physician’s orders, and individual
patient needs. Utilizes established respiratory care standards and conforms to the policies and procedures of the department and to the philosophy and objectives of the hospital.
5. Cross trains in a variety of settings including Pulmonary Function Lab, Hyperbaric Medicine, In-patient Pulmonary Rehab, and Outpatient Pulmonary Rehab. Performs diagnostic tests that assess cardiac and lung function and operates physiologic monitoring equipment and life support systems in critical care settings.
6. Documents tasks, medications given and plan of care in electronic medical record. Receives report from previous shift and gives appropriate information to the next shift as to patients’ condition and any pertinent occurrences on the shift.
7. Participates with formal process improvement to ensure and enhance the quality of patient care when instructed.
8. Acts as a preceptor for Respiratory care, Nursing students and Certified therapists.
9. Attends in-service programs, skills labs, workshops, and meetings. Serves on committees as requested. Maintains the latest on new and changing procedures in
the respiratory care field. Becomes a resource person for their peers and other members of the healthcare team with questions and procedures when necessary.
10. Responds to emergency situations when necessary.
11. Performs other work duties as assigned.
Principle Accountabilities:
Responsible for performing clerical, reception, and administrative duties in physician practices. Displays maturity, flexibility, and effective organization and communication skills in dealing with other people. Works cooperatively with other departments and promotes teamwork within the department. Performs any or all of the following job duties in a physician office—check-in/registration, triage phone calls/electronic messages, and check-out (order entry, appointment/test/procedure/surgery scheduling, pre-certs, referrals, and prior authorizations). Maintains a pleasant, efficient, and well-organized working environment. Performs duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities: % of Time Spent
- May perform any or all of the following clerical and administrative job duties in physician practices. 90%
- Check-in/registration (Greets patients and visitors, updates demographic and
insurance information, runs eligibility checks, verifies referrals/pre-certs, collects patient e-consents, takes patient photos, collects and processes copayments and other payments on account, distributes patient forms and scans updated forms into EMR, balances end of day payments and copay collections.)
- Answers phones and processes electronic messages and e-faxes from patients, physicians, and facilities. Triages communications per department protocols. Responds back to callers, portal messages, and e-faxes per provider instructions and protocols. Schedules appointments.
- Check-out (Schedules follow-up appointments, enters orders for tests, procedures, and medications. Schedules outpatient tests and procedures, obtains referrals and precertifications, as required. Verifies correct CPT and ICD-10 codes on all orders and pre-certs.
- Runs daily administrative reports (ambulatory organizer schedule, Televox appointment 5% appointment reminder results). Enters no show charges from previous day, balances day sheet of payments collected, corrects patient-subscriber mismatches from billing queues.
- Performs other work duties as assigned. 5%
Total 100%