Department: Business Office
Chain of Command: Patient Access Clerk, Assistant Supervisor, Business Office Manager, CFO, CEO
Supervises: No One
Payscale: Hourly, Non Exempt

Physical and Mental Requirements

• intermittent periods of sitting/standing
• manual dexterity
• repetitive motion
• lifting/carrying >= 40 lbs.
• stooping
• kneeling/bending
• walking
• visual acuity
• hearing acuity

Work Conditions

• inside
• occasionally highly stressful

Hazards

• OHSA Blood Borne Pathogens Class III

Types of Clients Served

• Adult (18-55 years) and Geriatric (>55 years)

Job Qualifications

Education

• High School Graduate or equivalent
• 1-2 years of college preferred

Licensure, Registry and Certifications

• None Required

Personal Job Related Skills

• Ability Typing 45 wpm
• 10 key calculator keyboarding
• Familiarity with operating personal computers and basic office programs.
• Knowledge of general clerical duties.
• Ability to follow verbal and written directions.

Experience

Prior Work Experience

• None required

Technical Training

• None required

Primary Responsibilities

Processes patients for admissions.

1. Secures and verifies necessary demographic, contact, payment, billing, and insurance information from patients or responsible parties making changes as needed to the Master Patient Index.
2. Processes admission record based on orders from a physician.
3. Obtains consent to treat and consent to bill third party for admissions and testing.
4. Arranges for transportation to the appropriate inpatient or outpatient service area.

Secures required deposit, co payment, or insurance information.

1. Verifies co-insurance and collects any copayments or deductibles.
2. Reviews past records for delinquent accounts advises customer, and refers to supervisor if necessary.
3. Assists uninsured patients in making appropriate financial arrangements.

Explains and arranges for inpatient, outpatient services or procedures

1. Notifies appropriate departments of services and procedures ordered and schedules same.
2. Informs patients of requested services or tests, and their appointment schedule.
3. Routes patient to the appropriate department for pre procedure instructions or preparations.
4. Verifies patients’ understanding of instructions and schedules.
5. Introduces and explains the Hospital’s Special Delivery Club and Senior Club programs to ensure proper compliance as appropriate.

Distributes admission/registration records to appropriate departments.

1. Reviews all records for completeness and accuracy.
2. Provides records in a timely manner.

Performs duties in support of Business Office Functions

1. Prepares patient daily census.
2. Assigns diagnosis codes to outpatient accounts.
3. Maintains patient folder files as needed.
4. Accepts and processes over-the counter account and miscellaneous payments and issues receipts.

Job Related Factors

1. Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
2. Performs required tasks without prompting and adjusts appropriately to situations.
3. Adheres to the attendance policy.
4. Follows District and Department Policies.
5. Attends required meetings and in-services
6. Participates in Hospital District Safety Program and QA Programs
7. Uses time and resources wisely.
8. Maintains HIPAA, keeping patient and hospital confidentiality
9. Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor.
10. Practices proper phone etiquette, identifying self and department.
11. Reports adverse events regarding patients, guests, or self to supervisor immediately.

Payscale: Hourly, Non-Exempt, Call Pay, Callback Pay
Department: Laboratory
Chain of Command: Medical Technologist, Director of Laboratory, Director of Nursing and Clinical Services, CEO
Supervises: Phlebotomists and Clerks
Location(s): Memorial Hospital

Physical and Mental Requirements

• moderate periods of sitting/standing
• manual dexterity
• pushing and pulling
• repetitive motion
• lifting/carrying >= 50 lbs.
• crawling
• climbing
• kneeling/bending
• walking
• visual acuity
• hearing acuity

Work Conditions

• inside
• occasionally highly stressful

Hazards

• OHSA Blood Bourne Pathogens Class I

Job Qualifications

Education

• Bachelors Degree in Medical Laboratory Technology

Licensure, Registry and Certifications

• Registered by ASCP, AMT, ISLCT, or HEW

Personal Job Related Skills

• Knowledge of medical laboratory collection, testing, and use of equipment
• Knowledge of quality control policies, state and federal regulations of laboratory
• Supports and enforces infection control policies and procedures
• Maintain discretion and confidentiality in communications

Experience

Prior Work Experience

• One year prior medical laboratory experience preferred

Technical Training

• None required

Primary Responsibilities

Obtains specimens from patients

• Reviews and follows requests for tests and procedures prescribed by providers
• Draws and processes specimens promptly in compliance with established procedures
• Identifies and labels specimens properly
• Provides care and adjusts for age specific needs

Performs routine and special medical laboratory tests

• Follows established procedures for routine lab testing
• Follows the established procedures when performing chemistry, hematology, coagulation, urine analysis, bacteria cultures, blood bank, or serology tests or procedures
• Follows quality control procedures for all tests

Prepares test reports and maintains permanent records

• Reviews accuracy of results before reporting
• Checks validity by evaluation of quality control data, previous tests, and duplicate testing
• Reports panic values to supervisor and the appropriate physician
• Records all work completed and maintains workload information on work completed

Maintains Instruments and Equipment

• Performs routine and preventative maintenance
• Reports equipment problems to supervisor immediately
• Maintains logs and other documentation

Job Related Factors

• Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
• Performs required tasks without prompting and adjusts appropriately to situations.
• Adheres to the attendance policy.
• Follows District and Department Policies.
• Attends required meetings and in-services
• Participates in Hospital District Safety Program and QA Programs
• Uses time and resources wisely.
• Maintains HIPAA, keeping patient and hospital confidentiality
• Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor.
• Practices proper phone etiquette, identifying self and department.
• Reports adverse events regarding patients, guests, or self to supervisor immediately.

Department: RHC
Chain of Command: RHC Director, CEO

Supervises: RHC PAR Staff

Payscale: Hourly, Non Exempt

Physical and Mental Requirements

• intermittent periods of sitting/standing
• manual dexterity
• repetitive motion
• kneeling/bending
• walking
• visual acuity
• hearing acuity

Work Conditions

• inside
• non stressful/occasionally highly stressful

Hazards

• OHSA Blood Borne Pathogens Class I

Types of Clients Served

• Neonate (<1 yr.), Child/Pediatric (1-11 yrs.) Adolescent (12-17 yrs.), Adult (18-55 years) and Geriatric (>55 years)

JOB QUALIFICATIONS

Education

• High School Graduate or equivalent.

Licensure, Registry and Certifications

• None Required

Personal Job Related Skills

• Effective oral and written communication skills
• Leadership

EXPERIENCE

Prior Work Experience

• 5 years receptionist experience preferred

Technical Training

• None required

ESSENTIAL DUTIES AND RESPONSIBILITIES

Primary Responsibilities

Provides Clinic Services

1. Ensures that all daily, weekly, monthly, quarterly and annual logs, surveys, trainings are complete
2. Assists providers and clinic director with daily reception operation and workflow
3. Ensure front office is properly staffed by moving or redirecting staff
4. Work with PARs to ensure Prior Auths, Ins and medical referrals are complete in a timely manner
5. Manage the daily schedule for providers, communicating between nurse aides and reception
6. Assist in ensuring all accounts are correct and accurate for billing.

Secondary Responsibilities:

1. Assists in Clinic Director duties as assigned by the director
2. Provides back up timekeeping/payroll duties when director is out of office
3. Provide back up to all PARs if needed

JOB RELATED FACTORS

1. Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
2. Performs required tasks without prompting and adjusts appropriately to situations.
3. Adheres to the attendance policy.
4. Follows District and Department Policies.
5. Attends required meetings and in-services
6. Participates in Hospital District Safety Program and QA Programs
7. Uses time and resources wisely.
8. Maintains HIPAA, keeping patient and hospital confidentiality
9. Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor.
10. Practices proper phone etiquette, identifying self and department.
11. Reports adverse events regarding patients, guests, or self to supervisor immediately.

Shift(s): Full time, non-exempt
Department: Respiratory Therapy
Supervises: None
Location(s): Memorial Hospital

Responsibilities

• Assists with staff scheduling and daily department assignments.
• Coordinates staffing to ensure adequate patient coverage.
• Participates in Equipment Maintenance and supply management.
• Participates in quality improvement initiatives.
• Assists with preparation for surveys and accreditation activities.
• Reviews documentation for completeness and accuracy.
• Collaborates with nursing leadership on respiratory education initiatives.
• Works collaboratively with physicians, nursing leadership, emergency department staff, surgery, and administration.
• Communicates operational issues and recommendations to hospital leadership.

Essential Functions

• Provides direct respiratory care according to physician orders and evidence-based practice.
• Strong clinical assessment and critical thinking skills.
• Excellent communication and leadership abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Knowledge of mechanical ventilation, arterial blood gases, pulmonary diagnostics, and emergency airway management.
• Serves as a clinical resource for respiratory therapists and nursing staff.
• Assists with airway management, emergency response, rapid response, and code situations.
• Supports neonatal resuscitation, obstetric services, and emergency department respiratory needs.
• Ensures appropriate operation and maintenance of respiratory therapy equipment.

Job Qualifications

Education and Experience Requirements

• Graduate of an accredited Respiratory Therapy program.
• Current Registered Respiratory Therapist (RRT) credential preferred.
• BLS certification required.
• ACLS certification required.
• PALS certification required.
• NRP certification required.
• Three to five years of clinical respiratory therapy experience.
• Previous leadership or charge therapist experience.
• Experience in a Critical Access Hospital or rural healthcare setting.
• Experience with emergency, critical care, and obstetric respiratory services

Supervisory Responsibility

Scheduling and Inventory management

• moderate periods of sitting/standing/walking
• pushing pulling
• lifting/carrying >= 50 lbs.
• crawling
• climbing        
• kneeling/bending
• visual acuity 
• hearing acuity

Shift(s): Night FT/PRN/Part Time (Hospital)

Department: Nursing

Location(s): Memorial Hospital

Responsibilities

• Care for clients within the Texas Board of Nursing scope of practice for a Registered Nurse (neonate <1yr, Child/Pediatric 1-11yrs, Adolescent 12-17yrs, Adult 18-55yrs and geriatric >55yrs) throughout the facility while communicating positively and respectfully.
• Perform required tasks without prompting and adjust appropriately to situations.
• Adhere to the attendance policy.
• Follow district and department policies.
• Attend required meetings and in-services.
• Participate in Hospital District Safety Program and QA Programs.
• Use time and resources wisely.
• Maintain HIPAA, keeping patient and hospital confidentiality.
• Maintain adequate supplies of items needed to perform job; order or report low items to supervisor.
• Practice proper phone etiquette, identification of self and department.
• Report adverse events regarding patients, guests or self to supervisor immediately.
• Oversees LVNs and CNAs.
• Demonstrates a willingness to learn and practices a team approach.

Essential Functions

Primary Responsibilities for all Units Assigned:

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

• Takes nursing histories to provide a basis for developing patient care plans.
• Completes a thorough nursing assessment and history on admission.
• Identifies teaching/learning/ discharge needs at the time of admission and throughout stay.
• Provides an ongoing assessment that accurately reflects overt physiological and psychological needs of patients.
• Consistently uses input from patient, family, significant other, physician, and healthcare team members.

Using nursing process, plan and provide patient, family care; evaluates patient’s response to care and redirects as necessary.

• Formulates appropriate nursing diagnosis and identifies patient problems from admission database and ongoing assessment.
• Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
• Develops and implements nursing orders that are specific and measurable.
• Initiate interdisciplinary communication and incorporate recommendation.
• Consults with patients, family and others to formulate care plans that reflect concern for holistic patient needs.
• Assess and evaluates patient response/outcome and makes appropriate modifications to the care plan.
• Reviews and updates care plan on a timely basis to reflect patient’s status throughout hospitalization

Implements and monitors appropriate nursing care to meet patient’s needs.

• Identifies expected outcomes for planned nursing intervention and ensures vital information is passed between shifts.
• Administers medications according to policy including IV’s, blood, and blood components as prescribed.
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage, and route of administration on all drugs prior to administering to patient.
• Verifies medication administration accuracy and performs the required checks on the medication administration record.
• Gives exchange report to other health care personnel providing accurate complete information on each patient at the change of shift when transferring patient to another unit and at intervals during the shift.
• Assesses patients at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift.
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization.
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation.
• Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance.
• Functions proficiently in all unit nursing modalities.

Participates in the health care educational needs for the patient, family, or significant other regarding patient care needs, disease prevention, and health maintenance measures

• Develops and implements an individualized teaching and discharge plan at admission and throughout hospitalization.
• Initiates and documents progressive patient, family, or significant other teaching on admission and throughout hospitalization.
• Act as liaison between patient, physician, family, or significant other, and other health disciplines.

Maintains accurate and timely records according to hospital policy and procedures.

• Documents ongoing assessment within timeframe determined by policy which accurately reflects overt physiological and psychological needs of patient.
• Accurately documents on each shift the nursing patient care activities and the patient’s response to nursing interventions and delegated medical management.
• Maintains a patient care plan that is current and reflects individual needs or preferences of patients.
• Documents teaching completed and patient, family, or significant other response in the patient record.
• Documents interdisciplinary recommendations for plan of care.
• Transcribes and or cosigns physicians’ orders completely and accurately according to hospital policy and practice.
• Completes all appropriate transfer and discharge forms.
• Other duties as assigned withing the RN scope of practice.

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• Current Texas RN license or Compact RN license required.
• Basic Cardiac Life Support (BCLS) Certification
• Advanced Cardiac Life Support (ACLS) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferred
• TCCN preferred
• STABLE, preferred.
• Neonatal Resuscitation Program (NRP) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferre

Skill Requirements

• Effective oral and written communication skills
• Computer Skills
• Listening Skills

Physical Demands

• Extended periods of sitting/standing/walking
• Manual dexterity
• Pushing/Pulling
• Lifting/carrying >= 50 lbs.  
• Kneeling/bending
• Visual/hearing acuity

Shift(s): Days-PRN/Part Time

Department: Nursing

Location(s): Memorial Hospital

Responsibilities

• Care for clients within the Texas Board of Nursing scope of practice for a Registered Nurse (neonate <1yr, Child/Pediatric 1-11yrs, Adolescent 12-17yrs, Adult 18-55yrs and geriatric >55yrs) throughout the facility while communicating positively and respectfully.
• Perform required tasks without prompting and adjust appropriately to situations.
• Adhere to the attendance policy.
• Follow district and department policies.
• Attend required meetings and in-services.
• Participate in Hospital District Safety Program and QA Programs.
• Use time and resources wisely.
• Maintain HIPAA, keeping patient and hospital confidentiality.
• Maintain adequate supplies of items needed to perform job; order or report low items to supervisor.
• Practice proper phone etiquette, identification of self and department.
• Report adverse events regarding patients, guests or self to supervisor immediately.
• Oversees LVNs and CNAs.
• Demonstrates a willingness to learn and practices a team approach.

Essential Functions

Primary Responsibilities for all Units Assigned:

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

• Takes nursing histories to provide a basis for developing patient care plans.
• Completes a thorough nursing assessment and history on admission.
• Identifies teaching/learning/ discharge needs at the time of admission and throughout stay.
• Provides an ongoing assessment that accurately reflects overt physiological and psychological needs of patients.
• Consistently uses input from patient, family, significant other, physician, and healthcare team members.

Using nursing process, plan and provide patient, family care; evaluates patient’s response to care and redirects as necessary.

• Formulates appropriate nursing diagnosis and identifies patient problems from admission database and ongoing assessment.
• Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
• Develops and implements nursing orders that are specific and measurable.
• Initiate interdisciplinary communication and incorporate recommendation.
• Consults with patients, family and others to formulate care plans that reflect concern for holistic patient needs.
• Assess and evaluates patient response/outcome and makes appropriate modifications to the care plan.
• Reviews and updates care plan on a timely basis to reflect patient’s status throughout hospitalization

Implements and monitors appropriate nursing care to meet patient’s needs.

• Identifies expected outcomes for planned nursing intervention and ensures vital information is passed between shifts.
• Administers medications according to policy including IV’s, blood, and blood components as prescribed.
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage, and route of administration on all drugs prior to administering to patient.
• Verifies medication administration accuracy and performs the required checks on the medication administration record.
• Gives exchange report to other health care personnel providing accurate complete information on each patient at the change of shift when transferring patient to another unit and at intervals during the shift.
• Assesses patients at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift.
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization.
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation.
• Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance.
• Functions proficiently in all unit nursing modalities.

Participates in the health care educational needs for the patient, family, or significant other regarding patient care needs, disease prevention, and health maintenance measures

• Develops and implements an individualized teaching and discharge plan at admission and throughout hospitalization.
• Initiates and documents progressive patient, family, or significant other teaching on admission and throughout hospitalization.
• Act as liaison between patient, physician, family, or significant other, and other health disciplines.

Maintains accurate and timely records according to hospital policy and procedures.

• Documents ongoing assessment within timeframe determined by policy which accurately reflects overt physiological and psychological needs of patient.
• Accurately documents on each shift the nursing patient care activities and the patient’s response to nursing interventions and delegated medical management.
• Maintains a patient care plan that is current and reflects individual needs or preferences of patients.
• Documents teaching completed and patient, family, or significant other response in the patient record.
• Documents interdisciplinary recommendations for plan of care.
• Transcribes and or cosigns physicians’ orders completely and accurately according to hospital policy and practice.
• Completes all appropriate transfer and discharge forms.
• Other duties as assigned withing the RN scope of practice.

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• Current Texas RN license or Compact RN license required.
• Basic Cardiac Life Support (BCLS) Certification
• Advanced Cardiac Life Support (ACLS) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferred
• TCCN preferred
• STABLE, preferred.
• Neonatal Resuscitation Program (NRP) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferre

Skill Requirements

• Effective oral and written communication skills
• Computer Skills
• Listening Skills

Physical Demands

• Extended periods of sitting/standing/walking
• Manual dexterity
• Pushing/Pulling
• Lifting/carrying >= 50 lbs.  
• Kneeling/bending
• Visual/hearing acuity

Department: Nursing
Location(s): Memorial Health Care Center
Supervises: Certified Nurse Aides
Chain of Command: RN, ADON, DON, Administrator
Payscale: Discuss with HR about Hourly, Non-Exempt, Call Pay, Shift Differentials, Specialty Pay

Physical and Mental Requirements

• Extended periods of standing or walking
• Manual dexterity
• Pushing and pulling
• Repetitive motion
• Lifting/carrying >=50lbs.
• Kneeling
• Bending
• Stooping
• Visual and hearing Acuity
• Reaching

Work Conditions

Inside and occasionally highly stressful

Hazards

OHSA Blood Borne Pathogens Class I

Types of Clients Served

• Adult 18-55yrs
• Geriatric > 55yrs

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• Registered Nurse licensed by the State of Texas.
• BCLS

Personal Job Related Skills

• Effective oral and written communication skills.

Experience

Prior Work Experience

• Two (2) years experience as a professional Registered Nurse preferred

Technical Training

• Current CPR certification.

Essential Duties and Responsibilities

Primary Responsibilities for all halls assigned

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

• Takes nursing histories to provide a basis for developing patient care plans
• Completes a thorough nursing assessment and history
• Provides a basic assessment needs of residents needs/desires
• Identifies teaching and learning needs with each resident to promote independence
• Provides an ongoing assessment that accurately reflects needs and desires of residents
• Consistently uses input form resident, family, significant other, physician, and healthcare team members
• Supervises and assists staff members providing care while remaining responsible for the delivery of quality nursing care

Implements and monitors appropriate nursing care to meet patient’s needs

• Identifies expected outcomes for planned nursing intervention and insures vital information is passed between shifts
• Administers medications according to policy
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs prior to administering to patient
• Verifies medication administration accuracy and performs the required checks on the medication administration record
• Assesses residents at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains and enemas
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation
• Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance
• Functions proficiently in all daily nursing tasks
• Act as liaison between patient, physician, family or RP and other health disciplines

Maintains accurate and timely records according to facility policy and procedures

• Progress notes completed on all appropriate residents at minimum of once, but not limited to, every shift
• Accurately documents on MAR and TAR in the electronic chart
• Completes all quarterly, monthly and weekly observations
• Completes all incident reports as needed and reports them to GNP, Administrator, DON and RP
• Documents on 24 hour report sheet to ensure continuity of care between shifts
• Transcribes and or cosigns physicians orders completely and accurately while reporting changes to RP
• Complete daily assignment forms for all CNAs
• Completes nursing staff sheet every shift

Maintains the required inventory of supplies and equipment

• Assesses the supplies needed and establishes a system for acquisition, storage, control, and issue
• Determines equipment needs and assures equipment is maintained and in good working condition
• Assures medication cart is stocked with appropriate supplies and medications. Reorders medications as needed
• Assures crash cart and AED is  checked daily

Facilitates favorable relationships within the ER , clinics , med surg, therapy and dietary 

• Maintains positive and effective relationships with other departments and the Medical Staff
• Consults with MD/FNP to resolve problems and to obtain and provide patient care input
• Maintains open communication and a problem solving atmosphere with other departments to achieve quality patient care

JOB RELATED FACTORS

• Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
• Performs required tasks without prompting and adjusts appropriately to situations
• Adheres to the attendance policy
• Follows District and Department Policies
• Attends required meetings and in-services
• Participates in Hospital District Safety Program and QA Programs
• Uses time and resources wisely
• Maintains HIPAA, keeping patient and hospital confidentiality
• Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor
• Practices proper phone etiquette, identifying self and department
• Reports adverse events regarding patients, guests, or self to supervisor immediately

Department: Nursing
Chain of Command: Certified Nurse Aide/Nurse Aide, LVN, RN, Team Lead, Department Director, CNO, CEO
Shift(s): Hourly, Non Exempt
Location(s): Seminole Hospital District
Supervises: No One

Physical Demands

• extended periods of sitting/standing/walking
• manual dexterity
• pushing/pulling
• repetitive motion
• lifting/carrying >= 50 lbs
• crawling
• climbing
• kneeling/bending
• visual acuity
• hearing acuity

Work Conditions

• inside
• occasional highly stressful

Hazards

• OHSA Blood Bourne Pathogens Class I

Job Qualifications

Education

• High school graduate or equivalent

Licensure, Registry, Certification:

• BLS Certification Preferred
• Certified Nurse Aide preferred

Personal Job Related Skills

• Ability to read and write
• Effective oral and written communications skills
• Ability to follow verbal or written instructions
• Proficient in note taking/documentation

Experience

Prior Work Experience

• One year of experience in a medical setting preferred

Technical Training

• Nursing assistant course desirable

Essential Functions

Primary responsibilities for all units assigned:

Assures that each patient receives quality care.

• Performs personal care according to individuals’ needs including bathing, perineal care, shaving, grooming hair, mouth/oral care as condition warrants, and as directed, feeding patient and collecting specimens
• Keeps patient room neat and tidy at all times, patient dry and free of secretions, and answers call lights promptly
• Performs procedures designed to prevent physical deterioration of skin to include patient repositioning, giving skin care, getting patients out of bed, ambulating as directed, working gently and handling patients with special conditions in a specified manner and performing catheter care as directed
• Provides age appropriate care

Provides clinical services and care for patients

• Takes and records vital signs, glucometer readings, weight, and length measurements
• Assist physicians and licensed staff with preparing patient’s for various types of examinations and procedures
• Applies or changes dressings as requested
• Performs basic life support skills in an emergency
• Follows aseptic procedures and universal precautions when involved in direct patient contact or handling potentially infectious materials
• Assists physician and licensed staff with patient care

Provides respect to patients, family and co-workers

• Avoids unnecessary exposure during care
• Speaks politely to and considers preferences of patients
• Includes patients in decision making
• Introduces self and states why they are there
• Refrains from engaging in casual conversations with coworkers in open areas in view of patients and visitors
• Performs proper body substance isolation when handling potentially infectious materials or direct contact

Participates in patient care management

• Reports important facts or observations to LVN, RN, or supervisor
• Attends shift report and makes notes of facts that are important to nursing care
• Assists in the interfacility transportation of patients

Assists with maintaining patient’s files

• Prior to examination, obtains subjective information related to patient’s perception of health
• Collects necessary information received concerning x-ray and laboratory reports, data from referring physicians, and surgical or other procedure reports for patient’s files

Maintains supplies and equipment

• Ensures that inventory of necessary supplies and equipment is maintained for diagnostic and treatment procedures
• Is responsible for stocking supplies in patients rooms and assures the cleanliness of the rooms
• Cleans and prepares surgical instruments for sterilization

Functions proficiently in unit modalities across all nursing units

Maintains accurate and timely records according to hospital policy and procedures

• Documents vital signs, intake and output, and appropriate portion of admission history as directed

Other duties as assigned

Responsibilities

• Care for client’s (neonate <1yr, child/pediatric 1-11yrs, adolescent 12-17yrs, adult 18-55yrs, and geriatric >55yrs) throughout the facility while communicating positively and respectfully
• Performs required tasks without prompting and adjusts appropriately to situations
• Adheres to the attendance policy
• Follows District and Department Policies
• Follows infection control policies and procedures
• Attends required meetings and in-services
• Participates in Hospital District Safety Program and QA/PI Programs
• Uses time and resources wisely
• Maintains HIPAA, keeping patient and hospital confidentiality
• Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor
• Practices proper phone etiquette, identifying self and department
• Reports adverse events regarding patients, guests, or self to supervisor immediately

Payscale: Non-Exempt

Department: Radiology
Chain of Command: Director of Radiology, Chief Clinical Operating Officer
Location(s): Memorial Hospital
Supervisory Responsibility: Mentors new technologists. Students of Allied Health Imaging Programs.

Physical and Mental Requirements

• extended periods of sitting/standing
• manual dexterity
• pushing, pulling
• repetitive motion
• lifting/carrying >= 50 lbs.
• crawling
• climbing
• kneeling/bending
• walking
• visual acuity
• hearing acuity

Work Conditions

• inside
• occasionally highly stressful

Hazards

• OHSA Blood Borne Pathogens Class I
• Exposure to Ionizing Radiation

Job Qualifications

Education

• (minimum) Graduate of 2 year accredited program in Radiologic Sciences (Associate or Certificate)

Licensure, Registry and Certifications

• Registered technologist ARRT (R)
• Texas Board of Medical Examiners General Medical Radiologic Technologist GMRT
• Current CPR

Personal Job Related Skills

• Proficient in use of diagnostic radiology equipment in performance of radiology procedures
• Effective oral and written communication skills
• Good deductive reasoning skills/ problem solving skills
• Ability to relate positively to the members of the community
• Computer knowledge essential

Experience

Prior Work Experience

• Exemplary clinical education skills. One year experience as registered RT preferred
• Prior didactic and/or clinical training in CT, US, MRI, or Mammography preferred or must be willing to train in CT or other modalities

Technical Training

• Proficient with computed radiography, digital radiography, PACS, EMR’s, teleradiology
• Ability to work with computers, Microsoft Office

Responsibilities: TECHNICAL DUTIES AND RESPONSIBILITIES

IF also Radiologic Technologist:

• Performs diagnostic radiology procedures on patients under radiologist supervision.
• Follows body substance isolation policies to include frequent hand washing and cleaning all patient contact surfaces after each patient.
• Verifies orders for accurate patient, exam, diagnosis, and laterality.
• Properly educates patients regarding procedure and all associated preparations.
• Positions patient properly. (Maintains acceptable repeat rate 4-6 %.)
• Modifies procedures according to patient age and pathology as appropriate.
• Permanently identifies exposures prior to processing (uses markers).
• Processes CR cassettes proficiently.
• Maintains equipment, cassettes, reporting problems to supervisor.
• Transports patients to and from department within 15 minutes of order when possible.
• Properly performs patient immobilization and transfer when needed.
• Consistently wears personnel radiation monitor and consistently wears lead aprons/gloves/glasses when appropriate.
• Assists other providers, physicians, and departments in a professional manner.
• Participates in call and holiday schedules to include evenings, nights, and weekends.

If also CT Technologist:

• Performs computed tomography procedures on patients under radiologist supervision.
• Properly inputs patient identification, scan indications prior to scanning patient.
• Backs up patient scans to PACS or to CD-R
• Maintains equipment, power injector, and thermal printer, reporting problems to supervisor.

If also US Technologist:

• Obtains images as required by protocol manual for each exam.
• Properly enters patient identification and exam information prior to study/ assists physicians in doing same.
• Prints or exports studies to PACS following each exam.
• Maintains ultrasound equipment, gel warmer, reporting problems to supervisor.
• Consistently wears gloves on scanning hand.

If also MRI Technologist:

• Obtains images as required by protocol manual for each exam.
• Properly enters patient identification and exam information prior to study.
• Prints or exports studies to PACS following each exam.
• Maintains MRI equipment, coils, injectors reporting problems to supervisor.
• Consistently educates and ensures safety to the public from dangers associated with magnetic field.

If also Mammography Technologist:

• Obtains images as required by protocol manual for each exam.
• Properly enters patient identification and exam information prior to study.
• Prints or exports studies to PACS following each exam.
• Maintains mammography equipment, paddles, printer reporting problems to supervisor.
• Performs all regulatory QA and associated communication consistent with ACR, FDA, and MQSA protocols.

Secondary Responsibilities:

• Assists in scheduling exams, giving necessary prep information
• Assists in maintaining daily patient exam log
• Sends exams to Radiologist and scans in associated consents, questionnaires, worksheets, and reports
• Follows procedures for burning CD’s for patient transfer or printing, checking out, returning, and maintaining log of all film transfers

Types of Clients Served:

Neonate <1yr, Child/Pediatric 1-11yrs, Adolescent 12-17yrs, Adult 18-55yrs, Geriatric >55yrs

Supervisory Responsibility: Mentors new technologists. Students of Allied Health Imaging Programs

Payscale: Non-Exempt, Shift Differential

Reports to: Director of Radiology, COO, CEO

Department: Radiology

Physical and Mental Requirements

• extended periods of sitting/standing/ walking
• manual dexterity
• pushing/pulling
• repetitive motion
• lifting/carrying >= 50 lbs.
• crawling
• climbing
• kneeling/bending
• visual acuity
• hearing acuity

Work Conditions

• inside
• occasionally highly stressful

Hazards

• OHSA Blood Borne Pathogens Class I
• Exposure to Ionizing Radiation

Types of Clients Served:

Neonate (<1yr.), Child/Pediatric (1-11 yrs.), Adolescent (12-17 yrs.), Adult (18-55 yrs.), Geriatric (>55 yrs.)

Job Qualifications

Education

• At minimum – Graduate of 2 year accredited program in Radiologic Sciences (Associate or Certificate)

Licensure, Registry and Certifications

• Registered technologist ARRT (R)
• Texas Board of Medical Examiners General Medical Radiologic Technologist GMRT
• Current CPR

Personal Job Related Skills

• Proficient in use of diagnostic radiology equipment in performance of radiology procedures.
• Effective oral and written communication skills.
• Computer knowledge essential.
• Good deductive reasoning skills/problem solving skills
• Ability to relate positively to the members of the community.

Experience

Prior Work Experience

• Exemplary clinical education skills. One year experience as registered RT preferred.
• Ability to work with computers and computer applications.

Technical Training

• Proficient with computed radiography, digital radiography, PACS, EMR’s, teleradiology.
• Prior didactic and/or clinical training in CT, US, MRI, or Mammography preferred or must be willing to train in CT or other modalities.

Primary Responsibilities

RADIOLOGIC Technologist:

1. Performs diagnostic radiology procedures on patients under radiologist supervision.
2. Follows body substance isolation policies to include frequent hand washing and cleaning all patient contact surfaces after each patient.
3. Verifies orders for accurate patient, exam, diagnosis, and laterality.
4. Properly educates patients regarding procedure and all associated preparations.
5. Positions patient properly. (Maintains acceptable repeat rate 4-6 %.)
6. Modifies procedures according to patient age and pathology as appropriate.
7. Permanently identifies exposures prior to submitting (uses markers).
8. Processes Digital Detectors proficiently.
9. Maintains equipment, detectors, reporting problems to supervisor.
10. Transports patients to and from department within 15 minutes of order when possible.
11. Properly performs patient immobilization and transfer when needed.
12. Consistently wears personnel radiation monitor and consistently wears lead aprons/gloves/glasses when appropriate.
13. Assists other providers, physicians, and departments in a professional manner.
14. Participates in call and holiday schedules to include evenings, nights, and weekends.

IF also CT Technologist:

1. Performs computed tomography procedures on patients under radiologist supervision.
2. Properly inputs patient identification, scan indications prior to scanning patient.
3. Backs up patient scans to PACS or to CD-R.
4. Maintains equipment, power injector, and thermal printer, reporting problems to supervisor.

IF also US Technologist:

1. Obtains images as required by protocol manual for each exam.
2. Properly enters patient identification and exam information prior to study/ assists physicians in doing same.
3. Exports studies to PACS following each exam.
4. Maintains ultrasound equipment, gel warmer, reporting problems to supervisor.
5. Consistently wears gloves on scanning hand.

IF also MRI Technologist:

1. Obtains images as required by protocol manual for each exam.
2. Properly enters patient identification and exam information prior to study.
3. Exports studies to PACS following each exam.
4. Maintains MRI equipment, coils, injectors reporting problems to supervisor.
5. Consistently educates and ensures safety to the public from dangers associated with magnetic field.

IF also MAMMOGRAPHY Technologist:

1. Obtains images as required by protocol manual for each exam.
2. Properly enters patient identification and exam information prior to study.
3. Exports studies to PACS following each exam.
4. Maintains mammography equipment, paddles, peripherals reporting problems to supervisor.
5. Performs all regulatory QA and associated communication consistent with ACR, FDA, and MQSA protocols.

Secondary Responsibilities

1. Assists in scheduling exams, giving necessary prep information.
2. Assists in maintaining daily patient exam log.
3. Sends exams to Radiologist and scans in associated consents, questionnaires, worksheets, and reports.
4. Follows procedures for burning CD’s for patient transfer or DICOM Transfer, maintaining log of all imaging transfers.
5. Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
6. Performs required tasks without prompting and adjusts appropriately to situations.
7. Adheres to the attendance policy.
8. Follows District and Department Policies.
9. Attends required meetings and in-services
10. Participates in Hospital District Safety Program and QA Programs
11. Uses time and resources wisely.
12. Maintains HIPAA, keeping patient and hospital confidentiality
13. Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor.
14. Practices proper phone etiquette, identifying self and department.
15. Reports adverse events regarding patients, guests, or self to supervisor immediately.