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): 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

Pay Scale: Non Exempt
Department: Medical Records
Reports To: Director of Revenue Cycle
Location: Seminole Hospital District

Responsibilities

• Complete coding within a timely manner
• Communicate with patients, government agencies, and third-party payers to gather, process and record information
• Possess strong customer service skills to communicate with departments and payers to optimize revenue based upon claim appeals for expected payer reimbursement
• Work medical record billing report daily
• Process, manage and follow up on claims to ensure timely resolution
• Review both paid and unpaid claims, obtaining necessary information to follow up to resolve reimbursements
• Assist in more complex claims as well as utilizing monthly aging reports to help obtain maximum reimbursement
• Process medical records request in a timely manner
• Send necessary appeals when warranted
• Secondary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting procedures and insurance/patient payments, balance to daily deposits, observe and comply with all HIPAA policies and procedures in accordance with PHI access level and immediately report any improper or questionable use and/or disclosures of PHI to the HIPAA compliance officer through appropriate channels.

Essential Functions

• Assign work; plan and manage priorities.
• Medical coding as assigned by Director.
• Resolve insurance claim rejections/denials, and non-payment of claims by payors.
• Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines in order to identify ways in which our patients can expedite resolution of insurance accounts and identify delays in processing.
• Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
• Responsible for maintaining daily account, follow-up work lists within department.
• Ensure compliance when processing claims, in accordance with contracts and policies; as well as to adjudicate claims as appropriate.
• Responsible for identifying, researching, and resolving credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
• Process, and maintain within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
• Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
• Communicates appropriately with insurance companies, patients, co-workers and supervisors.
• Perform other duties as assigned.

Education and Experience Requirements

• Medical Coding Certificate required
• Medical Billing Certificate preferred
• Medical Terminology required
• Minimum of three years’ experience in medical billing and insurance account follow-up setting is required. Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered
• Knowledge of insurance processes and billing guidelines regulations required.
• CPSI Billing Module experience preferred

Skill Requirements

• Proficient use of computers including Microsoft Office applications
• Skilled in 10-key by touch and keyboarding
• Ability to operate general office equipment
• Exceptional verbal and written communication skills
• Excellent attention to detail and ability to multi-task
• Ability to work with minimal supervision, independently, as well as in a collaborative team setting
• Strong organizational skills with the ability to prioritize and meet deadlines
• Requires knowledge of Commercial and/or Government Payors
• Ability to identify, research, and resolve credit balances, missing payments and un-posted cash as it pertains to billing account follow-up

Supervisory Responsibility: 

None

Physical Demands:

• Intermittent periods of sitting and standing
• Lifting/carrying >= 40lbs
• Periods of stooping/kneeling
• Occasional periods of high stress levels

Shift(s): Hourly, Non-Exempt
Department: RHC
Chain of Command: RHC Director or Chief Nursing Officer
Supervises: No one

Physical and Mental Requirements

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

Work Conditions

• inside
• occasionally highly stressful

Hazards

• OHSA Blood Borne Pathogens Class III

Types of Clients Served:

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

Job Qualifications

Education

• High School Graduate or equivalent.

Licensure, Registry and Certifications

• None

Personal Job Related Skills

• Effective oral and written communications skills.

Experience

Prior Work Experience

• One year of experience in a medical setting preferred.

Technical Training

• None required

Primary Responsibilities

Provides clinic services and care for patients

• Takes and records blood pressure readings, weight, and length measurements.
• Assists physicians and prepares patients for various types of examinations and procedures.
• Applies or changes dressings as requested.
• Assists physician with minor surgical procedures performed in the clinic.
• Performs basic life support skills in an emergency situation.
• Follows aseptic procedures and universal precautions when involved in direct patient contact or handling potentially infectious materials.

Assists with maintaining patients’ files

• Prior to examination, obtains subjective information related to patients’ 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 exam rooms and assures the cleanliness of the rooms.
• Cleans and sterilizes surgical instruments, labels the type of instrument and records the date.

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
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.

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 Bourne 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

• License in Vocational Nursing
• BCLS

Personal Job Related Skills

• Effective oral and written communication skills.

Experience

Prior Work Experience

• Two (2) years experience as a professional Licensed Vocational 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
• 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

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