Delta Memorial Hospital 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 DHCS • Provide patient medical services, which are limited to services within the training and experience of the practitioner, services in accordance with the Protocols of Patient Care, as amended, and in accordance with other policies and procedures as approved by the Delta Memorial Medical director, Administration and applicable state laws. The Delta Memorial Medical Director will be the collaborating physician in accordance with Arkansas Medical Board and Arkansas Nursing Board. • Obtain complete, detailed, and accurate medical histories on patients. Review patient records to develop comprehensive medical status reports. • Performs health assessments and physical examinations, and records all pertinent patient data. • Collaborates with physicians and other health professionals. • Interpret and integrate patient data, for the purposes of establishing presumptive diagnoses, and the general workup of the patient by ordering appropriate laboratory studies, radiological and other special examinations or diagnostic procedure required for the evaluation of illness. • Synthesize data to determine a patient assessment and a therapeutic plan in accordance with established protocols. • Perform therapeutic procedures in accordance with clinic treatment protocols and as authorized by the medical director. Within the scope of practice authorized, adapt and apply the principles, methods, and techniques of medicine to provide quality patient care. • Administer injections, immunizations, and oral medication. Prescribe, administer, and dispense drugs in accordance with federal and state laws and standards of practice. • Provide instructions, guidance, and counseling regarding medical care matters to patients and their families. • Arrange for referral or refer patients as needed services that cannot be provided to patients in the clinic. • Interview and advice patients regarding health and illness prevention. Recommend community resources to meet patient and family needs as appropriate. • Assists physicians working in the clinic as necessary. • Deliver medical care services to patients at other locations, as authorized by the medical director and the clinic director. • Triage patient phone calls and provide consultation, as requested. • Perform independent evaluations and treatment procedures in emergencies. • Monitor patients and provide continuity of care between visits. • Accurately and thoroughly document medical visits and procedures as they are being performed via the electronic documentation system, including but not limited to: o Patient medical history and physical exam. o Patient subjective and objective data related to visit. o Assessment and plan of care for that visit. o Procedures and treatments performed o Patient education and explanation of risks and benefits o Diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up • Participates in performance improvement activities as requested by clinic director. • Reports to clinic director of any customer complaints, system problems or any situations that affect the day-to-day operation of the clinic in a timely manner. • Ensures that all clinical data, lab or other test results have been reviewed and interpretation of the results are recorded accurately in the medical record. • Spot mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors. • Assist in maintaining systems to track patient follow up, preventative care and compliance. • Documents all communication and coordination of patient care in electronic documentation system. • Be the system navigator and point of contact for patients and families, with patient and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. • Establishes and maintains positive relationships with all assigned patients, clinical staff and corresponding providers. • Contributes as a positive team player within the department by supporting all members of the team in a productive and constructive manner. Acts as a resource to others when needed. • Adheres to all approved company processes and procedure including documentation protocols and best practices for daily work logs, interactions with patients and providers, and internal communications. • Provides orientation to new team members. • Enrich Delta Health Services Rural Health Clinic reputation by giving high-quality service to the patients and taking on new tasks with a willing approach. • Effective communication is fundamental to the existence of the clinic therefore it is important to respond to emails, electronic communication messages, voicemails and any form of communication that you receive in a timely manner. • Participate fully as a member of the clinic staff. This includes participating in developing, executing and periodically reviewing the clinic’s written polices, treatment protocols, and the services provided to patients, participating in quality assurance review of the clinic’s patient records, maintain patient records according to clinic policies and procedures, provide patient related information for business functions such as billing and as may be necessary to plan and evaluate services, attend required meetings and participate in committees as requested, participate in professional development activities and maintain professional affiliations. • Attends monthly medical staff and clinic staff meetings. • Is punctual and prompt for work. • Follows the policies and procedures for sick and unscheduled absences. • Adheres to the Delta Memorial and Delta Health Services RHC Dress Code policy. • Completes in-services and health exams as required by the DMH and DHS. JOB SPECIFICATIONS: DESCRIPTION 1. EDUCATION Graduate of an accredited school of nursing and from an accredited nurse practitioner/physician assistant training program. 2. LICENSURE Current RN and current Nurse Practitioner or Physician Assistant Certification. Current Arkansas Nurse Practitioner or Physician Assistant furnishing number (DEA) and Valid National Provider Identifier (NPI). 3. EXPERIENCE Two years of experience preferred. 4. SKILLS Knowledge of professional medical practice and care to give and evaluate patient care. Knowledge of organizational policies, regulations, and procedures to administer patient care. Skills in taking medical history assessing medical condition and interpreting findings. Ability to interpret, adapt and apply treatment protocol guidelines and procedures. Ability to recognize medical condition requiring consultation with the collaborating physician and to work with the collaborating physician, in person or by phone, on these and other cases outside the scope of established protocols. Must be insurable for professional liability. 5. INTERPERSONAL SKILLS Verbal, quantitative and interpersonal skills. 6. PHYSICAL EFFORT Requires finger dexterity, eye/hand coordination and full range of body motion including the ability to stoop, kneel, crouch, reach, push, pull and grasp items and stand and walk for extensive periods of time; the ability to lift and move equipment/supplies (0-25 pounds) with proper technique and accessories. Requires corrected vision and hearing in normal range. 7. HOURS OF WORK Generally, Monday-Friday with extended hours as needed. 8. HAZARDS Exposure to chemicals, machinery, and bloodborne pathogens that require the use of personal protective equipment, i.e., masks, gowns, & gloves. 9. COMPETENCE FOR SPECIFIC PATIENT POPULATION: Infant, Pediatric, Adolescence, Adult and Geriatric. 10. INFECTION CONTROL: Ability to comply with department specific controls implemented to reduce the risk of acquiring and transmitting infections within the health care setting. The controls may include, but are not limited to, immunity to certain vaccine preventable diseases, screening for tuberculosis infection or disease, the ability to utilize indicated personal protective equipment and attendance at appropriate training. 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Environmental Services Performs assigned tasks in a professional manner in order to reflect the highest integrity of the Environmental Services Department. Performs cleaning and maintenance of all floors; carpets, tile, concrete and brick flooring. Completes work assignments in a timely manner. Utilizes the appropriate chemicals, supplies and cleaning techniques according to procedure and manufacturer’s recommendations. Performs restoration functions on highly soiled or worn areas. Operates and maintains all equipment correctly and safely. Observes safety precautions al all times. Uses safety signs, WET FLOOR and ropes off sections of floor for cleaning where appropriate. Follows all infection prevention and control practices, including Standard Precautions, Transmission-Based Precautions and hand hygiene. Reports safety hazards as appropriate. Replenishes supplies; notifies the supervisor when supplies need to be ordered. Always introduces self to patients, families and visitors. Assists visitors with directions whenever requested. Maintains set quality standards when performing job duties. Ability to do work on his/her own with normal supervision. Maintains and ensures age-specific precautions. Performs other duties as assigned. Performs all aspects of assigned tasks in a manner that optimizes patient safety. Supports and maintains a culture of safety and quality. Able to apply commonsense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. JOB SPECIFICATIONS: DESCRIPTION 1. EDUCATION Completed high School or GED equivalent 2. LICENSURE None 3. EXPERIENCE Some cleaning of Healthcare or Healthcare related experience 4. SKILLS None 5. INTERPERSONAL SKILLS Ability to interact with the public and fellow staff in a kind, friendly and professional manner. 6. PHYSICAL EFFORT For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. 7. HOURS OF WORK 40 hr week. Days, evenings and weekends 8. HAZARDS Ability to read and understand SDS chemical information. Works with cleaning chemicals. 9. COMPETENCE FOR SPECIFIC PATIENT POPULATION: 10. INFECTION CONTROL: Ability to adhere to Hospital Infection Control policies and procedures. 1 0 0000-00-00 0000-00-00 2016-00-00 Delta Memorial Hospital 0.00 0.00 General General Applications for non-licensed positions on a as needed basis. Applications kept on file for 90 days. 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Lab PRINCIPAL DUTIES AND RESPONSIBILITIES: (The following duties and responsibilities are all essential job functions, as defined by the ADA, except for those that begin with the word “May”.) Possible Exposure to Bloodborne Pathogens is indicated by a “#” Must work closely with laboratory personnel, physicians, nursing, and ancillary departments to provide accurate and timely laboratory results to ensure quality patient care. Essential Job Functions Essential Tasks Perform and review quality control. Daily quality control, with lot to lot correlations. Calibrations. Scheduled maintenance on analyzers. Troubleshooting of analyzers. Troubleshooting quality control outside specified range. Document all corrective actions taken. Collects and process patient specimens. Phlebotomy. Process specimens according to policies and procedures. Identify problems that may adversely affect patient care. Report accurate and timely patient results. Report, document and code critical values according to policies and procedures. Document specimen issues that may affect results. Maintain patient results according to policies and procedures. Dispose of biological waste according to state regulations. Insure that patient’s laboratory results are protected according to HIPPA regulations. Perform proficiency testing. Medical Laboratory Technologist Insure that proficiency samples are tested in the same manner as patient samples. JOB SPECIFICATIONS: DESCRIPTION 1. EDUCATION Degree from an accredited MT program. 2. LICENSURE ASCP, AMT OR NAACLS 3. EXPERIENCE Preferred one year 4. SKILLS Ability to work alone at times and perform phlebotomy. Perform numerous complicated test simultaneously and accurately interpreting the results in a timely manner. 5. PHYSICAL EFFORT Standing, bending, sitting, lifting and walking. 6. HOURS OF WORK Various 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Nursing Required to successfully complete orientation and training for all patient care areas as needed to meet the needs of this organization. Patient care areas include: Medical Surgical Floor, Labor and Delivery, Nursery & Emergency Department. Performs the primary functions of a professional nurse leader in assessing, planning, directing and evaluating patient care. Manages all personnel, supplies and equipment of the units. Promotes teamwork in assigning and delivering patient care. Exhibits critical thinking skills in nursing judgment as pertaining to patient status and supervision of patient care. This position is considered a safety-sensitive position. SPECIFIC JOB DUTIES AND RESPOSIBILITIES: Direct Patient Care • Assesses health status of patients during the shift; Collects data in a comprehensive manner, maintains confidentiality of patient health information and communicates appropriately to other disciplines involved in the care of the patient. • Establishes implements and/or evaluates current plan of care for each patient based on scientific knowledge. • Provides identified educational needs to patients. • Cognizant of ethical and legal issues inherent in providing care for patients of all ages. • Exhibits the ability to prudently prioritize delivery of patient care. • Promotes and practices standards of care in delivery of nursing care. • Applies physiologic and psychosocial concepts of nursing in administering, supervising and evaluating care of the patient. Supervision/Assignment of Staff • Assess the number and skill level of personnel needed to provide quality patient care; recognizes need for adjustment and makes assignments appropriate to identified needs if appropriate. • Evaluates the delivery or nursing care, identifying response and outcomes and acting on same in a prudent manner. • Demonstrates the ability to identify and resolve conflict constructively. • Holds self and staff accountable for delivery of quality patient care. • Directs and assists constructively with the orientation of new employees. Charting • Document all components of nursing care delivered legibly and prudently prior to end of shift. Performance Improvement • Interact efficiently and pleasantly with other departments, physicians, peers and vendors to assure continuity of quality patient care and to promote an environment conducive to teamwork. • Attends mandatory monthly in-service meetings as well as annual skills fair. • Participates and is cooperative in performance improvement as related to nursing service and allied health. • Plans and develops self-objectives in conjunction with performance evaluation and improvement. Page Four JOB SPECIFICATIONS: DESCRIPTION 1. EDUCATION Graduate of an accredited school of nursing, RN program; BSN preferred 2. LICENSURE Must have a valid license to practice nursing as a RN in the state of Arkansas Must have a valid Driver’s License Current Healthcare Provider CPR; ACLS, PALS & NRP certifications, or must obtain within 12 months 3. EXPERIENCE Knowledge of hospital and departmental policies and procedures as gained through orientation 4. SKILLS Must be capable of communicating clearly (reading, writing and speaking) in the English Language. Must be capable of operating an IBM compatible personal computer with Microsoft Office and the Internet. Must be capable of reading and comprehending written, policies, procedures laws and regulation. Familiar with equipment, tools, and work aids used in the delivery of patient care within the designated departments worked. 5. INTERPERSONAL SKILLS Maintain positive relationships among staff, physicians and ancillary personnel; interact with patients and visitors 6. PHYSICAL EFFORT Able to handle a fluctuating workload Physical Demand Level: Heavy • In an 8-hour workday, must be able to lift/carry: o 50 to 100 pounds occasionally  25 to 50 pounds frequently  10 to 20 pounds constantly o As required, must be able to :  Sit, Stand, Walk, Bend, Squat, Kneel, Crawl, Climb and Reach above shoulders  Push and Pull  Perform fine motor functions Must possess functional vision, hearing, and speech in order to communicate effectively with clients, client advocates and staff 7. HOURS OF WORK Varied 12 hr shifts 8. HAZARDS The employee works in an environment with biological, chemical and mechanical hazards. The employer will provide appropriate training, protective equipment and engineering controls for the protection and safety of the employee. As a condition of employment, the employee is required to abide by all DMH policies and risk management regulations including the proper use of protective devices and procedures. As a condition of employment, the employee will be required to demonstrate competence in DMH safety and security procedures. 9. COMPETENCE FOR SPECIFIC PATIENT POPULATION: Demonstrate knowledge and skills to provide care appropriate to the age of the patients. Cognizant of ethical and legal issues inherent in providing care for patients of all ages. The ability to work in a constant state of alertness and in a safe manner. 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Nursing 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Nursing 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Nursing The Emergency Room Nurse provides direct and indirect patient care in the emergency care setting and provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. The Emergency Room Nurse is able to triage safely, rapidly and accurately every patient that enters the emergency care system. A RN supervises LPNs, CNAs , Unit Secretaries, nursing & EMS students as well as other ancillary nursing personnel involved in the delivery of patient care. The RN assists in the orientation of new staff and clinical supervision of nursing students. The RN assists in achieving patient quality of care, national patient safety, regulatory agency and budgetary goals. This position is considered a safety-sensitive position. Professional Maturity: The ability to separate emotional feelings from the real issues at hand Responsibility: The ability to accept choices you have made and the results they have led to Communication: Achieve therapeutic communication by expressing self directly, clearly, and concisely when relating to others verbally and non-verbally (including listening, appearance/body language and touch) Flexibility: Demonstrate responsiveness and adaptability following change initiatives Intelligence: Ability to understand information and apply to practice. Evaluate own learning needs and seek opportunities for new learning experiences. Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system Able to perform a head-to-toe assessment on all patients and reassessments as per policy, including pediatric, adolescent and geriatric patients and the general patient population Communicate with Emergency Department physicians about changes in patient's status, symptomatology and results of diagnostic studies Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care Able to respond quickly and accurately to changes in condition or response to treatment Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management Able to monitor hemodynamic status of patient and correctly interpret the results Demonstrate knowledge of cardiac monitoring to identify dysrhythmias Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate Utilize time effectively and productively. Maintain confidentiality of all information. Instruct patients and visitors regarding hospital rules and regulations and reinforce as necessary. Do not correct others inappropriately in public places. Attend staff meetings. Attend mandatory in-service meetings Assist in cost containment through appropriate ordering and conserving of supplies and equipment Maintain inventory of necessary supplies and submit orders for restocking as needed Perform quality control procedures and maintain records on these checks Maintain awareness of current ER operational policies and procedures which impact position responsibilities Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act Perform other duties as assigned. 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Out Patient Physical Therapy 1 0 0000-00-00 0000-00-00 0000-00-00 PRN 0.00 0.00 Radiology 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Respiratory Provides standard and specialized respiratory therapy services in accordance with physician's written orders and within the limits of acquired skills and capabilities. Minimum of 2 years of college training in an AMA approved respiratory care program and clinical training in an affiliated hospital leading to certification as a CRT or RRT . Must have successfully passed the NBRC examination for certification or registry. Must have a state license/credential to practice respiratory care from the Arkansas State Medical Board. 1 0 0000-00-00 0000-00-00 0000-00-00 0.00 0.00 Swing Bed Responsible for the evaluation, planning, directing and administering of physical therapy modalities of treatment as prescribed by a licensed physician. Administers treatments and physical agents as prescribed by a referring physician in an effort to restore function and prevent disability following injury, disease, or physical disability. Assists patients to reach their maximum performance and level of functioning, while learning to live within the limits of their capabilities. Job Function: Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Qualifications: • Graduation from an accredited program with passing grade on national licensure exam. • Current licensure in the state of practice. • Current CPR certification.