Under general supervision of the Manager, the lead is responsible for the coordination and supervision of the Registration staff across multiple areas. Plans organizes, supervises, patient access; oversees insurance verification, pre-registration, point of service collections. The Lead is responsible for enforcing policies and procedures, monitoring the accuracy of registration data, insurance benefits, and authorizations entered by associates, ensuring that proper patient experience protocols are followed and ensures patient satisfaction by consistently representing AVALA professionally while carrying out the responsibilities of the position.  The goal of this position is to ensure high quality service for patients and accuracy of authorization and patient demographic data. 

Essential Duties and Responsibilities

• Perform patient registration function when needed to ensure wait times are kept to a minimum
• The Lead participates in cross-training as needed to support multiple functions across all patient and payer types by assuring that all employees attend appropriate mandatory training annually
• Monitor the accuracy of the data entry of demographic and insurance information obtained by staff for patient registration. Investigate errors, suggest changes and/or implement solutions to encountered problems. Report statistical findings to Manager 
• Tracks common issues and provide training to staff to prevent the issue from reoccurring
• Ensure Manager is informed of any unusual and significant issues that may affect patient satisfaction, timeliness of services or reimbursement or general patient flow
• Assist with the development of quality audits and perform on a regular basis to promote quality and identify root causes of issues
• Follow up on patient complaints promptly, and notify Manager immediately 
• Other duties as assigned

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school diploma.
• Two years or more experience.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds. 

Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology.  Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department.

Essential Duties and Responsibilities

• Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians.
• Prepare patients for and assists with examinations or treatments or procedures to assist physicians.
• Performs a head-to-toe assessment on all patients and reassessments as per policy.  Able to interpret data about the patient’s status in order to identify the care needed.
• Adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and families regarding pain management.
• Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures.
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions.
• Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors.
• Knowledge in maintenance and care of central / PICC line.
• Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care. 
• Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care.
• Ability to be flexible, organized, and function under stressful situations.
• Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs.
• Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies.
• Practices economical use of equipment and supplies, informs proper authority of discrepancies.
• Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program.
• Demonstrates ability to perform treatments and provide services to level of licensure.      

Charge Nurse Responsibilities

• Updates Table for Inpatient Log Census.
• Completes Patient Classification Form to assure efficient staffing levels and patient assignments.
• Verifies that temperature logs completed.
• Oversee all staff on the Med Surg Unit.
• Follows protocol for admitting a patient and activation of call team.
• Initiates emergency response protocol.
• Effectively communicates pertinent issues with Med/Surg Director.
• Supervises dietary after hours.
• Follows up on consults and outstanding orders.
• Follows protocol for patient transfers.
• In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to dress code policy.                           
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.    
• Attends annual review and department inservices, as scheduled.
• Attends monthly staff meetings.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care experience preferred.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have four (4) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification.
• In compliance with the Program education requirements.
• Completed department specific competencies.

Regulatory Requirements

• Graduate of accredited school of nursing
• Current state Registered Nurse Licensure, within state of practice
• Current BLS and ACLS certification
• PALS certification recommended

Skills

Ability to communicate effectively in English, both verbally and in writing.

Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

Performs and participates in decontamination, cleaning, assembling, packaging, scanning, sterilization, storage and distribution of reusable surgical instrumentation and equipment. Performs other duties as assigned or required.

 Essential Duties and Responsibilities

• Decontaminates and sterilizes instruments, medical supplies and equipment, and assembles wraps and sterilizes trays of instruments.
• Follows proper Standard Precautions while in decontamination and sterilization areas.
• Sorts mismatched sets of instruments, trays, and medical equipment and makes them available to sterile processing customers in a timely manner.
• Accurately records and maintains sterilizer test results. Performs biological and chemical control functions of sterilization equipment per protocol.
• Restocks, labels, and maintains inventory, submits requisitions, collects and distributes instruments, trays, and equipment.
• Verifies that equipment functions properly, troubleshoots equipment malfunction, requisitions for equipment maintenance, repair or replacement, and removes and identifies defective equipment.
• Maintains a clean work area.
• Assists with maintaining established departmental policies and procedures, objectives, and quality improvement, safety, and environmental and infection control standards.
• Other duties may be assigned.          

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

 Professional Requirements

• Meets dress code standards and adheres to policy in the Operating Room.
• Completes annual education requirements.        
• Maintains regulatory requirements.                       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends monthly staff meetings or reads meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• A high school diploma or GED equivalent
• Minimum 2 years' experience in central processing preferred
• Current CRCST Certification preferred 
• Knowledge of central processing/sterilization/instrumentation
• Current BCLS certification recommended

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

• Responsible for obtaining and communicating pre-authorization as needed per insurance company requirements for procedures, DME, imaging, labs, medications etc.
• Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner, requesting input from appropriate team members as needed. Appeals for additional services (extended stays, visits, authorization extension, letter of medical necessity) and refers to additional resources when necessary.
• Record insurance information to maintain data through the Referral/Insurance Verification process and communicates insurance information to pertinent staff including therapists, coding, and finance. Independently maintains and works from the electronic medical record and additional databases.
• Responsible for sending the Plan of Care/imaging/referral notes, etc. to insurance companies. 
• Track a significant amount of data and information, preparing and producing meaningful reports and information.
• Works closely with clinical staff to ensure CPT codes and ICD-10 codes are accurate.
• Obtains information necessary to complete the pre-authorization and scheduling of an order.
• Researches and works with staff and billing company in resolving and resubmitting denied, rejected, and incorrectly paid claims including a review of timely submission and other processing procedures.
• Responds professionally to all inquiries from patients, staff, and payors in a timely manner, as well as keeps patients informed of authorization status if within 72 hours of the scheduled date.
• Keeps management informed of changes in authorization process, insurance policies, billing requirements, rejection, or denial codes as they pertain to claim processing and coding.
• Accurately documents patient accounts of all actions taken.
• Educates clinic management and staff regarding changes to insurance and regulatory requirements.
• As necessary, negotiates a work improvement plan with management to raise work quality and quantity to standards.
• Ensures reports have minimal errors by developing, correcting, and executing comprehensive testing plan of modifications, new codes, etc.
• Identify opportunities for process improvement for receipt of data and reporting.
• Ability to meet established deadlines timely, accurately and with a sense of urgency.
• Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential insurance coverage issues
• Review information for admission and continued visit management including type and duration of service, authorization and treatment codes, re-authorization and continued visit requirements necessary for ongoing treatment and payment.
• Review scheduled procedures and orders to ensure they follow guidelines and are scheduled correctly.
• Order medications following authorization approval, such as Botox, Synvisc, etc. 
• Perform financial analysis of each case and informs patient of financial responsibility if requested.
• Other duties as assigned/ required.
• The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. 

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Assist manager with the organization and sorting of legal records.
• Exceptional organization skills & strong attention to detail

• High school diploma.
• Knowledge of medical terminology, procedures, and diagnosis
• Knowledge of computer and relevant software applications
• Minimum two (2) years insurance resolution experience resolving issues with patients preferred.
• Demonstrate knowledge of state, federal, and third-party claims processing required.
• Clinical experience with electronic health record software 
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information.

• Ability to communicate effectively in English, both verbally and in writing.
• Planning and organizing
• Information collection and management
• Customer service skills
• Excellent interpersonal and organization skills
• Physical Demands

Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology.  Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department.

Essential Duties and Responsibilities

• Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians.
• Prepare patients for and assists with examinations or treatments or procedures to assist physicians.
• Performs a head-to-toe assessment on all patients and reassessments as per policy.  Able to interpret data about the patient’s status in order to identify the care needed.
• Adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and families regarding pain management.
• Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures.
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions.
• Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors.
• Knowledge in maintenance and care of central / PICC line.
• Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care.  
• Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care.
• Ability to be flexible, organized, and function under stressful situations.
• Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs. 
• Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies. 
• Practices economical use of equipment and supplies, informs proper authority of discrepancies.
• Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program.
• Demonstrates ability to perform treatments and provide services to level of licensure.

Charge Nurse Responsibilities

• Updates Table for Inpatient Log Census.
• Completes Patient Classification Form to assure efficient staffing levels and patient assignments.
• Verifies that temperature logs completed.
• Oversee all staff on the Med Surg Unit.
• Follows protocol for admitting a patient and activation of call team.
• Initiates emergency response protocol.
• Effectively communicates pertinent issues with Med Surg Director.
• Supervises dietary after hours.
• Follows up on consults and outstanding orders.
• Follows protocol for patient transfers.
• In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to dress code policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department inservices, as scheduled.
• Attends monthly staff meetings.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care experience preferred.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (4) hours of education specific to the Program scope, initially, and at least annually thereafter. 

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. 

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of accredited school of nursing
• Current state Registered Nurse Licensure, within state of practice
• Current BLS and ACLS certification
• PALS certification recommended

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

• Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently.
• Handles ALL medical records for Physical/Occupational Therapy Office.
• Handles ALL patient chart preparation, ensuring that all packets are accurate
• Scans patient documents from the Therapist, Doctor, and/or Insurance into patient’s charts.
• Handles all scheduling and rescheduling for Physical Therapy Office, including ALL physical and occupational new and recurring appointments. 
• Post payments to patient’s accounts.
• Fax Plan of Care to Doctor Offices for approvals on extensions of patient’s visits.
• Assists with obtaining prior authorization and tracks therapy caps to avoid denials.
• Verifies insurance and benefits coverage on ALL physical and occupational therapy patients prior to their appointment.
• Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order.  Makes a copy of these cards and scans into Cerner.  
• Ability to explain required forms to the patient in detail, i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire. Obtains required signatures as needed. 
• As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. Informs patients of estimated balance due and collects monies due at time of service. 
• Demonstrates knowledge of all features and functions of Cerner scheduling, accounts, and documentation). 
• Notifies appropriate staff regarding any issues or concerns in a timely manner. 
• Other duties as assigned by the Director of Hand Therapy or COO.

• Maintains cleanliness and order in Therapy Front Office and Lobby/Reception waiting area, including emptying trash can if necessary.
• Prepares coffee each morning and each afternoon for Lobby/Reception waiting room.
• Keeps coffee supplies stocked and coffee area clean, using Cavi wipes for sanitation as necessary.
• Maintains all aspects of lobby/reception waiting area is the appropriate temperature and is comfortable for patients.  

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

• High school diploma.
• Two (2) or more years’ experience with Medical Front Desk Preferred.

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Performs routine building cleaning under supervision, including but not limited to: mopping, dusting, and sweeping, trash removal, window cleaning, disinfecting patient rooms, cleaning laboratories, and interacting with patients in a hospital environment.

Essential Duties and Responsibilities

PRE-OP / PACU / INPATIENT AREAS/ PHARMACY/MED SURG     

DAILY

• Remove all trash, linens, and red bags as needed.
• Wipe down sink, countertops, desk, tables, and chairs.
• Mop entire area daily.
• Clean bedside tables daily.
• Detail/clean bathrooms. 
• Clean sinks and counters several times a day.
• Clean toilets several times a day.
• Restock toilet tissue and paper towels several times a day.
• Check for overall cleanliness.
• Mop entire bathroom.
• Turn off all lights.

TWICE A WEEK

• Clean windows.
• Dust everything in all areas.

              Daily

• Check paper supplies/soaps/bags.

ENDOSCOPY / PRE-OP ROOM

DAILY

• Remove all trash.
• Mop entire area daily.
• Turn off all lights.
• Change black rugs once a week.

TWICE A WEEK

• Dust equipment, signs, picture frames.

    ONCE A WEEK

• Clean all windows/ doors.

FRONT LOBBY AREA

SEATING AREA

• Check waiting room for cleanliness and straighten magazines several times a day.
• Dust tables, pictures, lights, and signs daily.
• Vacuum floor daily.
• Sweep and mop tiled area daily.

ENTRANCE

• Sweep outside entry and pick up trash.
• Empty and clean ashtrays.
• Empty trash.

COFFEE BAR

• Remove trash.
• Clean countertop and sink several times a day.
• Mop floor.

WAITING AREA RESTROOMS

• Check paper towels, toilet paper and soap dispensers several times a day and refill as needed. 
• Detail clean daily.
• Clean toilets, sinks, and counters.
• Mop floor.

BUSINESS OFFICE / ADMINISTRATION OFFICE

DAILY

• Remove all trash daily.
• Turn off all lights.

       TWICE A WEEK

• Dust chairs, pictures, cabinets, windowsills.
• Dust and wipe down desks and countertops.

      ONCE A WEEK

• Clean Business Office interior windows.
• Vacuum.

LOCKER ROOMS 

      DAILY

• Clean sinks, countertops, and toilets.
• Check toilet tissue, paper towels, and soap.
• Vacuum entire area.
• Mop bathroom floors.
• Turn off all lights.
• Empty trash.
• Empty scrubs. 

LOUNGE and REAR ENTRY AREA

DAILY

• Remove all trash.
• Clean sinks, countertops, tables.
• Straighten chairs, tables, magazines, counters, etc.
• Mop kitchen floor and rear entry floors.
• Turn off all lights.
• 
  

TWICE A WEEK

• Clean rear entry windows.

MISCELLANEOUS

• Remove all trash from building daily.
• Dust/wipe down all phones daily.
• Place orders for supplies as necessary.

EXTERIOR OF FACILITY

• Keep free of debris.
• Keep dumpster area clean and gates closed.
• Empty trash cans as needed.
• Clean all windows and doors as needed.

FLOOR CARE

• Cleans all floors throughout facility on a regular basis to insure cleanliness and maintenance of floor finishes.
• Knowledgeable in the use and operation of various types of floor maintenance products.
• Understands the use and compatibility of various types and brands of floor maintenance products.
• Vacuums all carpet throughout the facility on a regular basis.
• Spot cleans carpet as determined though periodic inspection.
• Assists with managing inventory of floor cleaning supplies.
• Reports needed repairs and maintenance of floor cleaning equipment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school diploma or equivalent, preferred. 

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

Provides care in the ambulatory setting directed towards meeting the psychosocial and physical needs of the surgical patient.  Communicates with the physicians about the patient’s clinical condition regarding the planned surgical procedure.  Care given reflects initiative and responsibility indicative of professional expectations.  Utilizes initiative, is a self-starter and strives to maintain steady level of productivity.  (Is compatible, supportive and a team player.)  Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics, and goals of the facility, as well as the focus statement of the department.

Essential Duties and Responsibilities

• Ability to perform a head-to-toe assessment of all patient populations and perform reassessments per facility policy. 
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/anesthesiologist, and initiates appropriate actions. 
• Performance reflects knowledge in all areas of care specific to outpatient surgery.
• Organizes and manages nursing activities with respect for the needs of the patient and their families and the needs of the hospital and staff. 
• Identifies and addresses psychosocial needs of patients and family. 
• Manages and operates equipment safely and correctly.
• Utilizes initiative; strives to maintain steady level of productivity; a self-starter; compatible and supportive; a team player.  
• Follows the five medication rights and reduces the potential for medication errors. Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition.
• Demonstrates an ability to perform treatments.  Demonstrates an ability to assist physicians in performing treatments/procedures.  Utilizes medical and surgical asepsis during treatments and special procedures. 
• Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, as indicated, and evaluates for effectiveness.
• Formulates a teaching plan, based on identified patient learning needs, and evaluates effectiveness of learning; family is included in teaching, as appropriate, from pre-op to discharge.
• Provides patient with explanations and verbal reassurance consistently.
• Utilizes Universal Protocol (time out procedure, patient identification).
• Ensures completion of documentation including but not limited to, H/P, consents, hand off communication tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, allergies.
• Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treats appropriately based on facility protocol. Able to perform 12 Lead EKG.
• Able to perform waived or moderate complexity testing per clinical laboratory and unit policy and procedure.  Able to interpret results of lab testing and take appropriate action on waived test results.
• Coordinates and supervises patient care.  Communicates appropriately and clearly to departmental charge nurse or outpatient supervisor/manager, co-workers, and physicians.  
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family with feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient.  Consults with other departments as needed to provide for an interdisciplinary approach to the patient’s needs.  
• Meets current documentation standards and policies and completes within the shift.

Charge Nurse Responsibilities

• Makes daily patient assignments, monitors the surgery schedule and daily unit progress, reports changes to involved departments.
• Supports/oversees unit staff and monitors staffing efficiency.  Staff’s unit according to nursing standards. Supervises staff to ensure quality of nursing care, delegates’ specific duties and tasks. Monitors daily time sheets.  
• Provides and controls supplies, and equipment needed for successful operation of the department. Directs and delegates control of inventories to ensure proper amounts available.
• Supervises care and cleanliness of equipment and supplies to ensure good working conditions.
• Effectively communicates pertinent issues to supervisor.
• Provides orientation to new staff members. Assists in the evaluation process.
• Promotes the hospital’s mission, values, and goals. 
• Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date. 
• May rotate after hours clinical on-call supervisory coverage.
• Knowledgeable of lab procedures and laboratory equipment. 
• Participates in QA/PI activities, communicates results to staff.
• Completes duties as assigned by Nurse Manager.  

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements and unit in-services.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Attends annual review and department in-services, as scheduled, and completed in-services in a timely manner.
• Attends monthly staff meetings or reads staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• 1 year of nursing experience preferred. 

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (4) hours of education specific to the Program scope, initially, and at least annually thereafter. 

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation, and exceptional customer service. 

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited school of nursing
• Current registered nurse licensure in the state of Louisiana
• Two years nursing experience preferred
• Current BLS certification
• Current ACLS certification
• Current PALS certification or be obtained within 6 months of hire

Skills

• Ability to communicate effectively in English, both verbally and in writing
• Basic computer knowledge
• Admit department experience preferred

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift or move items weighing over 100 pounds. 

The Nurse Practitioner/Physician Assistant is responsible for caring for patients, maintaining accurate and current patient records and scheduling and administering follow-up appointments to patients as required. They work as a team with our nurses/medical assistants and physicians in delivering premium care to patients.    

Essential Duties and Responsibilities

• Provide care to patients acting as an assistant to physicians following established standards and practices
• Conducts thorough medical histories, performs physical examinations, initiates appropriate lab, radiology tests or other special tests required for evaluation of pain to develop a working diagnosis and treatment plan with direct review by a physician  
• Must be able to work with autonomy and under direction of supervising physician  
• Interrogate, manage, and refill spinal intrathecal infusion devices
• Administer Joint, trigger point, Botox, and other in-house injections
• Assess post-operative patients
• Recommend surgical procedures and other appropriate treatment
• Perform peer-to-peer conferences and assist with necessary items to obtain authorization
• Provides information and answers routine questions of patients regarding pain management issues
• Educate patients regarding their pain, treatments, related drug and treatment side effects and hazards
• Performs appropriate record keeping, completes appropriate patient medical chart, transcribes lab data and routine correspondences  
• Demonstrates compassion and professionalism and a commitment to excellent patient care
• Document examination results, treatment plans, and patients' outcomes
• Examine patients to assess mobility, strength, communication, or cognition
• Assess characteristics of patients' pain such as intensity, location, and duration using standardized clinical measures
• Adhere to CDC prescription guidelines
• Monitor effectiveness of pain management interventions such as medication, spinal injections, IT pumps, injections and SCS implants
• Follow through with the patient’s comprehensive plan for immediate and long-term rehabilitation
• Prescribe orthotic and prosthetic applications and adaptive equipment, such as wheelchairs, bracing, and communication devices, to maximize patient function and self-sufficiency
• Collect, order, and interpret lab work and diagnostic studies under agreed upon protocols
• May organize referrals and/or consultations when appropriate
• Will participate in research and education/training as requested
• Create and implement individualized care plans according to each individual patient’s health needs
• Monitor ongoing therapy and compliance of patients 
• Monitor patients to determine how well they are responding to prescribed treatments and make changes to ensure further efficacy
• Delegate's adequate authority to staff MAs to properly perform assigned responsibilities
• Complete appropriate encounter documentation and prepare medications to be sent in a timely manner 
• Performs other duties as required by the Medical Director, Staff Physicians, Practice Manager  
• Other duties as assigned/ required

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. 

Qualifications

• Ability to work within a team and take direction
• Must be familiar with the EHR medical charting system
• Strong written and interpersonal communication skills
• Ability to demonstrate reliability and responsiveness 
• Demonstrates sound judgment in respecting the confidentiality of patient and employee information
• Seeks guidance and direction in the performance of responsibilities and duties
• Promotes and demonstrates exceptional customer service skills
• Shares and receives information, concerns and feedback in a supportive manner
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information
• Complies with Infection Control, Standard Precautions and OSHA standards for the healthcare professional
• Ability to work effectively within role independently and with other team members
• Ability to organize and complete work in a timely manner

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientated - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional/Regulatory Requirements

• 2 years Pain Management experience preferred
• Graduation from an approved NP/PA Program 
• Meet Louisiana Licensing requirements applicable to a practicing NP/PA 
• Cardiac Life Support (ACLS PALS) Certification.
• Current Certification by the American Academy of Nurse Practitioners or American Nurse Credentialing Center, (NP), or Current Certification by the National Commission of Physician’s Assistants

Skills

• Ability to communicate effectively in English, both verbally and in writing
• Basic computer knowledge

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 100 pounds. 

Under the supervision of the Business Office Manager, the Patient Access Representative is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into Patient Account. Performs verification of benefits and fully understands plan benefits. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to physician offices to discuss financial authorization status prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by the Business Office Manager. 

Essential Duties and Responsibilities

Registration and Verification  

• Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently.
• Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order.  
• Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), and Medicare Secondary Payer (MSP) questionnaire). Obtains required signatures as needed. 
• As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. 
• Ability to verify insurance coverage and understand benefit requirements and ensures that all notification/authorizations are completed based on plan requirements.
•             (a) Work with physician offices to obtain necessary authorization on scheduled procedures.
• Ability to explain insurance benefits to patient.
• Informs patients of estimated balance due based on plan benefits and collects monies due at time of service. 
• Demonstrates knowledge of all features and functions of the Patient Accounting areas. 
• Notifies appropriate staff regarding any issues or concerns in a timely manner. 
• Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.
• Communicates with management/physician offices regarding any problematic insurance concerns that may affect the payment of services. 

Other Duties

• Functions as back up to concierge.
• Other duties as assigned.

Core Competencies

• Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.
• Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.
• Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.
• Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.
• Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.
• Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.
• Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.
• Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school diploma.
• Two (2) or more years’ experience.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds. 

The technologist will provide services timely and efficiently at appropriate levels to all patients and in all settings served by the department.  Provide imaging and fluoroscopic support during surgical procedure. The Technologist will perform tasks and duties as outlined per hospital policy and procedure.  Will assist in assigned administrative tasks and will maintain clinical competencies through participation in educational and orientation programs.  Always works as a team member within the entire facility.  Performs other duties as assigned.

 Essential Duties and Responsibilities

• Works closely with the Physician, PA, or NP to receive guidance and instruction for treating patients and prepares patients for radiological procedures and take X-rays following established procedures for patient care and safety.
• Protect patients, yourself and staff from radiation exposure by practicing sound procedures which meet or exceed recommended industry standards.
• Provide fluoroscopic support during surgical procedures, assisting team in image identification, recording and documentation.
• Utilizes EHR to log completed radiological procedures and order entries, retrieves and scans reports and assures patient charging. Request, retrieve and track files to and from other departments and/or centers. Complete documentation accurately and on time.
• Transport of patients as needed to and from the Imaging services department.  Requests assistance when needed.
• Obtain, develop and process quality diagnostic radiographs as requested by Physician, PA, or NP.
• Ensure that all equipment is in good working condition and in compliance with applicable laws and regulations and report immediately any equipment malfunctions to Supervisor.
• Maintain x-ray room, stock and rotate radiological supplies.
• Provides orientation and training to new Radiology Techs and make suggestions to improve work methods.
• Other duties may be assigned.           

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.       
• Completes in-services and returns in a timely fashion.                                                                                    
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes where applicable.
• Represents the organization in a positive and professional manner.         
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.      
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have one (1) hour of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

 Regulatory Requirements

• Graduate of an accredited radiologic technologists' program
• Current ARRT
• Current Louisiana State License LRT
• Current BLS certification or able to obtain within 30 days of hire
• Two years of experience preferred and must be proficient in diagnostic radiology. One year working competency preferred in one section of other specialized area: surgery.

 Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

The Surgical Scrub Tech’s responsibilities include preparing and assisting the surgeon during procedures using aseptic technique, maintaining supplies and instruments, providing quick turnover for subsequent procedures while assisting the nursing staff in providing quality patient care.

Essential Duties and Responsibilities

Assists in providing optimal patient care through appropriate planning and implementation of surgical procedures.

• Reviews assigned cases the prior workday to ensure they have all necessary supplies and equipment.
• Practices and maintains aseptic technique during operative procedures and while preparing sterile field.
• Utilizes surgeon’s preference cards in providing necessary supplies for each case.
• Anticipates surgeon’s needs and watches for any break in aseptic technique.
• Hands off all tissue removed from patients from the sterile field and identifies to the circulating nurse.
• Communicates needed updates to preference cards.

Assists with orientation of new staff as needed.

Assists with the turnover of the rooms in between cases.

• Assists with transferring patient to recovery room bed.
• Takes all instruments to decontamination room for cleaning and reprocessing.
• Assists with proper cleaning and disinfection of the OR.
• Checks OR board for assignment and sets up next case.
• Secures appropriate supplies and equipment for the next assigned case.

Performs duties ensuring patient safety.

• Counts sponges, laps, needles, and instruments as indicated with circulating nurse per Policy and Procedure.
• Actively participates in the Time Out.
• Receives all drugs, and solutions needed for surgery from circulating nurse, checking all labels, expiration dates, and percentage.
• When cautery is used, ensures tip is away from patient when not in use.
• Clearly labels all medications on field.

Communicates with OR Director/OR Supervisor regarding issues or operational conflicts in the department and participates in problem solving.

Maintains employee safety.

• Uses a neutral receptacle for transferring of sharps to and from surgeon - does not allow hand to hand contact.
• Wears eye protection during procedure.
• Uses PPE in decontamination of instruments.

Maintains supplies and instruments.

• Accurately and completely picks supplies needed for scheduled cases.
• Rotates stock and checks for expiration dates.
• Properly handles instrumentation to maintain function and life of the instrument.
• Effectively functions in Central Sterile.
• Participates in hospital wide inventory.
• Self-directed in completing assignments.
• Puts supplies up throughout the day and at end of day.

Performs competently in emergency or stressful situations.

• Remains calm in emergency situations.
• Knowledgeable in resolving or troubleshooting technical challenges in the OR.
• Stays up to date in current practices.
• Surgical Scrub Tech Certification preferred.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends monthly staff meetings or reads meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Meets dress code standards and adheres to policy on “Attire in the Operating Room”.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited surgical technology school
• Current BCLS certification

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds.

Under the supervision of the Practice Manager, the Patient Access Representative is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into Cerner. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to patients to discuss financial responsibility prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by the Practice Manager.

Essential Duties and Responsibilities

Registration Front Desk

• Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently.
• Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order.  
• Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire). Obtains required signatures as needed. 
• As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. 
• Informs patients of estimated balance due and collects monies due at time of service. 
• Demonstrates knowledge of all features and functions of the Patient Accounting areas. 
• Notifies appropriate staff regarding any issues or concerns in a timely manner. 
• Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.

Other Duties

• Functions as back up to concierge. 
• Other duties as assigned.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school diploma.
• Two (2) or more years’ experience.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds. 

Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology.  Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department.

Essential Duties and Responsibilities

• Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians.
• Prepare patients for and assists with examinations or treatments or procedures to assist physicians.
• Performs a head-to-toe assessment on all patients and reassessments as per policy.  Able to interpret data about the patient’s status in order to identify the care needed.
• Adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and families regarding pain management.
• Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures.
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions.
• Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors.
• Knowledge in maintenance and care of central / PICC line.
• Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care. 
• Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care.
• Ability to be flexible, organized, and function under stressful situations.
• Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs.
• Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies.
• Practices economical use of equipment and supplies, informs proper authority of discrepancies.
• Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program.
• Demonstrates ability to perform treatments and provide services to level of licensure.      

Charge Nurse Responsibilities

• Updates Table for Inpatient Log Census.
• Completes Patient Classification Form to assure efficient staffing levels and patient assignments.
• Verifies that temperature logs completed.
• Oversee all staff on the Med Surg Unit.
• Follows protocol for admitting a patient and activation of call team.
• Initiates emergency response protocol.
• Effectively communicates pertinent issues with Med/Surg Director.
• Supervises dietary after hours.
• Follows up on consults and outstanding orders.
• Follows protocol for patient transfers.
• In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to dress code policy.                           
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.    
• Attends annual review and department inservices, as scheduled.
• Attends monthly staff meetings.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care experience preferred.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (4) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification.
• In compliance with the Program education requirements.
• Completed department specific competencies.

Regulatory Requirements

• Graduate of accredited school of nursing
• Current state Registered Nurse Licensure, within state of practice
• Current BLS and ACLS certification
• PALS certification recommended

Skills

Ability to communicate effectively in English, both verbally and in writing.

Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

The technologist will provide services timely and efficiently at appropriate levels to all patients and in all settings served by the department.  Provide imaging and fluoroscopic support during surgical procedure. The Technologist will perform tasks and duties as outlined per hospital policy and procedure.  Will assist in assigned administrative tasks and will maintain clinical competencies through participation in educational and orientation programs.  Always works as a team member within the entire facility.  Performs other duties as assigned.

Essential Duties and Responsibilities

• Works closely with the Physician, PA, or NP to receive guidance and instruction for treating patients and prepares patients for radiological procedures and take X-rays following established procedures for patient care and safety.
• Protect patients, yourself and staff from radiation exposure by practicing sound procedures which meet or exceed recommended industry standards.
• Provide fluoroscopic support during surgical procedures, assisting team in image identification, recording and documentation.
• Utilizes EHR to log completed radiological procedures and order entries, retrieves and scans reports and assures patient charging. Request, retrieve and track files to and from other departments and/or centers. Complete documentation accurately and on time.
• Transport of patients as needed to and from the Imaging services department.  Requests assistance when needed.
• Obtain, develop and process quality diagnostic radiographs as requested by Physician, PA, or NP.
• Ensure that all equipment is in good working condition and in compliance with applicable laws and regulations and report immediately any equipment malfunctions to Supervisor.
• Maintain x-ray room, stock and rotate radiological supplies.
• Provides orientation and training to new Radiology Techs and make suggestions to improve work methods.
• Other duties may be assigned.           

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.       
• Completes in-services and returns in a timely fashion.                                                                                    
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes where applicable.
• Represents the organization in a positive and professional manner.         
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.      
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• Graduate of an accredited radiologic technologists' program
• Current ARRT or ARDMS
• Current Louisiana State License LRT
• Current BLS certification or able to obtain within 30 days of hire
• Two years of experience required and must be proficient in diagnostic radiology. One year working competency in one section of other specialized area: surgery.

 Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology.  Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department.

Essential Duties and Responsibilities

• Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians.
• Prepare patients for and assists with examinations or treatments or procedures to assist physicians.
• Performs a head-to-toe assessment on all patients and reassessments as per policy.  Able to interpret data about the patient’s status in order to identify the care needed.
• Adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and families regarding pain management.
• Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures.
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions.
• Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors.
• Knowledge in maintenance and care of central / PICC line.
• Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol.
• Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care.  
• Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care.
• Ability to be flexible, organized, and function under stressful situations.
• Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs. 
• Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies. 
• Practices economical use of equipment and supplies, informs proper authority of discrepancies.
• Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program.
• Demonstrates ability to perform treatments and provide services to level of licensure.

Charge Nurse Responsibilities

• Updates Table for Inpatient Log Census.
• Completes Patient Classification Form to assure efficient staffing levels and patient assignments.
• Verifies that temperature logs completed.
• Oversee all staff on the Med Surg Unit.
• Follows protocol for admitting a patient and activation of call team.
• Initiates emergency response protocol.
• Effectively communicates pertinent issues with Med Surg Director.
• Supervises dietary after hours.
• Follows up on consults and outstanding orders.
• Follows protocol for patient transfers.
• In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to dress code policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department inservices, as scheduled.
• Attends monthly staff meetings.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care experience preferred.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. 

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. 

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of accredited school of nursing
• Current state Registered Nurse Licensure, within state of practice
• Current BLS and ACLS certification
• PALS certification recommended

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

Performs Ultrasound procedures in accordance with established professional and departmental standards and procedures. The technologist will provide services timely and efficiently at appropriate levels to all patients and in all settings served by the department.  Provide imaging and fluoroscopic support during surgical procedure. The Technologist will perform tasks and duties as outlined by hospital policy and procedure.  Will assist in assigned administrative tasks and will maintain clinical competencies through participation in educational and orientation programs.  Always works as a team member within the entire facility.  Performs other duties as assigned.

Essential Duties and Responsibilities

• Performs all exams within personal licensed scope of practice.
• Demonstrates a complete working knowledge of ultrasound equipment and intra operative-procedural imaging.   
• Demonstrate anatomy under investigation through proper patient positioning and technical factors according to policy and procedures
• Obtains patient history and clinical data for correlation with the scans.
• Demonstrates proficient and economic use of supplies, communication equipment, technical equipment, and computer technologies.
• Performs visual inspection of sonography equipment, identifies problems and communicates to immediate supervisor.
• Reviews physician orders, checking for special instructions from requesting physicians, and consults with the radiologist as necessary.
• Pleasantly greet patients, confirming their identification.
• Completely explains examination procedure to the patient. Submit procedures to PACS appropriately.
• Ability to anticipate and meet the needs and expectations of customers.
• Contact the Ultrasound Supervisor/Manager for equipment service issues as appropriate.
• Personal responsibility/integrity/Financial Responsibility; each person is responsible for his or her actions and individually accountable for satisfied patients/customers, confidentiality or patient and hospital information, quality outcomes, efficient operations, and the overall success of AVALA.
• Works closely with the Physician, PA, or NP to receive guidance and instruction for treating patients and prepares patients for radiological procedures and take X-rays following established procedures for patient care and safety.
• Protect patients, yourself and staff from radiation exposure by practicing sound procedures which meet or exceed industry standards.
• Provide fluoroscopic support during surgical procedures, assisting team in image identification, recording and documentation. 
• Utilizes EHR to log completed radiological procedures and order entries, retrieves and scans report and assures patient charging. Request, retrieve and track files to and from other departments and/or centers. Complete documentation accurately and on time.
• Transport of patients as needed to and from the Imaging services department.  Requests assistance when needed. 
• Obtain, develop and process quality diagnostic radiographs as requested by Physician, PA, or NP. 
• Ensure that all equipment is in good working condition and in compliance with applicable laws and regulations and report immediately any equipment malfunctions to Supervisor.
• Maintain x-ray room, stock and rotate radiological supplies.
• Provides orientation and training to new Radiology Techs and makes suggestions to improve work methods.
• Other duties may be assigned.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listen carefully and understand various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focuses on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Build consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attend staff meetings annually, reads and returns all monthly staff meeting minutes where applicable.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information is appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have one (1) hour of education specific to the Program scope, initially, and at least annually thereafter. 

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. 

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited Diagnostic Medical Sonography Program.
• Current ADMS, with registry in either Abdomen (AB), Breast (BR), Obstetrics & Gynecology (OB/GYN). Registered Vascular Technologist (RVT/RVS) preferred. 
• Current BLS certification or able to obtain within 30 days of hire
• Two years’ experience required as a Sonographer.
• Graduate of an accredited radiologic technologists’ program
• Current ARRT
• Current Louisiana State License LSRT
• Current BLS certification or able to obtain within 30 days of hire
• Two years of experience preferred and must be proficient in diagnostic radiology. One year working competency preferred in one section of other specialized area: surgery.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

The Workers Comp. Coordinator performs a variety of tasks as the first point of contact by the patient/nurse case manager with the clinic. This individual is responsible for coordinating all scheduling requests, answering questions, responding to emails and incoming referrals, coordinating all medical records/imaging, and communicating the plan of care following the patient encounter. The individual must work collaboratively with many team members to provide seamless support to the organization. This position also completes data entry and provider notification to ensure timely service within contract-mandated timeframes.

Essential Duties and Responsibilities

• Responsible for oversight of WC appointment types within provider’s schedules to ensure flow of patients is correct and matches the patient’s needs, etc.
• Provides patients, nurse case manager and adjusters with pre-registration instructions and directions to clinic locations.
• Efficiently and accurately gather and input patient demographic and payer and other necessary appointment information to ensure appointment is correct and can be billed correctly
• Obtains medical records and documents pertaining to the injury and treatment prior to appointments to ensure continuity of care and support the clinic work-flow
• Obtain the prior authorizations for ancillary services ordered by the provider (MRI, CT, Physical Therapy, Outside Referrals, PRP injections, Joint Medications, etc.).
• Work with the nurse case manager and adjuster to obtain the prior authorization and schedule the procedure(s) in a timely manner.
• Schedules patient appointments in the clinic once injections, tests and joint medication authorization is approved.
• Document all steps in the prior authorization process in the computer for all employees to have access to the information. 
• Manage calendars/schedules to ensure tasks stay on track and all deadlines are met
• Handle confidential information and deal with professionals inside and outside the company with a high level of integrity and discretion
• Assist with communications, administrative tasks and scheduling related to each patient’s case
• Act as a liaison with claims adjusters, attorneys and patients to ensure all medical plans and obligations are met to their satisfaction  
• Manage documentation and correspondence in strict confidence
• Responsible for oversight of case records, requesting documentation and case workflow
• Accurately document all communication and patient accounts of all actions taken in the EHR
• Maintains quality service by following organization standards.
• Other duties as assigned.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Excellent organizational skills
• Strong communications skills
• Strong customer service experience
• Excellent time management skills and ability to multi-task and prioritize work 
• Attention to detail and problem-solving skills 

Regulatory Requirements

• High school diploma, GED, or equivalent
• Proven admin or assistant experience
• Previous medical software experience
• Workers comp experience required preferred
• Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications
• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. 
• Must be proficient with Windows-style applications, various software packages specific to role
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information

Skills

• Ability to communicate effectively in English, both verbally and in writing
• Basic computer skills and knowledge
• Dependability
• Confidentiality
• Excellent writing and proofreading skills
• Solid calendaring, organizational and multi-tasking skills
• Ability to work efficiently and meet deadlines
• Detail-oriented
• Ability to prepare responses to requests for information 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

Performs standard laboratory testing for a specialty surgical hospital in order to aid in the treatment of patients and improve patient outcomes. Work is performed with a considerable degree of independence in the application of clinical laboratory knowledge and techniques, and requires judgments in monitoring test procedures, quality control, and test interpretation.  Work is performed under the supervision of the Laboratory Administrative Director.

Essential Duties and Responsibilities

• Performs laboratory testing with CLIA waived, moderate, and high complexity designations.
• Shows proficiency in venipuncture and finger sticks.
• Results out laboratory testing in a timely manner.
• Assists with interpretation of laboratory results when needed.
• Assists with laboratory inventory including ordering of supplies if needed.
• Rotates on-call every 2-3 weeks as schedule requires.
• Reports critical lab values to the appropriate staff in a timely manner.
• Teaches routine procedures and orients staff to laboratory services
• Knowledgeable of criteria of collection and processing of send out labs.
• Performs proficiency testing, monitors records, and maintains quality control.    
• Assists with and reports infection control as needed.
• Maintains and calibrates lab equipment; cleans lab according to OSHA and CLIA regulations.
• Provides test results to requesting clinicians.
• Ability to troubleshoot and resolve common issues with laboratory analyzers and equipment.
• Reports any complex issues/problems to the laboratory manager/director.          
• Recognizes age specific lab values.  Incorporates age specific parameters into interpretation of lab values.
• Knowledge of the variety of laboratory procedures applicable to the area(s) of work.
• Knowledge of laboratory equipment, instrumentation, and terminology.
• Thorough knowledge of exposure control and universal precautions.       
• Wears PPE as indicated.               
• Knowledge of the basic physiological processes being monitored and how medical laboratory science is applied.
• Ability to make accurate observations and written reports of test results.
• Ability to understand and follow oral and written instructions.    
• Ability to effectively communicate with staff and clients.
• Other duties as assigned.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.       
• Completes annual education requirements.        
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have one (1) hour of education specific to the Program scope, initially, and at least annually thereafter. 

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. 

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Must have a current license issued by the state of Louisiana as a medical technologist, medical laboratory technician, or equivalent.
• Must be qualified under general supervisor standard 493.1461 or 493.1462; (CFR)
• Must have graduated from an accredited medical laboratory or clinical laboratory training program with an associate’s or bachelor’s degree.
• Have at least 1 year of clinical laboratory training or experience in high complexity testing;
• Be a high school graduate or equivalent.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires some repetitive motion, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise.

Essential Duties and Responsibilities

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies. CRNA will administer anesthesia and anesthesia-related care in four general categories: 

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies. CRNA will administer anesthesia and anesthesia-related care in four general categories: 

• pre-anesthetic preparation and evaluation
• anesthesia induction, maintenance and emergence
• post-anesthesia care 
• peri-anesthetic and clinical support functions which may include: 
  • General, MAC, regional, or local anesthesia. 
  • Selecting, obtaining and administering the anesthetic, adjuvant drugs and fluid necessary to manage the anesthetic, to maintain the patient's physiologic homoestasis and to correct abnormal responses to the anesthesia or surgery. 
  • Selecting, applying and inserting appropriate non-invasive and invasive monitoring modalities for collecting and interpreting patient physiological data. 
  • Managing a patient's airway and pulmonary status using endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy or extubation.
  • Releasing or discharging patients from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care related to anesthesia side effects or complications.
  • Ordering, initiating or modifying pain relief therapy, through the utilization of drugs, regional anesthetic techniques, or other accepted pain relief modalities, including epidural analgesia.
  • Responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques. 
  • Provide clinical support services outside of the operating room, including but not limited to radiology, endoscopy, emergency department, invasive labs.
  • Upon request or referral for these services, the CRNA will provide consultation and implementation of respiratory and ventilatory care, identify and manage emergency situations, including the initiation or participation in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic, cardiopulmonary support, management of blood, fluid, electrolyte and acid-base balance.
  • Additional nurse anesthesia responsibilities which are within the expertise of the individual CRNA, as authorized by Medical Staff and stated in the policy and procedure manuals.

Non-clinical responsibilities as applicable 

Clinical and didactic teaching, supervision and evaluation of students; interdepartmental liaison, member of departmental committees; research participant. Maintains a positive demeanor, proactively helpful to patients, physicians and staff; remains flexible and alters/accepts various tasks and assignments as they arise, per the Director’s requests or designee.

Professional Requirements:

Education

Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) or its predecessor.

Qualifications

Holds a current state license as a registered nurse in the state of Louisiana and complies with any applicable state statutory and/or regulatory requirements concerning the advanced practice of nursing.

License/Certification

Possess certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors; if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program. Current BLS, PALS and ACLS certifications, as applicable.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientated - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Skills

Demonstrates knowledge of principles of anesthesia practices. Must be able to operate all anesthesia equipment and to recognize equipment malfunction.  Must be able to read written directions and to write legibly.  Must be able to communicate effectively with students, residents, physicians, patients, visitors and hospital staff. 

Physical Demands

Heavy physical requirements: exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. 

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise.

Essential Duties and Responsibilities

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies. CRNA will administer anesthesia and anesthesia-related care in four general categories: 

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies. CRNA will administer anesthesia and anesthesia-related care in four general categories: 

• pre-anesthetic preparation and evaluation
• anesthesia induction, maintenance and emergence
• post-anesthesia care 
• peri-anesthetic and clinical support functions which may include: 
  • General, MAC, regional, or local anesthesia. 
  • Selecting, obtaining and administering the anesthetic, adjuvant drugs and fluid necessary to manage the anesthetic, to maintain the patient's physiologic homoestasis and to correct abnormal responses to the anesthesia or surgery. 
  • Selecting, applying and inserting appropriate non-invasive and invasive monitoring modalities for collecting and interpreting patient physiological data. 
  • Managing a patient's airway and pulmonary status using endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy or extubation.
  • Releasing or discharging patients from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care related to anesthesia side effects or complications.
  • Ordering, initiating or modifying pain relief therapy, through the utilization of drugs, regional anesthetic techniques, or other accepted pain relief modalities, including epidural analgesia.
  • Responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques. 
  • Provide clinical support services outside of the operating room, including but not limited to radiology, endoscopy, emergency department, invasive labs.
  • Upon request or referral for these services, the CRNA will provide consultation and implementation of respiratory and ventilatory care, identify and manage emergency situations, including the initiation or participation in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic, cardiopulmonary support, management of blood, fluid, electrolyte and acid-base balance.
  • Additional nurse anesthesia responsibilities which are within the expertise of the individual CRNA, as authorized by Medical Staff and stated in the policy and procedure manuals.

Non-clinical responsibilities as applicable 

Clinical and didactic teaching, supervision and evaluation of students; interdepartmental liaison, member of departmental committees; research participant. Maintains a positive demeanor, proactively helpful to patients, physicians and staff; remains flexible and alters/accepts various tasks and assignments as they arise, per the Director’s requests or designee.

Professional Requirements:

Education

Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) or its predecessor.

Qualifications

Holds a current state license as a registered nurse in the state of Louisiana and complies with any applicable state statutory and/or regulatory requirements concerning the advanced practice of nursing.

License/Certification

Possess certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors; if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program. Current BLS, PALS and ACLS certifications, as applicable.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientated - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Skills

Demonstrates knowledge of principles of anesthesia practices. Must be able to operate all anesthesia equipment and to recognize equipment malfunction.  Must be able to read written directions and to write legibly.  Must be able to communicate effectively with students, residents, physicians, patients, visitors and hospital staff. 

Physical Demands

Heavy physical requirements: exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. 

The Surgical Scrub Tech’s responsibilities include preparing and assisting the surgeon during procedures using aseptic technique, maintaining supplies and instruments, providing quick turnover for subsequent procedures while assisting the nursing staff in providing quality patient care.

Essential Duties and Responsibilities

Ø  Assists in providing optimal patient care through appropriate planning and implementation of surgical procedures. 

·         Reviews assigned cases the prior workday to ensure they have all necessary supplies and equipment.

·         Practices and maintains aseptic technique during operative procedures and while preparing sterile field.

·         Utilizes surgeon’s preference cards in providing necessary supplies for each case.

·         Anticipates surgeon’s needs and watches for any break in aseptic technique.

·         Hands off all tissue removed from patients from the sterile field and identifies to the circulating nurse.

·         Communicates needed updates to preference cards.

Ø  Assists with orientation of new staff as needed.

Ø  Assists with the turnover of the rooms in between cases.                                                                             

·         Assists with transferring patient to recovery room bed.

·         Takes all instruments to decontamination room for cleaning and reprocessing.

·         Assists with proper cleaning and disinfection of the OR.

·         Checks OR board for assignment and sets up next case.

·         Secures appropriate supplies and equipment for the next assigned case.

Ø  Performs duties ensuring patient safety.                                                                                               

·         Counts sponges, laps, needles, and instruments as indicated with circulating nurse per Policy        and Procedure.

·         Actively participates in the Time Out.

·         Receives all drugs, and solutions needed for surgery from circulating nurse, checking all labels, expiration dates, and percentage.

·         When cautery is used, ensures tip is away from patient when not in use.

·         Clearly labels all medications on field.

Ø  Communicates with OR Director/OR Supervisor regarding issues or operational conflicts in the department and participates in problem solving.

Ø  Maintains employee safety.                                                                                                       

·         Uses a neutral receptacle for transferring of sharps to and from surgeon - does not allow hand     to hand contact.

·         Wears eye protection during procedure.

·         Uses PPE in decontamination of instruments.

Ø  Maintains supplies and instruments.

·         Accurately and completely picks supplies needed for scheduled cases.   

·         Rotates stock and checks for expiration dates.

·         Properly handles instrumentation to maintain function and life of the instrument.

·         Effectively functions in Central Sterile.   

·         Participates in hospital wide inventory.

·         Self-directed in completing assignments.

·         Puts supplies up throughout the day and at end of day.

Ø  Performs competently in emergency or stressful situations.

·         Remains calm in emergency situations.

·         Knowledgeable in resolving or troubleshooting technical challenges in the OR.

·         Stays up to date in current practices.

·         Surgical Scrub Tech Certification preferred.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

Ø  Completes annual education requirements.   

Ø  Maintains regulatory requirements.       

Ø  Maintains patient confidentiality at all times.

Ø  Reports to work on time and as scheduled, completes work within designated time.        

Ø  Wears identification while on duty, uses computerized punch time system correctly.

Ø  Completes in-services and returns in a timely fashion.    

Ø  Attends annual review and department in-services, as scheduled.            

Ø  Attends monthly staff meetings or reads meeting minutes.

Ø  Represents the organization in a positive and professional manner.

Ø  Actively participates in performance improvement and continuous quality improvement (CQI) activities.

Ø  Complies with all organizational policies regarding ethical business practices.

Ø  Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.

Ø  Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.

Ø  Assists other staff members in performing any duty that enhances the delivery of patient care.

Ø  Meets dress code standards and adheres to policy on “Attire in the Operating Room”.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

•        Orientation of Advanced Orthopedic and Spine Certification
•        In compliance with the Program education requirements
•       Completed department specific competencies

Regulatory Requirements

Ø Graduate of an accredited surgical technology school

Ø Current BLS certification 

Skills

Ø Ability to communicate effectively in English, both verbally and in writing.

Ø  Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds.

Provides direct patient care to all patient populations.  Addresses the psychosocial, physical and general aspects of care related to the surgical environment.  Assists with the maintenance of PACU equipment and inventory.  Participates in performance improvement activities.  Responsible for monitoring patient’s physiological status in the immediate postoperative environment.  Communicates with surgeon and anesthesiologist continuously, and as needed, about patient conditions; receives direction for patient management. Intercedes to maintain optimum homeostasis. Is able to respond quickly and accurately to changes in condition or response to treatment.  May be required to perform in the charge nurse role.

Essential Duties and Responsibilities

• Able to perform a head-to-toe assessment on all patient populations and reassessments per facility policy. Provides care appropriate to disease condition and age of the patient.
• Demonstrates knowledge of perioperative factors that alter immediate postoperative phase.      
• Identifies physical symptoms and changes and takes appropriate action in a timely manner.         
• Demonstrates knowledge of airway management and procedures and the ability to use the equipment.
• Demonstrates ability to assess cardio-respiratory systems for changes and provides appropriate treatment.
• Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
• Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management. 
• Demonstrates an ability to assist physicians with procedures. Carries out medical/surgical asepsis during treatments and special procedures.
• Knowledge of medications and their correct administration based on age of patient and clinical condition. Follows the five medication rights and reduces the potential for medication errors.
• Carries out safety measures to prevent patient from harming him/herself or others.
• Assesses level of consciousness and promotes activity. Encourages turn, cough, and deep breathe by exercises and position changes.
• Demonstrates knowledge of anesthetic drugs, actions and side effects.  
• Demonstrates knowledge of arterial lines, spinal and epidural catheters and documents pertinent clinical information per policy.  Has knowledge of emergency medications.
• Demonstrates knowledge of peripheral nerve block procedures and catheters; able to document pertinent clinical information per policy.
• Ability to formulate an individualized plan of care. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan for effectiveness.  Formulates a teaching plan with patient and family based upon identified learning needs and evaluates effectiveness of learning.  Interacts professionally with patient/family. 
• Responds appropriately to patient in an emergency or per ACLS or PALS protocol.
• Communicates effectively and thoroughly the patient’s condition upon transfer from PACU to the receiving unit Registered Nurse.
• Establishes and maintains effective communication and good working relationships with co-workers and health care team members for the patient’s benefit.  Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs. 
• Orients new staff as needed.
• Maintains regulatory agency requirements, hospital and nursing policies, procedures and standards. 
• Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, and treats appropriately based upon facility protocol.  
• Able to perform 12 lead EKG as indicated.
• Able to perform waived testing (point-of-care testing) or moderate complexity testing per clinical laboratory guidelines and unit policy and procedure. Able to interpret results of laboratory tests and take appropriate action on test results.  Notifies physician of any abnormal lab/test results. 
• Completes specially assigned duties consistently and as schedule allows.
• Documentation meets current standards and policies. 
• Manages and operates equipment safely and correctly. 
• Treats patients and their families with respect and dignity.  Identifies and addresses psychological, cultural, ethnic and religious/spiritual needs of patients and their families.  Functions as a liaison between patients, their families and other departments and other healthcare providers. 
• Utilizes initiative; strives to maintain steady level of productivity; self-motivated. Organizes and manages activities reflecting due consideration for the needs of the department and staff.           

Charge Nurse Responsibilities:

• Makes daily patient assignments, monitors the daily surgery schedule and daily unit progress, reports changes to involved departments.
• Supports/oversees unit staff and monitors staffing efficiency.  Monitors late and on call schedule.  Staffs unit according to nursing standards.  Supervises staff to ensure quality of nursing care, delegates’ specific duties and tasks.  Monitors daily time sheets.
• Provides and controls supplies and equipment needed for successful operation of the department.  Directs and delegates control of inventories to ensure proper amounts available.
• Supervises care and cleanliness of equipment and supplies to ensure good working conditions.
• Effectively communicates pertinent issues to OR Director.
• Provides orientation to new staff members.  Assists in the evaluation process.
• Promotes the hospital’s mission, values, and goals.
• Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date.
• Knowledgeable of lab procedures and lab equipment.
• Participates in QA/PI activities, communicates results to staff.
• Completes other duties as assigned by Director. 

Communicates with OR Director regarding issues, conflicts, or operational occurrences in the department and participates with problem solving.

Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to policy dress code policy.
• Completes annual education requirements.
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Attends annual review and department in-services, as scheduled.            
• Attends monthly staff meetings or reads staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care/PACU experience preferred. 

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited school of nursing
• Current state Registered Nurse licensure in the state of Louisiana
• Current BLS, ACLS, and PALS certification

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds. 

Performs routine and terminal cleaning under supervision, including but not limited to: Mopping, dusting, sweeping, trash removal, window cleaning, disinfecting patient rooms, cleaning laboratories, and interacting with patient in a hospital environment.

Essential Duties and Responsibilities

OPERATING ROOM AREA

• Transport patients to and from the operating room area.  Ensure patient safety.  Reports any patient complaints.  Assist nursing with transferring patients to and from the operating room bed and moving heavy equipment.
• Assists in positioning patients for surgery.  Assists with positioning and holding patient extremities during prep.
• Transport specimens to the laboratory.
• Clean operating room suites and other restricted areas.  Terminally clean OR suites as assigned daily.  Cleans vertical and horizontal surfaces that collect dust. Cleans tops of windows, doorframes, TV’s and other high places, using ladder when necessary.  Dusts, cleans and polishes furniture including beds.
• Re-stock supplies, linens and fill the blanket warmers in the sterile core as needed.  Washes sinks and other plumbing fixtures and replaces supplies, such as paper towels, soaps and toilet paper as needed.  Polishes metal or other bright surfaces, cleaning glass and enamel fixtures with proper cleaning chemicals.
• Clean stretchers and beds and replace sheets.  Maintain equipment storage rooms.  Perform individual daily extra assignments as assigned.
• Assists in maintaining the cleanliness of equipment.
• Dispose all linen and trash in the appropriate manner.  Empty and replace sharps containers in all rooms.
• Mop floors in all areas on a daily basis. Check and restock mop heads several times a day.

Terminally cleans:

• Machines after each case
• Tables after each case
• Stools after each case
• Equipment (i.e. lights, orbiters, etc.)
• Doors
• Perform other job-related duties as assigned by director/charge nurse.
• Video monitoring may be additional responsibility. 

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.
• Completes required education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends department in-services, as scheduled.
• Attends staff meetings or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

 Regulatory Requirements

• High school diploma or equivalent.

 Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to see, talk, hear and use both hands to easily communicate. This position is very active and requires repetitive motions, carrying, pushing, pulling, standing, walking, bending, kneeling, squatting and stooping all day. The employee must frequently lift or move items weighing up to and over 100 pounds (with assistance).

Environmental Conditions

Primarily works inside, may experience the following hazards: biological, needles and sharps, radiation, stress, noise, vibration, dust, fumes, and occasional temperature extremes.

Occupational Exposure

 Job involves tasks or procedures that have exposure to blood and other potentially infectious materials during the performance of duties.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 

Summary

The Practice Administrator coordinates, processes, reviews and monitors all aspects of the Clinic’s function. This individual is responsible for developing, maintaining, and managing employees and oversees day-to-day operations, planning and coordinating staff coverage, ensures compliance with HIPAA/OSHA standards and identifies problems and makes recommendations for resolutions.

Essential Duties and Responsibilities

·         Supervise the day-to-day functions of the office in accordance with federal, state, and local standards, guidelines, and regulations.

·         Maintain the office so that it is in compliance with company policy and government regulations regarding hygiene, safety and maintenance.

·         Provide effective, positive leadership to staff.

·         Builds strong positive communication with physicians and works as a team to enhance the success of the practice.

·         Participates in expense management.

·         Analyzes and staffs the clinic to meet needs of health care professionals and patients efficiently and courteously.

·         Collaborates with Human Resources to ensure personnel policy development and communication to staff to achieve consistency in labor and employee relations.

·         Plans, evaluates, recommends and implements new initiatives when appropriate.

·         Monitors patient service feedback and contributes to the process of resolving complaints and service issues.

·         Plans and initiates process improvement and cost reduction opportunities.

·         Establish and maintain effective working relationships with vendors, employees, other managers, and physicians.

·         Coordinates cleanliness, orderliness and safety of working environment.

·         Responsible for ensuring all licensing, continuing education, etc. is maintained, in conjunction with Central Billing Office.

·         Responsible for personnel management and oversight of clinic operations.

·         Responsible for the enforcement of clinic policies and procedures.

·         Establish, implement, and monitor office policies and procedures.

·         Serve as liaison and channel of communication between equipment and supply managers.

·         Resolve any staff problems and keeps lines of communication open to ensure high employee morale and a professional, healthful clinic atmosphere.

·         Control removal of medical waste in compliance with regulatory requirements.

·         Ensure educational materials and company marketing materials are available to the patients.

·         Control and approve employee time for payroll by scheduling the staff to meet operational requirements.

·         Manage talent-related matters including performance planning and appraisal, salary administration, discipline and communication, according to company policy and procedure guidelines; address personnel

        related problems.

·        Work with physician to create, edit, and maintain EHR templates.

·         Other duties as assigned/ required.

   Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.

   Must be proficient with Windows-style applications, various software packages specific to role.

   Experience navigating laws and regulations of Private Practice Healthcare,

   Previous medical software experience.

   Ability to Interpret, apply and explain federal, state and local laws, codes, regulations and proceedings, and ensure compliance.

   Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information.

   Complies with Infection Control, Standard Precautions and OSHA standards for the healthcare professional.

   Cerner experience preferred.

Skills

   Ability to communicate effectively in English, both verbally and in writing.

   Basic computer knowledge.

   Excellent time management skills and ability to multi-task and prioritize work

   Attention to detail and problem-solving skills.

   Strong organizational and planning skills.

   Excellent verbal and written communication skills with the ability to convey ideas accurately, clearly and effectively.

   Ability to communicate clearly and concisely, both orally and in writing.

   Ability to exercise sound independent judgment and discretion on matters of significance.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 10 pounds.

• Verifies patient billing information is correct prior to every claim submission.
• Works to resolve all identified insurance requirement edits through the electronic billing system; ensures submitted claims meet payer’s guidelines.
• Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.
• Communicates issues to Director of Outpatient Therapy and Business Manager regarding problems with patient access and facility departments.
• Monitors daily transmissions of all electronic claims to the clearing house and submits claims monthly. 
• Works on electronic insurance rejects in order to retransmit with correct insurance information.
• Works on rebill request from collection team.
• Verifies that all electronic acknowledgements were received by the insurance carriers.
• Submits required paper billing to insurance carriers with required documentation, including secondary claims.
• Attaches I-bills to paper billing when required.
• Reviews late charges based on specific insurance payer requirements. Submits adjustments as required.
• Enters notes in the patient accounting system on action taken.
• Adheres to state and federal billing guidelines and applies regulations in day-to-day billing practice.
• Adheres to HIPAA and PHI guidelines.
• Assists with all aspects of the Therapy Office including, registration, billing, collections, and cash posting.
• Assists with AR reviews on a weekly basis to identify problems/issues specific to payers and offer direction and resolution avenues to resolve reasons for non-payment or payment delays.
• Works with Patient Access Reps for all Therapy Offices ensuring that all patients with third party insurance coverage are verified, notified of any insurance limits, required deductibles, co-insurance amounts and their overall patient responsibility and monitors this is being done correctly.
• Interacts with HIM department as needed to ensure coding is completed timely. 
• Notifies Director of Outpatient Therapy and/or Business Manager of any patient complaints in a timely manner. 
• Assists with other duties as assigned by the Director of Outpatient Therapy or Business Manager.

• Assist with working insurance denials and refiles denied claims as necessary.

• Courteous to visitors, patients, and physicians’ offices 
• Responsible for discussing patient accounts/bills over the telephone if a patient calls regarding their statements.

• Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.
• Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.
• Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.
• Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.
• Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.
• Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.
• Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.
• Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

• High school diploma.
• Medical Billing and Coding Degree
• Two (2) or more years’ experience with Medical Coding and Billing required.
• Preferred Two (2) or more years’ experience with Inpatient and Outpatient Therapy Billing

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

The technologist will provide services timely and efficiently at appropriate levels to all patients and in all settings served by the department.  Provide imaging and fluoroscopic support during surgical procedure. The Technologist will perform tasks and duties as outlined per hospital policy and procedure.  Will assist in assigned administrative tasks and will maintain clinical competencies through participation in educational and orientation programs.  Always works as a team member within the entire facility.  Performs other duties as assigned.

 Essential Duties and Responsibilities

• Works closely with the Physician, PA, or NP to receive guidance and instruction for treating patients and prepares patients for radiological procedures and take X-rays following established procedures for patient care and safety.
• Protect patients, yourself and staff from radiation exposure by practicing sound procedures which meet or exceed recommended industry standards.
• Provide fluoroscopic support during surgical procedures, assisting team in image identification, recording and documentation.
• Utilizes EHR to log completed radiological procedures and order entries, retrieves and scans reports and assures patient charging. Request, retrieve and track files to and from other departments and/or centers. Complete documentation accurately and on time.
• Transport of patients as needed to and from the Imaging services department.  Requests assistance when needed.
• Obtain, develop and process quality diagnostic radiographs as requested by Physician, PA, or NP.
• Ensure that all equipment is in good working condition and in compliance with applicable laws and regulations and report immediately any equipment malfunctions to Supervisor.
• Maintain x-ray room, stock and rotate radiological supplies.
• Provides orientation and training to new Radiology Techs and make suggestions to improve work methods.
• Other duties may be assigned.           

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy.
• Completes annual education requirements.
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.       
• Completes in-services and returns in a timely fashion.                                                                                    
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes where applicable.
• Represents the organization in a positive and professional manner.         
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.      
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have one (1) hour of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up to date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

 Regulatory Requirements

• Graduate of an accredited radiologic technologists' program
• Current ARRT
• Current Louisiana State License LRT
• Current BLS certification or able to obtain within 30 days of hire
• Two years of experience preferred and must be proficient in diagnostic radiology. One year working competency preferred in one section of other specialized area: surgery.

 Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

Responsible for monitoring the procedures in operating rooms during surgery. During operations and other surgical procedures, the circulator assists by acting as an intermediary between the operating room staff and the rest of the hospital.

Essential Duties and Responsibilities

• Performs the surgical preparation on the patients.
• Checks patient identification and date of birth by armband and verbally.
• Checks NPO status.
• Verifies procedure.
• Checks for patient allergies.
• Gathers appropriate supplies and equipment.
• Performs the prep in an aseptic technique.
• Performs Time Out.
• Makes an initial assessment of and determines the nursing needs of the patient assigned to their care.
• Assesses patient’s physical and mental status.
• Reviews patient’s medical and surgical history.
• Explains nursing procedures and actions taken to help reduce anxiety.
• Notifies surgeon and/or anesthesiologist of any pertinent physical or emotional findings.                                    
• Checks the patient’s medical record for completeness.                                                 
• Checks that consents are accurate with signature, date, and time.
• Verifies history & physical within 30 days; Update completed with signature, date, and time.
• Reviews Hand Off form prior to transporting patient to OR.
• Documents accurately on OR record and Implant record.
• Assists surgeon with documentation in Electronic Medical Record.
• Accurately completes Care Plan tailored to meet the patient’s needs.
• Facilitates a prompt turnover of the operating room.
• Checks OR board for assignment.
•  Assists other staff members with the cleaning of the operating room.
•  Maintains organized work area.
•  Uses foresight to prepare for upcoming assignment.
• Secures appropriate supplies and equipment for the next assigned case.
• Opens up supplies with surgical tech.
• Ensures safety and comfort of patients.                                                                                
• Keep side rails up when transporting patient to and from OR.
• Provides warm blankets.
• Ensures that wheels are locked when transferring patient to and from stretcher and OR table.
• Safely positions patient on the OR table using safety strap and positioning aids.
• Applies return electrode to clean, dry, shaven (if necessary) muscular area and checks and documents condition post-op.
• Knowledgeable in the use and troubleshooting of equipment.
• Maintains DVT prophylaxis with use of SCDs.
• Accurately observes and monitors the environment of care closely.                          
• Aware of potential risks in the environment and reports to appropriate personnel.
• Communicates equipment malfunctions and reports to appropriate personnel.
• Performs competently in emergency situations.
• Remains calm in emergency situations.
• Can utilize emergency equipment appropriately.
• Stays up to date on current practices.
• Maintains preference cards and accurately keys patient charges.
•  Reviews charge sheet during cases for supplies opened.
•  Makes necessary changes to preference cards as needed.
• Charges for appropriate number of items as needed.
• Verifies that supplies brought in by outside vendor have been pre-approved.
• Maintains supplies and orders those that are necessary.
• Takes initiative in preparing for new surgeon.
• Rotates stock and checks for expiration dates.
• Communicates surgeon’s request for a special supply or instrument.
• Communicates in advance supplies needed for scheduled cases.
• Participates in hospital wide inventory.
• Self-directed in completing assignments.
• Participates in reprocessing program.
• Assists with orientation of new staff.
• Other duties as assigned.

Charge Nurse Duties

Supervises the daily operation of the OR by:

• Coordinates staff and/or room assignments of procedures for the optimal use of equipment, space, and staff.
• Assures that needed equipment and supplies are available for all procedures.
• Ensures procedures begin in timely manner.
• Communicates with surgeons, anesthesia and, staff to assure consistent operational flow.
• Coordinates breaks and lunches for all operating room staff.
• Assists staff to expedite quick turnovers.
• Observes use and handling of supplies to decrease mishandling and breakage.  Assures all equipment and supplies are put away.
• Supports vender policy and observer policy.
• Keeps Director abreast of all operational and/or occurrences within the department and participates with problem solving.
• Assists with orientation and performance evaluations of staff.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy on “Attire in the Operating Room”.
• Completes annual education requirements.        
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.     
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.    
• Attends annual review and department in-services, as scheduled. 
• Attends monthly staff meetings or reads staff meeting minutes.           
• Represents the organization in a positive and professional manner.         
  
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.      
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care. 

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited school of nursing.
• Current state Registered Nurse licensure in state of Louisiana.

Current BLS certification

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 100 pounds. 

Summary

Assists with the delivery of care to patients. Works with patient care team to ensure the efficient flow of patients throughout their visit, providing support to them as well as to the supervising physician.

Essential Duties and Responsibilities

• Taking notes during patient visits and documenting them in the electronic health records system.
• Learning about the medical process and using a team approach with patient documentation.
• Working with a Physician to complete medical records.
• Communicating with patients and Physicians professionally.
• Handling all patient calls, refill request, all clinic duties with in timely matter.
• Helping electronically prescribe medication for patients.
• Coordinates physicians procedure schedule by scheduling cases appropriately based on surgeon, case length, and day of week.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to dress code policy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review, department in-services, staff meetings and/or reviews all monthly staff meeting minutes per HealthStream.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation.  Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school graduate or equivalent
• Current BLS certification
• Minimum of six (6) months to one (1) year of related work experience.
• Pain management experience required.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds. 

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise. CRNA's will administer anesthesia in four general categories: (1) pre-anesthetic preperation and evaluation (2) anesthesia induction, maintainance and emergence, (3) post-anesthesic care and (4) perianesthetic and clinical support functions.

POSITION DUTIES:

The CRNA will: administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies: administer anesthesia and anesthesia-related care in four general categories: (1) pre-anesthetic preparation and evaluation (2) anesthesia induction, maintenance and emergence (3) post-anesthesia care and (4) peri-anesthetic and clinical support functions which may include: general, MAC, regional, or local anesthesia. Selecting, obtaining and administering the anesthetic, adjuvant drugs and fluid necessary to manage the anesthetic, to maintain the patient's physiologic homoestasis and to correct abnormal responses to the anesthesia or surgery. Selecting, applying and inserting appropriate non-invasive and invasive monitioring modalities for collecting and interpreting patient physiological data. Managing a patient's airway and pulmonary status using endotracheal intubation, mechnaical ventilation, pharmacological support, respiratory therapy or extubation.   Releasing or discharging patients from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care related to anesthesia side effects or complications. Ordering, initiating or modifying pain relief therapy, through the utilization of drugs, regional anesthetic techniques, or other accepted pain relief modalities, including epidural analgesia. Responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques. Provide clinical support services outside of the operating room, including but not limited to radiology, endoscopy, emergency department, invasive labs.

Upon request or referral for these services, the CRNA will provide consultation and implementation of respiratory and ventilatory care, identify and manage emergency situations, including the initiation or participation in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic, cardiopulmonary support, management of blood, fluid, electrolyte and acid-base balance.

Additional nurse anesthesia responsibilities which are within the expertise of the individual CRNA, as authorized by Medical Staff and stated in the policy and procedure manuals.

Non-clinical responsibilities as applicable:

Clinical and didactic teaching, supervision and evaluation of students; interdepartmental liaison, member of departmental committees; research participant. Maintains a positive demeanor, proactively helpful to patients, physicians and staff; remains flexible and alters/accepts various tasks and assignments as they arise, per the Director’s requests or designee.

JOB SPECIFICATIONS:

Education:      

Required:

Holds a current state license as a registered nurse in the state of Louisiana and complies with any applicable state statutory and/or regulatory requirements concerning the advanced practice of nursing. Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) or its predecessor.

License/Certification:

Required:

Possess certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors; if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program. Current BLS, PALS and ACLS certifications, as applicable.

Skills:

Demonstrates knowledge of principles of anesthesia practices. Must be able to operate all anesthesia equipment and to recognize equipment malfunction.  Must be able to read written directions and to write legibly.  Must be able to communicate effectively with students, residents, physicians, patients, visitors and hospital staff.

Physical Demands:     

Heavy physical requirements: exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. 

Responsible for monitoring the procedures in operating rooms during surgery. During operations and other surgical procedures, the circulator assists by acting as an intermediary between the operating room staff and the rest of the hospital.

Essential Duties and Responsibilities

Performs the surgical preparation on the patients.

• Checks patient identification and date of birth by armband and verbally.
• Checks NPO status.
• Verifies procedure.
• Checks for patient allergies.
• Gathers appropriate supplies and equipment.
• Performs the prep in an aseptic technique.
• Performs Time Out.

Makes an initial assessment of and determines the nursing needs of the patient assigned to their care.

• Assesses patient’s physical and mental status.
• Reviews patient’s medical and surgical history.
• Explains nursing procedures and actions taken to help reduce anxiety.
• Notifies surgeon and/or anesthesiologist of any pertinent physical or emotional findings. 

Checks the patient’s medical record for completeness.

• Checks that consents are accurate with signature, date, and time.
• Verifies history & physical within 30 days: Update completed with signature, date, and time.
• Reviews Hand Off form prior to transporting patient to OR.
• Documents accurately on OR record and Implant record.
• Assists surgeon with documentation in Electronic Medical Record.
• Accurately completes Care Plan tailored to meet the patient’s needs.

Facilitates a prompt turnover of the operating room.

• Checks OR board for assignment.
• Assists other staff members with the cleaning of the operating room.
• Maintains organized work area.
• Uses foresight to prepare for upcoming assignment.
• Secures appropriate supplies and equipment for the next assigned case.
• Opens up supplies with surgical tech.

Ensures safety and comfort of patients.

• Keep side rails up when transporting patient to and from OR.
• Provides warm blankets.
• Ensures that wheels are locked when transferring patient to and from stretcher and OR table.
• Safely positions patient on the OR table using safety strap and positioning aids.
• Applies return electrode to clean, dry, shaven (if necessary) muscular area and checks and documents condition post-op.
• Knowledgeable in the use and troubleshooting of equipment.
• Maintains DVT prophylaxis with use of SCDs.

Accurately observes and monitors the environment of care closely.

• Aware of potential risks in the environment and reports to appropriate personnel.
• Communicates equipment malfunctions and reports to appropriate personnel.

Performs competently in emergency situations.

• Remains calm in emergency situations.
• Can utilize emergency equipment appropriately.
• Stays up to date on current practices.

Maintains preference cards and accurately keys patient charges.

• Reviews charge sheet during cases for supplies opened.
• Makes necessary changes to preference cards as needed.
• Charges for appropriate number of items as needed.
• Verifies that supplies brought in by outside vendor have been pre-approved.

Maintains supplies and orders those that are necessary.

• Takes initiative in preparing for new surgeon.
• Rotates stock and checks for expiration dates.
• Communicates surgeon’s request for a special supply or instrument.
• Communicates in advance supplies needed for scheduled cases.
• Participates in hospital wide inventory.
• Self-directed in completing assignments.
• Participates in reprocessing program.
• Assists with orientation of new staff
  
• Other duties as assigned

Charge Nurse Duties

Supervises the daily operation of the OR by:

• Coordinates staff and/or room assignments of procedures for the optimal use of equipment, space, and staff.
• Assures that needed equipment and supplies are available for all procedures.
• Ensures procedures begin in timely manner.
• Communicates with surgeons, anesthesia and, staff to assure consistent operational flow.
• Coordinates breaks and lunches for all operating room staff.
• Assists staff to expedite quick turnovers.
• Observes use and handling of supplies to decrease mishandling and breakage. Assures all equipment and supplies are put away.
• Supports vender policy and observer policy.
• Keeps Director abreast of all operational and/or occurrences within the department and participates with problem solving.
• Assists with orientation and performance evaluations of staff.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policy on “Attire in the Operating Room”.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends monthly staff meetings or reads staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• OR experience preferred. 

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (4) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Regulatory Requirements

• Graduate of an accredited school of nursing.
• Current state Registered Nurse licensure in state of Louisiana
• Current BLS certification

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 100 pounds.

Provides direct patient care to all patient populations.  Addresses the psychosocial, physical and general aspects of care related to the surgical environment.  Assists with the maintenance of PACU equipment and inventory.  Participates in performance improvement activities.  Responsible for monitoring patient’s physiological status in the immediate postoperative environment.  Communicates with surgeon and anesthesiologist continuously, and as needed, about patient conditions; receives direction for patient management. Intercedes to maintain optimum homeostasis. Is able to respond quickly and accurately to changes in condition or response to treatment.  May be required to perform in the charge nurse role.

Essential Duties and Responsibilities

• Able to perform a head-to-toe assessment on all patient populations and reassessments per facility policy. Provides care appropriate to disease condition and age of the patient.
• Demonstrates knowledge of perioperative factors that alter immediate postoperative phase.      
• Identifies physical symptoms and changes and takes appropriate action in a timely manner.         
• Demonstrates knowledge of airway management and procedures and the ability to use the equipment.
• Demonstrates ability to assess cardio-respiratory systems for changes and provides appropriate treatment.
• Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
• Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management. 
• Demonstrates an ability to assist physicians with procedures. Carries out medical/surgical asepsis during treatments and special procedures.
• Knowledge of medications and their correct administration based on age of patient and clinical condition. Follows the five medication rights and reduces the potential for medication errors.
• Carries out safety measures to prevent patient from harming him/herself or others.
• Assesses level of consciousness and promotes activity. Encourages turn, cough, and deep breathe by exercises and position changes.
• Demonstrates knowledge of anesthetic drugs, actions and side effects.  
• Demonstrates knowledge of arterial lines, spinal and epidural catheters and documents pertinent clinical information per policy.  Has knowledge of emergency medications.
• Demonstrates knowledge of peripheral nerve block procedures and catheters; able to document pertinent clinical information per policy.
• Ability to formulate an individualized plan of care. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan for effectiveness.  Formulates a teaching plan with patient and family based upon identified learning needs and evaluates effectiveness of learning.  Interacts professionally with patient/family. 
• Responds appropriately to patient in an emergency or per ACLS or PALS protocol.
• Communicates effectively and thoroughly the patient’s condition upon transfer from PACU to the receiving unit Registered Nurse.
• Establishes and maintains effective communication and good working relationships with co-workers and health care team members for the patient’s benefit.  Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs. 
• Orients new staff as needed.
• Maintains regulatory agency requirements, hospital and nursing policies, procedures and standards. 
• Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, and treats appropriately based upon facility protocol.  
• Able to perform 12 lead EKG as indicated.
• Able to perform waived testing (point-of-care testing) or moderate complexity testing per clinical laboratory guidelines and unit policy and procedure. Able to interpret results of laboratory tests and take appropriate action on test results.  Notifies physician of any abnormal lab/test results. 
• Completes specially assigned duties consistently and as schedule allows.
• Documentation meets current standards and policies. 
• Manages and operates equipment safely and correctly. 
• Treats patients and their families with respect and dignity.  Identifies and addresses psychological, cultural, ethnic and religious/spiritual needs of patients and their families.  Functions as a liaison between patients, their families and other departments and other healthcare providers. 
• Utilizes initiative; strives to maintain steady level of productivity; self-motivated. Organizes and manages activities reflecting due consideration for the needs of the department and staff.

Charge Nurse Responsibilities:

• Makes daily patient assignments, monitors the daily surgery schedule and daily unit progress, reports changes to involved departments.
• Supports/oversees unit staff and monitors staffing efficiency.  Monitors late and on call schedule.  Staff's unit according to nursing standards.  Supervises staff to ensure quality of nursing care, delegates’ specific duties and tasks.  Monitors daily time sheets.
• Provides and controls supplies, and equipment needed for successful operation of the department.  Directs and delegates control of inventories to ensure proper amounts available.
• Supervises care and cleanliness of equipment and supplies to ensure good working conditions.
• Effectively communicates pertinent issues to OR Director.
• Provides orientation to new staff members.  Assists in the evaluation process.
• Promotes the hospital’s mission, values, and goals.
• Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date.
• Knowledgeable of lab procedures and lab equipment.
• Participates in QA/PI activities, communicates results to staff.
• Completes other duties as assigned by Director. 
• Communicates with OR Director regarding issues, conflicts, or operational occurrences in the department and participates with problem solving.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards; adheres to policy dress code policy.
• Completes annual education requirements.
• Maintains regulatory requirements.       
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Attends annual review and department in-services, as scheduled.            
• Attends monthly staff meetings or reads staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• Critical Care/PACU experience preferred. 

Advanced Orthopedic and Spine Certification Requirements

(CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service.

Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to:

• Orientation of Advanced Orthopedic and Spine Certification
• In compliance with the Program education requirements
• Completed department specific competencies

Preferred 

• Critical care, PACU, or ER experience preferred. 

Regulatory Requirements

• Graduate of an accredited school of nursing
• Current state Registered Nurse licensure in the state of Louisiana
• Current BLS, ACLS, and PALS certification

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds. 

Responsibilities:

• All Medical Front Office functions
• Patient relations
• Appointment scheduling
• Telephone duties
• Patient registration
• Insurance verification

Duties include, but are not limited to:

• Posting co-pays
• Daily practice balancing
• EMR scanning
• Faxing and uploading patient documents
  
• Code of Practice Conduct
• Maintaining Referral Source
• Team Building
• Medical Terminology a must
• Travel between locations include, Covington, Slidell, Hammond and Metairie

Requirements: 1 year experience required

The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise. CRNA's will administer anesthesia in four general categories: (1) pre-anesthetic preperation and evaluation (2) anesthesia induction, maintainance and emergence, (3) post-anesthesic care and (4) perianesthetic and clinical support functions.

POSITION DUTIES:

The CRNA will: administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies: administer anesthesia and anesthesia-related care in four general categories: (1) pre-anesthetic preparation and evaluation (2) anesthesia induction, maintenance and emergence (3) post-anesthesia care and (4) peri-anesthetic and clinical support functions which may include: general, MAC, regional, or local anesthesia. Selecting, obtaining and administering the anesthetic, adjuvant drugs and fluid necessary to manage the anesthetic, to maintain the patient's physiologic homoestasis and to correct abnormal responses to the anesthesia or surgery. Selecting, applying and inserting appropriate non-invasive and invasive monitioring modalities for collecting and interpreting patient physiological data. Managing a patient's airway and pulmonary status using endotracheal intubation, mechnaical ventilation, pharmacological support, respiratory therapy or extubation.   Releasing or discharging patients from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care related to anesthesia side effects or complications. Ordering, initiating or modifying pain relief therapy, through the utilization of drugs, regional anesthetic techniques, or other accepted pain relief modalities, including epidural analgesia. Responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques. Provide clinical support services outside of the operating room, including but not limited to radiology, endoscopy, emergency department, invasive labs.

Upon request or referral for these services, the CRNA will provide consultation and implementation of respiratory and ventilatory care, identify and manage emergency situations, including the initiation or participation in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic, cardiopulmonary support, management of blood, fluid, electrolyte and acid-base balance.

Additional nurse anesthesia responsibilities which are within the expertise of the individual CRNA, as authorized by Medical Staff and stated in the policy and procedure manuals.

Non-clinical responsibilities as applicable:

Clinical and didactic teaching, supervision and evaluation of students; interdepartmental liaison, member of departmental committees; research participant. Maintains a positive demeanor, proactively helpful to patients, physicians and staff; remains flexible and alters/accepts various tasks and assignments as they arise, per the Director’s requests or designee.

JOB SPECIFICATIONS:

Education:      

Required:

Holds a current state license as a registered nurse in the state of Louisiana and complies with any applicable state statutory and/or regulatory requirements concerning the advanced practice of nursing. Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) or its predecessor.

License/Certification:

Required:

Possess certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors; if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program. Current BLS, PALS and ACLS certifications, as applicable.

Skills:

Demonstrates knowledge of principles of anesthesia practices. Must be able to operate all anesthesia equipment and to recognize equipment malfunction.  Must be able to read written directions and to write legibly.  Must be able to communicate effectively with students, residents, physicians, patients, visitors and hospital staff.

Physical Demands:     

Heavy physical requirements: exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects.