Lexington Regional Health Center

Title: Admission PBX Clerk

Supervisor: Business Office Supervisor

Department: Business Office

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Registers patients and enters their information into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
2. Ensures patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
3. Establishes payment plans with patients in accordance with hospital policies and procedures.
4. Assists patients in completion of financial assistance applications.
5. Transfers and dismisses patients appropriately.
6. Reviews and verifies incomplete Medicare Secondary Payer (MSP) forms daily and follows-up with appropriate register clerks.
7. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
8. Answers patients’ inquiries regarding their accounts. Helps patients combine their accounts and set up payment arrangements.
9. Processes cash, check, or credit card payments in person and over the phone.
10. Registers patients and enters their information into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.
11. Ensures patient’s consent is signed, message from Medicare is documented (if applicable), Medicare Questionnaire is completed (if applicable), and the patient receives a copy of the Patient Bill of Rights, Payment Policies and HIPAA Privacy (Health Insurance Portability and Accountability).
12. Establishes payment plans with patients in accordance with hospital policies and procedures.
13. Assists patients in completion of financial assistance applications.
14. Transfers and dismisses patients appropriately.
15. Reviews and verifies incomplete Medicare Secondary Payer (MSP) forms daily and follows-up with appropriate register clerks.
16. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
17. Answers patients’ inquiries regarding their accounts. Helps patients combine their accounts and set up payment arrangements.
18. Processes cash, check, or credit card payments in person and over the phone.
19. Ensure patients and visitors follow current infection control guidelines.
20. Responsible for ensuring the environment meets appropriate governing body standards.
21. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
22. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
23. Regular attendance at the assigned work location is required.
24. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to read and write, basic accounting and computer knowledge as is typically acquired through the completion of a high school diploma or equivalent.
2. Individual must be 19 years of age in order to sign legal documents.
3. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations, keep up on federal and state rules and regulations, provide excellent customer services and use standard office equipment as is typically acquired through one year of work experience.
4. Basic Life Support certification via American Heart Association required within six months of hire.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
7. Ability to complete reports and correspondence at a professional level.
8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
9. Ability to effectively communicate with individuals from diverse backgrounds.
10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
11. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
2. Spends significant amounts of time at a desk both writing and on a computer, up to 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Certified Medical Assistant

Effective Date: October 24, 2021

Supervisor: Chief Nursing Officer

Department: Family Medicine Specialists

FLSA Status: Non-exempt

Principle duties and responsibilities

1. Under the direction of a licensed provider, takes responsibility of duties related to patient care in the ambulatory clinical environment.

2. Communicates with the healthcare team.

3. Demonstrates competency in all skills areas related to patient care. Organizes patient care activities based on assessment findings. Reports findings to provider.

4. Prepares the room for the patient, takes the patient’s history and performs a full set of vital signs on the patient.

5. Assists the provider in procedures and respects aseptic technique and infection control.

6. Draws and delivers immunizations following current CDC recommendations.

7. Assists in efficient flow of traffic and ensures a safe environment for the patient and visitor.

8. Demonstrates problem solving skills as they relate to patient care activities and provides guidance and acts as a role model for the healthcare team.

9. Obtains and manages specimens including labeling, obtaining order and transport.

10. Provides appropriate patient education and community resources as directed.

11. Confirms and clarifies written and verbal orders prior to implementation.

12. Identifies self learning needs related to job description and seeks out appropriate resources to meet learning needs.

13. Participates in staff meetings by providing constructive input and facilitating problem solving.

14. Identifies opportunities for performance improvement and provides input for the development of solutions.

15. Performs related and delegated tasks, which includes requests for prescription refills, taking and relaying messages, directing patient flow and running errands.

16. Ensures that soiled linen, needle containers and potentially infectious waste are appropriately disposed and removed from the clinic and exam area according to the infection control guidelines.

17. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)

18. Responsible for safe bagging and disposal of biohazardous waste.

19. Responsible for proper collection, storage and labeling of biological specimens.

20. Responsible for ensuring the environment meets appropriate governing body standards.

21. Ensure patients and visitors follow current infection control guidelines.

22. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).

23. Regular attendance at the assigned work location is required.

24. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge and understanding of patient care and practice. Knowledge of the growth and development of a variety of patients in order to meet the health care needs of the neonate, pediatric, adult and geriatric patient. Knowledge of reading, spelling, grammar, writing, math and computer operation as is typically acquired through the completion of an accredited Medical Assistant training program and high school diploma or equivalent.

2. Current Certification as a Medical Assistant by an approved national examination agency.

3. Current Basic Life Support certification via American Heart Association required.

4. Ability to maintain strict confidentiality with regard to protected and sensitive information.

5. Ability to complete reports and correspondence at a professional level.

6. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.

7. Ability to effectively communicate with individuals from diverse backgrounds.

8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature etc.

2. Spends up to 60% of day completing desk work in the office and the other 40% spent completing patient care related work. Required to assist with patient transfers, lifting up to 35 pounds for a stand pivot transfer 1-2 times per week. Helps transport patients via wheelchair to radiology or lab within the hospital; wheelchair requires up to 21 pounds of horizontal force up incline outside for a distance of 25 feet and 13 pounds of horizontal force on flat surfaces within hospital and FMS up to 200 feet in distance 3-4 times per day. Required to assist with patient care to take vitals and help handle babies of various weights, amongst various other upper extremity gross motor functions related to patient care, spending up to 5 minutes completing tasks per patient, with up to 20 patients a day. Required to help assist in the event of emergency situations, including performing CPR, which may require getting onto floor to assist.

3. Helps transport patients via wheelchair to within the hospital, from Family Medicine Specialists to Laboratory, Radiology, or onto the inpatient floor with room 28 the furthest room to push. Worker will transport a patient via wheelchair up to 820 total feet through the mound, requiring 40 horizontal force pounds to push. There is an incline from the mound to the hospital to be aware of when pushing the wheelchair.

4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.

5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Clinical Information System Analyst

Effective Date: August 16, 2024

Supervisor: Chief Information Officer, Chief Information Security Officer

Department: Information Technology

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Serves as the organization’s Subject Matter Expert for the hospital’s Electronic Health Record system.
2. Assists in training new users on the hospital’s Electronic Health Record system.
3. Recommends improvements to workflows and processes in the hospital’s Electronic Health Record system.
4. Sets up/removes Electronic Health Record user accounts for hospital and remote users.
5. Set ups/removes Active Directory user access for hospital users.
6. Sets up/removes badge security access for users.
7. Troubleshoots and helps to resolve hardware and software issues as reported by the hospital staff.
8. Tracks, updates and records Information Technology inventory.
9. Sets up and configures new computers.
10. Installs application software as directed.
11. Runs and supplies monthly reports from systems as requested.
12. Monitors Electronic Health Record communications, updates superusers of upcoming updates/upgrades and supplies educational materials if applicable.
13. In conjunction with the Administration, develops disaster downtime plans for hospital’s Information System.
14. Enters restricted access areas, without supervision, to perform assigned work.
15. Ensure patients and visitors follow current infection control guidelines.
16. Serves on committees as assigned.
17. Responsible for ensuring the environment meets appropriate governing body standards.
18. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
19. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
20. Regular attendance at the assigned work location is required.
21. Performs all other duties as assigned.

Minimum knowledge, skills and abilities

1. Basic to intermediate level of computer skills as is typically acquired through the completion of a high school diploma or equivalent.
2. Experience with Active Directory preferred.
3. Ability to learn and become knowledgeable in hospital’s Electronic Health Record system.
4. Ability to multi-task and prioritize assignments.
5. Ability to work collaboratively and independently on assigned duties.
6. Ability to maintain strict confidentiality with regard to protected and sensitive information.
7. Ability to complete reports and correspondence at a professional level.
8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
9. Ability to effectively communicate with individuals from diverse backgrounds.
10. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working Conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust,

temperature, etc.

2. Spends up to 60% of shift seated to complete various tasks, such as networking or desk

related work. The other 40% of shift is spent wiring new areas, distributing new equipment,

and ambulating around facility to work on equipment or trouble shoot problems. Employee

will run wire around facility, which will require reaching overhead while on a ladder to

access the ceiling and crawling up to 50 feet in the crawlspace. Box of wire/cable weighs 35

pounds and will need be transported up to 500 feet to specific areas to begin running the

wire. Servers weighing 41 pounds are installed onto racks from 3 inches to 74 inches high.

20 pound switches are transported throughout hospital to appropriate IT rooms. 61 pound

battery is transported on a cart 500 feet in distance requiring 15 pounds of horizontal force.

Battery is to be lifted off cart to floor level for installation of battery, which may take 2

persons to assist. Phones and other equipment weighing 3-5 pounds are placed on shelves

up to 85 inches high or more if needed, using a step stool to access these heights. Printers

are required to be changed out and transported back to IT department on wheeled carts.

Management responsibilities

1. None

The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. In no way does this job description, implied or otherwise.

Lexington Regional Health Center

Title: Nursing Assistant

Effective Date: August 7, 2020

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle Duties and Responsibilities

1. Participates in general patient care providing ADLS, vital sign monitoring as ordered by provider, and other duties as delegated by licensed nursing staff.
2. Communicates with nurses in regard to patients’ needs and assigned duties within their scope of practice.
3. Maintains medical record documentation. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms.
4. Ensures patient care areas are adequately stocked with supplies.
5. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
6. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
7. Participates in shared governance committee.
8. Communicates with multidisciplinary team to ensure patient centered holistic care.
9. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
10. Responsible for safe bagging and disposal of biohazardous waste.
11. Responsible for proper collection, storage and labeling of biological specimens.
12. Responsible for ensuring the patient care environment meets appropriate governing body standards.
13. Ensure patients and visitors follow current infection control guidelines.
14. Regular attendance at the assigned work location is required.
15. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to read, write and use basic computer and office equipment skills to carry out duties as assigned as is typically acquired through the completion of 10th grade in high school or individual turning 16 years old.
2. Basic Life Support certification via American Heart Association required within six months of hire.
3. Ability to maintain strict confidentiality with regard to protected and sensitive information.
4. Ability to complete reports and correspondence at a professional level.
5. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
6. Ability to effectively communicate with individuals from diverse backgrounds.
7. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. May spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent sitting for appropriate work completion. Transferring patients frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers or if transferring above the 35 pounds. 17 pound commodes are carried to patient specific rooms up to 200 feet. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Hospital beds require 60 horizontal force pounds to move bed 2 feet or to initiate movement and require 40 horizontal force pounds up to 200 feet to transport patient from room to room, many times completing with 2 person assist. Getting onto floor or crawling may be required to assist in cleaning up messes made in patient rooms.
2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Community Health Worker

Effective Date: October 24, 2021

Supervisor: Director of Social Services

Department: Social Services

FLSA Status: Non-exempt

Principle duties and responsibilities

1. Serves as a liaison between the hospital and the community to facilitate access to quality services by education and promotion of services.
2. Manages medical interpreters and performs the duties of a medical interpreter as needed.
3. Provides community education (e.g. assists with classes such as diabetes and obesity in children, promotes good mental health with chronic diseases, etc.).
4. Serves as a resource and interprets for patients in a formal counseling session related to mental health; assists patients with scheduling such appointments.
5. Provides social support (e.g. works with local churches and agencies to supply necessary resources for patients and families).
6. Provides patient advocacy by speaking up for the individuals and families; helps families learn to advocate for themselves. Gives patient the power to speak up, promotes other cultures’ diversity.
7. Translates text relating to hospital services into the appropriate language.
8. Interprets/translates language at hospital and community meetings pertaining to the hospital as necessary.
9. Translates patient material and informational brochures issued by the hospital into other languages.
10. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
11. Responsible for ensuring the environment meets appropriate governing body standards.
12. Responsible for proper collection, storage and labeling of biological specimens.
13. Ensure patients and visitors follow current infection control guidelines.
14. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
15. Regular attendance at the assigned work location is required.
16. Performs all other duties as assigned.

Minimum knowledge, skills and abilities

1. A strong knowledge of reading, spelling, English and writing skills, and computer skills are necessary as is typically acquired through the completion of a high school diploma or equivalent.
2. Must complete a Certified Community Health Worker Program provided by the Department of Health and Human Services within one year of initial hire date.
3. Must attend an annual interpreter training provided by the Office of Health Disparities and Health Equity.
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to complete reports and correspondence at a professional level.
6. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
7. Ability to effectively communicate with individuals from diverse backgrounds.
8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Spends up to 50% of day seated to complete various paper/computer work. The rest of shift is spent ambulating and moving around facility to assist with interpreting services. Required to ambulate 700 feet at one time to assist various departments in facility. Required to reach heights from 10 inches to 59 inches high to access storage requiring lifting up to 6 pounds. May carry laptop to meetings requiring carrying up to 5 pounds (if in computer bag) and 700 feet distance.
2. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
3. Sitting, walking, or standing for up to 90% of work time when facilitating effective communication. Subject to infections/communicable disease situations and approximate to chemical, medication, blood and body fluids up to 5%of the work day.
4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. Medical interpreters

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Dietary Helper

Effective Date: July 6, 2020

Supervisor: Dietary Manager

Department: Dietary

FLSA: Non-exempt

Principle duties and responsibilities

1. Follows Hazard Analysis and Critical Control Point Sanitation and safety procedures.
2. Washes and sanitizes soiled dishes and puts them away.
3. Arranges tray cards, sets up patients’ and guests’ trays and delivers trays.
4. Loads food carts for patients and meetings and serves meals to Shackley Retirement Village and other areas as needed.
5. Helps the Dietary Cook with meal preparation.
6. Stocks nurses’ station and providers’ lounge with snacks, beverages and supplies on a daily basis.
7. Sweeps and mops the floors in the dietary department; cleans and maintains the dishwasher area and dining room.
8. Receives and stocks food and supplies on delivery days.
9. Monitors and records temperature levels in the dishwasher.
10. Follows weekly cleaning schedule and performs cleaning duties as scheduled.
11. Ensure patients and visitors follow current infection control guidelines.
12. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens.
13. Responsible for ensuring the environment meets appropriate governing body standards.
14. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
15. Regular attendance at the assigned work location is required.
16. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to speak, write and understand English, and a basic knowledge of math as is typically acquired through the completion of a high school diploma or equivalent.
2. Basic Life Support certification via American Heart Association required within six months of hire.
3. Ability to learn the basics of therapeutic diets for various ages (pediatric/adolescent, adult, and geriatric patients).
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to complete reports and correspondence at a professional level.
6. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
7. Ability to effectively communicate with individuals from diverse backgrounds.
8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in well lighted and ventilated area. May be exposed to heat and/or cold temperatures in the kitchen and storage areas for up to 40% of working time.
2. Spends up to 90% of day standing and moving around to perform work duties. Required to stock shelves, prepare food, distribute food in the dining area and to hospital floor, and perform cleaning duties such as taking out trash. Pantry shelves range from 9 inches from floor to 74 inches high. Dietary receives 2 deliveries per week, including 7-pound cans of food with 24 cans per delivery, 9-pound jar of pickles, 13-pound tub of jelly, 10-pound 12 pack of soda, and a 50-pound box of potatoes that are dumped into a plastic tub 22 inches high. A 25-pound bag of flour is to be stocked onto shelves once per month and a 50-pound bag of sugar is stocked once per 3 months. A 38-pound case of water is stocked onto shelves 1-2 times per week. In the cooler and freezer, shelves range from 9 inches to 75 inches in height, stocking a variety of foods such as: 8-pound box of chicken onto the 75 inch shelf, a 38-pound box of biscuits, and a 42-pound box of oranges, among other foodstuffs of lighter weights. During food preparation, worker is required to transport pans/pots full of food, such as transporting up to 40 pounds of a beef tender, to be transported 10-15 feet and put into ovens or on stovetops. Required to carry food utensils such as glassware weighing 20 pounds to within the kitchen and dining area. To transport food to hospital patients, a food cart is utilized that requires 40 horizontal force pounds for maneuvering cart. This cart is large and is difficult to steer, requiring 2 person assist to manage moving cart for distribution of food. Responsible for taking out trash, which is transported via wheeled trash cans to the dumpster; trash bags may weigh up to 50 pounds and are discarded from cans into dumpster.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and levels of work being performed by employees assigned to this job title. They are not to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Director of Health Information Management

Supervisor: Chief Financial Officer

Department: Health Information Management

FLSA Status: Exempt

Principle duties and responsibilities

1. Coordinate reimbursement functions and activities with Financial Services. Review unbilled charts and route charts to appropriate coders. Follow-up on outliers preventing the coding of a chart. Interact with multiple departments within the organization and other facilities. Work closely with billing to ensure proper reimbursement, and time follow-up on denied encounters.
2. Assign appropriate diagnostic and procedure codes to patient records.
3. Review medical records for completeness and medical necessity. This includes ensuring all necessary documentation is completed and all required fields have been signed. Electronic deficiencies are applied when necessary.
4. Exercise responsibility for HIPAA Compliance Plan related to the Privacy Standards and serve as the designated officer to receive complaints, conduct investigations, and educate workforce on such standards.
5. Respond to subpoenas and court orders for copies of protected health information in accordance with HIPAA privacy regulations. This includes the ability to analyze authorizations for HIPAA compliance and a working knowledge of what medium to release records on.
6. Submit weekly and monthly reports to various organizations in accordance with state and federal regulations.
7. Prepare, coordinate and attend the monthly Medical Staff meeting and record meeting minutes.
8. Serve on various committees as assigned.
9. Develop an annual budget for the Health Information Management Department and ensure that budgetary expectations are met.
10. Review and update, as needed, the Health Information Management and HIPAA Privacy policies and procedures to ensure legal compliance and the effective operation of Lexington Regional Health Center, and communicate updates to employees.
11. Assume role and responsibility of Assistant Director of Health Information Management, coders and clerks.
12. Ensure patients and visitors follow current infection control guidelines.
13. Responsible for ensuring the environment meets appropriate governing body standards.
14. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
15. Work in collaboration with the Director of Financial Services and Chief Financial Officer.
16. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
17. Regular attendance at the assigned work location is required.
18. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations. Ability to use standard office equipment and computer software proficiently. This is typically acquired through the completion of an Associate Degree with credentials of RHIA or RHITT to ensure a working knowledge of the parts of a medical record and the rules and regulations imposed on the health information management field of health care.
2. Basic Life Support certification via American Heart Association required within six months of hire.
3. Five years experience in the health information management field required.
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to complete reports and correspondence at a professional level.
6. Ability to solve problems independently and confidently by applying analytical and logical thinking.
7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
8. Ability to effectively communicate with individuals from diverse backgrounds.
9. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
10. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Subject to frequent interruptions.
3. Requires auditory ability sufficient to hear the telephone with typical hearing-impaired enhancements and to hear normal conversations typical in an office setting.
4. Requires vision sufficient enough to read a computer screen with typical vision-impaired enhancements and to read entries made into the medical record.
5. Requires significant time at a desk both writing and on a computer, up to 90% of work time. Requires fine motor coordination 70% of work time. Workers are required to transport up to 8 pound stacks of paper to be placed on various shelf heights, from 13 inches from floor, up to 73 inches from floor 5% of work time. Workers are required to remove a shred paper bag from its enclosure, which weighs up to 90 pounds, and requires 2 people to remove and transport the bag 15 feet; this is completed approximately 1 time per month.

Management responsibilities

1. Responsible for the Health Information Management Assistant Director, medical coders and clerks.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties, and skills required.

Lexington Regional Health Center

Title: Environmental Services Assistant

Supervisor: Environmental Services Supervisor

Effective Date: September 9, 2020

Department: Environmental Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Completes laundry and housekeeping duties via daily checklists for facility and other duties as assigned; disinfects as needed to help achieve high patient, visitor and employee satisfaction.
2. Answers phone calls and overhead pages immediately to respond to patient and employee requests.
3. Washes and sorts laundry with and without chemical usage as necessary and labels accordingly. Delivers laundry to patients as requested.
4. Cleans patient rooms upon dismissal to ensure the room is ready for the next patient.
5. Communicates patient and employee complaints from other departments. Informs Environmental Services Supervisor of complaints related to Environmental Services received from patients or employees.
6. Stocks departments with appropriate cleaning chemicals as needed.
7. Cleans the Operating Room daily in accordance with the “Total Cleaning Checklist”.
8. Restocks linen closets throughout the facility as necessary.
9. Monitors chemical outdates and disposes outdated chemicals appropriately; ensures all chemical products are labeled correctly.
10. Orders department supplies as needed.
11. In conjunction with supervisor, counts inventory periodically.
12. Responsible for ensuring the environment meets appropriate governing body standards.
13. Responsible for completion of duties in post-patient care situations that could include blood exposure and risk to bloodborne pathogens (eg: traumas, obstetrics, surgical procedures, handling of blood-contaminated specimens, etc.)
14. Responsible for safe bagging, disposal and packaging of biohazardous waste.
15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
16. Regular attendance at the assigned work location is required.
17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Requires basic ability to use the computer to carry out various duties. The ability to read and write proficiently in English is necessary. This is typically acquired through completion of a high school diploma or equivalent.
2. Basic Life Support certification via American Heart Association required within six months of hire.
3. Ability to communicate and work with all departments in the hospital (e.g. communicating with co-workers, following directions, exchanging information amongst departments, comforting patients and families, etc.).
4. Analytical skills and attention to detail when reading directions and mixing chemicals, counting inventory, ordering supplies, etc.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
6. Ability to complete reports and correspondence at a professional level.
7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies. Communicates any complaints or issues as needed to the Environmental Services Supervisor and/or Executive Director of Ancillary Services to address.
8. Ability to effectively communicate with individuals from diverse backgrounds.
9. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Workers in this area are required to complete both laundry and housekeeping duties.
2. Housekeeping requires transferring a cleaning cart down hallways up to 600 feet in total distance within the hospital. Trash is required to be taken out regularly when bags are full, weighing up to 25 pounds, carrying up to 500 feet to trash bins outside, down 8 steps. A mop bucket is also pushed around to use mop in appropriate areas and rooms, requiring upper extremity gross motor function for mopping. A vacuum is utilized and is stored on end of housekeeping cart; vacuum weighs 21 pounds and needs to be lifted 9 inches to be placed on cart, as well as, using the vacuum with pushing/pulling as appropriate. Workers will clean rooms, requiring overhead movements of varying heights and reaching near the ground to clean surfaces. Workers will transport a sprayer into rooms for disinfecting, requiring frequent grasping for spraying.
3. Laundry requires frequent gross motor upper extremity use for pushing, pulling, lifting, and folding laundry, standing up to 4 hours at a time and for the majority of shift. Worker will transfer laundry carts from emergency room 2 times and from acute care floor 1 time per day, requiring up to 20 horizontal force pounds 300 feet in distance. Movable laundry shelf is transferred from laundry room to hospital floor, requiring 40 pounds of horizontal force to initiate movement and movement over thresholds, 300 feet in distance, and 2 person assist to push and pull and steer. Laundry bags weighing up to 20 pounds are removed from large tubs and carried 10-20 feet to be placed in washer. Laundry is removed from washer that is 24 inches high at bottom of opening and requires up to a 30-inch reach into washer to pull articles out to be placed into tubs/carts. Full tubs require 15 pounds of horizontal force 30 feet to transfer laundry into dryer that has opening of 32 inches high and is 30 inches deep. Articles from laundry are folded on a table 38.5 inches in height and folded articles are transferred to appropriate tubs or carts for dispersal through hospital.
4. Exposure to chemicals and other hazards related to care of environment. Appropriate safety precautions, such as safety glasses, gloves, gowns, etc. must be used to minimize risk of injury.
5. Direct exposure to body substances during daily activities and on contaminated surfaces such as patient equipment, etc.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Infection Control and Employee Health Nurse

Effective Date: November 12, 2024

Department: Administration

Supervisor: Chief Facility Safety Officer

FLSA Status: Non-Exempt

Principle Duties and Responsibilities:

1. Assists with the implementation, maintenance, and enforcement of hospital safety protocols and supporting infection control and employee health measures.
2. Participates in the development, execution and review of the written policies governing employee health and Infection Control policies and helps interpret them for employees.
3. Ensures the well-being of all employees and volunteers through health assessments, vaccinations, and wellness programs. The assessment includes a systematic and pertinent collection of data about the health status of the employee.
4. Maintains a safe environment for patients, staff, and visitors by implementing effective infection control practices.
5. Knowledge of current state, federal, and local laws and regulations governing employee healthcare and infection control needs.
6. Monitors and reports on infection rates and employee health rates within the facility.
7. Conducts regular infection control audits and inspections.
8. Educates staff on infection prevention and control and employee health practices.
9. Investigates, coordinates, and maintains a program to protect employees from all occupational disease hazards and protect patients from acquiring disease from employees.
10. Works with all departments and healthcare providers on various infection prevention or control efforts and infection rates.
11. Knowledge of activity restrictions appropriate to the severity of illness and works closely with Human Resources, Risk Management, and department directors on light duty and return to work notes.
12. Maintains records of infection control activities and compliance.
13. Completes Employee Health visits, maintains records, and provides necessary immunizations to employees as directed by hospital policy designed to identify and monitor risks to the employee’s health.
14. Performs communicable disease exposure follow-up to include counseling on appropriate options for treatment, ordering or treatment per policy, and appropriate follow-up.
15. Identifies and refers employees with personal health needs to their provider of choice when appropriate. Counsels employees on physical and mental health issues and guides them toward community resources and/or employee assistance programs.
16. Maintains and ensures confidentiality of patient information and medical records. Acts as an advocate for the rights of employees by ensuring access to preventative health and safety measures.
17. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
18. Quality Assurance: participates in self-directed continued learning including:
19. Participation in quality assurance review on a periodic basis, including systematic review of records and treatment plans;
20. Maintenance of current knowledge by attending education programs;
21. Maintenance of certification of compliance with current state law.
22. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
23. Responsible for safe bagging and disposal of biohazardous waste.
24. Responsible for following safe-injection practices.
25. Responsible for ensuring the environment meets appropriate governing body standards.
26. Responsible for proper collection, storage and labeling of biological specimens.
27. Ensure patients and visitors follow current infection control guidelines.
28. Attends meetings as required.
29. Serves on various committees as assigned.
30. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
31. Regular attendance at the assigned location is required.
32. Performs other duties as assigned.

Minimum knowledge, skills, and abilities

1. Medical knowledge about established and evolving biomedical, clinical and cognate sciences and the application of this knowledge to patient care; knowledge and understanding of patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health as is typically acquired through the completion of a an Associate’s or Bachelor’s degree in Nursing from an accredited school. Bachelor’s degree preferred.
2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
3. Current Basic Life Support certification required.
4. Certification in Infection Control (CIC) preferred. Three years’ experience in infection control preferred.
5. Understand and apply Federal, State and local laws and regulations in all areas of infection control and employee health to ensure Lexington Regional Health Center complies with all such laws and regulations.
6. Knowledge of infection control and employee health practices to provide consultation in patient care.
7. Attention to detail for up to 90% of work time when assessing, diagnosing and treating patients, synthesizing information related to patient care and accurately documenting care.
8. Ability to concentrate and pay close attention to details when planning, implementing and evaluating professional care in infection control and employee health situations. Analyze infection related data, plan and implement strategies for infection prevention.
9. Analytical and communication skills needed for collection, interpretation and reporting of infection control and employee health related data both within the facility and other groups as necessary.
10. Analytical skills necessary to develop and implement effective infection control, employee health and safety services and problem-solving skills.
11. Ability to maintain strict confidentiality with regard to protected and sensitive information.
12. Ability to complete reports and correspondence at a professional level
13. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
14. Ability to effectively communicate with individuals from diverse backgrounds.
15. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principal duties and responsibilities.

Working Conditions:

1. Spends up to 90% of time at a computer/desk completing data entry and data analysis. The rest of time is completing rounds for infection control and employee health procedures and monitoring isolation and construction. Ambulating around facility is required to monitor isolation and construction, with an increase percentage of shift spent monitoring during times of high construction or high isolation.
2. Spends up to 40% of day completing various desk/computer work, and the rest of shift moving around facility completing patient care activities. Patient transferring may be required, lifting up to 35 pounds to assist a stand pivot transfer. Completes various upper extremity gross motor functions for completing various patient care related activities, such as taking vitals, bracing, performing examinations, etc. Required to help assist in the event of emergency situations, including performing CPR which may require getting onto floor to assist.
3. Requires transferring equipment to outside of room for infection control procedures, including filling carts with masks and gowns. Packets of masks and gowns weigh up to 1-2 pounds and will need to be transported up to 400 feet in distance to fill carts.
4. Inventory takes place at least once per year to keep equipment up to date, stocking shelves of various heights from 1-2 inches off floor up to 80 inches from floor. Box weights range from 4 pounds up to 30 pounds.
5. During situations that require a portable negative pressure room, employee is required to transport the portable negative pressure room including the filter, fan, and anteroom itself. System requires a two- person assist, one for steering and one for pulling, requiring up to 20 pounds of horizontal force and approximately 25-pound lift to hold room up for maneuvering up to 400 feet in distance. Transportation of filter weighing 19 pounds to rooms up to 400 feet in distance, and fan is required to be transported same distance with 8 pounds of horizontal force; however, the fan sits low to the ground, reaching 17 inches in height to be pushed.
6. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.

7. Direct exposure to body substances during patient care activities and on contaminated
surfaces such as patient equipment.

Management Responsibilities:

1. None

The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. In no way does this job description implied or otherwise.

Lexington Regional Health Center

Title: Insurance Biller

Date: June 26, 2024

Supervisor: Director of Financial Services

Department: Business Office

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Submits clean claims to make sure all edits are passed prior to sending claims to insurance companies.
2. Answers inquiries regarding applicable claims from patients and insurance companies.
3. Satisfies accounts after insurance companies pay for patient’s responsibility.
4. Assists with admissions, discharges, and transfers as needed.
5. Follows up on aged accounts until resolved with payors.
6. Calls patients or insurance companies for claim processing.
7. Appeals denials as appropriate with insurance companies.
8. Maintains the Business Office procedure book with updates as department processes change.
9. Registers patients and takes payments by check, cash or credit cards both in person and over the phone as needed.
10. Answers phone calls via the switchboard and routes them appropriately throughout the facility.
11. Ensures patients and visitors follow current infection control guidelines.
12. Responsible for ensuring the environment meets appropriate governing body standards.
13. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
14. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
15. Regular attendance at the assigned work location is required.
16. Performs other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to read, write, basic accounting, and use standard office equipment and computer software as is typically acquired through the completion of a high school diploma or equivalent.
2. Individual must be 19 years of age in order to sign legal documents.
3. Ability to keep up on changes with federal and state rules and regulations.
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to solve problems independently and confidently by applying analytical and logical thinking.
6. Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations.
7. Ability to complete reports and correspondence at a professional level.
8. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies in collaboration with supervisor and administration.
9. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels.?
10. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
11. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
2. Spends significant amounts of time at a desk both writing and on a computer, 95% of work time. Requires fine motor coordination up to 70% of work time. Boxes weighing up to 36 pounds are filled with paper and are required to be filled and transported from floor to 36 inch countertop for storage. These boxes are then transported using a dolly cart approximately 250 feet. A 50 pound box of printer paper is required to be emptied from countertop to cupboard below, each ream of paper weighing 5 pounds.

Management responsibilities

1.  None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Medical Laboratory Technician – MLT

Supervisor: Director of Laboratory

Department: Laboratory

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Collects blood samples from infants, children, adults and geriatrics.
2. Performs laboratory tests per providers’ orders. Enters test results into the computer system.
3. Performs specimen testing.
4. Processes specimens according to testing requirements: centrifuge, separate, protect from light, refrigerate or freeze samples to prepare them for testing.
5. Performs laboratory testing on patients following standard operating procedures.
6. Performs drug screen collections and breath alcohol testing according to Department of Transportation (DOT) training; performs DNA collections.
7. Analyzes test results to ensure quality, using factors independent to each test: sex, age, specimen quality/handling, instrument performance, patient history, race.
8. Faxes or mails results to the appropriate care provider.
9. Assist patients, care providers, nurses and others with questions concerning lab testing, requirements, results, etc.
10. Performs maintenance and quality control following procedures to properly clean and maintain instruments and ensures proper functioning.
11. Answers laboratory questions from patients and care providers.
12. Schedules laboratory collections for patients.
13. Notifies supervisor when inventory needs to be ordered. Puts away, rotates and restocks supplies as necessary.
14. Performs laboratory tests for Corporate Wellness health screenings and school visits as necessary.
15. Ensure patients and visitors follow current infection control guidelines.
16. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: collection of blood specimens, handling of specimens for culture and anatomical specimens, etc.)
17. Responsible for following safe-blood collection practices.
18. Responsible for safe bagging and disposal of biohazardous waste.
19. Responsible for ensuring the environment meets appropriate governing body standards.
20. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
21. Regular attendance at the assigned work location is required.
22. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to understand and follow laboratory testing procedures for each test performed, evaluate test results for pre-analytical failures or instrument malfunction, and analyze each test result for accuracy. Phlebotomy skills and working with various instrumentation, computer systems and Laboratory Information Systems as is typically acquired through the completion of an Associate’s Degree as Medical Laboratory Technician.
2. Certification through ASCP or equivalent agency required.
3. Basic Life Support certification via American Heart Association required within six months of hire.
4. Ability to understand and follow Laboratory testing procedures for each test performed.
5. Ability to understand and follow hospital-wide and laboratory-specific policies.
6. Ability to understand and follow laboratory testing procedures for each test performed.
7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
8. Ability to complete reports and correspondence at a professional level.
9. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
10. Ability to effectively communicate with individuals from diverse backgrounds, explaining specimen collection and/or testing that will be performed.
11. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Occasionally exposed to unpleasant specimens and odors up to 10% of the time.
3. May be exposed to blood-borne pathogens up to 90% of the time, personal protective equipment must be worn when drawing or working with specimens.
4. Performs up to 90% of shift being able to access countertop 40 inches high for work activities, drawing blood, and transporting material around facility. Rest of shift is seated to complete desk related work. During blood draws, will need to access the patient by bending, squatting, or getting into other positions to achieve the draw, 15-20 draws per day on average. A wheelchair is pushed to help maneuver patient into room, requiring 40 horizontal force pounds 50 feet. Lab tray cart is pushed onto hospital patient floor requiring 5 horizontal force pounds up to 300 feet in distance. A lab tray weighing 6 pounds is transported 50 feet from lab to Urgent Care or Emergency Room for draws. Required to access shelves at heights from 5 inches from floor up to 86 inches high for supplies ranging up to an 8 pound box at 82 inches high and a 46 pound Isoton fluid box 7 inches from floor. A 2-step stool can be used to access high shelves. May help with transporting supplies for health fairs completed outside of facility, transporting totes weighing 25 pounds a distance of 150 feet. In an emergency, may need to catch a patient if he or she begins to faint during a blood draw.
5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Medical Radiographer

Effective Date: October 24, 2021

Supervisor: Director of Radiology

Department: Radiology

FLSA Status: Non-exempt

Principle duties and responsibilities

1. Performs medical imaging exams on patients at the request of a healthcare provider. Verifies and clarifies orders as needed to ensure that the most appropriate exam is being performed on the patient. Takes verbal orders from providers as needed.
2. Prepares patients appropriately for examinations. Informs patients of the risks and benefits of the procedures as applicable. Provides answers and information at the request of the patient.
3. Utilizes both ionizing and non-ionizing medical equipment in a manner that is practical and safe for patients and colleagues. Provides patients with the highest quality exam possible at all times and in a manner that adheres to dose reduction practices.
4. Performs technical calibrations as recommended by the manufacturer or by policy. Maintains cleanliness of equipment at all times.
5. Observes all safety and infection control measures during both invasive and non-invasive examinations. Invasive procedures can include starting intravenous lines, assisting with biopsy procedures, etc.
6. Adheres to department workflow as it relates to completion of exams, image and exam archiving, and transmission of images to appropriate providers. This includes providing the reading provider with pertinent clinical history.
7. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
8. Responsible for safe bagging and disposal of biohazardous waste.
9. Responsible for following safe-injection practices.
10. Responsible for ensuring the patient care environment meets appropriate governing body standards.
11. Ensure patients and visitors follow current infection control guidelines.
12. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
13. Regular attendance at the assigned work location is required.
14. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. A comprehensive understanding of general radiography and an understanding of physician orders and how to perform appropriate exams, knowledge of radiation safety and protection and technical understanding of equipment and general operation of such equipment as is typically acquired through the completion of an approved two year radiography program.
2. Must have obtained and maintained registry with the American Registry of Radiologic Technologists. Minimum registry of Registered Technologist – Radiography or RT(R)(ARRT). Must also obtain and maintain licensure as a Medical Radiographer with the Nebraska Department of Health & Human Services.
3. Additional experience and requirements may include Computed Tomography, Sonography, Magnetic Resonance Imaging, Mammography and Bone Densitometry. Training in advanced modalities will be provided.
4. Current Basic Life Support certification via American Heart Association required.
5. Attention to detail is required up to 90% of the time when reviewing provider orders and patient history, performing procedures and reviewing imaging studies.
6. Ability to maintain strict confidentiality with regard to protected and sensitive information.
7. Ability to effectively communicate with individuals from diverse backgrounds. Ability to communicate in an effective, precise, and positive manner with patients, visitors, hospital personnel vendors and all customers that present to the facility.
8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
9. Ability to complete reports and correspondence at a professional level.
10. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working Conditions

1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Employee can plan to spend up to 97% of the time indoors. Less than 3% of the time may be spent outdoors assisting patients to destinations unattached from the hospital facility.
3. May spend up to 30% of shift completing paperwork/computer work while the remaining 70% of shift is spent completing various patient related tasks in radiology.
4. Required to assist in transferring patients, up to 35 pounds for a stand pivot transfer. A hoyer lift is utilized with specific patients that require more assist.
5. When working with patients from the emergency department, radiology department employees may request assist from multiple professionals for patient transfer assistance.
6. A self-propelled portable unit is utilized for patients that are unable to be transferred to the radiology department. The ability to drive and maneuver this portable unit requires up to 15 horizontal force pounds to push unit up to 300 feet.
7. At times the use of a wheelchair may be needed to transfer patients. This situation requires 40 horizontal force pounds to push a patient up to 300 feet.
8. Must be able to lift an image receptor cassette with a grid (weighing 9 pounds) up to shoulder height to be placed behind patient.
9. A lead cape/shield may be worn 1-2% of work day, such as while in surgery or while aiding in patient positioning. Typically these shields weigh 10 pounds for a single piece and 14 pounds for a double piece wrap-around.
10. Must be able to manipulate radiography equipment into appropriate positions which may require reaching to various heights, up to 65 inches.
11. Interaction with patients suffering from communicable or infectious diseases is possible at all times.
12. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
13. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Registered Nurse

Effective Date: October 24, 2021

Supervisor: Director of Outpatient Services

Department: Outpatient Services

FSLA Status: Non-Exempt

Principle duties and responsibilities

1. Organizes, prepares and conducts clinics for visiting specialists in the outpatient setting. Schedules visiting specialists and helps supervisor with coordination of those clinics. Provides input on clinic logistics to supervisor in order to assure adequate facilities and staffing to accommodate visiting specialty physicians in the clinic setting.
2. Communicates directly with the scheduling staff, the Pre-op Teaching Nurse, the Surgery Department and the Nursing Supervisor to provide coordination of services to ensure excellent care for the outpatient client.
3. Provides efficient, patient-centered care in the outpatient clinic setting, operating within the accepted scope of practice for a Registered Nurse.
4. Works with specialty physicians and their staff to identify necessary medical equipment and supplies to conduct efficient clinic services. Communicates these needs to supervisor.
5. Serves as a liaison and advocate for the patient, communicating between the visiting specialty physicians and the primary care providers when necessary.
6. Works to ensure that the Specialty Clinic patient’s questions and requests are sufficiently addressed. Communicates to the supervisor if patient or physician concerns or conflicts arise.
7. Works to promote the visiting specialists’ and hospital’s services to the region.
8. Represents the facility accurately, honestly, and acts with integrity and in the best interest of the facility while practicing by the mission and vision.
9. Maintains harmonious relationships within the department and among coworkers, providing support and assistance to co-workers to ensure quality patient care.
10. Delegates through the appropriate scope of practice.
11. Communicates with providers in regard to patient status, the result of diagnostic tests, changes in assessments etc.
12. Prepares patients for and assists with exams and treatments.
13. Supervises less skilled nursing healthcare personnel.
14. Follows all facility policies and procedures.
15. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
16. Responsible for safe bagging and disposal of biohazardous waste.
17. Responsible for ensuring the patient care environment meets appropriate governing body standards.
18. Responsible for proper collection, storage and labeling of biological specimens.
19. Ensure patients and visitors follow current infection control guidelines.
20. Responsible for following safe-injection practices.
21. Maintain patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.).
22. Communicates with multidisciplinary team to ensure patient-centered holistic care.
23. Serves on the shared governance committee.
24. Regular attendance at the assigned work location is required.
25. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge and understanding of nursing theory and practice, including pharmacological agents and the ability to administer all medications – oral, subcutaneous, intramuscular and intravenous. Knowledge of the growth and development of a variety of patients in order to meet the health care needs of the neonate, pediatric, adult and geriatric patient. Knowledge of reading, spelling, grammar, writing, math and computer operation as is typically acquired through the completion of a Registered Nurse Degree or Bachelor’s degree in Nursing from an accredited school.
2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act
3. Current Basic Life Support via American Heart Association required.
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to complete reports and correspondence at a professional level.
6. Ability to immediately respond to common inquiries and complaints from patients, employees, and regulatory agencies.
7. Ability to effectively communicate with individuals from diverse backgrounds.
8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal patient care environment with little exposure to excessive noise, dust, temperature, etc.
2. Worker may spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Shelves are required to be stocked from 4 inches off floor to 77 inches high and a step stool may be required to reach the highest shelves. IV bags weighing 7 pounds are lifted up to variable heights over head to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care.
3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. In no way does this job description, constitute a contract, implied or otherwise.

Lexington Regional Health Center

Title: Physical Therapist

Effective Date: July 19, 2020

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Evaluates and reevaluates patient to determine limitations in order to establish plan of care and modify as patient status requires.
2. Administers physical therapy procedures and modalities for the purpose of achieving treatment plan objectives.
3. Reviews patient’s medical history to determine contraindications and precautions with modalities/interventions.
4. Establishes therapeutic exercise program and progress based on patient limitations to maintain or improve patient’s functional status.
5. Transfers patient from various surface areas with assistance levels depending on patient status to complete treatment session and enhance patient independence with transfers.
6. Supervises Physical Therapist Assistant in treating patients and adjusting plan of care as needed.
7. Documents evaluations, reevaluations, recertifications and daily progress notes on paper forms, electronically or by dictation to record subjective, objective, assessment and plans.
8. Educates patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
9. Completes charges accurately to reflect services provided to patient and submits in a timely manner.
10. Transports self to different clinic locations to complete treatment plan on patients.
11. Communicates patient’s status to referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
12. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
13. Responsible for safe bagging and disposal of biohazardous waste.
14. Responsible for following safe-injection practices.
15. Responsible for ensuring the patient care environment meets appropriate governing body standards.
16. Ensure patients and visitors follow current infection control guidelines.
17. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
18. Regular attendance at the assigned work location is required.
19. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to use standard office equipment and software proficiently, read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations as is typically acquired through the completion of a Bachelor’s, Master’s or Doctorate degree in Physical Therapy from an accredited school.
2. Must hold a current active Physical Therapy license issued by the Nebraska Board of Physical Therapy Examiners.
3. Eligible after first year of employment to participate in serving as a clinical facilitator for physical therapist and/or physical therapy assistant clinical internships.
4. Basic Life Support certification via American Heart Association required within six months of hire.
5. Attention to detail up to 80% of the time when performing evaluations, utilizing specialty testing for differential diagnosis, establishing treatment plan, reviewing outcomes data and progressing/modifying plan of care.
6. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to perform evaluation and establish plan of care, taking into consideration cultural differences.
7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
9. Ability to complete reports and correspondence at a professional level.
10. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
11. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
12. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Occasional exposure up to 80% of the time to infection and/or contagious diseases when working with patients.
3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assisted living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
4. Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

 

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center
Title: Physical Therapist Assistant

Effective Date: October 24, 2021

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Administers physical therapy procedures and modalities for the purpose of achieving treatment plan objectives.
2. Reviews patient’s medical history to determine contraindications and precautions with modalities/interventions.
3. Supervises patient with therapeutic exercise program and progress as patient status allows and per Physical Therapist established plan of care.
4. Transfers patient from various surface areas with assistance levels depending on patient status to complete treatment session and enhance patient independence with transfers.
5. Documents progress notes on paper forms, electronically or by dictation to record subjective, objective, assessment and plans.
6. Completes charges for patient’s session and submits in a timely manner.
7. Educates patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
8. Transports self to different clinic locations or for Home Health visits to complete treatment plan on patients.
9. Communicates patient status updates to physical therapist, referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
10. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
11. Responsible for safe bagging and disposal of biohazardous waste.
12. Responsible for following safe-injection practices.
13. Responsible for ensuring the patient care environment meets appropriate governing body standards.
14. Ensure patients and visitors follow current infection control guidelines.
15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
16. Regular attendance at the assigned work location is required.
17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Ability to use standard office equipment and software proficiently, read and analyze general business directives, policy and procedure statements, and governmental regulations as is typically acquired through the completion of an associate’s degree from an accredited physical therapy assistant school.
2. Must have a current Physical Therapist Assistant license issued by the Nebraska Board of Physical Therapy Assistant Examiners.
3. Eligible after first year of employment to participate in serving as a clinical facilitator for physical therapy assistant clinical internships.
4. Current Basic Life Support certification via American Heart Association required within six months or hire and/or orientation.
5. Attention to detail when providing therapy to patient, monitoring patient’s response to treatment plan, performing modalities of choice and recording outcomes data.
6. Ability to effectively communicate with individuals from diverse backgrounds and varying educational levels in order to carry out treatment plans established by physical therapist, taking into consideration cultural differences.
7. Ability to maintain strict confidentiality with regard to protected and sensitive information.
8. Ability to solve problems independently and confidently by applying analytical and logical thinking.
9. Ability to complete reports and correspondence at a professional level.
10. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
11. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
12. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Occasional exposure up to 80% of the time to infection and/or contagious diseases when working with patients.
3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assisted living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
4. Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center
Title: PHYSICIAN ASSISTANT
Supervisor: Clinic Administrator

Department: Family Medicine Specialists
FLSA Status: Exempt

Principle duties and responsibilities

1. Collects pertinent medical and psychosocial history including: patient profile, chief complaint, history of present illness, past medical history, social history and review of body systems.

2. Performs a physical examination as pertinent, modifying the examination for the nature of the complaint or problem, age/sex of patient and physical condition of patient, and determines patient’s mental status (e.g. level of consciousness, orientation, mood, etc.).  Differentiates between normal and abnormal (including variations of normal) information obtained from history, physical and screening examination of the following:

– Adult patients

– Pediatric patients

– Obstetrical patients

– Newborn patients/infants

– Geriatric patients

3. Orders laboratory, xray and diagnostic studies appropriate for complaint, age, race, sex and physical condition of patient. Completes preliminary interpretation of diagnostic tests with consultation as necessary (such as routine x-rays of chest and extremities, lab studies, EKG, etc). Develops initial impression as to severity, etiology and immediacy of patient’s problem based on analysis of data obtained from history, physical, laboratory and x-ray studies.

4. Records and transmits findings from data base into medical record:

– Summarizes pertinent aspects of history.

– Summarizes pertinent aspects of physical exam.

– Prepares patient visit summaries/progress notes.

5. Establishes diagnosis of common problems with physician consultation and guidance as appropriate. Develops a management plan considering patient’s problem, age, sex, race and condition, conferring with the patient, supervising physician, patient’s family and other health professionals as appropriate. Applies established therapeutic practices to patient’s problem:

– Prescribes medications.

– Performs other therapies and minor surgical procedures.

6. Provides patient education services in areas such as:

– Explains patient’s condition/disease its etiology, course and prognosis.

– Explains treatment rationale, side effects, risks and special instructions.

– Provides, where appropriate, information necessary for informed consent.

– Instructs patient, family and community about health related topics, preventive health care and self-care.

7. Patient Counseling:

– Identifies mental health problems through accepted techniques such as: interviewing, observation for behavioral/mood changes, identification of outside factors influencing psychological state and relation of physical condition/problems to mental health disorders.

– Counsels patient concerning nonreferral type mental health problems such as: anxiety reactions, nonpsychotic depression, adjustments to aging, developmental problems of children and adolescents, adjustment to chronic disease/terminal illness and psychological influences on physical condition.

– Supports and counsels family in dealing with patient’s condition

8. Refers patients as necessary: Refers patients having medical/psychological problems beyond the PA’s professional competence to appropriate sources of care, such as supervising physician, medical specialists, mental health agencies and community resource agencies.

9. Makes hospital/nursing home rounds and reports any complicated cases and what, if any, action was taken or is deemed necessary.

– Performs and records histories and physical exams.

– Records daily progress notes.

10. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)

11. Responsible for safe bagging and disposal of biohazardous waste.

12. Responsible for following safe-injection practices.

13. Responsible for ensuring the patient care environment meets appropriate governing body standards.

14. Responsible for proper collection, storage and labeling of biological specimens.

15. Ensure patients and visitors follow current infection control guidelines.

16. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).

17. Regular attendance at the assigned work location is required.

18. Performs all other duties as assigned.

 

Minimum knowledge, skills, and abilities

1. Medical knowledge about established and evolving biomedical, clinical and cognate sciences and the application of this knowledge to patient care; knowledge and understanding of patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health as is typically acquired through the completion of a Physician Assistant Education Program accredited by the Council on Allied Health Education of the American Medical Association.
2. Must hold a current active Physician Assistant license from the State of Nebraska and all duties performed shall be approved by the supervising physicians and the Medical Staff of Lexington Regional Health Center.
3. Current Basic Life Support certification required.
4. Attention to detail for up to 90% of work time when assessing, diagnosing and treating patients, synthesizing information related to patient care and accurately documenting care.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
6. Ability to complete reports and correspondence at a professional level.
7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
8. Ability to effectively communicate with individuals from diverse backgrounds. Communication skills necessary to discuss complex healthcare issues with patients, families and other healthcare professionals, collaborate with healthcare team to develop patients’ plan of care, etc.
9. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
2. Spends up to 40% of day completing various desk/computer work, and the rest of shift moving around facility completing patient care activities. Patient transferring may be required, lifting up to 35 pounds to assist a stand pivot transfer. Completes various upper extremity gross motor functions for completing various patient care related activities, such as taking vitals, bracing, performing examinations, etc. Required to help assist in the event of emergency situations, including performing CPR which may require getting onto floor to assist.
3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

 

Lexington Regional Health Center
Title: NURSE PRACTITIONER
Supervisor: Clinic Administrator

Department: Family Medicine Specialists
FLSA Status: Exempt

Principle duties and responsibilities

1. Participates in the development, execution and review of the written policies governing the services the clinic furnishes.

2. Participates with a physician in a periodic review of the patient’s health records per the State of Nebraska regulations.

3. Performs the following functions to the extent they are not being performed by a physician:

– provides services in accordance with the clinic’s policies;

– arranges for, or refers patients to, needed services that cannot be provided at the clinic;

– assures that adequate patient health records are maintained and transferred as required when patients are referred.

4. Process of Care: Utilizes the nursing process as the framework for managing client care.

– Assessment of Health Status:

– obtains a relevant health and medical history;

– performs a physical examination based on age and history;

– conducts preventive screening procedures based on age and history;

– identifies medical and health risks and needs;

– updates and records changes in health status.

– Diagnosis:

– formulates the appropriate differential diagnosis based on the history, physical examination and clinical findings;

– identifies needs of the  individual family or community as a result of the evaluation of the collected data.

– Development of a Treatment Plan: priorities are established and a mutually acceptable plan of care is devised to maximize the health potential of the individual, family or community; this includes:

– orders appropriate diagnostic tests;

– identifies appropriate pharmacologic agents;

– identifies non-pharmacologic interventions;

– develops a client education plan.

– Implementation of the Plan: interventions are based upon established priorities. Actions by the nurse practitioner are consistent with the appropriate plan of care; based on scientific principles, theoretical knowledge, and clinical expertise; individual to the specific situation and consistent with teaching and learning opportunities. Actions include:

– venipuncture for diagnostic testing;

– accurately conducts and interprets diagnostic tests;

– prescribes pharmacologic agents;

– prescribes non-pharmacologic therapies;

– provides relevant patient education;

– makes appropriate referrals to other health professionals and community agencies.

– Follow-up and Evaluation of the Client Status. Maintains a process for systematic follow-up by:

– determining the effectiveness of the plan of care through documentation of client care outcomes;

– reassessing and modifying the plan as necessary to achieve medical and health goals.

–  Patient Education: provides educational opportunities for the individual and/or family related to health status, utilizing additional resources when indicated.

–  Facilitation of Client Participation in Self Care. Facilitates client participation in medical and health care by providing information needed to make decisions and choices about the:

– promotion, maintenance and restoration of health;

– seeking and utilization appropriate health care personnel;

– appropriate utilization of health care resources.

– Promotes optimal health of all patients through preventive care and education to patient.

– Facilitates entry into health care system: Upon entry into the health care system, facilitates appropriate utilization of the system and encourages appropriate follow-up care.

5. Interdisciplinary/Collaborative Responsibilities: Participates as a team member in the provision of medical and health care, interacts with professional colleagues to provide comprehensive care.

– Care should be discussed with the healthcare team to ensure appropriate care and services are provided.

6. Responsibility as client advocate: Interprets the role of the nurse practitioner to individuals, families, and other professionals. As an advocate, participates in health policy activities at the local, state, national, and international levels.

7. Quality Assurance: participates in self-directed continued learning including:

– participation in quality assurance review on a periodic basis, including systematic review of records and treatment plans;

– maintenance of current knowledge by attending educational programs;

– maintenance of certification on compliance with current state law.

8. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)

9. Responsible for safe bagging and disposal of biohazardous waste.

10. Responsible for following safe-injection practices.

11. Responsible for ensuring the patient care environment meets appropriate governing body standards.

12. Responsible for proper collection, storage and labeling of biological specimens.

13. Ensure patients and visitors follow current infection control guidelines.

14. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).

15. Regular attendance at the assigned work location is required.

16. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Medical knowledge about established and evolving biomedical, clinical and cognate sciences and the application of this knowledge to patient care; knowledge and understanding of patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health as is typically acquired through the completion of a Nurse Practitioner license by the State Board of Nursing and advanced education and clinical competency necessary for the delivery of health and medical care. The State Board of Nursing authorizes the Nurse Practitioner to practice in Nebraska. Authorization by the State Board of Nursing entitles the Nurse Practitioner to use the credential CRNP (Certified Registered Nurse Practitioner).
2. Must hold a current active Nurse Practitioner license from the State of Nebraska and all duties performed shall be approved by the supervising physicians and the Medical Staff of Lexington Regional Health Center. Physician will review charts of sample patients seen by Nurse Practitioner.
3. Current Basic Life Support certification required.
4. Attention to detail for up to 90% of work time when assessing, diagnosing and treating patients, synthesizing information related to patient care and accurately documenting care.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
6. Ability to complete reports and correspondence at a professional level.
7. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
8. Ability to effectively communicate with individuals from diverse backgrounds.
9. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
2. Spends up to 40% of day completing various desk/computer work, and the rest of shift moving around facility completing patient care activities. Patient transferring may be required, lifting up to 35 pounds to assist a stand pivot transfer. Completes various upper extremity gross motor functions for completing various patient care related activities, such as taking vitals, bracing, performing examinations, etc. Required to help assist in the event of emergency situations, including performing CPR which may require getting onto floor to assist.
3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Lexington Regional Health Center

Title: Rural Health Clinic Director of Nursing

Effective Date: December 20, 2023

Supervisor: Clinic Administrator

Department: Family Medicine Specialists

FLSA Status: Non-exempt

 

Principle duties and responsibilities

1. Responsible for supervising all nursing staff, leads daily operations for clinic nursing department.

2. Serves in a leadership role in providing quality patient care services in addition to coordinating systems, functions and activities of the clinic.

3. Recruits, trains and onboards new nursing staff.

4. Develops and implements nursing policies and procedures.

5. Responsible for nursing schedule at all rural health clinics.

6. Addresses patient complaints and assists with investigations as necessary.

7. Ensures inventory of clinic is maintained.

8. Assist in clinic’s performance/quality improvement activities and assigned duties.

9. Organizes and conducts at a minimum, quarterly nurses’ meetings for ongoing competency and education purposes as well as individual monthly rounding.

10. Assists with completion of Rural Health Clinic compliance standards including, but not limited to safety checks, chart reviews and audit assignments.

11. Maintains patient and staff safety using patient safety tools (Teamstepps, Just Culture, etc.).

12. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)

13. Responsible for safe bagging and disposal of biohazardous waste.

14. Responsible for following safe-injection practices.

15. Responsible for proper collection, storage and labeling of biological specimens.

16. Responsible for ensuring the environment meets appropriate governing body standards.

17. Ensure patients and visitors follow current infection control guidelines.

18. Regular attendance at the assigned work location is required.

19. Performs all other duties as assigned.

 

Minimum knowledge, skills, and abilities

1. Possesses cognitive knowledge and understanding of nursing theory and practice, including pharmacological agents and the ability to administer all medications – oral, subcutaneous and intramuscular. Knowledge of the growth and development of a variety of patients to meet the health care needs of the neonate, pediatric, adult and geriatric patient as is typically acquired through the completion of a Registered Nurse Degree or Bachelor’s degree in Nursing (BSN) from an accredited school.

2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.

3. Current Basic Life Support certification via American Heart Association required.

4. Five years of nursing experience required.

5. Three-five years management experience is preferred.

6. Possesses a thorough knowledge of regulatory, ethical, nursing practice and organizational principles in an outpatient clinic setting.

7. Demonstrates excellent organization and communication skills.

8. Must be able to work well with the public and provide excellent customer service.

9. Ability to maintain strict confidentiality regarding protected and sensitive information.

10. Ability to multi-task and work efficiently in a potentially stressful environment.

11. Ability to use standard office equipment and software proficiently.

12. Analytical skills necessary to evaluate patient conditions and carry out complex patient care procedures for up to 75% of work time while doing tasks.

13. Ability to attend to fine detail for up to 25% of work time when reading, analyzing, and interpreting reports, general business directives, policy and procedure statements, and governmental regulations.

14. Ability to establish and maintain positive, effective, professional relationships with patients, providers, coworkers and supervisors.

15. Interpersonal skills necessary to immediately and appropriately respond to common inquiries and complaints from patients, employees and regulatory agencies; to demonstrate compassion during difficult times for patients and families; to show support for employees; etc.

16. Ability to effectively communicate with individuals from diverse backgrounds, varying educational levels, and occasionally unpleasant personalities.

17. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

 

Working conditions

1. Works in a normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.

2. Exposure to infection and/or contagious diseases for up to 15% of work time when working with patients.

3. Patient transferring required during routine care and emergencies, up to 35 pounds, 10% of work time. Patient transportation in wheelchair/wheeled chair 40 horizontal force pounds up to 300 feet 5% of work time. Demonstration of patient specific exercise 40% of work time, transferring up to 10 pound dumbbells to be utilized for exercise. Recording of vital signs and managing patient lines/leads for proper patient care 35% of work time. Stacking and managing inventory among other clerical work 10% of work time, including transporting and stocking materials up to 20 pounds.

4. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.

5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

 

Management Responsibilities

1. Family Medicine Specialists Nursing Staff

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Medical Interpreter

Effective Date: October 24, 2021

Supervisor: Director of Social Services

Department: Social Services

FLSA Status: Non-exempt

Principle duties and responsibilities

1. Provides language services to patients with limited English proficiency. Facilitates effective communication between the healthcare provider and patient with limited English proficiency.
2. Edits and proofreads discharge information to accurately reflect the language.
3. Relays concepts and ideas between languages.
4. Conveys written material from one language into another, such as fliers, publications, web pages, etc.
5. Creates new text into the target language that reproduces the content and style of the organization.
6. Receives and submits material electronically (e.g.: emails translated documents, faxes translated documents, etc).
7. Uses dictionaries, glossaries, etc. for reference.
8. Interprets/translates language at meetings as necessary.
9. Reads aloud a document in a language other than that which it was written.
10. Translates patient material and informational brochures issued by the hospital into other languages.
11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
12. Responsible for ensuring the environment meets appropriate governing body standards.
13. Responsible for proper collection, storage and labeling of biological specimens.
14. Ensure patients and visitors follow current infection control guidelines.
15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
16. Regular attendance at the assigned work location is required per scheduled shift assigned by department leaders.
17. Must be able to take on-call assignments that are outside of regular worked shifts; if part time or full time status. If employee is causal status, this employee only needs to be available as needed.
18. Must have the ability to take the hospital’s on call phone for assigned call and/ or personal phone and have means for transportation to get to and from regular working shifts and on call shifts.
19. On call employees must respond to the first call from requested hospital staff within 30 minutes from the call.
20. Shows respectfulness to patients, visitors, teammates, and leaders at all times.
21. Performs all other duties as assigned.

Minimum knowledge, skills and abilities

1. The ability to read, write, and verbally communicate in both English and 2^nd language proficiently.
2. The ability to read, write and think critically as is typically acquired through the completion of a high school diploma or equivalent.
3. Must attend an annual interpreter training provided by the Office of Health Disparities and Health Equity.
4. Attention to detail necessary to listen attentively to the speaker and provide accurate translation.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information and follow HIPPA rules.
6. Must be able to perform basic phone and computer skills
7. Ability to complete reports and correspondence at a professional level.
8. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
9. Ability to effectively communicate with individuals from diverse backgrounds.
10. Must be 19 years of age or older due to potential co-signing of medical documents.
11. Must be able to work with patient, visitors, coworkers, and hospital wide staff
12. Must be able to meet the demands of the required assigned hours by department leaders.
13. Must be able to comply with hospital wide policies and procedures as well as departmental policies and procedures.
14. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Spends up to 50% of day seated to complete various paper/computer work. The other 50% is spent ambulating and moving around facility to assist with interpreting services. Required to ambulate 700 feet at one time to assist in various departments in the facility.  Required to reach heights from 10 inches to 59 inches high to access storage requiring lifting up to 6 pounds.  May carry laptop to meetings requiring carrying up to 5 pounds (if in computer bag) and 700 feet in distance.

2. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.

3. Sitting, walking, or standing for up to 90% of work time when facilitating effective communication.

4. Subject to infections/communicable disease situations and approximate to chemical, medication, blood and body fluids up to 5% of the work day.
5. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
6. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

 Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Speech Language Pathologist

Effective Date: October 24, 2021

Supervisor:  Director of Rehabilitation Services

Department:  Rehabilitation Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Evaluate and reevaluate patient to determine limitations to establish plan of care and modify as patient status requires.
2. Administers speech therapy procedures and modalities for the purpose of achieving treatment plan objectives.
3. Review patient medical history to determine contraindications and precautions with modalities/interventions.
4. Establish plan of care and progress based on patient limitations to maintain or improve patient’s functional status.
5. Document evaluation, reevaluation, recertification and daily progress to record subjective, objective, assessment and plan.
6. Educate patient and family/caregivers on condition, plan of care and home program to enhance therapist-patient relationship, optimize patient compliance and facilitate optimum results.
7. Complete charges accurately to reflect services provided to patient and submit in a timely manner.
8. Transport self to different clinic locations or for Home Health visits to complete treatment plan on patients.
9. Communicate patient status to referring provider, case managers or interdisciplinary team to enhance quality and transition of care.
10. Complete required continuing education hours as set forth by State of Nebraska Department of Health and Human Services regulations for Speech Language Pathologist to ensure competency.
11. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
12. Responsible for safe bagging and disposal of biohazardous waste.
13. Responsible for ensuring the environment meets appropriate governing body standards.
14. Ensure patients and visitors follow current infection control guidelines.
15. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
16. Regular attendance at the assigned work location is required.
17. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Requires education level at a minimum of a Master’s degree in speech-language pathology from an accredited school with licensure by the Nebraska Board of Speech Language Pathology.
2. Current Basic Life Support certification via American Heart Association required within six months of hire and/or orientation.
3. Able to maintain strict confidentiality with regard to protected and sensitive information.
4. Able to solve problems independently and confidently by applying analytical and logical thinking.
5. Able to use standard office equipment and software proficiently.
6. Able to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations.
7. Able to complete reports and correspondence at a professional level.
8. Able to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
9. Able to effectively communicate with individuals from diverse backgrounds and varying educational levels.
10. Able to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
11. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions           

1. Normal patient care environment, well lighted and ventilated with minimal exposure to excessive noise, dust, temperature, etc.
2. Occasional exposure to infection and/or contagious diseases when working with patients.
3. May require performing therapy services in the following locations, not limited to: processing plant/industrial environment, patient’s home, hospital environment, skilled nursing facility/assistive living facility, school environment.  May also include aquatic therapy environment at temperatures exceeding 90 degrees and high humidity environment.
4. Physical Requirements: Patient transferring required during routine care and emergencies, up to 35 pounds, 10-20% of work time. Patient transportation in wheelchair 40 horizontal force pounds up to 300 feet 1% of work time. Moving of inpatient bed to help patient transferring for safe and appropriate care up to 60 horizontal force pounds 1-2 feet 5% of work time. Transportation of laundry, equipment, and patient charts in lock box per patient privacy regulations up to 20 pounds for laundry and equipment and up to 25 pounds for patient chart lock box into vehicle, 1% of work day up to 2x/day. Outpatient care requiring transferring various weights to be used for specific exercise up to 10 pounds, 35% of time. Outpatient care requiring body positioning to apply various manual therapy techniques, ambulating various distances for gait training, patient care, and miscellaneous activities, and requiring reaching in various directions to demonstrate exercise, clerical work, and to provide manual contact cues, up to 60% of work time. Various positions and mechanics are used for proper control and safety for therapist and patient to prevent injury.
5. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. Work in collaboration with Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Speech Therapists and on site staff.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.

Lexington Regional Health Center

Title: Surgical Services Registered Nurse

Effective Date: July 22, 2020

Supervisor: Director of Surgical Services

Department: Surgical Services

FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Administers patient-centered nursing care as outlined in scope of practice according to the Association of periOperative Registered Nurses (AORN) guidelines including:
2. Consults and coordinates with healthcare team members to assess, plan, implement and evaluate patient care plans;
3. Reviews and evaluates completeness of medical chart;
4. Prepares and reviews the department’s readiness for the patients and surgical cases with personnel;
5. Ensures operating on correct patient and the correct procedure is being performed;
6. Takes care of the needs of the surgical patient and staff during the surgical procedure;
7. Observes and maintains integrity of sterile field;
8. Recovers and discharges patient after surgical procedure;
9. Helps with cleaning and preparing the surgical suite for the next surgical case;
10. During the surgical procedure:
11. Assists in positioning, responding to comfort/safety of patient,
12. Provides for accurate care and handling of specimens,
13. Observes and enforces strict standards of asepsis,
14. Observes, checks and monitors all equipment used during surgery to confirm they are running smooth,
15. Handles patient documentation,
16. Inventories all items both pre- and post- surgery.

1. Maintains medical record documentation to accurately reflect care administered and patient’s condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.
2. Provides holistic support to patients and patient designated support system.
3. Educates patients and designated support system on a plan of care.
4. Provides accurate and detailed handoff to staff to ensure consistency and continuity of care.
5. Supervises less skilled nursing healthcare personnel.
6. Evaluates and implements patient care plans.
7. Assumes role and responsibility of Patient Educator as needed.
8. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
9. Responsible for safe bagging and disposal of biohazardous waste.
10. Responsible for following safe-injection practices.
11. Responsible for ensuring the patient care environment meets appropriate governing body standards.
12. Ensure patients and visitors follow current infection control guidelines.
13. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
14. Participates in shared governance committee as requested.
15. Communicates with multidisciplinary team to ensure patient-centered holistic care.
16. Represents the facility accurately, honestly, and acts with integrity and in the best interest of the facility while practicing by the mission and vision.
17. Maintains harmonious relationships within the department and among coworkers, providing support and assistance to co-workers to ensure quality patient care.
18. Regular attendance at the assigned work location is required.
19. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients’ health care needs as is typically acquired through the completion of an Associate’s or Bachelor’s degree in Nursing from an accredited school. Bachelor’s degree preferred.
2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
3. Basic Life Support and Advanced Cardiovascular Life Support and Pediatric Advanced Life Support certifications via American Heart Association required within six months of hire.
4. Ability to maintain strict confidentiality with regard to protected and sensitive information.
5. Ability to complete reports and correspondence at a professional level.
6. Ability to immediately respond to common inquiries and complaints from patients, employees, and regulatory agencies.
7. Ability to effectively communicate with individuals from diverse backgrounds.
8. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Required to be able to stand constantly to help assist surgeon as necessary, such as retrieving correct instruments to be used. Patient beds are to be transported up to 200 feet in distance requiring 35 pounds of horizontal force with 2 people assist in moving patients to and from surgery. Lifting up to 35 pounds is required for patient transferring. Transferring patients to beds may require multiple people assist up to 50 pounds to lift and transfer the patient. Surgical pans and equipment that weigh up to 35 pounds are to be transported a distance approximately 60 feet into surgical rooms if needed. 5 pound IV bags are to be lifted up to 65 inches to be placed on poles and for stocking shelves in the surgery area. During patient positioning for draping and sterilization purposes, patient extremities are to be held away from body requiring holding 25 pounds up to 5 minutes. Gross motor UE repetitive frequent use and movement for handling instruments and equipment during surgery. The worker is required to crawl short distances to help assist with cleaning, adjusting equipment, assisting in surgery, and emergency situations that may require short distance crawling as well. To help assist surgery, the worker may be required to attain various body postures/positioning, such as bending, kneeling, crouching, and squatting depending what is needed for that particular surgery. Shelves are to be stocked and equipment to be retrieved from shelves ranging from various heights, reaching overhead consistent with heights equal to that of lifting IV bags onto poles. May be required to push a patient wheelchair, requiring an initial 40 pounds of horizontal force to begin movement of a 300-pound person, and 25 pounds of horizontal force for continued pushing in hallways.
2. Exposure to infections, communicable, and contagious diseases up to 75% of work time. Exposure to risk of bloodborne diseases, high steam pressure and radiological environment up to 75% of work time. Exposure to hazardous chemicals, anesthetic waste gases, medications, body fluids, and waste up to 75% of work time. Exposure to hazards from electrical/mechanical/power equipment up to 75% of work time. Subject to burns and cuts.
3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.