Careers - Lexington Regional
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Careers

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For more information, please call Mandy Sand at (308) 324-1652 or email msand@lexrhc.org.

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: Medical Coder
Effective Date: August 14, 2020
Supervisor: Director of Health Information Management
Department: Health Information Management
FLSA Status: Non-Exempt

Principle duties and responsibilities

1. Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing.
2. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after onsite orientation and training has been established.
3. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes.
4. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement.
5. Interact with providers regarding documentation and selection of procedure codes and Evaluation/Management levels.
6. Participate in continuing education activities to enhance knowledge and skills and maintain credentials.
7. Work in collaboration with other Health Information Management employees to collaborate workflow.
8. Ensure patients and visitors follow current infection control guidelines.
9. Responsible for ensuring the environment meets appropriate governing body standards.
10. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
11. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
12. Regular attendance at the assigned work location is required.
13. 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 a high school diploma or equivalent.
2. AHIMA, AAPC, RHIA, or RHIT credentials preferred but not required. Minimum of 2 years previous coding experience required. Will consider education in a qualified coding program in lieu of credentials or previous experience.
3. Basic Life Support certification via American Heart Association required within six months of hire.
4. Ability to complete reports and correspondence at a professional level.
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 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. 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: Supply Chain Technician

Effective Date: September 8, 2020

Supervisor: Supply Chain Manager & Purchasing Agent

Department: Supply Chain

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Sorts and places departmental mail in the appropriate assigned areas daily.
  2. Prepares all outgoing mail, UPS and Federal Express shipments daily. Transports mail and packages to post office daily.
  3. Picks up bank deposit bag from the hospital’s main financial institution daily.
  4. Performs copying, faxing, laminating and other jobs for various hospital departments as
  5. Assists employees, as needed, in the use of the copy machine, laminating machine, postal machine and fax machine.
  6. Checks hospital departments’ inventory of paper and printing supplies. Refills as necessary.
  7. Helps unload hospital freight and distributes inventory to appropriate departments as necessary.
  8. Orders non-medical hospital inventory as needed. Works with departments on special inventory requests as needed.
  9. Works with Information Technology staff and Supply Chain Manager & Purchasing Agent to order, repair, install and replace hospital printers and copiers as needed.
  10. Assists Accounts Payable and Finance staff with data entry, filing, and related tasks.
  11. Ensure 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 all other duties as assigned.

Minimum knowledge, skills, and abilities

  1. Ability to read and write; knowledge of basic mathematics and computer skills as is typically acquired through the completion of a high school diploma or equivalent.
  2. Current Nebraska driver’s license is required.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Ability to communicate effectively and positively with patients, visitors, hospital personnel, vendors, and all customers that present to the facility. Must be able to effectively communicate with individuals from diverse backgrounds.
  5. Ability to concentrate and pay close attention to detail up to 80% of the time when ordering and receiving inventory, sorting mail and delivering inventory to appropriate departments.
  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. 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 well lighted and ventilated area. May be exposed to toxic chemicals up to 25% of the time. May be exposed to extreme temperatures up to 25% of the time.
  2. Required to spend up to 5-6 hours during shift completing paperwork and computer work, taking up to 75% of time. The rest of the shift is spent completing various activities relating to loading/unloading carts, stocking storage room, and transferring equipment throughout the hospital. Boxes of printer paper are delivered to the hospital’s loading dock approximately 2 times per week and each approximately 52-pound box is required to be transported into storage room to be stacked. A dolly cart is primarily used to transfer up to 3 boxes at a time from loading dock, moving 20 feet, to unload the paper onto a pallet requiring 45 pounds of horizontal force to pull dolly onto wheels and 8 pounds of horizontal force to move dolly cart. Shelves are to be stocked of various heights ranging from 4 inches from floor up to 74 inches high. Shelves are stocked with various weighted supplies, including approximately 30-pound boxes of IV bags, boxes of toilet paper weighing approximately 22 pounds up to 41 inches high, boxes of paper towels up to 65 inches high, and surgical packs weighing up to 7 pounds up to 74 inches high. Shelves are stocked with various other weighted supplies with these being the heaviest to be transported. Boxes are to be transported up to 50 feet to be placed on shelves. Required to transport supplies around the hospital up to 400 feet at longest trip, and if a cart is utilized for transporting supplies, the cart requires 25 horizontal force pounds for moving.
  3. Potential exposure to chemicals and other hazardous items. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury as needed.

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: Maintenance Technician

Effective Date: September 9, 2020

Supervisor: Director of Plant Operations

Department: Plant Operations

FLSA: Non-exempt

Principle duties and responsibilities

  1. Consults readily with the Director of Plant Operations to ascertain and determine the optimal mechanism to achieve possibly complex repairs.
  2. Maintains and inspects heating, cooling, plumbing, water, gas, electrical and mechanical equipment (change filters and belts, clean coils, grease pumps, etc.).
  3. Takes care of grounds in general of all health center owned properties including snow removal, sprinkler repair, trash pick-up, weed control, tree trimming, etc.
  4. Accompanies all inspectors, surveyors and contractors, etc. during reviews and/or repairs of physical and non-clinical equipment.
  5. Keeps accurate maintenance records of work performed.
  6. Keeps equipment manuals of new equipment up to date by contacting vendors for updates, conducting computer searches for updates, etc.
  7. Transports linen, food carts, etc. to and from various health center properties.
  8. Ensure patients and visitors follow current infection control guidelines.
  9. Responsible for ensuring the environment meets appropriate governing body standards.
  10. Responsible for safe bagging, disposal and packaging of biohazardous waste.
  11. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
  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. Ability to read equipment manuals, contractor agreements and maintenance documents at a level typically acquired through the completion of a high school diploma or equivalent.
  2. Current Nebraska driver’s license is required.
  3. Basic Life Support certification via American Heart Association required within six months of hire.
  4. Two years experience and/or specialized training in the maintenance, operation, repair, and inspection of institutionalized heating, cooling, plumbing, water, gas, electrical and mechanical systems and equipment is preferred.
  5. Ability to maintain, repair, and inspect health center and owned properties, equipment and vehicles with reasonable effectiveness, meaning that certain complex and sophisticated repair work may be relevant to maintenance service contract or beyond the scope of maintenance personnel capability.
  6. Ability to operate all types of machinery, health center equipment and operating systems such as generators, boilers, air conditioning, alarm panels, etc.
  7. Analytical ability to evaluate all aspects of the physical plant and equipment owned by Lexington Regional to determine need for maintenance and/or repair.
  8. Ability to carry out detailed written and oral instructions.
  9. Ability to maintain strict confidentiality with regard to protected and sensitive information.
  10. Ability to complete reports and correspondence at a professional level. Communication skills necessary to be able to complete maintenance reports, prepare letters to vendors, follow detailed written and oral instruction and to discuss maintenance issues with contractors.
  11. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
  12. Ability to effectively communicate with individuals from diverse backgrounds.
  13. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

  1. Worker completes various activities to help maintain hospital. Worker will help transferring loads from loading dock, such as moving 52-pound printer paper boxes, transferred with a 2 wheeled dolly cart, and restacked boxes onto pallet 25 feet away from dock. Extra pallets are removed from loading dock, weighing 38 pounds, carried 25 feet to step down into truck box to stack. 5 gallon buckets are carried 1 in each hand, weighing 48 pounds, carried down 12 stairs, approximately 50 feet to be stacked in boiler room; this task is completed with 10-15 buckets occasionally each month. Air canisters are to be transported to surgery area approximately 200 feet, with the heaviest canister weighing 20.5 pounds. Lunch carts are used to transport meals to Shackley and to Health and Fitness Center, requiring 10 pounds of horizontal force of distances up to 100 feet. Ladders are used to access equipment and to reach areas that need tended. Various hand tools are used for various reasons during worker’s shift. Folding tables weighing 27 pounds are to be transported from maintenance office area to FMS clinic, up to 800 feet in distance. Tasks during each day are variable and inconsistent, but increased forces and weights may be required to be transported or moved from different areas in hospital. A laundry cart is transferred between different departments up to 250 feet requiring 20 horizontal force pounds to push/pull.
  2. Exposure to electrical, temperature, chemical and other hazards related to the physical plant for up to 50% of work time when diagnosing repairs needed, conducting repairs, etc. Appropriate safety precautions, such as wearing goggles, breathing apparatus, boots, etc., and/or using portable lighting, ensuring adequate ventilation, etc. must be used to minimize risk of injury.
  3. Ability to work in all weather conditions. Exposure to extremes in temperatures for up to 50% of work time when making necessary repairs, inspecting work on the grounds, reviewing progress on construction projects, etc.
  4. Direct exposure to body substances on contaminated surfaces such as patient equipment, environment of care such as filter changes to air-handling unit and negative pressure unit, and construction and renovation. Risk of exposure to bio-film during various tasks, such as plumbing.

Management Responsibilities

  1. None

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

Description

Title: Trauma Nurse Coordinator

Department: Nursing Service

General Summary

The role of the Trauma Nurse Coordinator is to coordinate quality care forthe he trauma patient through collaboration with nursing, medical staff, ancillary departments, and prehospital providers. The TNC will incorporate research, performance improvement, administrative, educational, and clinical activities into the care of the trauma patient and family.

The Trauma Nurse Coordinator is a full-time Registered Nurse that is responsible for the organization of services and systems necessary for a multidisciplinary approach to care of trauma patients. He/she will assume responsibility for process and performance improvement activities as they relate to nursing and ancillary personnel and will assist the trauma medical director in carrying out these functions for the Medical Staff.

Principle Duties and Responsibilities

The TNC is to be made aware of all trauma patients admitted to the ER. He/she will coordinate care delivery throughout the patient’s stay and promote a seamless continuum of care.

  • Responds to Trauma Team activation in the Emergency Department when available.
  • Reviews all trauma team activation for appropriateness of activation, response of team member, and quality of care provided. Specific issues related to trauma care should be reported to the TNC.
  • Develops policies/protocols/guidelines based on benchmarks for standards of trauma care.
  • Keeps Medical Director informed of changes in the ED/trauma program, as well as, process and performance issues.

Provides patient care by:

  • Intervening at critical and/or key points to achieve expected outcomes.
  • Utilizes the nursing process in providing patient care, plans and selects appropriate interventions for patient care that will result in desired outcomes with consideration of appropriate utilization of resources.
  • Assures appropriate functioning of equipment.
  • Ensures that all staff is competent in equipment use, procedures, assessment, and monitors utilized in the delivery of trauma care.

Orients and educates medical staff, nursing staff, students, and general public to Trauma Systems.

  • Participates in orientation of new staff members.
  • Educates staff and students regarding the importance of the Trauma System.
  • Functions as a resource for questions and concerns regarding trauma care.
  • Participates in peer review.
  • Identifies educational opportunities for medical staff, nursing staff, and ancillary departments regarding current trends in trauma care.
  • Attends continuing education pertinent to delivery of trauma care.
  • Coordinates trauma conferences, trauma M&M, and trauma performance improvement meetings.

Participates in Performance Improvement activities.

  • Contributes to quality of patient care through Performance Improvement activities and Performance Improvement audits.
  • Collects and enters trauma data into the trauma registry for statistical analysis.
  • Concurrent and retrospective monitoring of trauma patients for clinical and system indicators of variance as set by American College of Surgeons.
  • Integrates educational needs as identified in Performance Improvement activities.

Involvement in Trauma Service annual budgeting process.

Maintains knowledge of current trends and developments in the field by reading appropriate books, journals and other literature, and attending related seminars and conferences.

Requirements

Trained to ER

Duties of trauma nurse coordinator in addition to full-time nursing floor position.

Description

Lexington Regional Health Center

Title: Emergency Department Coordinator

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Follows the job description of a Registered Nurse in addition to below.
  2. Provides leadership and guidance to nursing staff while keeping the mission and vision of LRHC in mind.
  3. Addresses personnel issues to promote a productive and supportive work environment and implements corrective action per policy.
  4. Monitors patient care for quality and patient safety by completing chart reviews, quality management initiatives, etc.
  5. Collaborates with Chief Nursing Officer and other leaders to develop, implement and evaluate programs and services.
  6. Reviews patient and staff data to measure the effectiveness of patient care for staff evaluations.
  7. Practices responsibility with regard to budget to include staffing costs, operating costs, equipment and supplies.
  8. Organizes and leads shared governance committee.
  9. Collects, reviews and reports ED quality data.
  10. Collaborates with area emergency responders and appropriate personnel to conduct ED/Trauma Meetings and participate in community drills as appropriate.
  11. Communicates all departmental concerns with the Chief Nursing Officer.
  12. Maintains and updates policies to ensure evidence-based practice.
  13. Assumes role and responsibility of Registered Nurses, Licensed Practical Nurses and Nursing Assistants.
  14. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
  15. Responsible for safe bagging and disposal of biohazardous waste.
  16. Responsible for following safe-injection practices.
  17. Responsible for proper collection, storage and labeling of biological specimens.
  18. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  19. Ensure patients and visitors follow current infection control guidelines.
  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. 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. Two years nursing experience required.
  4. BLS, ACLS, PALS and TNCC required within six months of hire and/or orientation.
  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. Nurses in the OB, Charge, and ER jobs are required to be able to fulfill job duties in these three areas. 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. 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 completed by 2 person assist. Shelves are required to be stocked: OB from 17 inches from floor up to 73 inches high, Acute Floor from 17 inches to 83 inches high, and ER from 4 inches off floor to 77 inches high. 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. OB bassinets and mobile scale are used for babies, requiring up to 10 horizontal force pounds for movement 2-3 times per shift. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. 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.
  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. Responsible for Registered Nurses, Licensed Practical Nurses, and Nursing Assistants.

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.

Requirements

1-2 years ER experience. Duties would be included in addition to a full-time nursing floor position.

Description

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.

Description

Lexington Regional Health Center

Title: Respiratory Therapist

Supervisor: Director of Respiratory Services

Department: Respiratory Therapy

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Assesses and administers respiratory services while utilizing appropriate therapies to treat patients with deficiencies of the cardiopulmonary system, by prescription or approved protocol under the supervision of the patient’s Medical Provider and Director of Respiratory Services.
  2. Administers respiratory therapies such as: nebulizer treatments, oxygen therapy, inhaled medications, bronchial hygiene therapy, lung volume expansion therapy, etc. Reacts to patient’s status changes and emergency situations appropriately and efficiently.
  3. Administers diagnostic testing to patients with cardio-pulmonary abnormalities such as EKG’s, PFT’s, Cardiac Stress Testing, ABG’s, obtaining sputum cultures, Pulmonary Rehab, etc.
  4. Provides education to patients and families regarding lung diseases. This may include COPD, asthma, smoking cessation, etc.
  5. Performs a thorough patient assessment including listening to lung sounds, counting respirations, assessing work of breathing, etc.
  6. Thoroughly and accurately documents every procedure and assessment performed.
  7. Works with all age groups ranging from infants and pediatrics to adults.
  8. Trouble-shoots skills to adjust BIPAP/CPAP machines, oxygen equipment, ventilator, etc.
  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 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. Knowledge of respiratory care therapies and procedures, equipment operation and basic computer skills to document procedures and assessments, as is typically acquired through the completion of an Associate’s degree in a Respiratory Care program from an accredited school.
  2. Current licensure as a Registered or Certified Respiratory Therapist from the Nebraska Department of Health and Human Services.
  3. Current Basic Life Support certification via American Heart Association required.
  4. Attention to detail up to 75% of work time when assessing patients and completing patient documentation.
  5. Analytical skills to troubleshoot problems with equipment, observe and evaluate patient status, etc.
  6. Advanced communication skills to educate patients and families, correspond with other healthcare professionals regarding a patient’s plan of care, etc. Ability to effectively communicate with individuals from diverse backgrounds.
  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. 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 approximately 2-4 hours/day completing documentation and desk work and the rest of the shift is spent completing various patient care activities, approximately 8-10 hours. Patient transferring is required for the job, up to 35 pounds 5% of work time. Required to transport various equipment for patient care activities: Computer On Wheels for documentation, oxygen tank carts, compressed air tank carts, single canisters of oxygen/compressed air, percussion machine, etc. for 15% of work time, with up to 20 pounds of horizontal force in hallways up to 300 feet in distance and up to 45 pounds of horizontal force to get over threshold into rooms 2 feet in distance. Required to use percussion tool, which weighs 2-3 pounds and creates vibration, and hold up to patient for percussion 10-40 minutes depending on patient diagnosis. Routine patient care requires reaching to hold equipment up to patient for breathing treatments, requiring different amounts of time. Supplies are to be stocked at various times, from 4 ¾ inch from floor up to 70 ¾ inch height shelves to be reached daily and 90 ¼ inch height monthly. Oxygen tanks, weighing 10 pounds when full, and compressed air tanks, weighing 15 pounds when full, are to be filled and transported to carts to be utilized for patient care 10% of work time. During emergency situations, CPR is a job duty that will need to be performed and may require performance in different body positions.
  2. Frequent exposure to infections, contagious diseases, hazardous anesthetic agents and body fluids and wastes up to 60% of the time. Regularly exposed to the risk of blood borne diseases and to hazards of flammable, explosive gases, up to 30% of the time. Occasional exposure to unpleasant patient or unit elements, up to 10% of the time.
  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.

Description

Lexington Regional Health Center

Title: Registered Nurse

Effective Date: September 11, 2020

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
  2. Delegates through the appropriate scope of practice.
  3. Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc.
  4. Prepares patients for and assists with exams and treatments.
  5. 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.
  6. Provides holistic support to patients and patient designated support system.
  7. Educates patients and designated support system on preventive measures, disease management, health care management while at home, etc.
  8. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of 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 following safe-injection practices.
  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. Supervises less skilled nursing healthcare personnel.
  16. Evaluates and implements patient care plans.
  17. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  18. Participates in shared governance committee.
  19. Communicates with multidisciplinary team to ensure patient centered holistic care.
  20. Regular attendance at the assigned work location is required
  21. 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 certification via American Heart Association required within six months of hire. BLS, ACLS, and PALS required within six months of hire and/or orientation.
  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 inquires 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. 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. Nursing COW, which is occasionally utilized for documentation, requires 15 horizontal force pounds to maneuver cart 200 feet at one time. 17 pound commodes are carried to patient specific rooms up to 200 feet. Transporting patient recliners from room to room up to 150 feet is completed. 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 completed by 2 person assist. Acute care shelves are to be stocked, reaching 17 inches from floor up to 83 inches high, which may require use of a step stool to reach appropriate heights. IV bags weighing 7 pounds are lifted up to variable heights overhead to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. 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. Crawling or getting onto floor may be required to clean up messes made in patient rooms as well.
  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.

Description

Lexington Regional Health Center

Title: Medical Scribe

Supervisor: Chief Medical Officer

Department: Family Medicine Specialists

FLSA Status: Non-exempt

Principle duties and responsibilities

  1. Accompanies provider into patient examination area in order to transcribe a history and physical exam, and accurately documents the provider’s encounter with the patient and others present.
  2. Lists all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the provider.
  3. Transcribes under the direction of the provider, patient orders including laboratory tests, radiology tests, medications, etc.
  4. Prepares the room for the patient, takes the patient’s history and performs a full set of vital signs on the patient.
  5. Documents any procedures performed by the provider.
  6. Keeps track and enters patient information as directed by the provider.
  7. Demonstrates problem solving skills as they relate to patient care activities and provides guidance and acts as a role model for the healthcare team.
  8. Identifies self-learning needs related to job description and seeks out appropriate resources to meet learning needs.
  9. Participates in staff meetings by providing constructive input and facilitating problem solving.
  10. Identifies opportunities for performance improvement and provides input for the development of solutions.
  11. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
  12. Regular attendance at the assigned work location is required.
  13. 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. Knowledge of medical terminology and ability to record exam details.
  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.

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.

Management responsibilities

  1. None

Approvals

CEO: Date:

Human Resources: Date:

Supervisor: Date:

Revision Date:

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.

Description

Lexington Regional Health Center

Title: Licensed Practical Nurse

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
  2. Delegates through the appropriate scope of practice.
  3. Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc.
  4. Prepares patients for and assists with exams and treatments.
  5. 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.
  6. Provides holistic support to patients and patient designated support system.
  7. Educates patients and designated support system on preventative measures, disease management, health care management while at home, etc.
  8. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of 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 following safe-injection practices.
  12. Responsible for proper collection, storage and labeling of biological specimens.
  13. Responsible for ensuring the environment meets appropriate governing body standards.
  14. Ensure patients and visitors follow current infection control guidelines.
  15. Supervises less skilled nursing healthcare personnel.
  16. Evaluates and implements patient care plans.
  17. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  18. Participates in shared governance committee.
  19. Communicates with multidisciplinary team to ensure patient centered holistic care.
  20. Regular attendance at the assigned work location is required.
  21. 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 a Licensed Practical Nursing degree from an accredited school.
  2. Must hold a current active Licensed Practical 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 certification 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 inquires 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. 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. 17 pound commodes are carried to patient specific rooms up to 200 feet. Transporting patient recliners from room to room up to 150 feet is completed. 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 completed by 2 person assist. Acute care shelves are to be stocked, reaching 17 inches from floor up to 83 inches high, which may require use of a step stool to reach appropriate heights. IV bags weighing 7 pounds are lifted up to variable heights overhead to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. 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. Crawling or getting onto floor may be required to clean up messes made in patient rooms as well.
  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.

Description

Lexington Regional Health Center

Title: Director of Obstetrics

Supervisor: Chief Nursing Officer

Department: Nursing

FLSA Status: Non-Exempt

Principle duties and responsibilities

  1. Follows the job description of a Registered Nurse in addition to below.
  2. Provides leadership and guidance to nursing staff while keeping the mission and vision of LRHC in mind.
  3. Addresses personnel issues to promote a productive and supportive work environment and implements corrective action per policy.
  4. Monitors patient care for quality and patient safety by completing chart reviews and quality management initiatives, etc.
  5. Collaborates with Chief Nursing Officer and other leaders to develop, implement and evaluate programs and services.
  6. Reviews patient and staff data to measure the effectiveness of patient care for staff evaluations.
  7. Practices responsibility with regard to budget to include staffing costs, operating costs, equipment and supplies.
  8. Organizes and leads shared governance committee.
  9. Collects, reviews and reports OB quality data.
  10. Organizes and conducts prenatal classes.
  11. Coordination and ensuring attendance for staff education, training and certifications for electronic fetal monitoring (basic, intermediate, advanced EFM training), NRP (Neonatal resuscitation program) certifications, etc.
  12. Communicates all departmental concerns with the Chief Nursing Officer.
  13. Maintains and updates policies to ensure evidence-based practice.
  14. Assumes role and responsibility of Registered Nurses, Licensed Practical Nurses and Nursing Assistants.
  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 following safe-injection practices.
  18. Responsible for ensuring the patient care environment meets appropriate governing body standards.
  19. Responsible for proper collection, storage and labeling of biological specimens.
  20. Ensure patients and visitors follow current infection control guidelines.
  21. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
  22. Regular attendance at the assigned work location is required.
  23. 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. BLS, ACLS, PALS and TNCC required within six months of hire and/or orientation.
  4. Two years nursing experience required.
  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 inquires 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. Nurses in the OB, Charge, and ER jobs are required to be able to fulfill job duties in these three areas. 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. Nursing COW, which is occasionally utilized for documentation and delivering medication, requires 15 horizontal force pounds to maneuver cart 200 feet at one time. 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 completed by 2 person assist. Shelves are required to be stocked: OB from 17 inches from floor up to 73 inches high, Acute Floor from 17 inches to 83 inches high, and ER from 4 inches off floor to 77 inches high. 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. OB bassinets and mobile scale are used for babies, requiring up to 10 horizontal force pounds for movement 2-3 times per shift. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Chest tube tray in ER weighing 8 pounds is used in appropriate situations, transported up to 200 feet from ER to patient room. 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.
  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. Responsible for Registered Nurses, Licensed Practical Nurses, and Nursing Assistants.

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: 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:  Admission Clerk   

 

Date: August 1, 2021              

 

Supervisor:  Clinic Administrator  

 

Department:  Family Medicine Specialists 

 

FLSA Status: Non-Exempt 

 

Principle duties and responsibilities 

 

  1. Accurately screen and register patients ensuring all demographic, relationship, and insurance information is entered into the system accurately and promptly while demonstrating care, courtesy and confidentiality with each patient.  
  1. Ensure 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). 
  1. Review and manage work queues including Eligibility, Medicare Secondary Payer Questionnaire Completion, Incomplete Verification, and Registration Error/Follow-up. 
  1. Answer phone calls and assist or route the caller appropriately throughout the facility.  
  1. Processes cash, check, or credit card payments in person and over the phone.  
  1. Post payments to patients’ accounts, and balance cash drawer at the end of each shift.   
  1. Follow up with patients for additional information for successful submission of insurance claim.  
  1. Ensure patients and visitors follow current infection control guidelines.   
  1. Responsible for ensuring the environment meets appropriate governing body standards. 
  1. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)   
  1. Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.). 
  1. Regular attendance at the assigned work location is required. 
  1. 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.  
  1. Individual must be 19 years of age in order to sign legal documents. 
  1. 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.    
  1. Ability to maintain strict confidentiality with regard to protected and sensitive information. 
  1. Ability to solve problems independently and confidently by applying analytical and logical thinking.    
  1. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.   
  1. Ability to effectively communicate with individuals from diverse backgrounds. 
  1. Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes. 
  1. 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. 

 

  1. 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. 

 

  1. Worker spends majority of day completing desk/computer work, sitting up to 90% of day. 10% of day is spent away from desk assisting areas as needed. Up to 30 pounds is required to be transferred around the clinic, specifically lifting and carrying a box of printer paper that weighs 30 pounds, lifting up to a counter top height of 36 inches. Normally, the box will be lifted or carried short distances for storage, but if seeking the box from Materials Management in the supply storage, worker may carry the 30-pound box of paper up to 620 feet back to Family Medicine Specialists. Worker is required to store supplies into cupboards with shelf height 16 inches and reaching at least 12 inches within cupboard.  

 

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. 

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