Oakwood Career Ladder RESPIRATORY CARE

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1 RESPIRATORY CARE Registered Respiratory Therapist Associate Degree program in Respiratory Care from JRCRTE accredited institution; Two years in the field of Respiratory Care. May include clinical rotations NBRC Registered Respiratory Therapist. BLS certification. Respiratory Therapist Graduate of an accredited respiratory technician or associate degree program in Respiratory Care;1 year in the field of Respiratory Care. May include clinical rotations; Certified Respiratory Therapist, credentialed by the NBRC within two years from date of hire Respiratory Therapist Assistant High school diploma; proof of active enrollment in accredited Associates Degree Respiratory Care program Respiratory therapists work with doctors and other healthcare professionals to evaluate, treat and care for patients who have breathing and other cardiopulmonary disorders. They also perform diagnostic tests and limited physical examinations. Therapists utilize complex, specialized equipment to help people breath. They work with patients ranging in age from infants to senior citizens. Respiratory therapists work under the supervision of physicians. Most respiratory therapists are employed in hospitals. They also work in nursing care facilities and physician offices. Therapists often treat patients with oxygen and oxygen mixtures, aerosol medications and chest physiotherapy. They provide treatments that give temporary relief for problems such as emphysema and chronic asthma. They also give emergency care to patients for heart attacks, strokes, shock and drowning. Some therapists, employed in hospitals, might work in intensive care or critical care units. Some of the duties of therapists and technicians overlap, however the therapists have more responsibility. Therapists provide more complex therapies which need independent judgment. Respiratory therapists also consult with doctors and other healthcare personnel in order to create and modify the treatment strategies for patients. In some hospitals respiratory therapists are involved with duties that are not traditionally part of the profession such as pulmonary resuscitation, disease prevention and smoking cessation counseling.

2 FOOD & NUTRITION Dietary Assistant III High School Graduate or Equivalent Dietary Assistant II High School Graduate or Equivalent Dietary Assistant III Responsible for patient food service on assigned units, e.g., menu selections, tray assembly, tray delivery and pick up, special requests and needs, in between meal food delivery. Exhibits a friendly, caring attitude to patients, physicians, nurses and visitors. Contributes to patient satisfaction goals by providing quality service. Dietary Assistant II Under close supervision, following mandated food handling techniques, sanitary requirements and safety requirements, provides appetizing meals and other related food services to patients, hospital employees, guests, cafeteria patrons and other authorized visitors. Dietary Assistant I Under close supervision, following mandated food handling techniques, sanitary requirements and safety requirements, provides appetizing meals and other related food services to patients, hospital employees, guests, cafeteria patrons and other authorized visitors. Dietary AssistantI High School Graduate or Equivalent

3 LABORATORY Lead Radiology Technologist/Lead CT Technologist Associate of Science Degree in Clinical Laboratory Science or a related science discipline; Completion of an accredited clinical internship or equivalent experience/training as required by the Board of Registry for certification Certified MLT(ASCP), MLT(AMT), CLT(NCA) or CLT(CSLT) or registry eligible (refer to policy re: registry eligibility). Registry eligible must successfully pass registry exam within 1 year Senior Laboratory Support Technician High School graduate or equivalent; Minimum three years of laboratory related experience LaboratorySupport Technician High School Graduate or equivalent; Minimum 6 months laboratory experience preferred A Radiology Technician uses radiographic (X ray) equipment, to prepare and create high quality images of various parts of the body (bones, organs, tissues, and vessels) for the diagnosis and treatment of injuries and illness by a radiologist, physician, or other healthcare professional. A Radiologic Technologist may specialize in various diagnostic imaging types such as: Diagnostic Radiography: The use of X rays that enable views through tissues in order to examine bones, cavities, and internal matter; includes cardiovascular imaging. CT (Computed Tomography): An imaging method that creates crosssectional scans (slices) of body organs; 2 or 3 dimensional images can also be created from the cross sectional images taken. MRI (Magnetic Resonance Imaging): A non invasive procedure that produces 2 or 3 dimensional images of the body through the use of powerful radio waves and magnets. Nuclear Medicine: The branch of medicine that uses radioactive tracers (radioactive molecules administered through the body) to diagnose and treat various diseases and examine bodily and organ functions. Mammography: The use of X rays to produce breast tissue images.

4 NURSING Registered Nurse Student Nurse Extern Successful completion of one Med/Surg. Clinical rotation in an acute care setting; Clinical experience as a Student Nurse and additional clinical experience preferred Nursing Assistant High School Graduate or Equivalent Must have 1 year recent (within the last 5 years) nursing assistant experience in a hospital or nursing home or have current CNA certification or completed the first year of a nursing program [or currently enrolled in a nursing program and completed the first clinical rotation] Registered Nurses (RNs) are professionals in the health care field who are licensed by the state to provide direct care to patients. Individuals who have attained the RN title il are graduates of a formal program of nursing education and are responsible for providing direct care to patients and for assessing, planning, implementing, and evaluating nursing care of the sick and injured. As members of the largest healthcare occupation in the US, RNs require more training and have a higher degree of responsibility than other general classes of nurse. Nursing Assistants perform a variety of hands on duties and tasks focused on the care of patients in facilities such as hospitals, nursing homes, assisted living facilities, and health centers. Other titles for individuals in this profession include hospital attendant, nursing aide, nurse aide, patient care technician, geriatric aide, and orderly. The title, Certified Nursing Assistant (CNA) applies to individuals who have met state certification requirements to work in skilled nursing facilities, and most especially in facilities that accept Medicare residents. Specific duties and tasks performed by an individual in this profession depend on their experience and training, and the type of health care facility in which they work. Regardless however, it is the Nursing Aide whom a patient sees most often on any given day. And, most especially for nursing home patients, it is the Aide with whom they very often form a close bond. When one considers all that an Aide does both for and with a patient, it is no wonder that a personal attachment is formed.

5 HUMAN RESOURCES Senior Human Resources Professional Bachelor s Degree in Human Resources, Business Administration, or equivalent work experience; Five or more years recruiting/employment experience in directly hiring applicants Human Resources Professional Bachelors degree and/or combination of education and significant work experience in Human Resources; Minimum of five (5) years relevant experience is required, preferably in an HR generalist role Human Resources Specialist Bachelors degree in HR or related field and/or combination of education and significant work experience in Human Resources; bachelors strongly preferred; Six month to 1 year of relevant experience is required, preferably in an HR generalist role Human resources specialists provide information and answers to employee's questions regarding benefits and compensation. Some human resources specialists work closely with training and labor relation staff members. They also strive to improve employee's job satisfaction. Practically all industries employ human resources professionals. Large companies typically have a variety of human resources specialists such as equal opportunity representatives, recruiters, labor relations personnel, training and development specialists, job analysts and compensation and benefits specialists. In small companies, all the elements of human resources work may be taken care of by a human resources generalist. Human resources generalists need to have a wide range of knowledge. Human resourcesworkers take care of administrative functions but some human resources staff members are also involved with consulting with top executives about strategic planning. They suggest policies and policy changes. Some human resources personnel assist managers in running programs that cover company security, occupational health and safety, counseling services and other programs.

6 PHARMACY TECH Pharmacy Coordintor/Pharmacy Automation Coordinator Pharmacy Coordinator: High School Graduate or equivalent, two years experience as a pharmacy technician and Certified Pharmacy Technician (CPhT) Pharmacy Automation Coordinator: High School Graduate or equivalent, 3 years experience as a hospital pharmacy technician including responsibility for pharmacy automation dispensing equipment function and database maintenance Senior Pharmacy Technician High School Graduate or equivalent, 3 5 years experience in hospital pharmacy (2 years with OHS) and Certified Pharmacy Technician (CPhT) Pharmacy Technician High School Diploma or equivalent and 1 year experience in pharmacy or graduation from an accredited technician training program or technician certification A Pharmacy Technician performs many pharmacy related functions under the direct supervision of a licensed pharmacist. Pharmacy technicians generally assist the pharmacist in dispensing medication and other health care products to patients. Their work is typically a combination of routine tasks in the preparation of prescribed medication (e.g., counting tablets, labeling bottles, etc.) and administrative duties such as stocking shelves, answering phones, keeping records, and handling payment by customers. Responsibilities of a pharmacy technician vary depending on their work locale. Those who work in retail or mail order pharmacies typically receive prescriptions either in written form, as a refill request from patients, or sent electronically from the doctor's office. Upon receipt, they must first verify that information on the epesc prescription pto is complete and accurate. They then must prepare the prescription; a process which involves retrieving, counting, pouring, weighing, measuring, and/or mixing the medication. After this is done, they prepare the prescription labels, select the appropriate p container, and affix the prescription and auxiliary labels to the container. As the final step in the process, technicians price and file the prescription, which must be checked by a pharmacist before it is given to the patient

7 PHARMACIST Clinical Pharmacy Specialist PharmD or Bachelors degree, 2 Years Experience as a Clinical Pharmacist Preferred and/or Pharmacy Residency/or Fellowship and Pharmacist and Controlled Substance License in good standing with the State of Michigan Staff Pharmacist/Clinical Pharmacist Staff Pharmacist: PharmD or Bachelors degree in Pharmacy and Pharmacist and Controlled Substance License in good standing with the State of Michigan. Clinical Pharmacist: PharmD or Bachelors degree with two years hospital pharmacy experience and Pharmacist and Controlled dsubstance License in good standing with the state tt of Michigan Pharmacy Intern Fulfilling requirements toward a Bachelors or Pharm D degree in Pharmacy and current Michigan Pharmacy Intern License Pharmacists dispense drugs prescribed by doctors and they also provide information to customers regarding side effects and the usage of drugs. They have knowledge about the laws that regulate the manufacturing and sales of drugs. A pharmacist also has knowledge about the composition of medicines and how drugs interact with each other. Mostpharmacists work in community pharmacies. Pharmacy technicians often assist pharmacists with dispensing medications. Some pharmacists focus on dispensing drugs, whereas others oversee an entire store. Some pharmacists specialize in particular drug therapy areas including oncology, geriatric pharmacy and nuclear pharmacy. A number of pharmacists are involved in research for pharmaceutical manufacturers, whereas others work in marketing and sales. Some sample job titles are staff pharmacist, registered pharmacist, clinical pharmacist and hospital pharmacist.

8 IMAGING Lead Radiology Technologist/Lead CT Technologist Lead Radiology Tech: Graduate of a JRCERT Accredited Radiography program, 5 years clinical experience beyond staff radiographer level and Certification by the American Registry of Radiologic Technologists Lead CT Tech: Graduate of a JRCERT Accredited Radiography program, 5 years clinical experience beyond staff radiographer level and Certification by the American Registry of Radiologic Technologists Interventional Radiology Tech/CT Technologist Interventional Rad Tech: Graduate of a JRCERT Accredited Radiography program, 1 year clinical experience beyond staff radiographer level and Certification by the American Registry of Radiologic Technologists CTT Tech: Graduate of a JRCERT Accredited d Radiography program, 1 year clinical i l experience beyond staff radiographer level and Certification by the American Registry of Radiologic Technologists Radiology Technologist Graduate of a JRCERT Accredited Radiography program and Certification by the American Registry of Radiologic Technologists A Radiology Technician uses radiographic (X ray) equipment, to prepare and create high quality images of various parts of the body (bones, organs, tissues, and vessels) for the diagnosis and treatment of injuries and illness by a radiologist, physician, or other healthcare professional. A Radiologic Technologist may specialize in various diagnostic imaging types such as: Diagnostic Radiography: The use of X rays that enable views through tissues in order to examine bones, cavities, and internal matter; includes cardiovascular imaging. CT (Computed Tomography): An imaging method that creates crosssectional scans (slices) of body organs; 2 or 3 dimensional images can also be created from the cross sectional images taken. MRI (Magnetic Resonance Imaging): A non invasive procedure that produces 2 or 3 dimensional images of the body through the use of powerful radio waves and magnets. Nuclear Medicine: The branch of medicine that uses radioactive tracers (radioactive molecules administered through the body) to diagnose and treat various diseases and examine bodily and organ functions. Mammography: The use of X rays to produce breast tissue images.