POSITION DESCRIPTION / PERFORMANCE EVALUATION Name: Job Title: Respiratory Therapy Assistant/Ward Clerk Prepared by: Date: Supervised by: CNO Approved by: Date: Job Summary: DUTIES AND RESPONSIBILITIES: Performance is clearly outstanding;performance is superior it far eceeds standards E = Ecellent or epectations;performance is eceptional on a continuous basis. G = Good S = Satisfactory NI = Needs Improvement Performance generally meets or eceeds standards or epectations;attains all or nearly all of position objectives. Performance is adequate it meets standards or epectations, and is developing within the position. Fails to meet one or more job epectations. U = Unacceptable Performance is below accepted levels;fails to meet most job epectations. Demonstrates Competency in the Following Areas: E G S NI U Ward Clerk: Pulls charts as assigned by charge nurse to ready them for the physician. Maintains patients charts on a daily basis concerning vital signs, documentation and chart fillers. Fills out work orders and notifies maintenance;fills out diet orders and notifies kitchen. Makes sure the intake and output sheets are completed at the end of the shift. Compiles the daily census and level of care for the Medical Records Clerk. Maintains availability of charts for authorized personnel inspections. Assists supply clerk in monitoring supplies, charges and billing. Answers telephone and directs calls to appropriate patient or staff. Respiratory Therapy Assistant: Administers respiratory care treatments and oygen therapy. Cleans, maintains and verifies proper functioning of equipment before applying to patient. Maintains adequate stock of supplies, medications. Maintains QI records and charge records for treatments given. Performs other related duties as needed. Professional Requirements: E G S NI U 1
Professional Requirements: E G S NI U Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Complies with requirements, including all state and federal regulations. Adheres to the Group II level of HIPAA Minimum Necessary Standard when using, disclosing or requesting Protected Health Information (PHI). Reports to work on time and as scheduled. Wears identification while on duty. Attends annual review. Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. Acts proactively in managing time, workload and other departmental duties. Represents the organization in a positive and professional manner. Resolves personnel concerns at the departmental level, utilizing the grievance process as required. Compliant with policies and procedures regarding department operations, fire, safety and infection control. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department. Total Points 2
Education/Eperience Requirements: High school diploma or GED. Requires knowledge and eperience in the health care field. Preference will be given to those individuals with previous eperience as either a ward clerk or respiratory therapy assistant. Skills: Basic computer knowledge. Able to communicate effectively in English, both verbally and in writing. Able to work cooperatively with physicians, patients and other departmental staff. Physical Demands: For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. ======================================================================================= I have received, read and understand the Position Description/Performance Evaluation above. Name/Signature Date Signed 3
JOB TITLE: Respiratory Therapy Assistant/Ward Clerk DEPARTMENT: Nursing NAME: # HOURS/WORKDAY: 8 DEVELOPED BY: DATE DEVELOPED: 9/22/05 MANAGER SIGNATURE: DATE: DESCRIPTION OF PHYSICAL DEMANDS CHECK APPROPRIATE BO FOR EACH OF THE FOLLOWING ITEMS TO BEST DESCRIBE THE ETENT OF THE SPECIFIC ACTIVITY PERFORMED BY THE STAFF MEMBERS IN THIS POSITION PHYSICAL DEMANDS On-the-job time is spent in the following physical activities Show the amount of time by checking the appropriate boes below. Stand: Walk: Sit: Talk or hear: Use hands to finger, handle or feel: Push/Pull: Stoop, kneel, crouch or crawl: Reach with hands and arms: Taste or smell: Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more This job requires that weight be lifted or force be eerted. Show how much and how often by checking the appropriate boes below. Up to 10 pounds: Up to 25 pounds: Up to 50 pounds: Up to 100 pounds: More than 100 pounds: Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more This job has special vision requirements. Check all that apply. Close Vision (clear vision at 20 inches or less) Distance Vision (clear vision at 20 feet or more) Color Vision (ability to identify and distinguish colors) Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fied on a given point) Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships) Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus) No Special Vision Requirements Specific demands not listed: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. WORK ENVIRONMENT This job requires eposure to the following environmental conditions. Show the amount of time by checking the appropriate boes below. Wet, humid conditions (non-weather): Work near moving mechanical parts: Fumes or airborne particles: Toic or caustic chemicals: Outdoor weather conditions: Etreme cold (non-weather): Etreme heat (non-weather): Risk of electrical shock: Work with eplosives: Risk of radiation: Vibration: The typical noise level for the work environment is: Check all that apply. Very Quiet Loud Noise Quiet Very Loud Noise Moderate Noise Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more Hearing: Ability to hear alarms on equipment Ability to hear patient call Ability to hear instructions from physician/department staff REPETITIVE MOTION ACTIONS Number of Hours Repetitive use of foot control 0 1-2 3-4 5-6 7+ A. Right only B. Left Only C. Both Repetitive use of hands A. Right only B. Left Only C. Both Grasping: simple/light A. Right only B. Left Only C. Both Grasping: firm/heavy A. Right only B. Left Only C. Both Fine Deterity A. Right only B. Left Only C. Both 4
PERFORMANCE EVALUATION CONTINUATION PAGE Staff Member: Job Title: Performance Evaluation Score: # of total points achieved Supervisors Comments: 135 108 points = Ecellent 107 81 = Good 80 54 = Satisfactory 53 27 = Needs Improvement 26 0 = Unacceptable 100% merit increase 100% merit increase 75% merit increase 50% merit increase 25% merit increase Recommended Goals/Actions: Staff Member Comments: Actions Recommended by Supervisor: Current Wage: New Wage: Performance Review Only Net Performance Review on: Acknowledgement of Job Description Cost of Living Increase: Salary Increase: Total Increase: Salary Increase Denied Staff Member Signature Date Supervisor Signature Date Administrative Signature Date 5
PERSONNEL MEMBER ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION As a member of the Okeene Municipal Hospital s personnel team, your comments and input are important to both our continuing development and quality provision of patient care and services. Your continued professional growth and job satisfaction are primary goals of the hospital. The administrative team and your department supervisor are interested in your comments regarding the following: 1-5 (1 = poor, 5 = ecellent) 1. How would you rate your current job satisfaction level? 2. How would you rate your current job performance? 3. How would you rate the organization s provision of personnel benefits? 4. How would you rate the organization s provisions for personnel continuing education? 5. How would you rate the organization s physical working environment? 6. How would you rate the organization s emotional working environment? 7. List your professional goals: 8. List any departmental goals that may differ from professional goals (include educational and performance goals): 9. Is there anything the organization can do to help you achieve any of these goals? 10. If so, please describe: 11. Comments you feel may assist the organization with improving personnel satisfaction levels: Note: This organization pledges to utilize information provided for the sole purpose of improving personnel satisfaction and assisting the author with achievement of advanced personal and/or professional growth. 6
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