Assistant: Medical (PRN)

Check ALL that Apply:

X

High school diploma or equivalent.

X

Graduate of an accredited MA program is desired but not required.

Experience:

X

Minimum of two (2) years experience in a clinical setting; outpatient clinic / physician’s office nursing is desired but not required. May consider training new graduates or candidates without experience.

X

CLIA waived laboratory testing experience desired but not required.

X

CIS / Immunization experience desired but not required.

X

Current Colorado certification as MA is desired but not required.

X

Current AHA BLS certification for healthcare providers required.

X

Basic computer knowledge (Microsoft Office, electronic health record).

Language Skills:

X

Demonstrates ability to read, write, and clearly express one’s self in English 100% of the time.

X

Additional languages desired but not required.

X

Demonstrates ability to listen.

X

Demonstrates ability to express or exchange ideas by means of spoken work, to impart oral information to others or the public and to convey detailed spoken instructions to others accurately, loudly, or quickly.

Work Environment:

X

Work is performed in a clinic setting with exposure to work stress, environmental stress and frequent interruptions; noise level is moderate; frequent daily communications with patients, families, employees, vendors and/or the public.

X

PSMC cross-trains job positions. This job description must cross-train to be able to effectively perform the job position(s) of: Assistant: Nursing.

Supervisory Responsibilities:

X

This position IS NOT responsible for supervising other personnel.

Job Hazards:

X

Exposure to blood, bodily fluids and communicable disease.

X

Physical strain due to lifting, moving and positioning patients and/or equipment.

X

Verbal or physical abuse.

X

Radiation, chemical and hazardous materials.

X

Potential equipment and device / product hazards.

X

Liability due to current public consciousness.

Physical Demands:

Check ALL that Apply:

Description

X

Alternate Sit/Stand or Walk at Will – Able to alternate between sitting and standing as needed.

X

Climbing Ramps/Stairs – Able to ascend or descend ramps and/or stairs using feet and legs. Hands and arms may be used for balance, i.e., holding the rail.

X

Far Visual Acuity – Clarity of vision at 20 feet or more. This is not just the ability to see a person or object, but the ability to recognize features as well.

X

Fine manipulation – Picking, pinching, or otherwise working primarily with fingers rather than the whole hand or arm as in gross manipulation.

X

Foot/leg controls – Using one or both feet or legs to move controls on machinery or equipment. Controls include but are not limited to pedals, buttons, levers, and cranks.

X

Gross manipulation – Seizing, holding, grasping, turning, or otherwise working with hand(s). Fingers are involved only to the extent that they are an extension of the hand.

X

Hearing requirements – Able to hear, understand, and distinguish speech and/or other sounds, i.e., machinery alarms, medical codes/alarms, one on one or in a group or conference.

X

Keyboarding – Entering text or data into a computer or other machine with a keyboard.

X

Kneeling – Bending at the knees to come to rest on knee(s).

X

Lifting – Raising or lowering an object from one level to another (includes upward pulling).

X

Carrying – Transporting an object, usually by holding it in the hands or arms, but may occur on the shoulder.

X

Near Visual Acuity – Clarity of vision at approximately 20 inches or less (i.e., working with small objects or reading small print, including the use of computers.

X

Peripheral vision – Observing an area that can be seen up and down or right to left while eyes are fixed on a given point.

X

Pushing – exerting force upon an object so that the object moves away from the force.

X

Pulling – exerting force upon an object so that the object moves toward the force.

X

Reaching at/below shoulder level – Extending hand and arms from 0 up to 150 degrees in a vertical arc. Reaching requires the straightening and extension of the arm and elbow and the engagement of the shoulder. The elbow does not need to be locked at any time and the arm does not need to remain in a continuously straight position.

X

Reaching overhead – Extending hands and arms in a 150-180 degrees vertical arc. Reaching requires the straightening and extension of the arm and elbow and the engagement of the shoulder. The elbow does not need to be locked at any time and the arm does not need to remain in a continuously straight position.

X

Standing/walking – Standing is to remain on one’s feet in an upright position at a workstation without moving about. Walking is to move about on foot.

X

Stooping – Bending the body downward and forward by bending the spine at the waist – requiring full use of the lower extremities and back muscles.

Type of Work

Select (1)

Seldom

Occasionally

Frequently

Constantly

Sedentary

Up to 10 pounds

Up to 10 pounds

Negligible weight

No weight

Light Work

11-25 pounds

11-25 pounds

1-10 pounds

Negligible weight

Medium Work

X

26-50 pounds

26-50 pounds

11-25 pounds

1-10 pounds

Heavy Work

51-100 pounds

51-100 pounds

26-50 pounds

11-25 pounds

Very Heavy Work

>100 pounds

>100 pounds

>50 pounds

>25 pounds

Culture:

Adheres to our standards of conduct and culture (WISER) as defined by our policies and procedures including maintaining, always, an attitude of positive teamwork, compassion, integrity, and respect for our patients, visitors and staff.

Demonstrates commitment to service excellence and promotes positive patient, visitor, and employee experiences.

Establishes and maintains effective working relationships with others (i.e., co-workers, supervisors, patients, visitors, vendors of PSMC and the public).

Works effectively on PSMC/department team matters and recognizes situations which require teamwork.

Quality:

Must consistently demonstrate compliance with organizational-wide competency statements and performance criteria based on established quality and key performance indicators.

Safety:

Participates in employee training, disaster preparedness and emergency events.

Reports potential safety issues as soon as possible.

Demonstrates safe operation of equipment and uses supplies / materials / chemicals as directed by instructions for use.

Wears non-slip footwear to prevent fall and/or injury.

Follows established policies and procedures for employee illness and/or exposure to illness/disease. Does not come to work sick.

Service Excellence:

Demonstrates proper phone etiquette when talking on the phone for business.

Answers phone messages promptly, by the end of the business day or as established by your department.

Demonstrates proper email etiquette when utilizing PSMC email account.

Answers email messages promptly.

Demonstrates a willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.

Organization-Wide Requirements:

Complies with all PSMC policies including, without limitation, timely attendance, code for dress and decorum, no conflicts of interest, no harassment, fragrance free, use of personal devices at work etc.

Complies with all PSMC and department procedures, rules and directives.

Check email at least once daily when on-shift (full time employees); check email at least once weekly and/or when on-shift (part-time / per diem employees).

Maintains strict confidentiality of all patients matters and recognizes situations where confidentiality should be maintained even if not legally required. Note: All employees must sign a confidentiality agreement with PSMC stating that information will not be shared with any entity or individual unless authorized or necessary for patient care. Breaches of confidentiality will result in immediate disciplinary action up to and including dismissal from employment.

Possesses computer knowledge / skills and the ability to learn and adapt to new programs and software.

Keeps personal contact information updated in Human Resources and in PayCom.

Sets up desk phone in compliance with established PSMC protocol. Assures name is associated with the phone assigned to you, if applicable.

Utilizes away messages when you are not in the office and responding to calls, if applicable.

Sets up email signature in compliance with established PSMC protocol.

Utilizes away messages when you are not in the office and responding to emails.

Demonstrates the ability to perform CPR 100% of the time.

Demonstrates the ability to work and multi-task at a rapid pace with numerous interruptions 100% of the time.

Displays the ability to work independently with high self-motivation and directional initiative.

Displays the ability to cope and remain calm in escalating circumstances.

Participates in departmental inventory process periodically.

Attends, at least, 50% of all scheduled department staff meetings.

Performs other duties, as assigned by a supervisor.

Departmental Responsibilities:

Meets all standard job requirements.

Accountability:

Meets standards and clear expectations for the RHC including, job performance, training, continuing education, certifications, conduct and adherence to district values.

Holds self and staff accountable in a consistent and respectful manner.

Follows all approved PSMC policies and procedures.

Interpersonal Skills:

Communicates effectively, keeping leadership and team members informed and involved.

Treats people with respect, recognizes individuality and is fair and equitable in all interactions.

Demonstrates critical thinking skills in problem solving tactics. Uses sound and fair judgement in a calm and professional manner.

Demonstrates adaptability and flexibility when new information becomes available.

Works collaboratively with others, communicates the department’s vision and strategy across all levels of the organization, and builds consensus around key initiatives and projects.

Establishes and maintains respectful and effective relationships with providers, employees, patients and managers/directors/Senior Leadership.

Ability to handle high stress situations, rapid pace, multiple issues, interruptions and matters requiring sensitivity.

Able to work independently, meeting essential job functions, deadlines and priorities, while also utilizing available resources when needed.

Departmental Operations:

Practices within the MA scope of care as defined by the PSMC.

Accurately and efficiently completes all elements of patient intake following clinic workflows and protocols. Appropriate documentation of the patient intake includes, but is not limited to: medications, allergies, history of present illness, procedure history, social history, family history, depression / suicide screening, cancer screening and immunization status.

Accurately obtain patient vital signs and documents in the electronic medical record.

Demonstrates sound clinical judgement skills to assure the delivery of safe and effective provider-driven care for the clinic patient.

Acts as a liaison between the rural health clinic care team and the clinic patient, promoting a culture of effective communication, collaboration and a commitment to service and clinical excellence.

Receives patient phone calls appropriately and sends messages in the electronic health record to appropriate parties.

Works closely with providers and the rural health clinic leadership team to assure a seamless and positive experience for clinic patients and their family members.

Actively participates in training new clinical staff members.

Efficiently and accurately collects and documents patient related quality data in accordance with clinic workflows and protocols.

Performs pre-visit planning for scheduled patients daily, by reviewing the medical record for needed cancer screenings and immunizations. Relays information to the provider examining the patient.

Accurately performs CLIA waived, point of care, laboratory tests as ordered by the Provider.

Provides additional patient care as ordered within the MA scope of practice, including completing dressing changes, administering medications, suture / staple removal, EKG, nebulizer treatments, ear lavage, orthopedic device fitting and other Clinic appropriate nursing tasks as ordered by the provider in an accurate and timely manner.

Performs injections, using appropriate technique, appropriate dose calculations, and documents accurately in the electronic health record. Must have RN verification and double check prior to injection.

Researches each medication to be given and knows the appropriate doses, side effects, and contraindications etc.

Utilizes resources such as Lexicomp, Nursing Drug Handbooks, and PSMC pharmacist to ensure patient safety.

Follows the seven (7) medication rights (right patient, right medication, right dose, right time, right route, right indication and right documentation) and reduces the potential for medication errors.

Safely administers and correctly documents immunizations as directed/ordered by the Provider.

Accurately documents medication samples given to patients.

Initiates and completes all department specific, initial intake patient assessments following established documentation requirements in the electronic medical record.

Transfers care, when needed, following hospital procedure, utilizing the SBAR format.

Evaluates the patient’s general condition, including obtaining vital signs, height and weight and notifies the provider of any abnormal findings.

Provides preventive care information that matches patient age, sex, and health status.

Works with the provider to reinforce patient education and prior patient teaching surrounding disease state, treatment plan, and medications.

Utilizes the National Patient Safety goals in providing patient care.

Follows up on all outstanding orders in a timely manner.

Reviews chart preparation including order verification, insurance authorization verification, and lab orders placed by the provider.

Ensures patients’ next appointments are scheduled and appropriate follow-up.

Responds to patient portal messages in a timely manner.

Participates in the coordination of care by bringing any concerns to his/her direct supervisor and/or the Team providers.

Communicates effectively with ordering provider to ensure that all orders are accurate and complete.

Performs approved nursing procedures as defined by specific department and successful completion of associated competencies.

Completes all Cerner documentation required in accordance with competencies, trainings, and PSMC policy and procedures.

Utilizes efax to process faxes.

Uses approved abbreviations. Refer to PSMC policy: Abbreviations in the Medical Record.

Assists providers, other department, and hospital staff.

Use at least two identifiers when confirming the identity of each patient (i.e., name and date of birth).

Demonstrates proficiency in completion and documentation of patient data, using the correct electronic health record template for visit. (i.e., Medicare Annual Wellness, Adult Intake, Pediatric Intake and CDL Exam).

Documents all patient contact and/or care/treatment and medications administered in the EMR.

Reconciles Immunization forecaster utilizing CIIS, prints recommended schedule for appropriate visits.

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

Identifies and addresses psycho-social needs of patients and families. Appropriately adjusts care for patients of all cultural and religious backgrounds.

Carries out medical and surgical asepsis during treatments and special procedures. Utilizes universal precautions with all patients.

Reduces potential for infection by instituting appropriate level of infection precautions based on patient condition.

Utilizes required templates and/or forms when documenting within the electronic health record.

Presents / provides patients with appropriate patient education and visit summaries at the end of each visit.

Rooms all patients in a timely fashion and in a professional manner.

Demonstrate willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.

Prioritizes tasks so that the most important tasks are completed first.

Initiates action to prevent the occurrence of any potential problems or nonconformities relating to patient care or supporting activities.

Initiates, recommends or provides solutions through designated channels.

Serves as a mentor to new MA staff, providing continuous learning support.

Preps exam/procedure rooms for patients and maintains clean and sanitary exam rooms.

Stocks and maintains medical supplies in exam/procedure rooms so necessary items are available for provider/patient.

Checks and removes outdated supplies on a monthly basis.

Creates and maintains a sterile field for appropriate procedures.

Assures insurance authorizations do not expire for patients during treatment and submits for renewal when appropriate.

Demonstrates efficient operation of multi-line phone system.

Responsible for monitoring, checking and acting on messages in Artera at least once at the beginning of the shift and end of shift and as required throughout the day.

Monitors and responds to Primary Care Team message centers.

Follows up on patient messages, phone calls, voice mails and faxes daily.

Initiates and completes medication prior authorizations for patients as needed.

Pursues professional growth and maintains specialized knowledge and skills in clinic practice by participating in professional organizations and/or on-going continuing education/in-service training with emphasis in outpatient clinic practice.

Initiates and accurately completes DME paperwork for any patient fitted with DME supplies.

Monitors and maintains the incoming Clinic fax folder.

Participates in shared clinic tasks such as opening/closing procedures, bi-annual inventory, stocking of supplies and routine supply expiration practices.

Locks medication cabinet, vaccine refrigerator and medication sample closet at the end of each business day.

Unlocks medication cabinet, vaccine refrigerator and medication sample closet at the beginning of each business day.

Participates in bi-annual inventory process. Assists in the outdating of expired supplies.

Monitors and records temperatures on all refrigerators twice daily.

Meets the qualifications as set forth herein.