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Position Summary: Mission, Vision and Values Mission: To serve through healing, education and discovery. Values: We value integrity, excellence, compassion, innovation, collaboration and dedication. Position Details Position Title: APP - Generic Prepared by: Comp Admin Date Prepared: Revised by: Date Revised: Grade Level NA Grade Level-Exempt Administrative Area Health System Administration - 74 Accounting Unit Name & Number Position Summary Comments Assumes clinical care of specific patients under the direction of physician. Follows established nursing or PA standards, procedures and practices, and gives specific patient care direction to nursing and other staff. Core Behaviors Dependability, Attendance and Punctuality. a. Unscheduled absences and tardiness must be minimal. b. Properly uses home clock and badges for clocking (if applicable). c. Calls 2 hours prior to the start of a shift. d. Demonstrates respect for others time by arriving on time. e. Is ready to begin work by scheduled start time. Safety a. Communication/Teamwork. b. Safe working practices. c. Respect for others and patient privacy/dignity. d. Environment of Care/Employee safety/Emergency management. e. Incident Reporting. f. Promotion of safe practices and accident prevention. g. Hand Hygiene Compliance and Adherence to Policies, Procedures and Regulations a. Demonstrates his/her knowledge and willingness to comply with all policies, procedures and regulations. Organizational Priorities & Position-Specific Responsibilities / Performance Standards List the major duties/key responsibilities of the position with details on how to achieve that responsibility. Classify each key responsibility under one of the UTMC Organizational Priorities: Service, Efficiency/Effectiveness or Quality/Safety. Service Promotes Customer Satisfaction. a. Promotes customer satisfaction through caring, friendly, professional interactions with patients and families. b. Maintains positive interactions with physicians, nursing staff, and other members of the health care team. Provides direct patient care / treatment within the scope of practice, according to established protocols and utilizes evidenced based clinical standards under the supervision of the sponsoring physician a. Works effectively with physician and other health care professionals to provide patient-centered care. b. Demonstrates caring and respectful behaviors when interacting with patients and their families. c. Obtains a relevant and complete health and medical history and performs appropriate physician examination. d. Performs or orders appropriate preventive and/or diagnostic tests or procedures based on patient's age and history. e. Competently performs invasive and non-invasive procedures as appropriate to role. f. Develop and carry out patient management plans. g. Provide health care services and education aimed at preventing health problems and maintaining health. Maintains Interpersonal Skills a. Performs all duties as assigned with appropriate attitude. b. Demonstrates a positive attitude. c. Demonstrates a cooperative and willingness to work with others. d. Demonstrates appropriate interaction skills with supervisor, co-workers, patients, physicians, the public and practice administrator. e. Acknowledges own mistakes and takes corrective actions. f. Responds appropriately to suggestions for work improvement. Accepts feedback. g. Adjusts to changing situations, learns new and different tasks. Communication Skills a. Communicates effectively and efficiently with co-workers, providers, supervisors and patients. b. Follows proper line of communication within the practice. c. Ensures timely follow-up on all job responsibilities. d. Is approachable on difficult subjects. e. Helps to create a hospitable and inclusive environment consistent with UPA/UHS goals. f. Listens to others and responds with appropriate comments and concerns. Efficiency and Effectiveness Maintains Clinic Operations a. Works at a speed that maintains practice flow and provider's requirements. b. Helps Physicians and the practice achieve productivity goals. Collects and reviews data regarding the patient's health problems a. Gathers essential and accurate information about his / her patients. b. Completes an accurate assessment of the patients' immediate presenting problem. c. Appropriately prepares patients for exam, while maintaining patient's privacy and dignity. d. Prepares supplies and other equipment for all procedures and maintains proper sterile technique as necessary. e. Ensures that Medical Charts are up to date and complete. f. Completes medical records in a timely fashion. g. Collaborates with other health professionals and assists with appropriate referrals under direction of supervising physician or in accordance to protocols. Quality and Safety Demonstrates competent performance of clinical skills a. Performs all procedures in a proper manner using sterile technique. b. Explains procedure to patient as requested. c. Follows up on lab results in a timely manner. Calls the reference lab when results are not returned in a timely manner. d. Utilizes critical thinking and clinical judgment in diagnostic process. e. Documents information in the chart as requested by physician. f. Assists physician with triaging and handling patient phone calls and questions. g. Calls pharmacies with accurate prescription information and documents in the chart. h. Manages general medical and surgical conditions to include understanding the indications, contraindications, side effects, interactions and adverse reaction of pharmacological agents and other relevant treatment modalities. Maintains HIPAA guidelines for privacy a. Respects the privacy of all patients 100% of the time. b. Obtains consent to release protected health information. c. Understands and abides by the HIPAA policy set forth by UPA/UHS. d. Reports all HIPAA issues to the Office Supervisor. Maintains Quality Control a. Records all CLIA procedures as required by regulations. b. Follows OSHA and safety regulations. c. Considers self and others while working. Maintains professional development through continuing education activities and licensure a. Attends educational programs on job-related clinical topics. b. Completes mandatory in-service training annually. c. Maintains license /or certifications. d. Demonstrates ability to perform job independently. e. Documents educational activities as attended. f. Demonstrates ability to perform all aspects of job. g. Maintains attendance in compliance with UPA policies. h. Stays current with new technologies, methods, and processes in area of responsibility. Marginal Responsibilities None. Essential Functions The essential functions are those functions that the team member who holds the position must be able to perform unaided or with the assistance of a reasonable accommodation. The term "essential functions" does not include marginal functions of the position. The performance of key responsibilities must meet expectations as defined in the performance standards of this position description. Regular and reliable attendance is an essential function. A team member who does not meet attendance standards outlined in the Personnel Policy, Attendance and Tardiness, is not qualified for this position. Ability to report for work in a condition to perform job responsibilities and essential functions in a safe and productive manner. Ability to meet the physical requirements for the position. Ability to get along with others and consistently engage in and promote positive interactions in the workplace. Regular and reliable attendance is an essential function. A team member who does not meet attendance standards outlined in the Personnel Policy, Attendance and Tardiness, is not qualified for this position. The performance of key responsibilities must meet expectations as defined in the performance standards of this position description. Ability to meet the physical requirements for the position. Ability to get along with others and consistently engage in and promote positive interactions in the workplace. Ability to report for work in a condition to perform job responsibilities and essential functions in a safe and productive manner. Ability to observe patients and monitor patients for reactions Ability to provide effective support to patients and families Ability to communicate effectively both verbally and in writing. Ability to quickly assess a problem or situation and solve or diffuse it. Ability to operate noninvasive vitals sign equipment Ability to read medical records and understand the medical conditions and patient care activities documented Supervisory Responsibilities # team members reporting directly to this position 0 # team members reporting indirectly to this position 0 Bloodborne Pathogen Category Category I Team members who have routine duties/tasks with potential for exposure to blood and other potentially infective body fluids. Personal Protective Equipment Latex gloves Lab coat Other protective clothing as needed Dust and fume/mist respirator Education Degree / Diploma Type Program Required/Preferred (and/or) Bachelors Required Masters Required Master's or higher in nursing or graduate from an accredited PA program Experience Years of Experience Type of Experience Required/Preferred (and/or) 4 yrs Healthcare/Medical - Healthcare Practitioner/Medical Specialist Experience in caring for and managing patients. Nurse Practitioner or PA skills such as performing physical exam and assessment, pelvic exams, giving injections, drawing blood, performing certain lab tests, catheterizations, staple removal, wound care, assisting and performing minor procedures. Years of Experience can be related experience and/or training; or equivalent combination of education and experience. Licensure, Certification, Registration Comments If NP: National Certification from the American Nurses Credentials center (ANCC) or the American Academy of Nurse Practitioners (AANP). If PA: License and Board Certification as a Physician Assistant Language Skills Skill and Description Ability to read, analyze, and interpret medical/business periodicals, professional journals. Ability to write reports and correspondence. Ability to present information and respond to questions from groups of managers, clients, etc. Mathematical Skills Skill and Description Ability to calculate figures and amounts such as decimals, interest, proportions and percentages. Ability to apply concepts or basic algebra and geometry. Reasoning Ability Ability and Description Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Skills and Abilities Skill/Ability and Description Ability to understand medical terminology and anatomy and physiology Current knowledge and familiarity with coding and guidelines Demonstrates competency in physical assessments. Ability to establish and maintain effective relationship with staff and customers. Ability to communicate with diverse groups of people, both employees and customers of UTMC Effective communication skills verbally, in writing and keyboard format Equipment Blood pressure cuff External catheters Otoscope/Opthalmoscope Pulse oximeter Stethoscope Thermometers: temporal artery and oral Doppler Physical Demands Frequency Table 8 hour shift10 hour shift12 hour shift Occasionally (1-33% of day)Up to 2.5 hrsUp to 3 hrsUp to 4 hrs Frequently (34-66% of day)2.5 - 5 hrs3 - 6.5 hrs4 - 8 hrs Continuously (67-100% of day)5 hrs or more6.5 hrs or more8 hrs or more Physical Demands Occasionally Frequently Continuously Climbing None Balancing None Kneeling None Crouching None Crawling None Reaching X Standing X Standing Work X Walking X Static Position X Physical Demands Continued Sitting X Pushing None Pulling None Fingering None Grasping X Feeling X Talking X Hearing X Seeing X Physical Demands Continued Repetitive Motions None Carrying None Driving None Lifting (weight) Occasionally Frequently Continuously Up to 10 lbs X Up to 25 lbs None Up to 50 lbs None Up to 100 lbs None More than 100 lbs None Lifting (level) Low-Level (between floor and 36") Mid-Level (between 36" and 55") High-Level (exceeding 55" or overhead) Up to 10 lbs X X None Up to 25 lbs None. Up to 50 lbs None. Up to 100 lbs None. More than 100 lbs None. Pushing / Pulling Up to 40 lbs Up to 80 lbs More than 80 lbs Horizontal Push None Lateral Pull None Vertical Pull None Horizontal Pull None Environmental Conditions Occasionally Frequently Continuously Wet or humid conditions None Work near moving mechanical parts None Work in high, precarious places None Work in confined spaces None Hazardous chemicals None Outdoor weather conditions None Extreme cold (non-weather) None Extreme heat (non-weather) None Risk of electrical shock None Environmental Conditions Continued Occasionally Frequently Continuously Risk of radiation None Vibration None Standing surface condition None Vision Occasionally Frequently Continuously Close Vision X Distance Vision X Color Vision X Peripheral Vision X Depth Perception X Ability to Adjust Focus X Noise Conditions Occasionally Frequently Continuously Very quiet conditions None Quiet conditions None Moderate noise X Loud noise None Very loud noise None Team Member Statement of Understanding I have read and understand the position description for my job. I am able to perform all of the physical demands and essential functions of this position. I agree to comply with the corporate compliance policy and all laws, rules, regulations and standards of conduct relating to my position. As a team member, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor. As a team member, I will strive to uphold the mission and vision of the organization. I am required to adhere to the values in all my interactions with patients, customers, and fellow team members. Position Qualification: Education Degree / Diploma Type Program Required/Preferred (and/or) Bachelors Required Masters Required Master's or higher in nursing or graduate from an accredited PA program Experience Years of Experience Type of Experience Required/Preferred (and/or) 4 yrs Healthcare/Medical - Healthcare Practitioner/Medical Specialist Experience in caring for and managing patients. Nurse Practitioner or PA skills such as performing physical exam and assessment, pelvic exams, giving injections, drawing blood, performing certain lab tests, catheterizations, staple removal, wound care, assisting and performing minor procedures. Years of Experience can be related experience and/or training; or equivalent combination of education and experience. Licensure, Certification, Registration Comments If NP: National Certification from the American Nurses Credentials center (ANCC) or the American Academy of Nurse Practitioners (AANP). If PA: License and Board Certification as a Physician Assistant