POSITION DESCRIPTION Local Health Department Position Description Form Prepared by the Department for Public Health Division of Administration and Financial Management 1
Wedco District Health Department _Local Health Nurse I Home Health 9/1/09 Classification Title Date Prepared/Revised 2135 Working Title (if different) Position No: Employee Class ID: (If applicable) Name of Employee if in position Reason for Submittal Reclassification Promotion Appointment Update New Position Establishment Position Status: Regular Work Station: Location(s) of Work Activities: _Bourbon County Harrison County Nicholas County Scott County Full-Time Temporary Part-Time 100 Hrs Designated Seasonal Part-Time Provisional Per Diem Irregular Partial Year If time limited position, expected date of expiration once position filled Hours of Work: From_8:00 a.m._ To_4:30 p.m. Yes No Overtime Required If yes, occasionally, frequently, routinely Weekdays Saturday Sunday Yes No On-Call Required If yes, please describe Participates in on-call rotation REPORTS TO Nurse Supervisor Name Title SALARY GRADE of Position 16 SALARY RANGE of Position 18.22 PURPOSE (Include primary accomplishments, products, and services, who benefits from them and how.) Why does this position exist? Provides basic preventive, therapeutic, restorative and intermittent skilled nursing services under close to moderate supervision to individuals in their place of residence. 2
Individualized Employee Position Description Please check all that apply to this employee s position: Position Specific Requirements Training /Date Completed As Assigned by Supervisor Maintain current RN license as per requirements of KBN Training /Date Completed Mandatory OSHA, HIPAA, Bloodborne Pathogens / TB trainings annually Maintain current CPR certification Medicare Compliance Training 3
Job Duties and Responsibilities Describe briefly each major duty that is performed in the normal course of work, including facts as to what the duty is, why and how it is performed, and the extent of the positions responsibilities (including authority, accountability, etc.). List the duties in descending order of importance and indicate the average percent of time applied to each duty over the course of a year. Begin each phrase with a word denoting action. Be specific - use quantitative terms where possible. Keep statements brief, concise, and in terms that can be understood clearly. For each duty/responsibility statement please list the task(s) that are performed to accomplish the duty/responsibility. Also indicate for each duty/responsibility statement if it is an essential function of the position. Duty/ Responsibility No:1 Percent of Time: 88% Responsibility is: (Please Check one) Statement of duty/responsibility: Provides assessment, skilled nursing care, and case management for home health patients. 1. Accurately performs skilled nursing assessments including OASIS and develops plan of care according to the nursing process of assessment, plan, implementation, and evaluation of plan of care. 2. Establishes and complies to visit frequency according to patient s needs and physician s orders. 3. Demonstrates the ability to perform a wide range of nursing procedures independently including but not limit to wound care, IV therapy, injections, and catheterizations. 4. Demonstrates the ability to recognize signs and symptoms of complications and report to the appropriate professional in a timely manner. 5. Demonstrates the ability to adapt to different cultures and home environments. 6. Is independent in decision making regarding nursing care and development /changing plan of care. 7. Implements teaching appropriate to patient needs by assessing knowledge level and identifying learning needs. 8. Plans, teaches, supervises, and counsels regarding physical care, measures to promote improvement / recovery, symptom management, expected disease progression, social/emotional care, and community resources. 9. Demonstrates working knowledge of internal and community resources. 10. Utilizes supplies in a responsible and cost effective manner to achieve desired patient outcomes. 11. Collaborates with other healthcare provider to achieve expected outcomes of patient care and directs continuum of care for primary patient caseload through patient care conferences and interactive communication. 12. Maintains accurate patient record per agency policy and submits patient documentation as per agency policy. 13. Supervises patient care performed by home health aides and may assist with competency evaluation of home health aides 14. Discusses problems/concerns regarding patient care issues with supervisor. 4
Duty/ Responsibility No: 2 Percent of Time: 3% Responsibility is: (Please Check one) Statement of duty/responsibility: Performs other duties as assigned by supervisor for optimum agency efficiency and operation 1. Performs record reviews as per TQM program guidelines. 2. May assist with pre-billing register for prompt billing. 3. May act as supervisor during Nursing Supervisor s absence Duty/ Responsibility No: 3 Percent of Time: 3% Responsibility is: (Please Check one) Statement of duty/responsibility: Comply with rules and regulations 1. Comply with Medicare Compliance Plan 2. Comply with all regulations 3. Comply with Conditions of Participation (COP s) 4. Comply with HIPAA rules and regulations 5. Comply with agency policies. 6. Comply with requirements of Total Quality Management Program Duty/ Responsibility No: 4 Percent of Time: 3% Responsibility is: (Please Check one) Statement of duty/responsibility: Be aware of and comply with the Wedco Policy 1040 regarding reporting to work during a public health response. Will accumulate preparedness training as determined by the supervisor, preparedness planner, and/or public health director. 5
Duty/ Responsibility No: 5 Percent of Time: 3% Responsibility is: (Please Check one) Statement of duty/responsibility: Develop, maintain and nurture a positive and cooperative work attitude that impacts general employee moral throughout the Wedco work sites 1. Dependable and prompt attendance 2. Team player is cooperative and demonstrates positive initiative and cooperative effort with all levels. Duty/ Responsibility No: 6 Statement of duty/responsibility: Percent of Time: Responsibility is: (Please Check one) 6
Function- those job duties that are critical or fundamental to the performance of the job. This does not include marginal functions. Supervision received: Close Supervision indicates that the incumbent is assigned duties according to specific procedures. Work is checked frequently, and in addition there may be formal training. Supervision indicates that the incumbent performs a variety of standard and routine duties within established policies and procedures or by referral to the supervisors guidelines. General supervision indicates that the incumbent develops procedures for performance of variety of duties, or performs complex duties within established policy guidelines. Direction indicates that the incumbent establishes procedures for attaining specific goals and objectives in a broad area of work. Only the final results of work done are typically reviewed. Incumbent typically develops procedures within the limits of established policy guidelines. General Direction indicates that the incumbent receives guidance in term of broad goals and overall objectives and is responsible for establishing the methods to attain them. Generally the incumbent is in charge of an area of work, and typically formulates policy in this area but does not necessarily have final authority for approving policy. Supervisory Responsibilities: Yes No. If yes complete only if the employee supervises staff or acts as a lead worker for staff; otherwise go to next section. To supervise staff involves planning, assigning and checking work, formally participating in the hiring and evaluation of staff members. To act as a lead worker is usually limited to assigning and reviewing work with no formal responsibility for hiring and evaluation of staff members. From the list below, check the phrases which are applicable to the kind of supervision the position is required to exercise over employees. Plan and schedule work Instruct and train in methods and procedures Make recommendations regarding Unsatisfactory performance of staff members Recommend salary adjustments Assign work Check and approve work Evaluate performance Make hiring recommendations Recommend promotions List the number and title of positions that directly or indirectly report to this position. Responsibility for confidential information: All patient information and personnel information is to remain confidential and discussed only with approved parties. Records and information is to be kept in secure locations. (Requires Local Health Department Confidentiality Security Agreement) 7
Responsibility for handling agency funds: _ Limited funds are handled with this classification routinely. _If donations are presented then the funds are to be handled using proper procedure and according to internal control manual requirements Required Technical Skills (typing, computer skills, etc)_ Proficient in Microsoft Office software Drivers License Required Yes No Current Auto Insurance Required Yes No Other special training/education or abilities necessary for this position (other than stated in the minimum requirements provided in the classification description) _Display business sense evaluate efficiency as well as effectiveness. Maintain up to date skills for professional nursing practice for all types of patients. Required job related training: _In-services as provided by agency related to but not limited to IV therapy / competency and wound care. Job related manuals, protocols, administrative regulation, laws, etc. required of this position: Nursing Drug Reference, Wedco Policy and Procedure Manual, Medicare Compliance Manual, Aide Competency and Evaluation Manual, Nursing Procedure Manual, ICD-9 Coding Manual, TQM Manual 8
Physical Demands of the Position Check physical demands that apply. Describe job responsibilities that require physical demands checked. 1. Strength a. Standing _10 % of time Walking _10 % of time Patient home visits and documentation_ Sitting _80 % of time b. Lifting _10 lbs. Patient chars, scales, nursing su;;ly bag_ Carrying 10 lbs. Pushing 10 lbs. Pulling 10 lbs. 2. Climbing x Steps into patient homes Balancing x 3. Stooping x Patient care and treatment Kneeling x Crouching x Crawling x 4. Reaching x _Patient care and documentation in charts Handing x 5. Speaking x Patient care and communication Hearing x 6. Seeing x Patient care, documentation, and driving Depth perception x Color vision x Environmental Demands of the Position 1. Inside/Outside Travels in vehicle to patients homes, exposed to inside and outside elements. _ 2. Cold/Heat Works in all weather conditions. Exposed to homes without air conditioning in the summer and extreme heat in winter due to patient choice of temperature. 3. Wet/dry Travels and works in all weather conditions. 4. Noise/Vibrations Minimal 5. Hazards Exposed to blood and body fluids, weather conditions, cigarette and other smoke, and odors and animals 6. Fumes/Dust _May be exposed to odorous body fluids, household smells, dusty, and unclean home environments. 9
Mental Demands of the Position 1 = the least complex 5 = the most complex 1. Comprehend and follow direction 1 2 3 4 x5 (Ex: Works with little need (Ex: Must understand and follow a set of or reliance on oral or written clear oral and/or written procedures without deviation) instructions) 2. Perform assigned tasks 1 2 3 4 x5 (Ex: Performs a wide range of (Ex: Performs repetitive routine tasks) tasks as dictated by variable demands and changing conditions 3. Maintain an appropriate work pace 1 2 3 x4 5 (Ex: Is free to plan work (Ex: (Ex: Must adhere to provided work schedule to assignments and schedule to meet meet a set of qualitative productions standards) long term goals and objective) 4. Perform Complex or varied tasks 1 2 3 4 x5 (Ex: Performs a wide range of (Ex: performs simple task that vary little from complex tasks with little day to day) predictability as to their occurrence) 5. Relate to others 1 2 3 4 x5 (ex: Relates sensitive information (Ex: Has little interaction with co-workers) to diverse groups) 6. Influence people 1 2 3 4 x5 (Ex: Must work with diverse (Ex: Does not need to obtain cooperation groups to obtain consensus on from co-workers to accomplish assigned tasks) complex conceptual issues) 7. Make decisions 1 2 3 4 x5 (Ex: Must independently apply (Ex: Implements other s decisions/procedures abstract principles to solve with little judgment required) complex issues) 8. Direct, control and plan 1 2 3 x4 5 (Ex: Must independently manage (Ex: Does not mange or supervise projects a large group performing varied or staff) tasks) 9. Interact with public or co-workers in written form (Ex: May relay simple memos to 1 2 x3 4 5 (Ex: Must write letters to explain co-workers) complex issues or persuade staff and/or the general public) 10. Communicate Orally (Ex: Must relay simple information only 1 2 3 4 x5 (Ex: Persuade or explain complex issues in person or by phone Other job related requirements:_id badge and dress code, dependable vehicle, accurate record keeping of time and travel, be in good standing with KBN I have reviewed and determined that this job description accurately reflects the position. Supervisor Date Employee Signature (if applicable) Date Appointing Authority Date Review/Approval 10