AMERICAN DISABILITY ACT (ADA) POLICY: YOUR FACILITY company policy is to employ people with disabilities using the same criteria that are used in reviewing all applications. The company does not discriminate against people with disabilities in any way. Specifically,the company will do the following: 1. Consider all disabled application for employment using the smae criteria as are used for the employment of nondisabled persons. 2. Consider disabled employees for promotion using the same criteria as are used for the promotion of nondisabled employees 3. Take steps to make its facilities barrier-free and accessible according to appropriate federal and state statutes. 4. Make scheduling adjustments to fit the needs of the disabled employees when such adjustments do not have an adverse effect on the company's business and the rights of the nondisabled employees. 5. Educate employees to the fact that disabled individuals are employed by the company and should not be discriminated against. 6. Provide a comfortable, safe, accessible, and pleasant working environment for employees. ASSOCIATE MEDICAL DIRECTOR TITLE: Associate Medical Director of YOUR FACILITY REPORTS TO: Medical Director I. Nature and Extent of Position A. Basic Function: This is an advisory position concerned with delivery of high quality medical care to patient's perioperatively. This position emphasizes concern for the safety and well bring of each patient served in the FACILITY. B. SCOPE: Includes consultation and recommendation for the management of profession, technical, clerical and manual position classifications in the Departments of the FACILITY. C. FUNCTIONS PERFORMED: 1. Helps formulate, interpret, review and implement policies and procedures unique to the freestanding endoscopy center. 2. Interprets policies of the department and advises on their proper implementation. 3. Supports a positive work climate which fosters attitudes conducive to healthy employee communication and interaction. 4. Develops and maintains good rapport and communication between medical staff and nursing team members and between professional and non-professional members of the nursing team. II. Responsible To Reports directly to the Medical Director. III. Responsibility and Authority A. Serves as Chairman of the QA Committee B. Serves as Vice-President of the Medical Staff C. Responsible for ensuring that recommendations of the QA Committee for a medical staff member are met. ASSOCIATE ADMINISTRATIVE MEDICAL DIRECTOR TITLE: Associate Administrative Medical Director of YOUR FACILITY. REPORTS TO: Medical Director I. NATURE AND EXTENT OF POSITION A. Basic Function: This is an advisory position concerned with delivery of high quality medical care to patient's perioperatively. This position emphasizes concern for the safety and will being of each patient served in the YOUR FACILITY. B. Scope: Includes consultation and recommendation for the management of professional, technical, clerical and manual position classifications in the Departments of the YOUR FACILITY. C. Functions Performed: 1. Helps formulate, interpret, review and implement policies and procedures unique to the freestanding endoscopy center 2. Interprets policies of the department and advises on their proper implementation. 3. Supports a positive work climate which fosters attitudes conducive to healthy employee communication and interaction. 4. Develops and maintains good rapport and communication between medical staff and nursing team members and between professional and non-professional members of the nursing team. II. Responsible To Reports directly to the Medical Director. III. Responsibility and Authority A. Serves as Chairman of the QA Committee B. Serves as Vice-President of the Medical Staff C. Responsible for ensuring that recommendations of the QA Committee for a medical staff member are met. MEDICAL DIRECTOR JOB DESCRIPTION: MEDICAL DIRECTOR TITLE: Medical Director of YOU FACILITY REPORTS TO: Board of Directors I. Nature and Extent of Position A. Basic Function: This position is responsible for managing a medical group that provides surgical and anesthetic services to the EC patients. This position includes supervision of the nursing, technical and clerical staff. Primary responsibility is the provision for the medical care of patients perioperatively. B. Scope: Includes twenty-four (24) hour responsibility, seven (7) days a week for the management of professional, technical, clerical and manual position classifications in the Department of YOUR FACILITY. C. Functions Performed: 1. Helps formulate, interpret, review and implement policies and procedures unique to the free standing endoscopy center. 2. Interprets policies of the department and assured that policies and procedures are properly implemented. 3. Evaluates the effectiveness of existing policies and procedures and changes or recommends changes to the Board of Directors. 4. Recruits, employs and maintains personnel with the necessary qualifications, attitudes, and emotional stamina required to participate in the YOUR FACILITY. 5. Approves salary increased, employee promotions, and supports disciplinary actions, including terminations, when required. 6. Supports a positive work climate which fosters attitudes conducive to healthy employee communications and interaction. 7. Develops and maintains good rapport and communication between medical staff and nursing team members and between professional and non-professional members of the nursing team. II. Responsible To Reports directly to the medical staff and Board of Directors. III. Responsibility and Authority A. Responsible to ensure that the Clinical Director has sufficient and adequately trained personnel available to support the physician and/or anesthesiologist in the performance of endoscopy procedures, and the care of the patient immediately preceding, during and immediately following surgery. B. Responsible to ensure that the requirements of requested operative procedures are met. C. Serves as Chairman of the QA Committee D. Responsible for counseling of medical staff members. E. Responsible for ensuring that recommendations of the QA Committee for a medical staff member are met. JOB DESCRIPTION - ADMINISTRATIVE R.N. CLINICAL DIRECTOR DEFINITION: Policy Development Procedure Development and Implementation Prospective Personnel Evaluation New Employee Training Supervision of Scheduling Supply Assessment and Acquisitions Quality Assurance Monitoring and Reporting Vendor Contact Fire Prevention and Drill Equipment Maintenance and Servicing Safety Infection Control CPR Training Coding of Endoscopy Center Charge and Billing of Same Other duties as assigned JOB ELIGIBILITY REQUIREMENTS: Mature Personality Ability to build team concept Organizational Skills Careful Attention to Detail Comfortable with Computer Operations Prepared for Review of Endoscopy Center by third-party payors and Medicare Redulators JOB DESCRIPTION - CLINICAL DIRECTOR TITLE: Clinical Director of Endoscopy Center REPORTS TO: Medical Director AREA: Ambulatory Endoscopy Unit Post-anesthesia Unit Anesthesia Services I. NATURE AND EXTENT OF POSITION: A. Basic Function This position is responsible for managing a nursing group that provides nursing services, coordinates patient care activities, and assists the medical staff in the Endoscopy Rooms, Post- Anesthesia Recovery, and the Ambulatory Endoscopy Unit. Primary responsibility is the provision for the nursing care of patients immedicately preceding, during and immediately following Endoscopy Procedures. Requires, in addition to the knowledge and skills of the Registered Nurse, the specialized Endoscopy room nursing skills and technical knowledge found only in this area. Requires administrative ability to effectively manage the activities of the Endoscopy Rooms, Post-Anesthesia Recovery, Anesthesia (IV sedation) services, and Ambulatory Endoscopy Unit. B. Scope: Includes twelve (12) hour responsibility, five (5) days a week for the management of professional, technical, clerical and manual position classifications in the Departments of Procedure Room, Post-Anesthesia Recovery, Endoscopy Unit, and Ambulatory Endoscopy Unit. 1. Endoscopy Unit - consists of Endoscopy rooms and patient holding area. 2. Post-Anesthesia Recovery Room Unit - consists of patient cubicles. C. Functions Performed: Develops philosophy and objectives for the Endoscopy Department, Post-Anesthsia Recovery Room, and Ambulatory Endoscopy Unit. Plan and organizes a nursing program that effectively utilizes available resources and assures quality nursing care based on the total needs of the individual patient. Develops a scheduling procedure for Endoscopy procedure to meet the needs of the patient, surgeon, and employees Formulates, interprets, reviews, and implements policies and procedures unique to the free standing Ambulatory Endoscopy Center. Develops policies and procedures for the Department. Serves as a resource person on the Endoscopy Committee which develops the medical and administrative policies and procedures for this Department. Interprets policies of the Departments an assures that policies and procedures are properly implemented. Evaluates the effectiveness of existing policies and procedures and changes or recommends changes to the Medical Director. Provides continuous evaluation of the needs of the Department by reviewing staff, orientation and training programs and individual work performance in relation to the level of care being provided. Evaluates new Endoscopy Procedures and post-anesthesia nursing innovations and techniques, existing techniques, and related equipment including maintenance and replacement, and implements changes where needed. Provides for group staff participation in appraising the degree to which the total needs of the patient are being met. Recruits, employs and maintains personnel with the necessary qualifications, attitudes, and emotional stamina required to participate in this specialized area. Develops staffing patterns, post time schedules, and make necessary changes in order to provide adequate patient care, proper staff utilization, including planning for new learning experiences. Reviews employee work performance and makes appraisals based on predetermined goals and objectives. Recommends salary increases, employee promotions, transfers consistent with personnel policies, and initiates disciplinary action, including terminations, when required. Directs and controls the acitivities of the Department: Assigns functional areas of responsibility to team members established communication channels, and provides regular follow-up to assess level of performance. Provides for maintenance of appropriate and necessary records related to the effective implementation of the nursing care plan and the proper utilization of the team approach. Provides for maintenance of meaningful patient records in accordance with established policy. Provides for and assists with the development implementation of appropriate standards for nursing care and employee work performance. Maintains adequate and acceptable manpower hours and patient-personnel ratios in accordance with the needs of the individual patient, the levels of competency of the nursing staff, the classification plan, and the approved budget. Maintains adequate and acceptable manpower hours and patient-personnel ratios in accordance with the needs of the individual patient, the levels of competency of the nursing staff, the classification plan, and the approved budget. Maintains adequate personnel and staffing records to provide sufficient data for planning and requested reports. Communicates, interprets, and promotes acceptance of EC rules, regulations, and policies, and assist in their development as required. Provides for personnel orientation, training, and development programs in the accepted nursing practices, procedures, and techniques, unique to the Department. Develops acceptable curriculum for training programs which may be initiated by the Department. Develops and maintains on-going orientation and training Programs to increase team members' competence in not only the familiar aspects of patient care, but the unique team approach required in Endoscopy Room and Post-Anesthesia nursing care. Serves as a nursing consultant within the ambulatory center and with community organization: Provides or obtains specialized knolwedge and/or technical skills to solve unusual nursing problems in the Department. Serves as a nursing consultant and a resource person to the Medical Director in matters relating to policies and procedures pertaining to the Endoscopy Center. Develops and maintains a positive work climate which fosters attitudes conducive to healthy employee communication and interaction. Motivates personnel to achieve maximum performance and personal growth. Develops and maintains good rapport and communication between medical staff and nursing team members and between professional and non-professional members of the nursing team. Assists the Head Nurse and staff in developing and setting personal goals related to position and explores ways in which each of these goals might be achieved. With assistance for the Head Nurse and staff, establishes goals for the Department, explores ways of accomplishing them and periodically evaluates extent to which these are accomplished. Continually increases knowledge and skills relative to new innovations and development in Ambulatory Center and Post- Anesthsia nursing care and applies these concepts, techniques, and skills through nursing practice and/or team instruction. Attends conferences, workshops, seminars and special meetings for the purpose of both imparting and receiving additional knowledge. Knowledgeable of over-all FACILITY policies and nursing practices. Provides continuous feedback to the Medical Director regarding special needs of the Departments, unique problems, icidents, personnel changes and assignments, and other information essential to a smooth functioning organization. Accepts other responsibilities as assigned by the Medical Director. II. SPECIAL REQUIREMENTS: A. Registration: Current registration as a Registered Nurse. B. Education: Desire graduation with a Bachelor's Degree and/or from an accredited School of Nursing and documented experience in the speciality area of Endoscopy Room and Post-Anesthesia Recovery Room may be substituted. C. Training/Experience Required: Desire minimum of two (2) years experience in the Endoscopy Procedure Room and Post-Anesthesia Recovery Room area. Experience and/or training in supervision and management of patient care is most desirable. Requires specialized Endoscopy room and post-anesthesia recovery nursing skills, technique, and knowledge of the special equipment found in the endoscopy room and post-anesthesia recovery jara of the FACILITY. Requires knowledge and awareness of the medicolegal aspects of nursing. Requires analysis of complex job conditions and the ability to plan and perform complex work. Requires skills in administration and human relations to effectively manage departments that provide twelve (12) hour service, five (5) days a week. III. SUPERVISION RECEIVED A. Medical Director B. Due to the nature of this position, the Medical Director works closely with the Director of the EC and Post-Anesthesia Recovery, in the implementation of policies and procedures by providing direction and counsel in the daily and long range functioning of the FACILITY and Post Anesthesia Recovery. IV. RESPONSIBILITY AND AUTHORITY A. Responsible to insure that sufficient and adequately trained personnel are available to support the physician in the performance of GI procedures, and the care of the patient immediately preceding, during and immediately following surgery. B. Responsible for the planning and control over an operating budget providing for personnel, supplies and equipment. C. Responsible for the maintenance of the FACILITY and Post-Anesthesia Recovery Room and the Anesthesia Services environment to the degree that acceptable standards for safety, asepsis and related techniques are met. D. Responsible to enusre that the requirements of requested Endoscopy procedures are met in a timely, efficient, and reasonable manner. E. Responsible for the daily coordination of the activities of the Head Nurse, R.N., L.P.N., GI Technician, Nursing Assistant, or Post-Anesthesia Recovery Room nurse. JOB RESPONSIBILITIES OF CLINICAL DIRECTOR Qualifications: 1. Graduate of an approved school of nursing 2. Current license in the State of Texas. 3. C.P.R. and arrythmia certification. 4. Membership in appropriate nursing organization. 5. Certification, desireable. REPORTS TO: Medical Director of YOUR FACILITY. RESPONSIBILITIES: 1. Manages the endoscopy unit and staffing needs. a) Develops minimum staffing needs and assigns staff to meet the needs of the unit. b) Conducts staff meetings monthly. 2. Maintains and develops an active nursing quality program. a) Identifies nursing quality assurance issues. b) Participates in monitoring quality assurance programs. 3. Maintains quality nursing care delivered in the unit. a) Evaluates FACILITY nursing staff per policies. b) Utilizes inservices and other educational programs to develop staff. c) Collaborates with administration on policy development and enforcement. d) Records monthly statistics. e) Maintains equipment in working order. 4. Delivers direct nursing care to patients using the nursing process. a) Assists the physican during endoscopy procedures b) Assess pre, during and post anesthesia patients. c) Documents all forms required by FACILITY policy. d) Assesses patients readiness for discharge based on established criteria. 5. Considers the emotional and physical needs of patients to maintain or achieve the health status of a well-informed reassured patient. 6. Demonstrates professional behavior as stated in the nurse practice act. 7. Exhibits characteristics of a professional, punctual, proper attire, and proper conduct. 8. Seeks opportunities for professional growth. a) Identified own learning needs. b) Develops learning needs of staff. c) Acts as a resource person for staff. 9. Adapts to sepcialiized assignments requested for unit. 10. Must be physically and emotionally health. Must be able to assist patient on and off stretchers and move occupied stretchers about the unit. ******************************************************************************* I have read and will abide by these standards. There will be a three (3) month probationary period and a yearly annual evaluation. ___________ Employee's Signature DATE JOB DESCRIPTION - ENDOSCOPY CENTER ENDOSCOPY NURSE Definition: Intra-procedural nursing care and monitoring Endoscopic assistant Environmental care Equipment care Administration of IV sedatives and narcotics Narcotic log record Nursing record New personnel orientation and teaching as appropriate Supply assessment and acquisition Adherence to established routines Refrain from divulgence of confidential information Assist physicians performing endoscopy procedure if necessary Other duties as assigned. Job Eligibility Requirements: Registered Nurse Membership in local, state, and national societies is encouraged Maintain current Advanced Cardiac Life Support certification Maintain current Registered Nurse-Certificied Clinician (CGC) certification. ?? PER2.DOC