Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.   I.  Scientist a.  Evaluates knowledge of self and others: i.  Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. ii.  Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships b.  Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. c.  Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.    II. Leader a.  Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: i.  Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) ii.  The interdisciplinary plan of care iii.  Documenting decision making in the patient’s plan of care and hand-off  communication b.  Protects and advocates for patient safety, health and wellbeing: i.  Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). ii.  Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. c.  Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: i.  Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. ii.  Allocates resources based on identified patient and family needs iii.  Speaks up immediately about concerns regarding assigned responsibilities   III.  Practitioner a.  Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. b.  Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. c.  Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. d.  Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.   IV.  Knowledge Transfer a.  Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. b.  Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. c.  Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.   I.  Scientist a.  Evaluates knowledge of self and others: i.  Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. ii.  Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships b.  Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. c.  Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.    II. Leader a.  Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: i.  Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) ii.  The interdisciplinary plan of care iii.  Documenting decision making in the patient’s plan of care and hand-off  communication b.  Protects and advocates for patient safety, health and wellbeing: i.  Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). ii.  Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. c.  Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: i.  Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. ii.  Allocates resources based on identified patient and family needs iii.  Speaks up immediately about concerns regarding assigned responsibilities   III.  Practitioner a.  Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. b.  Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. c.  Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. d.  Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.   IV.  Knowledge Transfer a.  Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. b.  Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. c.  Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Provides a safe therapeutic environment - Ensures the safety and welfare of patients and fellow employees - Utilizes proper posture, sound body mechanics and principles for safe patient handling - Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner - Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital - Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning or repair of equipment is needed, following infection control policies Professionalism - Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice - Participates in departmental staff meetings, huddles and in-service education programs - Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others - Conducts oneself in an ethical and legal manner, upholding the AOTA Code of Ethics, OHSU, federal privacy policies, and state statues/OAR’s specific to discipline - Adapts to changing and demanding environments Service - Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations - Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff - Addresses complaints and problems promptly and courteously, involving management when indicated - Communicates with patients and families, other healthcare team members, in a timely and cost-efficient, courteous manner Evaluation and Caseload Management - Prioritizes patients care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Evaluates patients to determine appropriateness of referral - Identifies rehab potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates - Develops treatment plans to achieve identified goals - Documents evaluations in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria - Enters accurate codes for services performed and bills time in patient care accurately - Provides consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications Provides skilled rehabilitation treatment - Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education - Monitors and adjusts treatment plans specific to patient progress - Fabricates and adjusts splints to meet patient needs - Communicates patient needs and promotes carryover of strategies, precautions, etc. with nursing and other caregivers - Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situations warrant - Directs, supports and provides supervision as required for aides and volunteers - Develops and enhances patient care program and patient outcomes in specialty area - Documents treatment and other patient contacts in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria Care Coordination - Collaborates with patient, family, and medical team in multidisciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehab after discharge - Requests patient/family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient - Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to vision, ADL, and cognition impairments - Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals and expectations for rehab outcome and intensity at various levels of care) Clinical Education - Provides evidence-based clinical instruction experiences and supervision for OT students - Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives - Provides regular feedback and completes evaluations on schedule - Participates in the supervision and training for students from other disciplines Performance Improvement and Professional Development - Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage in not available - Identifies and pursues continuing education opportunities; applies and shares new knowledge - Takes responsibility for special projects and assignments, and additional caseload when needed - Completes 2 hours (or specific DNV requirement) specific continuing education, including but not limited to, attendance in continuing education courses, grand rounds, departmental competencies. Ref: DNV standard CR.4 Department Operations - Ensures scheduler/manager has ongoing, current availability for scheduling - Responds in a timely manner to scheduling requests - Meets or exceeds departmental efficiency standards

Provides a safe therapeutic environment - Ensures the safety and welfare of patients and fellow employees - Utilizes proper posture, sound body mechanics and principles for safe patient handling - Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner - Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital - Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning or repair of equipment is needed, following infection control policies Professionalism - Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice - Participates in departmental staff meetings, huddles and in-service education programs - Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others - Conducts oneself in an ethical and legal manner, upholding the AOTA Code of Ethics, OHSU, federal privacy policies, and state statues/OAR’s specific to discipline - Adapts to changing and demanding environments Service - Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations - Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff - Addresses complaints and problems promptly and courteously, involving management when indicated - Communicates with patients and families, other healthcare team members, in a timely and cost-efficient, courteous manner Evaluation and Caseload Management - Prioritizes patients care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Evaluates patients to determine appropriateness of referral - Identifies rehab potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates - Develops treatment plans to achieve identified goals - Documents evaluations in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria - Enters accurate codes for services performed and bills time in patient care accurately - Provides consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications Provides skilled rehabilitation treatment - Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education - Monitors and adjusts treatment plans specific to patient progress - Fabricates and adjusts splints to meet patient needs - Communicates patient needs and promotes carryover of strategies, precautions, etc. with nursing and other caregivers - Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situations warrant - Directs, supports and provides supervision as required for aides and volunteers - Develops and enhances patient care program and patient outcomes in specialty area - Documents treatment and other patient contacts in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria Care Coordination - Collaborates with patient, family, and medical team in multidisciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehab after discharge - Requests patient/family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient - Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to vision, ADL, and cognition impairments - Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals and expectations for rehab outcome and intensity at various levels of care) Clinical Education - Provides evidence-based clinical instruction experiences and supervision for OT students - Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives - Provides regular feedback and completes evaluations on schedule - Participates in the supervision and training for students from other disciplines Performance Improvement and Professional Development - Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage in not available - Identifies and pursues continuing education opportunities; applies and shares new knowledge - Takes responsibility for special projects and assignments, and additional caseload when needed - Completes 2 hours (or specific DNV requirement) specific continuing education, including but not limited to, attendance in continuing education courses, grand rounds, departmental competencies. Ref: DNV standard CR.4 Department Operations - Ensures scheduler/manager has ongoing, current availability for scheduling - Responds in a timely manner to scheduling requests - Meets or exceeds departmental efficiency standards

Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations.   The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics.  The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™].  Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork.  The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   Department Specific Responsibilities - The ONN thoroughly reviews clinical information (records, diagnostic test results, etc.) submitted with the referral reviewing for urgency, other needed tests, potential eligibility for clinical trial and to identify which physician/s best suited for consult. The ONN summarizes this interaction which via a signed navigation assessment note in Epic which serves as a thorough hand off to the physician and clinical team/s that will consult and/or follow the patient. Additional documentation or communications may be required as determined by the team such as e-mail or in clinic visit with the patient. - Conducts a patient assessment interview to identify patient’s understanding of condition, barriers to care, social determinants of health, preferred learning style, family support, and any current symptoms. Arranges for first outpatient consult, or if patient’s acuity requires it, works with clinical team to arrange for direct admit and diagnostic work up in hospital (i.e., bone marrow biopsy). - The ONN tracks data on each referral in order to capture information on the population served and to follow metrics for volume, access, referral sources, diagnostic work up requirements, subsequent needs after consult. - The ONN may meet with new patients in clinic or on the inpatient unit as determined by the specialty team. - The ONN may follow the patient through the diagnostic work up and also assist with transitions of care for the patient between treatment modalities. This is particularly true in specialties with multi-disciplinary clinics. - The ONN ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period.  The ONN coordinates with RN Coordinator and the care coordination team and inpatient team on the admission and discharge plan.

The CVICU team provides tertiary care to critically ill patients with cardiovascular disease while the NSICU team treats critically ill patients with neurological injuries. Care in both ICUs follows evidence-based guidelines and clinical pathways developed by the multidisciplinary team. This posistion is a dual appointment with .50 FTE occuring in the CVICU and .50 FTE occuring in the NSICU.The APP faculty is expected to work a fair share of weekday, night and weekend shifts. If desired, the APP faculty may choose a night shift-only assignment after an appropriate orientation period.   Clinical responsibilities: - Assessment and treatment of ICU patients under the direction of critical care trained physician faculty, including performance of basic ICU procedures. - Rounding on ICU patients with physician faculty, fellows and residents and developing and implementing clinical plans of care. - Consultation with specialty care providers when appropriate. - Communication with patients and families about medical conditions, treatment plans, and progress. - Working with hospital and unit staff to develop and implement discharge plans for patients in the ICU, and promote patient health through education and counseling. - Timely and accurate documentation in the electronic medical record. - Collaboration with other members of the multidisciplinary and interprofessional care team to ensure optimal patient care and continuously improve quality of care. - Adherence to best practice protocols and policies - Delivery of care compliant with the regulations and guidelines by the relevant regulatory bodies. - Treating all patients and co-workers with dignity and respect in alignment with the OHSU Code of Conduct. - Supporting a safe and welcoming environment where all can contribute and prosper. Education and Quality Improvement: - Orientation and education of trainees and nursing staff on the care standards and protocols in both ICUs. - Education of nursing staff, fellows, residents and medical students in formal and informal settings. - Participation in all relevant conferences and team meetings. - Collaboration with multidisciplinary and interprofessional care team members to establish or revise clinical pathways and patient education materials. Academic and professional development through attendance and/or participation at national/regional conferences is encouraged. The APP faculty may participate in a program of scholarly research activity directed toward improved understanding of the causes, detection, and treatment of diseases.

Professionalism - Conducts oneself in an ethical and legal manner, the OHSU Code of Conduct, federal privacy policies, state statutes and OARs, and complies with hospital and departmental policies and procedures. - Manages use of time effectively to complete professional and technical tasks, within realistic time constraints. - Takes responsibility for special projects and assignments, additional workload when needed, and adapts to changing and demanding environments. - Displays mature, effective professional relationships by accepting appropriate suggestions and constructive criticism and responding with modification of behaviors and exhibiting concern for others. - Pursues continuing education opportunities, applies and shares new knowledge, participates in staff meetings and in-services. - Displays professional communication in a face to face patient interaction as well as phone conversation. Assists in the supervision and training for students and volunteers from other disciplines, including, medical assistance physical, speech therapy, audiology, medicine and nursing. Arranged Care - Schedules new patient appointments on line and manually if necessary. Creates a medical record if needed. Arranges stretchers, wheelchairs, and interpreters when necessary, and accommodates other special needs whenever possible. Mails information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments. - Enrollment & Authorization. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. - Greets patients and confirms that an appointment has been kept. Inspects insurance cards and/or authorization notices. Identifies and collects deductible payments, co-payments, and deposits on services; provides receipts and completes necessary accounting procedures. Verifies and updates the common data set on-line. Explains and satisfies any necessary patient signature requirements. Validates parking. Answers phone calls, returns messages, Billing, and cash handling - When requested, obtains authorizations for clinical care. Enters all information accurately into OHSU databases or into the medical record. Follows up on pending authorizations until they are obtained. Customer Service - Demonstrates excellent customer service and communication skills in all interactions with patient/clients, families, caregivers,  internal and external customers, including telephone, electronic and face to face situations. Using AIDET at all times. - Addresses complaints and problems promptly and courteously, involving management when indicated. - Communicates using active listening skills in a supportive courteous, professional manner at all times to patients/clients, family/caregivers and staff. Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry. - This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills.

- Tray Assembly: Sets up station with standard items. Places items on tray according to tray diagram. Works assembly position putting on entrees, starches, vegetables and gravy/sauce OR beverages and condiments OR menus, utensils, hot bases, and dry condiments. Monitors temperatures for entrées, cold items and soups. Uses proper portion control. Assures trays are complete. Runs for items as directed by checker or manager.  Cleans work station. - Dish room work: Runs dishes through dish machine, cleans dish machine, sorts trays, separates permanent service ware, trash, recycling, food and food soiled paper for compost, cleans scraping table and work area OR catches and sorts clean dishes from dish machine, cleans dish room, sweeps catching area of dish room. - Delivery/Transport: Load trays into meal carts as needed; assures trays are complete before loading; obtains missing items; keeps carts lined up; adds par stock and nourishments to carts for delivery. Deliver meal carts, late trays or requested items (including nourishments) to nursing units in a timely and efficient manner; communicates with Room Service Associates and unit staff using the Vocera system to ensure timely delivery of trays. Picks up soiled carts and returns them to dish room. - Pick-up: Brings back all dirty trays in carts for assigned floors; collects dirty trays from the floor kitchens as needed; picks up dirty trays and service ware when encountered - Sanitation: Follows department policies and procedures for food safety and sanitation; uses proper utensils; uses gloves appropriately; uses chemicals appropriately and only after being trained; complies with infection control policies and hand washing procedures. Keeps work area clean and neat. Pays strict attention to refrigeration needs of food products.  Sanitizes work surfaces and utensils before use. - Sustainability: Supports sustainability efforts of the Food & Nutrition Department by participating fully in the recycling programs, and separating food and food-soiled paper waste for composting. - Waste Prevention: Prevents waste using oldest first (FIFO), and preparing only what is needed and using proper portion control. - Service Excellence: Fulfills responsibility to organization through performance that promotes the service excellence philosophy. - Customer Service: Inte

- Tray Assembly: Sets up station with standard items. Places items on tray according to tray diagram. Works assembly position putting on entrees, starches, vegetables and gravy/sauce OR beverages and condiments OR menus, utensils, hot bases, and dry condiments. Monitors temperatures for entrées, cold items and soups. Uses proper portion control. Assures trays are complete. Runs for items as directed by checker or manager.  Cleans work station. - Dish room work: Runs dishes through dish machine, cleans dish machine, sorts trays, separates permanent service ware, trash, recycling, food and food soiled paper for compost, cleans scraping table and work area OR catches and sorts clean dishes from dish machine, cleans dish room, sweeps catching area of dish room. - Delivery/Transport: Load trays into meal carts as needed; assures trays are complete before loading; obtains missing items; keeps carts lined up; adds par stock and nourishments to carts for delivery. Deliver meal carts, late trays or requested items (including nourishments) to nursing units in a timely and efficient manner; communicates with Room Service Associates and unit staff using the Vocera system to ensure timely delivery of trays. Picks up soiled carts and returns them to dish room. - Pick-up: Brings back all dirty trays in carts for assigned floors; collects dirty trays from the floor kitchens as needed; picks up dirty trays and service ware when encountered - Sanitation: Follows department policies and procedures for food safety and sanitation; uses proper utensils; uses gloves appropriately; uses chemicals appropriately and only after being trained; complies with infection control policies and hand washing procedures. Keeps work area clean and neat. Pays strict attention to refrigeration needs of food products.  Sanitizes work surfaces and utensils before use. - Sustainability: Supports sustainability efforts of the Food & Nutrition Department by participating fully in the recycling programs, and separating food and food-soiled paper waste for composting. - Waste Prevention: Prevents waste using oldest first (FIFO), and preparing only what is needed and using proper portion control. - Service Excellence: Fulfills responsibility to organization through performance that promotes the service excellence philosophy. - Customer Service: Interacts with patients and guests in a positive service oriented manner.

Food and Nutrition Services Supervisor are responsible for 24 hours a day/365 days a year oversight of operation assigned.   Food and Nutrition Services Supervisor manage operations with aggregate budgetary responsibilities/expenditures of; - $1.5 to $3 million in annual revenue or more - Supervise staff producing 1000-1200 patients meals per day in a room service model - Directly supervise large numbers of employees (typically up to 30 hourly team members) Responsibilities include (but are not limited to); - Direct in unit supervision of operations, Patient and Retail Services, on a continual basis. Assuring the highest standards of customer service, cleanliness, food quality and operation excellence - Developing schedules and work outlines for hourly staff.  Classifications of staff include:   Cooks, Cashiers, Baristas, Food Service Workers, RSA, MSA, Call Center Communication Specialists [add as needed] - Interviewing and hiring new employees, training, disciplinary action as needed in accordance with institutional standards and collective bargaining agreement, organizing employees and assigning duties - Supervising meal periods, monitoring guest service levels.  Supervise all aspects of Patient Room Service Program and Retail locations. - Conducting employee evaluations - Monitoring Occupational Safety and Health Administration guidelines, ensuring compliance with county and state health department rules and regulations, enforcing and monitoring Hazard Analysis and Critical Control Point food safety and sanitation program - Implementing special projects and supporting planned events - Monitoring departmental costs and taking corrective action when needed.  Developing new business concepts (includes business planning, design, menu development)

- Performs duties as Administrator on Call (AOC) serving in an on-call capacity providing consistent, comprehensive oversight of all organ donation operations including, but not limited to, donor referral, triage, authorization, management, organ allocation, and recovery. Responsible for providing plan of care guidance, and ensures case activity proceeds in an effective and efficient manner. - Performs duties as ODC: uses independent judgment and established parameters to screen for potential organ, tissue, and eye donation in all DSA hospitals; obtain consent for donation; communicates with donor families, hospital staff and transplant teams; conducts donor management in ICU; places organs for transplant and assist with organ recovery; completes required donor follow up - Participates and leads process development projects that are in alignment with the organization’s mission - Other projects as assigned

- Tray Assembly: Sets up station with standard items. Places items on tray according to tray diagram. Works assembly position putting on entrees, starches, vegetables and gravy/sauce OR beverages and condiments OR menus, utensils, hot bases, and dry condiments. Monitors temperatures for entrées, cold items and soups. Uses proper portion control. Assures trays are complete. Runs for items as directed by checker or manager.  Cleans work station. - Dish room work: Runs dishes through dish machine, cleans dish machine, sorts trays, separates permanent service ware, trash, recycling, food and food soiled paper for compost, cleans scraping table and work area OR catches and sorts clean dishes from dish machine, cleans dish room, sweeps catching area of dish room. - Delivery/Transport: Load trays into meal carts as needed; assures trays are complete before loading; obtains missing items; keeps carts lined up; adds par stock and nourishments to carts for delivery. Deliver meal carts, late trays or requested items (including nourishments) to nursing units in a timely and efficient manner; communicates with Room Service Associates and unit staff using the Vocera system to ensure timely delivery of trays. Picks up soiled carts and returns them to dish room. - Pick-up: Brings back all dirty trays in carts for assigned floors; collects dirty trays from the floor kitchens as needed; picks up dirty trays and service ware when encountered - Sanitation: Follows department policies and procedures for food safety and sanitation; uses proper utensils; uses gloves appropriately; uses chemicals appropriately and only after being trained; complies with infection control policies and hand washing procedures. Keeps work area clean and neat. Pays strict attention to refrigeration needs of food products.  Sanitizes work surfaces and utensils before use. - Sustainability: Supports sustainability efforts of the Food & Nutrition Department by participating fully in the recycling programs, and separating food and food-soiled paper waste for composting. - Waste Prevention: Prevents waste using oldest first (FIFO), and preparing only what is needed and using proper portion control. - Service Excellence: Fulfills responsibility to organization through performance that promotes the service excellence philosophy. - Customer Service: Interacts with patients and guests in a positive service oriented manner.

- Tray Assembly: Sets up station with standard items. Places items on tray according to tray diagram. Works assembly position putting on entrees, starches, vegetables and gravy/sauce OR beverages and condiments OR menus, utensils, hot bases, and dry condiments. Monitors temperatures for entrées, cold items and soups. Uses proper portion control. Assures trays are complete. Runs for items as directed by checker or manager.  Cleans work station. - Dish room work: Runs dishes through dish machine, cleans dish machine, sorts trays, separates permanent service ware, trash, recycling, food and food soiled paper for compost, cleans scraping table and work area OR catches and sorts clean dishes from dish machine, cleans dish room, sweeps catching area of dish room. - Delivery/Transport: Load trays into meal carts as needed; assures trays are complete before loading; obtains missing items; keeps carts lined up; adds par stock and nourishments to carts for delivery. Deliver meal carts, late trays or requested items (including nourishments) to nursing units in a timely and efficient manner; communicates with Room Service Associates and unit staff using the Vocera system to ensure timely delivery of trays. Picks up soiled carts and returns them to dish room. - Pick-up: Brings back all dirty trays in carts for assigned floors; collects dirty trays from the floor kitchens as needed; picks up dirty trays and service ware when encountered - Sanitation: Follows department policies and procedures for food safety and sanitation; uses proper utensils; uses gloves appropriately; uses chemicals appropriately and only after being trained; complies with infection control policies and hand washing procedures. Keeps work area clean and neat. Pays strict attention to refrigeration needs of food products.  Sanitizes work surfaces and utensils before use. - Sustainability: Supports sustainability efforts of the Food & Nutrition Department by participating fully in the recycling programs, and separating food and food-soiled paper waste for composting. - Waste Prevention: Prevents waste using oldest first (FIFO), and preparing only what is needed and using proper portion control. - Service Excellence: Fulfills responsibility to organization through performance that promotes the service excellence philosophy. - Customer Service: Interacts with patients and guests in a positive service oriented manner.

- Performs routine inspections and prescribed tests of fire systems and components of that system including but not limited to sprinkler systems, fire smoke dampers, fire dampers, smoke dampers, portable fire extinguishers, and other such installed “fire” systemsas required by various agenciesand authorities having jurisdiction. Schedules and conducts testing to meet all code compliance. Maintains documentation of test results adequate to demonstrate complete compliance with all applicable codes and regulations. Develops reports on system test results and assists coordinator in determining the reliability of these systems.   - Inspects campus’ buildings, including hospitals, clinics, labs, and research facilities in cooperation with Environmental Health and Safety, the Fire Marshall, and other personnel as required.  - Collaborates with OHSU stakeholders to discuss life safety strategies, polities, and inspections, and provides information on inspections and tests to the FireMarshall or other agencies as required.  - Researches and reviews applicable codes and standards, creates procedures to ensure that testing and inspection meets code requirements.  - Diagnoses malfunctions, and provides timely repairs on campus fire systems and associated components. Troubleshoots to component level and makes adjustments or repairs to equipment when possible. Defines jobs that require assistance from other skilled or journey level tradespeople, and forwards requests for assistance through coordinator. Advises coordinator if major repair is required, submits purchase requests through Facilities Admin Team and contacts qualified vendor or contractor to make repairs through prescribed procedures set by code. Schedules shutdowns of systems and follows standard shutdown procedures to notify department heads and their staff of increased risk. Coordinates with support personnel, bypasses alarm systems. Inspects vendor or contractor work to ensure compliance with applicable code standards on completion of repair or alteration, and informs coordinator of discrepancies.  - Upon approval from coordinator, implements minor system modifications and upgrades. Works with supervisor in writing bid specifications and requesting bid documents for installations, modifications, and upgrades. Monitors contractors as they perform installations, and inspects and tests all new installations to be sure they meet specifications. Maintains and updates as-installed documentation and operation. Coordinates with Design and Construction in building construction and major projects which involve installations, modifications, or upgrade to the building systems. Meets with project managers, contractors, and other personnel during the course of projects to keep abreast of the new installation, attends commissioning and relevant training, and incorporates new systems into the established testing and maintenance program.  - Responds to emergencies such as fire alarms, system leaks, water flows, tripped systems, valve problems, and assists emergency personnel. - Attends all required meetings and training classes, and successfully completes any proficiency evaluation (verbal or written) which may be required to demonstrate adequate comprehension, and to satisfy requirements of OSHA, DNV, and other agencies upon which OHSU depends for accreditation.  - Accurately completes all paperwork as required (daily labor reports, job plans, etc.) and turns all paperwork inon time.  - Maintains cleanliness and orderliness of immediate work area, and maintains security of personal hand tools, common use tools, supplies, and vehicles.  - Performs emergency duties, or other duties, as assigned by the Utilities Manager. 

Provides a safe therapeutic environment - Ensures the safety and welfare of patients and fellow employees - Utilizes proper posture, sound body mechanics and principles for safe patient handling - Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner - Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital/clinical setting - Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning or repair of equipment is needed, following infection control policies Professionalism - Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues that affect their practice - Participates in departmental staff meetings, huddles and in-service education programs - Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others - Conducts oneself in an ethical and legal manner, upholding the APTA Code of Ethics, OHSU, federal privacy policies, and state statues/OAR’s specific to discipline - Adapts to changing and demanding environments Service - Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations - Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff - Addresses complaints and problems promptly and courteously, involving management when indicated - Communicates with patients and families, other healthcare team members, in a timely and cost-efficient, courteous manner Evaluation and Caseload Management - Prioritizes patients care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Evaluates patients to determine appropriateness of referral - Identifies rehab potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates - Develops treatment plans to achieve identified goals - Documents evaluations in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria - Enters accurate codes for services performed and bills time in patient care accurately - Provides consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications Provides skilled rehabilitation treatment - Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education - Monitors and adjusts treatment plans specific to patient progress - Communicates patient needs and promotes carryover of strategies, precautions, etc. with nursing and other caregivers - Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situations warrant - Directs, supports and provides supervision as required for aides and volunteers - Develops and enhances patient care program and patient outcomes in specialty area Care Coordination - Collaborates with patient, family, and medical team in multidisciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehab after discharge - Requests patient/family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient - Enhances patient safety both during and after hospitalization by assisting the team in problem-solving - Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation Clinical Education - Provides evidence-based clinical instruction experiences and supervision for PT and PTA students - Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives - Provides regular feedback and completes evaluations on schedule - Participates in the supervision and training for students from other disciplines Performance Improvement and Professional Development - Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage in not available - Identifies and pursues continuing education opportunities; applies and shares new knowledge - Takes responsibility for special projects and assignments, and additional caseload when needed - Completes 2 hours (or specific DNV requirement) specific continuing education, including but not limited to, attendance in continuing education courses, grand rounds, departmental competencies. Ref: DNV standard CR.4 Department Operations - Ensures scheduler/manager has ongoing, current availability for scheduling - Responds in a timely manner to scheduling requests - Meets or exceeds departmental efficiency standards

QUALITY CONTROL (QC) MONITORING AND REVIEW: - Reviews staff work on a regular basis and provides feedback and technical instruction to the staff where needed for improvement. Keeps lab manager informed of problems. - Communicates changes to policies and procedures to staff, by email, memos or staff meetings. - Insures that safety regulations are met.  - Informs lab manager when safety regulations are not met or new safety issues arise. - Is pro-active in problem solving and planning for the future needs of the laboratory. - Responsible for QC review and proficiency testing activities. TECHNICAL REVIEW AND RESPONSIBILITIES: - Reviews staff work on a regular basis and provides feedback and technical instruction to the staff where needed for improvement. Keeps lab manager informed of problems. - Communicates changes to policies and procedures to staff, by email, memos or staff meetings. - Insures that safety regulations are met.  - Informs lab manager when safety regulations are not met or new safety issues arise. - Is pro-active in problem solving and planning for the future needs of the laboratory. PROCEDURE AND INTRUMENTATION DEVELOPMENT AND MAINT. - Writes operating, maintenance, calibration and troubleshooting procedures for laboratory tests. Trains employees to perform maintenance, calibration and troubleshooting.  Performs in-depth troubleshooting procedures; determines extent of problems and takes appropriate action to insure work flow and quality of results.  - Delegates any or all of the above as determined by manager.   - Calls for technical assistance or emergency instrument repair as needed.  - Schedules routine maintenance as needed. - Directs assay development procedures for new assays to meet CLIA regulations.  Organizes and presents completed development data to lab manager for review. - Performs preliminary instrument evaluations.   - Assists lab manager on new equipment proposals. PERSONNEL: - Adjusts staffing as needed to provide day-to-day coverage and maintain turnaround time commitments. - Delegates projects. Coordinates and supervises work of assigned projects. - Directs orientation and training of new employees in the lab. Develops training and evaluation guidelines for new employees. Consults with lab manager and provides feedback regarding performance of new employees. - Reviews day shift bench assignment schedule with manager. Approves, coordinates, and arranges coverage for leave requests after the schedules are posted, consulting with the lab manager as needed. - Monitors quality of work performed in the lab by all employees. Insures that policies and procedure are followed. Communicates new policies and procedures to lab employees and insures that required training is completed and documented. - Plans and/or delegates completion of competency exercises. Reviews results with lab manager and suggests further action if inadequate performance is detected. Assists with retraining and corrective measures as needed.  - Evaluates employees and gives feedback to lab manager for input into annual performance appraisal process. - Communicates with hospital personnel regarding new procedures or policies in the Core Lab. Assists hospital and Pathology personnel with problem solving. OTHER DUTIES: - Performs other projects as requested by Manager. - Performs as acting supervisor in lab manager’s absence. - Attends meetings, conferences, workshops, or training programs as requested by the lab manager for the purpose of  expanding knowledge and skills or to fill in for the lab manager. - Communicates overall status of the lab to the lab manager on a daily basis.  Keeps lab manager informed of any problems and consults on necessary actions as needed. - Performs bench work as needed. - Maintains and finalizes pay reports for employees and submits periodically to manager for review. - Assists shift lead workers with staffing and technical problems as needed. - Interacts with other sections of Pathology to design and coordinate implementation of new programs. - Reports potential compliance problems using the reporting processes as outlined in the Code of Conduct. - Performs requirements for Staff Members as outlined in Compliance Roles and Responsibilities in OHSU Hospitals and Clinics and understands and complies with the Code of Conduct, OHSU and departmental policies and procedures, and other applicable procedures, rules and regulations. - Communicates and works effectively as part of a team, and interacts with a variety of clients including doctors, nurses, laboratory staff and patients, maintaining a customer service focus at all times. - Carries out job responsibilities ethically, professionally, and with personal integrity, and functions as part of the team exhibiting excellent communication, teamwork and customer service skills.

Performs testing for laboratory section using various laboratory instrumentation, reagents and reagent kits. - Follows written procedures, processes and policies. - Determines acceptability of specimens and results. - Performs instrument maintenance, start-up and QC, checks instrument parameters, and documents any action taken to bring instruments within specifications. - Performs troubleshooting procedures if indicated by daily QC or other checks and documents action. Prepares and processes samples for testing: - Performs sample processing duties: Checks in samples, prints work lists, enters results, reviews work, files paperwork, etc. - Performs all computer functions using LIS/HIS according to established procedures and makes required comments in computer. - Organizes study samples and data using manual or computer-based methods. Reviews and compiles testing results and paperwork for interpretation by lead, Technical Coordinator, manager or faculty: - Ensures that all patient and QC results are calculated and recorded according to standard procedures. - Checks results for plausibility and consistency with diagnostic criteria. - Works with faculty to improve efficiency and quality of work. - Works with faculty to evaluate and adapt new tests and methods for pre-analytical sample preparation in all methods used by the laboratory in order to improve the efficiency, accuracy and throughput of testing. Carefully documents method development ideas/procedures in writing - Writes new and revises old laboratory procedures - Assists with correcting reports, reviewing work lists. Calibrates, maintains and troubleshoots laboratory instruments and procedures.   Other duties - Assists with inventory of reagents and supplies, according to established procedures. - Answers phones, transfer calls, calls or pages physicians, and documents appropriately. ­ Attends and participates in staff meetings and training. - Completes competency training, annual review of policy and procedure manuals and safety review as scheduled. - Trains new employees, students, residents and fellows. - Performs other projects as assigned or requested by manager, technical coordinator or lead worker. - This position requires the employee to work variable hours, weekends, some holidays and on call. Working alone is often required on the off shifts. Excellent attendance required. - Performs requirements for staff members as outlined in Compliance Roles and Responsibilities in OHSU Hospitals and Clinics, and understands and complies with the Code of Conduct, OHSU and departmental policies and procedures, and other applicable procedures, rules and regulations. - Communicates and works effectively as part of a team, and interacts with a variety of clients including doctors, nurses, laboratory staff and patients, maintaining a customer service focus at all times. - Refers questions to technical coordinator, lead worker or lab manager when needed.  

Screen patients for and obtain/record patient’s chief complaint, take accurate history of illnesses/surgeries (Ophthalmic and General), past ocular history, family history, drug allergies, and medications.  Assist physician with completing/transferring patient information to the patient problem list as required per JCAHO.  Perform ophthalmic testing as appropriate per patient.  This includes but is not limited to checking/documenting distance and near vision in adults and children with and without correction, clearly determining from patient history if the patient is needing new glasses on any given visit.  Pupillary assessment to rule out afferent defect and to check pupil size (rule out asymmetry), corneal curvature,, corneal pachymetry, corneal topography, color vision testing, must be proficient in performing lensometry including reading lenses with multifocal and progressive adds, power of sphere, axis of cylinder and cylinder power, and orientation  and power of prism and measurement of interpupillary distance.  Perform applanation tonometry, and utilize Tonopen (noncontact tonometry) to check intraocular pressure.  Perform confrontation visual fields.  Must be proficient in refractometry and auto refraction, fogging with astigmatic dials, cross cylinder refinement and measurement of accommodation.   Must be able to perform cover/uncover test, alternate cover test and quantify strabismus.  Must be able to document ocular motility, presence of strabismus or nystagmus.  Must be able to perform Worth 4-dot test and Stereopsis test.  Must be able to test near point of convergence, ductions, versions and vergences.  Must be able to perform Potential Acuity Meter testing, Glare Testing.  Instill dilating and other ophthalmic drops per physician’s instructions.   Must be able to perform diagnostic testing, such as refractions, Ascan ultrasounds, visual fields, and limited ophthalmic photography.   Assist doctors as needed.  Prepare for, set up and assist in minor surgical, plastics staffing cases, and laser procedures, including all types of lasers.  Must be familiar with preoperative and pre-laser patient education.  Apply eye dressings, protective shields and dispense medications as directed by the physician.  Provide patient instruction, education and assistance as required, including surgery scheduling functions.  Always be willing to assist patients in clinic areas.  Per standard guidelines, clean exam lanes and minor surgical instruments. Prepare for the sterilization process, either sterilizing instruments utilizing the sterilizer in the Minor Surgery Room per guidelines or preparing instruments to be sent for sterilization.  Responsible for room maintenance including periodic cleaning of exam lanes.  Keep rooms stocked with appropriate instruments, as well as necessary ophthalmic drops, per physician’s direction.   Demonstrate proficiency in Epic, Outlook and any needed data bases that OHSU assigns.   Take tech calls as needed to assist front desk scheduling team, refill pharmacy requests as per physician guidelines; fax/send  prescriptions as indicated.    On an as needed basis, be able to perform duties as assigned by supervisor (including, but not limited to front/back office duties including billing, quoting of deposits, co-payments and payments, duties at other Casey satellite offices).   Provide high quality customer service to patients and referring providers, to include PCP’s and their office staff, insurance providers in requesting referrals, and co-workers and staff.  Maintain a high standard of patient interactions skills and is exemplary in addressing patient complaints when necessary.   Participate in continuing education courses and activities.  Have knowledge of and be able to practice JCAHO clinical guidelines.  Demonstrate competence in all required skills during skills evaluations.

The person who fills this position will work with Noah Hornick, MD, PhD, Assistant Professor, to investigate methods for surveillance of melanoma recurrence / metastasis, as well as mechanisms of inflammation in the skin during adverse reactions to cancer immunotherapy.   Responsibilities will include: - Conducting experimentation that leverages techniques including the processing of human tissue samples (skin, tumor, and blood) in order to extract single cells, RNA, and protein; - Histologic work including the chromogenic and fluorescent labeling and imaging of slides, preparation of single-cell and bulk RNA libraries for sequencing, cell culture, and flow cytometry. - The Research Assistant will also be responsible for contributing to documentation and data analysis related to this experimentation, as well as to the preparation of figures for publication.

Screen patients for and obtain/record patient’s chief complaint, take accurate history of illnesses/surgeries (Ophthalmic and General), past ocular history, family history, drug allergies, and medications.  Assist physician with completing/transferring patient information to the patient problem list as required per JCAHO.  Perform ophthalmic testing as appropriate per patient.  This includes but is not limited to checking/documenting distance and near vision in adults and children with and without correction, clearly determining from patient history if the patient is needing new glasses on any given visit.  Pupillary assessment to rule out afferent defect and to check pupil size (rule out asymmetry), corneal curvature, corneal pachymetry, corneal topography, color vision testing, must be proficient in performing lensometry including reading lenses with multifocal and progressive adds, power of sphere, axis of cylinder and cylinder power, and orientation of prism and measurement of interpupillary distance.  Perform applanation tonometry, and utilize Tonopen (noncontact tonometry) to check intraocular pressure.  Perform confrontation visual fields.  Must be proficient in refractometry and auto refraction, fogging with astigmatic dials, cross cylinder refinement and measurement of accommodation.   Must be able to perform cover/uncover test, alternate cover test and quantify strabismus.  Must be able to document ocular motility, presence of strabismus or nystagmus.  Must be able to perform Worth 4-dot test and Stereopsis test.  Must be able to test near point of convergence, ductions, versions and vergences.  Must be able to perform Potential Acuity Meter testing, Glare Testing.  Instill dilating and other ophthalmic drops per physician’s instructions.   Perform calibration of automated and non-automated perimeters.  Maintain a working  knowledge of computerized visual field programs, and be able to perform Amsler Grid testing.  Maintain a working knowledge of disease processes that may affect the visual pathway and resultant changes in the visual field due to these disease processes in order to adequately perform Goldmann (non-automated) perimetry (central and peripheral).  Perform SITA and Standard Humphrey (automated) (central and peripheral).   Assist doctors during examination as needed.  Apply eye dressings, protective shields and dispense medications as directed by the physician.  Provide patient instruction, education and assistance as required.  Always be willing to assist patients in clinic areas.  Per standard guidelines, clean exam lanes and minor surgical instruments.  Prepare for the sterilization process, either sterilizing instruments utilizing the sterilizer in the Minor Surgery Room per guidelines or preparing instruments to be sent for sterilization.  Responsible for room maintenance including periodic cleaning of exam lanes.  Keep rooms stocked with appropriate instruments, as well as necessary ophthalmic drops, per physician’s direction.   Other duties:  Take ‘tech calls as needed to assist front desk scheduling team, refill pharmacy requests as per physician guidelines; fax/send glasses prescriptions as indicated.  Set up ophthalmic examination rooms, stock supplies as necessary, perform minor repairs and triage to Clinical Engineering or outside vendors as necessary.  Maintain instruments and be able to clean and properly sterilize items.  Maintain ophthalmic exam rooms and ensure rooms are stocked, and have appropriate paperwork, and are orderly and clean.  This includes periodic cleaning of trial lenses and examining lenses, ordering of linens and medications from pharmacy.  Open examination rooms in the AM and close in the PM (if clinic completed).  Provide administrative assistance and support as required, assist in pulling patient charts and making appointment reminder phone calls as necessary.  Duties include enlisting translators when necessary, procuring presurgery history and physicals from primary care physician’s offices, verifying patient insurance information, obtaining insurance authorizations/referrals where indicated, and handling faxes/calls for pharmacy requests.  Being aware of patient’s financial/insurance status (pay scale if patient is self insured, and insurance coverage where valid) in the OHSU demographic database.  Assisting physician in filling out forms such as Commission for the Blind forms and forms regarding the visual impairment of patients, and other such forms.  Learn computer applications (scheduling, order entry, etc.) used in the clinic and achieve understanding of insurance authorization process.  Assist in other clinic functions as necessary, including making appointments, preparing charts, answering phones or any other general duty as needed.  Exhibit initiative and teamwork in performing all daily tasks   Skills Maintanence:  Participate in continuing education courses and activities.  Have knowledge of and be able to practice JCAHO clinical guidelines.  Demonstrate competence in all required skills during yearly skills evaluation.   Certification:  Participate in continuing education courses and activities, maintain current JCAHPO certification.  Have knowledge of and be able to practice JCAHO clinical guidelines.  Demonstrate competence in all required skills during yearly skills evaluation.   Customer Service:  Provides high quality customer service to patients, OHSU faculty and referring providers, to include PCPs and their office staff, insurance providers in requesting referrals, and co-workers and staff as well as setting an example in training new employees.  Maintains a high standard of patient interactions skills and is exemplary in addressing patient complaints when necessary.   Participation in the Cash Handling Process:  On an as needed basis, be able to perform routine front/back office duties to include billing, quoting of deposits, co-payments and payments per all CEI and OHSU guidelines and processes.