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Generation of data utilized for both grant and publication applications (70%)
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Participate in academic development, hypothesis generation, experimental planning, data interpretation (20%)
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Grant and publication writing (10%)
The General GI Care Coordinator is a member of a multi-disciplinary team with primary responsibility for direct and indirect professional nursing care of medicine patients that have complex gastrointestinal diseases. The patients managed by this team are medically complex with functional GI disorders and nutritional deficiencies requiring supplemental nutrition, including total parental nutrition. Other complex and chronic GI diseases, requiring long term, longitudinal care from their gastroenterologist comprise much of this patient population.
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- Responsibilities include the care coordination and case management of individuals in the outpatient clinic.
- S/he will provide clinical support services to faculty and APP in the Gastroenterology Division.
- The nurse Coordinator will be responsible for coordinating comprehensive care for patients and will be a key contributor to ensuring that patients are guided through all stages of their treatment at OHSU. This patient population can be labor intensive given their complex diagnoses and multi-disciplinary care. This translates to increasingly complex care coordination.
- The nurse coordinator will be the core of a multi-disciplinary patient care team, which includes physicians, APP, RN, MA, and PAS-R support.
- The nurse coordinator will have specialized knowledge and skills in complex gastroentestinal disease management.
- This position serves as a coordinator for patients undergoing sequenced multidisciplinary treatment, and at times patients who travel from long distances from home.
- Responsibilities include but not limited to care coordination, patient assessment, triage, patient education, medication management, discharge and admit planning, and clinical support for the GI clinic faculty providers.
- This position will also participation in quality improvement, medical record review and will follow existing protocols determining appropriate patient scheduling.
- Must be able to deal with competing needs and priorities
- Requires ability to triage and assess complex patient symptoms/condition
- Requires excellent time management skills
Variable Pay Production:
- Responsible for ensuring timely, transparent, and accurate processing of payroll and compensation. Performs ongoing payroll and compensation plan analyses for all faculty members of APOM. Identifies variances and implements process changes for ongoing improvement. Responsible for developing and implementing an audit process that helps to ensure the accuracy of provider compensation. Utilizes software and tools like QGenda, Microsoft Power/Access, Microsoft Excel. In collaboration with the Finance Administrator, serves as an advisor to the Anesthesiology Comp Committee to ensure accurate administration of the department’s compensation plans.
Compensation Data Analysis and Budgeting:
- Responsible for the tracking and reporting of provider FTE changes to departmental leadership. Maintains internal spreadsheets, databases, and checklists to ensure accurate, timely, and transparent compensation. Responsible for the preparation of all compensation for the departmental budget.
- Responsible for reconciling compensation for new hires and faculty. Also ensures that compensation is compliant with departmental compensation plans and within OHSU guidelines to ensure alignment with the OHSU enterprise-wide faculty compensation plan. Responsible for the development of templates and processes to ensure the accurate administration of compensation.
Compensation Communication and Analysis:
- Responsible for providers’ questions regarding compensation. Responsible for building and maintaining compensation reports and communicating these to appropriate parties. Attends compensation meetings and performs analysis to ensure accurate, timely, and transparent compensation.
- Responsible for timely communication and collaboration with Finance Administrator, Human Resources Manager, and Director of Operations to create and maintain tracking and report tools relevant to compensation/FTE, hiring/recruitment, and budget.
- Provide leadership to advance the strategic goals for the education mission as described in OHSU’s strategic plans, and in the outcomes and recommendations that emerge from accrediting entities, particularly the Liaison Committee for Medical Education (LCME), Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), and the Northwest Commission on Colleges & Universities (NWCCU).
- Partner, and collaboratively work with the SoM Associate Dean for Diversity, Equity & Inclusion to develop and implement policies, procedures, strategies, and best practices for measurable outcomes to expand diversity representation, retention, progression, and culturally responsive education across the education mission.
- Sustain and enhance the level of academic excellence at OHSU, acknowledging that continued excellence, and service to learners will demand fiscal discipline, innovation, creativity, and new educational models.
- Establish comprehensive strategy for the education mission including succession planning and leadership identification and development.
- Strengthen OHSU's research training infrastructures, support innovative education models and curricula that advance scientific excellence and help meet the biomedical sciences and health care workforce needs of Oregon.
- Convey OHSU’s academic vision and goals to elected officials and other leaders within the state, region, nationally, and internationally.
Under minimal supervision the Senior Clinical Research Assistant is responsible for clinical, administrative, regulatory, and educational research activities related to the management of patients on clinical trials within the Pediatric Clinical Research Office (PCRO) in the Department of Pediatrics. Primary duties include: coordinating multiple clinical research studies; consenting and enrolling patients, gathering data, regulatory tasks, data entry, gathering source documents, basic sample processing and shipping. Additionally, this position will assist the Clinical Research Manager with other projects and duties as assigned.
This position is unclassified, salaried, and individual will participate in the on-call schedule including intermittent evening, weekends, or holidays.
- Work collaboratively with full and part time faculty to maintain an active practice.
- The Appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.
- The faculty member will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business point of view.
- The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship. Previous work experience in primary care is required.
- The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties/scholarship duties. Expectations for number of patients seen per half day will be commensurate with that of other faculty and with a target numbers of 7-10 visits per half day depending on complexity of the patient population.
- The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Family Medicine policies and procedures.
- Be available for teaching activities including but not limited to resident precepting, student precepting, didactics and more.
- Compensation for the position will include a University base academic salary and a clinical incentive system based on productivity, as well as, personal initiative.
- By mutual agreement between the Department and the physician, this position may include Inpatient Care (at HMC and/or OHSU) with call duties being shared with the faculty inpatient call group.
- The Appointee will be expected to participate in seeing patients during expanded access hours in the clinic, including their share of evenings and weekends, and call coverage. The Appointee will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business perspective.
- Provide full spectrum family medicine care, including obstetrical care.
- Work collaboratively with full and part time faculty to maintain an active practice.
- The Appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.
- The faculty member will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business point of view.
- The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship. Previous work experience in primary care is required.
- The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties/scholarship duties. Expectations for number of patients seen per half day will be commensurate with that of other faculty and with minimum target numbers of 8-10 visits per half day depending on complexity of the patient population.
- The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Family Medicine policies and procedures.
- Be available for teaching activities including but not limited to resident precepting, student precepting, didactics and more.
- By mutual agreement between the Department and the physician, this position may include Inpatient Care (at OHSU and/or HMC) with call duties being shared with the faculty inpatient call group.
- The Appointee will be expected to participate in seeing patients during expanded access hours in the clinic, including their share of evenings and weekends, and call coverage. The Appointee will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business perspective.
- Presents case information in a standardized manner during simulated interactive patient history and/or medical examinations. (25% of Duties)
- Remains in a specific patient character as trained when responding to student questions. (25% of Duties)
- Maintains confidentiality of information related to cases, student behaviors, and feedback evaluations. (25% of Duties)
- Memorizes a case script detailing specific emotions, behaviors, and disease signs/symptoms for presentation during simulated learning situations. (10% of Duties)
- Provides constructive verbal feedback within a structured format, as appropriate to the position. (10% of Duties)
- Participates in group training and/or mentorship of newly hired standardized patients. (5% of Duties)
- Rounds regularly, 3 times per 8 hour shift, to inpatient ICU floors.
Collaborates with clinical staff to assess patient needs before each task (lift or
reposition), including type of lift to be performed, condition of patient, and
state of patient’s physical disability. Performs patient transfers or
repositioning using the appropriate lifting and transfer equipment. Identifies
availability of necessary equipment and supplies for use in transfer or
reposition.
- Responds to patient falls and urgent situations in an expedited manner (in less
than 10 minutes). Collaborates with clinical staff to assess patient needs
before lift or transfer. Identifies availability of necessary equipment and
supplies for use in lift or transfer, using patient retrieval systems, such as
HoverMatt or HoverJack, when necessary.
- Responds to requests for patient lifts or transfer from on-site and off-site
(CHH and Dental School only) clinics (in less than 20 minutes). Collaborates,
if possible, with clinical staff on scheduling prior to patient appointment.
Responds to requests via Vocera, pagers or through the Transportation
Dispatch.
- Participates in MTP’s on the highest priority basis. Responds promptly to the
Transportation Dispatchers directives. Maintains continual communication
with dispatcher using Vocera and face-to-face communication with MTP
clinical personnel. To ensure timeliness of this service, the following must be
observed: use of elevators is not permissible and the first response must occur
within 30 seconds of pager notification.
- Transports patients using wheelchair, stretcher, hospital bed, and morgue cart
to and from various locations include, but not limited to: nursing units,
diagnostics, pre-op, life flight pad and morgue. Transfer patients to and from
stretcher, hospital bed, exam table and wheelchair using transportation-assist
devices such as Hovermatts, Slipps, slider boards and backboards.
- Transports medical equipment, mail, labs, blood products and supplies to and
from various locations within the OHSU environment. These locations are,
but not limited to: nursing units, diagnostic areas, clinics, exam rooms,
operating rooms, laboratories, morgue or offices.
- Operates elevators for patient and equipment movement. Relieves elevator
attendants for breaks.
- Cleans and disinfects transportation medical equipment: stretchers,
wheelchairs, morgue carts, HoverMatts, pillows and utility transport carts.
- Other duties as assigned.
This position is under the supervision of the Chair of the Department of Neurology. The duties of this position are in support of the mission goals and objectives of OHSU and the School of Medicine.
Duties will include the provision of clinical care to patients as well as clinical research, teaching and other appropriate activities.
Clinical activities: Conducting or supervising neuropsychological assessments in the ambulatory setting in the OHSU Division of Epilepsy with a prioritization on the Epilepsy surgery program in coordination with the Department of Neurosurgery.
Other related key opportunities include developing an independent research program, regularly present educational programs, supervision and mentorship for residents, neuropsychology trainees and related junior faculty members.
IMAGING
- Provides quality images with accuracy and efficiency, using optimal skills and knowledge of all equipment.
- Positions patient for diagnostic radiology exams according to department procedures, training, and machine requirements with a high regard for the safety and care of the patient
- Operates radiology equipment, determines and sets exposure factors, sets technique utilizing all relevant factors to ensure accurate and quality images with minimal and acceptable repeat rates.
- Uses computer image processing, as needed to select, process, optimize and archive images to PACS.
- Completely tracks exams in the Radiology Information system.
- Develops and presents images and related patient information to radiologist for diagnosis.
- Assists in the training of Radiologic Technology Students, and adheres to dept. policy on supervision of student technologists.
DOCUMENTATION
- Gathers complete documentation of all pertinent information to provide accurate and timely service to customers.
- Responsible to correctly identify patients by checking their identity per department procedure.
- Reviews patient chart and orders to insure correct examination.
- Labels images completely with demographic, position and other needed documentation. Follows dept policy on the use of anatomical markers.
- Logs activities, gathers charging information and charges exams as required.
- Follows department and hospital procedures and policies.
- Performs quality control and quality assurance, records results and reports variance from normal equipment function.
PERSONAL & PATIENT CARE AND SAFETY
- Provides for personal and patient care and safety using professional judgment in accordance with written standards so there is no injury to self or others.
- Protects patients and others in the area by using proper machine settings and radiation safety standards.
- Practices universal and blood and body fluid precautions, and sterile practices according to procedures.
- Communicates and uses knowledge of related anatomy and physiology to insure appropriate and effective care to neonate, pediatric, adolescent, adult and geriatric patients.
- Maintains awareness of patient status and takes appropriate actions to meet their needs.
- Explains the procedure to the patient to assure clear answers to their questions and concerns to allay any anxiety and assure patient confidence.
- Reports knowledge of any patient safety concern or event to supervisor and submit occurance to the on-line Patient Safety Intelligence System (PSI).
PROFESSIONAL BEHAVIOR
- Practices professional communications, appearance, conduct, punctuality, attendance and attitude that leads to physician, patient and co-worker respect and confidence.
- Informs and educates patient and/or family of all needed information concerning the exam performed.
- Uses professional judgment and presents a professional image of competency to customer and staff.
- Handles stressful situations in ways that promote positive outcomes.
- Takes personal initiative to maintain current in education (journals, books, inservices seminars, etc.) in all areas assigned.
EFFECTIVE USE OF RESOURCES
- Effective use of time, people, supplies, safe and attentive work practices.
Works in a safe manner.
- Maintains a safe and clean work environment.
- Promotes cost effectiveness through the proper use and conservation of supplies and equipment.
- Identifies cost saving measures.
- Reports needed repairs or potential hazards to the appropriate department as soon as identified.
- Reports all on-the-job injuries and seeks medical attention as appropriate
INITIATIVE
- Self-motivation, takes on projects willingly, acts on opportunities to improve, contributes new ideas.
- Takes the initiative to identify and solve problems.
- Supports improvement and innovation in the workplace.
- Demonstrates awareness of and supports OHSU departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
- Promotes professional development and contributes to the professional growth of others.
Be familiar with and comply with OHSU and Diagnostic Imaging department policies and procedures.
Other duties as assigned.
Arranged Care:
- Schedules new patient appointments on line and manually if necessary. Obtains prior medical records and studies if appropriate. 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.Document processing- Preparing and sending new patient packets and patient letters.
- Maintaining supply of patient forms and updating them as needed. Organization and filing of new patient records.
Point of Service Operations:
- Providing coverage for both the front desk and check out desks in the Urology clinic. Performing clinic check in and check out procedures; collection of patient payments (copays, prepays and payments on account); obtaining patient signatures on necessary forms; verifying demographic and guarantor information and providing excellent customer service through face-to-face contact with patients and internal OHSU customers.
Telecommunications:
- Providing telephone reception for the Department of Urology and its Faculty. Providing excellent customer service in a prompt, professional and courteous manner.
- Appropriate triage/direction of incoming calls. Providing excellent oral and written communication with the ability to paraphrase accurately and take clear and concise messages. Completion of clinic confirmation calls.
Customer Service:
- Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) 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
- Performs testing in all sections of the Core Laboratory with accuracy, speed, and efficiency, using Sysmex XN 9000, ABL, Beckman AU700 and DxI instruments, ACL TOP 750 instrumentation, and Iris. Follows written procedures and policies.
- Prepares samples for testing. Determines acceptability of specimens and results. Repeats analysis as necessary to insure accuracy. Reports test results via computer and telephone.
- Performs all computer functions using EPIC software.
- Answers telephone requests for laboratory information.
- Calibrates, maintains and troubleshoots laboratory instruments and procedures.
- Trains new employees, students and residents.
- Performs and evaluates quality control data to determine functionality of instruments and procedures. Reviews questionable data with technical coordinator.
- OTHER DUTIES:
- Assists with miscellaneous technical administrative functions to support daily laboratory activities.
- Performs inventory of reagents and supplies.
- Reviews critical, summary and outstanding lists.
- Performs projects assigned by lead worker, technical coordinator or lab manager.
- Completes competency training, annual review of policy and procedure manuals, and safety review. Attends and participates in staff meetings and training sessions.
- 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.
- Performs job responsibilities ethically, professionally, and with personal integrity, and functions as part of the team exhibiting excellent communication, teamwork and customer service skills.
- Attends and participates in staff meetings and training sessions.
- Provides coverage to various divisions in the Otolaryngology department. This includes answering phones, scheduling office and ancillary appointments. Request, receive and prepare previous medical history, scans and lab results for all new patients. Coordinates document and data flow between divisions supports staff to include surgery scheduler and clinical staff. Appropriately documents triage calls into EPIC system. Ability to cross-cover other divisions. Work at the front desk – including checking patients in and out, scheduling appointments, cleaning & organizing the front desk and waiting room, collecting payments and explaining forms.
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Managed care duties – including eligibility verification, benefits, request and obtain authorizations for office, ancillary and surgical services. Enter and update on-line authorizations into EARL.
- Opens and sorts mail and sorts incoming faxes.
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Files new paperwork in charts coming back from clinic. Scans records into patients chart in EPIC.
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Provide high quality customer service to both external and internal customers that meet or exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, flexible coverage of internal service needs and the continuous application of process improvement methods and skills.
The Phlebotomist collects blood, urine, stool, and sputum specimens from pediatric and adult patients, as ordered by healthcare providers, for use in performing diagnostic or prognostic tests and provides related clerical, transporting and non-technical support to the laboratory.
Specimen Collection:
- Uses Hospital/Laboratory Information System(s) to access orders and check for completeness and accuracy of orders; determines the proper method to collect specimen(s) based on tests to be performed and selects correct tubes, needles or other necessary supplies to collect specimen(s); locates patient and verifies patient identification using at least two patient identifiers; prepares collection site; utilizes a variety of techniques to collect blood specimens from patient by venipuncture, finger stick, or heel stick and/or instructs patient on the proper collection for urine, stool or sputum; checks condition of patient for fainting or bleeding; bandages venipuncture site; labels all specimen(s) with correct labels and prepares specimen(s) for delivery to appropriate laboratory; enters collection information (time, date, collector, and method of collection) into Laboratory Information System, and defers and/or cancels uncollected specimen requests.
Clerical and Customer Service Responsibilities:
- Greets patients; reviews and reconciles orders for patient encounter; enters off-hill orders; telephones physicians and clinics to clarify orders and arrange specimen re-draws; answers telephones and provides information to callers; interacts with laboratories, medical staff, and patients to resolve problems associated with specimen collection; maintains customer service focus at all times; endeavors to make patients comfortable; meets needs of patients, even if extra effort is required; communicates professionally by phone and in person, with patients, nurses, providers, and staff.
Training Duties:
- Provides instruction to new employees, hospital staff, and students/externs on correct techniques for collecting specimens from patients; observes, monitors, and evaluates trainees’ progress.
Specimen Transport:
- Prepares specimens for transportation to and from laboratory sites; maintains specimen integrity by storing and transporting appropriately.
Miscellaneous Tasks:
- Ensures adequate supply levels; discards expired supplies; maintains cleanliness in area where specimen(s) are collected; utilizes safety protection equipment and disposes of used supplies in correct containers; observes safety and infection control policies; may order stocks and supplies for work area; participates in unit meetings and training programs.
The Medical Laboratory Scientist performs a variety of routine and complex tests and analyses at a professional level and provides data used in the diagnosis, evaluation, and treatment of human illnesses and diseases. Employees at this level are often required to use a high degree of technical judgment and decision making to ensure the most accurate and informative test results. The Medical Laboratory Scientist may provide technical interpretation of test results to physicians or other professional health care personnel.
TYPICAL DUTIES AND RESPONSIBILITIES:
- Laboratory Testing: Collects specimens for testing and checks for proper labeling (this may include collecting appropriate specimen for testing from patients); accessions specimen and requisition slip; prepares specimen for analysis by diluting, filtering, staining, or centrifuging; prepares necessary equipment and organizes supplies and reagents; runs quality control samples with known values to determine if test system is within acceptable limits; performs chemistry, microbiology, immunology, serology, hematology, toxicology, molecular, microscopic and other tests using a variety of both standard and complicated laboratory instruments and equipment according to specified procedures; when necessary, performs calculations in order to achieve test results; enters test results into computer and reports results as appropriate; obtains computer printout of completed work to determine if all test values were entered correctly and all assigned work was completed; performs all quality control procedures and checks.
- Authority and Decision Making: assesses quality and appropriateness of specimens with regard to test requested; evaluates completed tests for accuracy and quality using specified quality control parameters; correlates results of several tests in order to determine appropriateness of results; determines clinical significance of test results and notifies provider immediately of abnormal test results or problems, according to written policies; interprets test results to physicians and others when requested; responds to inquiries concerning test results.
- Materials Preparation: weighs out chemicals and prepares reagents and other media in advance of time needed; reconstitutes materials used for quality control; performs quality control checks on all newly prepared reagents and media. 6823A 2 Updated 7/2018
- Equipment Quality Control and Maintenance: calibrates laboratory equipment on a regular basis; runs quality control checks on calibrated equipment by checking test results against known standards to determine accuracy of results; cleans and makes minor repairs to equipment such as lubricating fittings, cleaning electrodes, flushing out lines and tubing, and replacing worn-out tubing, fittings, batteries, and fuses; records all actions taken in a maintenance record book.
- Training: explains laboratory test procedures, principles, and theories to students, trainees, and staff; demonstrates instrument set-up, calibration, and maintenance; evaluates results of students’ practice tests.
- Miscellaneous: attends continuing education seminars and reads related journals, periodicals, and magazines to keep up-to-date on the most current laboratory procedures and technology; may test and implement new procedures; may attend continuing education courses as required by some accrediting agencies.
As a Certified Fitness Instructor, you will teach all aspects of group exercise instruction including safe and effective low/high, including combo, step, water fitness, kickboxing, cardio sculpt, yoga, innergystics and conditioning classes for all levels
Typical duties and responsibilities will consist of:
Designs/Teaches Class
- Designs routines and combinations, to include proper warm
up, cardiovascular, cool down and toning segments.
- Designs and teaches all classes with the participants’ safety and fitness levels in mind. Class topics include: basic exercise physiology, anatomy, choreography, muscular conditioning, injury prevention and weight control.
Records keeping
- Tracks class participation statistics for aerobic classes, pool use and multi-purpose room use.
Room Setup/Cleanup
- Sets up rooms with appropriate training apparatus; including stereo and microphone equipment if appropriate. Maintains a clean, safe workout environment. Cleans up room and equipment after class.
As a Licensed Massage Therapist, you will be providing massage therapy to customers for remedial and relaxation purposes.
Typical duties and responsibilities will consist of:
Massage
- Performs massage therapy techniques to control pain, reduce stress, and promote relaxation.
- Confers with clients about their medical histories and any problems with stress and/or pain in order to determine whether massage would be helpful.
- Applies finger and hand pressure to specific points of the body.
- Massages and kneads the muscles and soft tissues of the human body in order to provide courses of treatment for medical conditions and injuries or wellness maintenance.
- Prepares and blend soils, and applies the blends to clients' skin.
- Provides clients with guidance and information about techniques for postural improvement, and stretching, strengthening, relaxation and rehabilitative exercises.
- Assesses clients' soft tissue condition, joint quality and function, muscle strength, and range of motion. Develops and proposes client treatment plans that specify which types of massage are to be used. Refers clients to other types of therapists when necessary.
- Uses complementary aids, such as infrared lamps, wet compresses, ice, and whirlpool baths in order to promote clients' recovery, relaxation and well-being.
- Consults with other health care professionals such as physiotherapists, chiropractors, physicians and psychologists in order to develop treatment plans for clients.
Administrative:
- Obtains the basic medical history for a client, assesses any problems or conditions, and suggests appropriate massage techniques based on current health of client.
- Maintain treatment records.
Monitoring/Instrumentation: Polysomnographic Technologists are able to perform PSG, MSLT and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards. Highly proficient in testing equipment, data acquisition parameters and therapeutic modalities from information obtained from the electronic medical record and laboratory testing orders. Ability to evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures. Can perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing. Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards.
Electrode Application: High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy. Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures. Performs impedance tests and corrects issues with electrode applications prior to starting each study. Able to prepare and start patient studies by a reasonable time according to departmental policies.
Clinical: Strong technical/clinical skills related to creating and modify PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities. Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to: parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs. Must possess the ability to monitor and change patients’ position or environment as needed to obtain required sleep/wake data. Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram. Highly proficient in performing procedures within scope of practice and ordered by physician or nurse practitioner.
Artifact Recognition: Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact. Documents, eliminates and/or takes proper measures to monitor various patient and or environmental artifact; devise, document, and execute plan to troubleshoot.
Polysomnographic Record Scoring: Responsible to score at least one (1) of the acquired sleep studies during their shift. Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%. Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards. Strong clinical skills with the ability to distinguish sleep disordered breathing as well as clinical recognition of age-specific EEG, EEG arousals and alpha- intrusion to customize the sleep scoring rules to each clinical scenario. Compiles scored data into a report for physician interpretation per laboratory standards. Polysomnographic Data Management includes managing data for all sleep studies, ensures proper transfer of PSG data to server and archive, and maintains patient tracking spreadsheet with the responsibility of no data loss. Responsible to assign priority scoring for PSG records per Laboratory standards. Provides supportive training and oversight for PSG Technician 1 and technician trainees. Able to perform other duties deemed appropriate by Program Administration, Sleep Clinic/Laboratory Mangers and Medical Directors.
Emergent Situations: Ability to differentiate between lethal and non-lethal ECG dysrhythmias. Clinical skills in assessing emergent situations and initiating emergency protocols based on clinical scenario.
Equipment Maintenance: Properly disinfect and sterilize appropriate sensors, probes, transducers and other equipment as outlined in laboratory policies and procedures. Ensure proper inventory of equipment needed to perform PSG. Contacts proper technical support personnel regarding non-functioning equipment as well as assists in arranging for repair or replacement of non-functional equipment.
Supply Maintenance: Responsible for maintaining sleep laboratory supplies by maintaining inventory of stock items and notifying staff of needed repair or replacement. Is responsible for maintaining adequate PSG supplies to perform high quality data collection.
Provides direct and indirect care to patients undergoing procedures in the Cardiac Non Invasive Services Department and other areas in the hospital
- Performs transthoracic echocardiograms, stress echocardiograms, and transesophageal echocardiograms
- Assesses and prepares patients for procedures
- Conducts testing under the indirect supervision of a cardiologist
- Positions patient to maximize effectiveness of image and minimize patient discomfort
- Adjusts equipment controls and modifies images during the exam to demonstrate anatomy, physiology, hemodynamics, and/or pathology accurately
- Determines need for additional views based on patient variables or encountered pathology
- Records images for review by cardiologist
- Provides measurements, estimates, angles, and guidance as needed during certain procedures including, but not limited to, pericardiocentisis, transesophageal echocardiogram, and alcohol septal ablation
- Selects appropriate scan based on functional and/or anatomical pathology
- Utilizes ultrasound and contrast agents to view cardiac structures and wall motion/perfusion
- Monitors patients and their response
- Reports pertinent findings to cardiologist
- Arranges images of exam findings for patient’s medical record
- Documents according to established policies and procedures
- Demonstrates ongoing proficiency in clinical skills/knowledge specific to specialty area
- Demonstrates practice consistent with current research/standards/policies/protocols/procedures
- Protects patient privacy/maintains confidentiality
- Inserts and manages intravenous lines
- Recognizes and responds to adverse reactions, clinical problems, or emergent situations
- Provides teaching to patient and family as necessary
- Performs routine cleaning and reports mechanical failure of equipment
Ensures emergency equipment is maintained and working properly
- Demonstrates fiscally responsible resource utilization and promotes cost containment
- Follows research protocols
- Performs patient care in a timely manner
- Productively utilizes unassigned time
Prioritizes and coordinates patient care and/or services with team members
Participates in the assessment and development of department and hospital
related projects
- Participates in orientation of new employees
- Serves as a resource for staff members, students, residents, and fellows
- Serves on hospital and department committees as needed
Develops and revises departmental policies, protocols, procedures, and forms as needed
- Plans, prepares, and presents training for departmental employees
Assists with other duties as assigned