# #HIPAA and Privacy:# Properly direct any complaints and/or grievances as indicated per VNHSC policy.# Comply with HIPAA regulations, specifically the Privacy and Security Rules.# Protect personal health information (PHI), electronic personal health information (EPHI) and financial information by limiting the use and disclosure of health information and financial information to the minimum amount necessary with only those who must know how to get the job done.# Follow the department#s specific policies and procedures to protect health information.# Help one another to ensure confidentiality at all times.# # General Summary of Duties: The Home Care Nurse (LPN) is responsible to provide nursing care consistent with plan of care established by the RN Case Manager. # Supervision Received: Reports directly to a Team Leader.# Performs nursing care under the direction of the RN Case Manager # Supervision Exercised: None. # Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.# Requires standing, walking, and the ability to ascend and descend stairs.# Occasionally lifts and carries items weighing up to 30 pounds.# Requires corrected vision and hearing to normal range.# Requires working under stressful conditions.# Requires some exposure to communicable diseases and/or bodily fluids. # Typical Work Conditions: Work is performed in patients# homes, community settings, clinics and in an office environment.# Some exposure to communicable diseases, toxic substances, and medicinal preparations. # Essential Duties: (This list may not include all of the duties assigned.) # The Home Care Nurse (LPN) functions under the direction of the RN Case Manager. # C4, F4### 1.# Provides intermittent skilled nursing service to patients and their families in compliance with state and Medicare regulations, incorporating the following: a)## Assesses the physical and psychosocial status of the patient. b)## Follow-through of an appropriate care plan and therapeutic goals with the patient/family and RN Case Manager. c)## Referral to appropriate therapies with approval of the RN Case Manager. d)## Periodic review of progress toward the therapeutic goals in conference with the RN Case Manager. e)## Use of Agency and community consultants/resources. f)### Instruction of patient/family in procedures or responsibilities they are assuming. # C4, F3### 2.# Documents all services provided in the clinical record in accordance with state and federal regulations and Agency policy: a)## All visits are documented within 24 hours. b)## Documents all physicians# telephone orders, informing nurse/therapist of all changes to the plan of care before implementation and obtains their signature. c)## Complies with all reporting requirements. # # # # C4, F3###### 3.# Visit responsibilities: a)## Confers regularly with the RN Case Manager assigned. # b)## Remains flexible in daily planning, allowing time for emergencies or unexpected visits. c)## Reports any cases to the supervisor where goals can not be met or unsafe home situations exist. d)## Maintains required productivity as established by the Agency. # C3, F1### 4.# Develops and maintains sufficient professional skills to meet the needs of patient care: a)## Attends a minimum of 12 hours of in-service per year. b)## Participates actively in self-appraisal and the formation of a plan for self-development. c)## Knowledgeable of Agency policies and procedures. d)## Seeks appropriate supervision. e)## Projects professional image through attitude and compliance with dress code. f)### Functions as a team member with consideration to all staff. ###### ###########g)## Maintains CPR certification. ################# h)# Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan# as per################################## written agreement. ################# Ancillary Duties # # C3, F1### 1.# Performs other duties as necessary to support Agency programs as assigned by the clinical supervisor: a)## Agency committees as requested. b)## Flu/special clinics as needed. c)## Adult Consultation Hours as assigned. d)## Special Agency or community programs during and/or after regular working hours. # C4 , F1## 2.# Performs other duties as necessary to maintain current Agency personnel policies: a)## Time worked is recorded regularly and accurately. b)## Personnel records are complete with but not limited to current professional license, auto and malpractice insurance. c)## Abides by Agency weekend/holiday rotation of nurses. # # Knowledge, Skills, and Requirements: Knowledge of professional nursing theory and practice and the skills to provide competent patient care.# Knowledge of Agency policies, regulations and procedures to administer patient care.# Knowledge of medical equipment currently used to provide patient care.# Knowledge of common safety hazards and precautions to establish a safe work environment.# Skill in# applying# and# modifying the principles, methods and techniques of# professional# nursing to provide ongoing patient care.# Skill in identifying patient-related problems and recommending solutions.# Skill in documentation in clinical records.# Skill in establishing and maintaining effective working relationships with patients, families, physicians, co-workers, and the community.# Ability to maintain quality control standards. #Ability to react calmly and effectively in emergency situations.# Ability to interpret, adapt and apply guidelines and procedures.# Ability to communicate clearly.# Possess adequate transportation to carry out job requirements.# Must show proof of satisfactory automobile insurance with minimum coverage to be $100,000/300,000 determined by agency policy. # Education: Graduate of NLN approved school of licensed practical nursing. # Experience: One (1) year of recent medical/surgical nursing experience, additional experience in community health nursing preferred. # Certificate/License: Possession of a current license to practice as a licensed practical nurse in the State of Connecticut.# # Alternative to Minimum Qualifications: None. # # # #

POSITION SUMMARY: Under the direction of a Radiologist, the Ultrasonographer performs exams at a technical level that does not require direct supervision over technical detail.# Conducts a wide variety of Ultrasound examinations including abdominal, obstetric, gynecologic, venous, small parts and breast.# Assists with interventional procedures.# Uses independent judgment, ingenuity and acquired knowledge to obtain quality diagnostic images.# #May be asked to learn and perform pre-brachy-therapy mapping and assists in Operating Room with procedures. Registered in five (5) or more certifications by the ARDMS (or equivalent/specialized certification). EDUCATION/CERTIFICATION: Graduate of accredited program of Diagnostic Sonography approved by the American College of Radiology. Certified through the American Society for Diagnostic Medical Sonography (RDMS) as RDMS (OB or AB), RT(S), RT (VS), RVT, or RVS).# New Graduates must obtain RDMS certification within one year of hire or within 24 months of their graduation date, whichever is less. Must maintain all qualifications from the American College of Radiology accreditation requirements for Ultrasound and/or RT(S) continuing education requirements. Must have certification in Basic Cardiac Life Support upon hire and maintain clinical competency during employment with ECHN in this role. EXPERIENCE: A minimum of two years# experience working within a Medical Imaging Department doing diagnostic and/or vascular Sonography is preferred. Experience working with and caring for all age groups of patients, and complete knowledge of physics, anatomy, medical terminology, sterile technique, and universal safety protection as it relates to Radiology practice is necessary.# COMPETENCIES: Must be fluent in English to effectively read and understand patient monitors and procedures ordered.# Frequent communications with patients from all age groups as well as Nursing Stations, Physicians and co-workers is required.# Bilingual capabilities in Spanish are desirable, but not required.# # This position requires the incumbent work cooperatively with department staff by sharing in taking rotational call and holiday hours.## Must have access to reliable transportation to travel between multiple work sites; and travel is required to perform essential duties. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. #They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Properly identifies and prepares patient for the Ultrasound exam. Obtains optimal Ultrasound images. Utilizes proper equipment and systems pertinent to exam and utilizes. Assists physicians with biopsies, aspirations, transvaginal exams, OR exams, and other special procedures. Maintains adequate records of all Ultrasound exams including appropriate information. Maintains and cleans Ultrasound equipment and examination rooms in compliance with universal precautions. Completes general, unit, department specifics, and competencies including age specific competencies. Maintains required inventory of supplies. Coordinates and prioritizes in-house and outpatient requests. Responsible for patient#s safety, well-being, and privacy at all times. Maintains accreditation status with ACR standards. Instructs Ultrasound students in clinical procedures. Responsible for adhering to all radiation protection standards and for donning all radiation protection apparel inclusive of wearing and changing of current monitoring devices. Ability to disinfect all probes properly according to manufacturer requirements. Performs similar and related duties as required.

POSITION SUMMARY: Under the direction of a Radiologist, the Ultrasonographer performs exams at a technical level that does not require direct supervision over technical detail.# Conducts a wide variety of Ultrasound examinations including abdominal, obstetric, gynecologic, venous, small parts and breast.# Assists with interventional procedures.# Uses independent judgment, ingenuity and acquired knowledge to obtain quality diagnostic images.# #May be asked to learn and perform pre-brachy-therapy mapping and assists in Operating Room with procedures. # # # EDUCATION/CERTIFICATION: A graduate of an accredited school of diagnostic medical imaging. Current registration through the American Society for Diagnostic Medical Sonography (RDMS) #or American Registry of Radiologic Technologist, Sonography (ARRT)(S) is required.# Certified through the American Society for Diagnostic Medical Sonography (RDMS) as RDMS (OB or AB), RT(S), RT (VS), RVT, or RVS).# New Graduates must obtain RDMS certification within one year of hire or within 24 months of their graduation date, whichever is less. Sonographer must maintain all qualifications from of the American College of Radiology accreditation requirements for Ultrasound and/or RT(S) continuing education requirements. Must have certification in Basic Cardiac Life Support upon hire and maintain clinical competency during employment with ECHN in this role. EXPERIENCE: A minimum of one year experience working within a Medical Imaging Department doing diagnostic and/or vascular Sonography is preferred. Experience working with and caring for all age groups of patients, and complete knowledge of physics, anatomy, medical terminology, sterile technique and universal safety protection as it relates to Radiology practice is necessary.# COMPETENCIES: Must be fluent in English to effectively read and understand patient monitors and procedures ordered.# Frequent communications with patients from all age groups as well as Nursing Stations, Physicians and co-workers is required.# Bilingual capabilities in Spanish are desirable, but not required. This position requires the incumbent work cooperatively with department staff by sharing in taking rotational call and holiday hours.### Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. # # # ######### Job-Specific Competency 1.##### Assures that patient#s clinical data coincides with and matches the type of exam that is being ordered.# Follows up with Doctor#s office when exam ordered is in question and does not seem reasonable given the patient#s clinical record. 2.##### Provides appropriate clinical care during and after to assure the patient#s comfort.# Properly prepares and positions patients taking care that IV#s, catheters and oxygen leads, etc., remain intact and are handled with care.# Exhibits a constant awareness of sterile practice, and initiates all procedures using appropriate Infection Control procedure.# 3.##### Applies expertise and knowledge of machine functionality during patient exam to obtain quality images. 4.##### Provides high quality images for Radiologist interpretation with appropriate Sonographer notes in the following categories of exams: a)##### Abdominal b)##### OB/Gyn c)##### Vascular 5.##### Assist Radiologist in interventional procedures (i.e. biopsies, Thoracentesis, Paracentesis.)# Coordinates patient#s medical needs with the Radiology Nurse.# Assures that room is properly equipped for procedure and cleaned appropriately post procedure. 6.##### Accurately completes computer (Meditech) patient procedure documentation to include the Sonographer impression, a limited or complete exam, the date, whether it was a bi-lateral or uni-lateral, right or left, etc.## Assures the accuracy of documentation understanding that all items will be charged to the patient#s hospital bill.# Submits correctly documented and labeled exam to the Radiologist and is available for review and discussion. 7.##### Independently responds on a call basis to perform procedures.# Drives to affiliate and/or contracted location to provide services as may be required.# Travels to the Emergency Room and/or Intensive Care Unit and or Operating Room with portable equipment as needed. Assists with interventional exams. 8.##### Independently runs one#s own schedule and properly documents patient flow while remaining sensitive to patients care and other co-workers needs and desires.# Remains flexible in patient flow in order to accommodate daily emergency calls and requests for inpatient procedures.# Assists in obtaining transportation for patients when procedures are scheduled by internal Hospitalists, Physicians, etc. 9.##### Works cooperatively and exhibits Core Values at all times to accomplish all tasks as a member of the Medical Imaging Team. # # # #

POSITION SUMMARY: Medical Assistants support providers in ECMPF medical office settings. They are multi-skilled, assume a wide range of roles and are viewed as vital partners in providing quality patient care and increasing medical office productivity.# Medical Assistants handle both administrative and clinical duties and must demonstrate acute attention to detail, accuracy, professional etiquette and superior customer service and clinical skills at all times.# EDUCATION/CERTIFICATION: Must have a high school diploma or equivalent, AND one of the following: Completed a Medical Assistant Program OR Certification/Registration as an MA OR 5+ years of experience as a Medical Assistant in lieu of being a Registered MA/ or attended an MA Program OR 5+ years of experience as a Nurse Assistant, or a Certified Nurse Assistant with at least 1 year of experience EXPERIENCE: Previous experience working in a medical facility is preferred. COMPETENCIES: Comfortable working in a fast-paced confidential medical environment. Must be team oriented with excellent written and verbal communication skills. Knowledge of common safety hazards and precautions to establish and maintain a safe work environment. Lifting physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, care, push and /or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination. Ability to maintain working relationships and interact with patients and employees on a daily basis. Reliable transportation and the ability to float to other offices when needed. Strong computer and keyboarding skills. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Greet patients and prepare them for physician examination per established office protocol. Keep information in the patient#s chart current per established requirements. Documents all sample medication dispensed in the medical record. Provide oversight to vaccine programs following State guidelines. Checks and restocks rooms with necessary supplies and ensures exam rooms are prepared for the day. Keep inventory of medical supplies and report them to Office Coordinator/Practice Manager for reorder. Report malfunction of medical equipment to Office Coordinator/Practice Manager. Properly cleans and sterilizes equipment and prepares surgical trays as indicated by the physician. Assist physician/practitioner with office surgical procedures. Perform EKG and Spirometry as ordered. Report lab results to patients and follow through with any physician instructions to patients for follow up or change in medication, including scheduling appointment when necessary. Answer requests from pharmacies for prescription refills per office protocol. Prepare specimens and paperwork to submit to reference lab for testing as directed by#physician or midlevel#provider. Instruct patients on how to properly collect sterile urine specimens. On a monthly basis check all medications (including samples) and appropriately dispose of expired medications. Obtain pre-certifications for tests, procedures, treatments, medications, and hospitalizations as needed. Schedule and arrange referrals and outside testing for patients as directed by physician. Maintain work area in a neat and organized manner. Maintain appropriate documentation of compliance with CLIA regulations. Primary Care staff participates in Patient Centered Medical Home Care Team collaborations.# May be required to float to other offices and/or perform other duties as requested by Management. Maintain confidentiality and adhere to HIPAA requirements.