Item 2.B-September 13, 2013 ADMINISTRATIVE FACULTY POSITION DESCRIPTION QUESTIONNAIRE To expedite and facilitate the PDQ review process, please send the PDQ and Org Chart electronically to marshag@unr.edu for discussion and for initial review before routing PDQ for approval signatures. Questions - call UNR Faculty HR at 682-6114 INSTRUCTIONS: See http://www.unr.edu/hr/compensation-and-evaluation for complete instructions. Incumbent(s) Name OR New/Vacant: CURRENT POSITION INFORMATION Pos Range / Current Title: #(s): Class.: Department: Pathology and Lab Med Department JCC College/Division: Vice President, Health Sciences / Univ of NV School of Medicine Account #(s): 1201-119-1205 Action Proposed: (check all that apply) (X) New position: Proposed Range: See below Proposed Title: ( ) Title Change, Proposed Title: ( ) Proposed Reassignment from Range to Range ( ) Revised PDQ only (no change in range or title) (X) Line of Progression (show titles below) Cytotechnologist (Pathology and Lab Medicine) Senior Cytotechnologist (Pathology and Lab Medicine) Pos #: Range: 3 4 JCC: 67434 67435 EEO: 3H 3H I certify that the statements in this description are accurate and complete to the best of my knowledge. ____________________________________________________________ Employee’s Signature __________________ Date I/we have reviewed the statements in this form and they accurately reflect the job assignments. ____________________________________________________________ Immediate Supervisor’s Signature Sanford Barsky, Chair, Pathology __________________ Date ____________________________________________________________ Director/Chair/Dean Thomas Schwenk, VP, HS / Dean, UNSOM __________________ Date Approved for Salary Placement Committee review. ____________________________________________________________ __________________ Pres / Vice Pres / Vice Prov Signature Stacy Burton, Vice Provost, Faculty Affairs Date Action Approved by the Provost/President (Completed by Faculty HR): Effective Date: 9/1/2013 Approved Title: See Above Employee signs on “final” stamped approved PDQ and sends to HR for personnel file. Employee Signature:_______________________________________________ __________________ Date Printed Name: ____________________________________________________ Rev: 10/1/2012 Position Description – Cytotechnologist – Line of Progression Page 2 1. Summary Statement: State the major function(s) of the position and its role in the university. Attach an organizational chart with positions, ranges, and names for the division which reflects the position in it as well as those supervised in the department. (This section is used for advertisement of the position.) The Cytotechnologist positions are located in the Department of Pathology and Laboratory Medicine at the University of Nevada School of Medicine (UNSOM) and are responsible for management of the Cytology health program for screening women of northern Nevada area for infectious and communicable diseases of the uterine cervix (GYN), as well as non GYN cytology (Pap smears, brushings, washings and fine needle aspirates). The position implements and manages the quality assurance program for procedural and technical operations, ensuring alignment with federal and state regulations. The Cytotechnologist communicates diagnostic results to ordering physician/health professional, provides technical consultation and consults with or refers cases to anatomical pathologist (M.D.). This position is a cytology certified professional and reports to the Chair, Pathology Department and Laboratory Medicine. Range 3: The Cytotechnologist is responsible for the technical examination, analysis, and initial diagnosis and reporting of human tissue samples in the Pathology Lab. The position monitors performance and compliance measures in the Lab operations and oversees the proper technical preparation of and quality control of Pap smears and tests. The position is responsible for reviewing and approving all final printed screening tests reports for clients and for reporting results to the Pathologists for final consult with the attending physicians/clinicians. The position educates clinicians in accurate and consistent testing protocols. The individual must ensure that the Lab complies with applicable Federal and State regulations pertaining to screening performance, nomenclature for reporting results, and maintenance of statistics. The position maintains statistics of the laboratory tests for audit by the Clinical Laboratory Information Association (CLIA). The Cytotechnologist promotes the Pathology testing programs in the community and develops action plans to improve service to clients. The position reports to the Senior Cytotechnologist or Chair, Pathology and Laboratory Medicine (as applicable). Range 4 (In addition to Range 3 above): The Senior Cytotechnologist manages the Cytology Department and trains and supervises the Cytotechnologist and other Lab personnel. The position also may assist the Nevada State Health Laboratory (NSHL) Cytotechnologist and staff if needed. The position reports to the Chair, Pathology and Laboratory Medicine. 2. List the major responsibilities, including percentage of time devoted to each. Provide enough detail to enable a person outside the department to understand the job (percentage first with heading and then bulleted information). Range 3: 60% - Cytology Lab Technical Operations Perform the full range of Cytology Lab procedures on human cell samples - pap smear screening of women for early detection of infectious and communicable diseases of the uterine cervix, some of which are direct cause of pre-cancerous and cancerous lesions of the cervix Examine and analyze cell samples; determine validity of test results; differentiate normal from abnormal pathology, i.e., presence of abnormal cellular changes and pathogens Use clinical history and other patient information in arriving at proper diagnosis for each specimen and confirm, communicate, and explain findings on normal and some benign conditions to the ordering physician, report abnormal findings to lab pathologist, or health professional Position Description – Cytotechnologist – Line of Progression Page 3 Provide consultation on test results, test selection, methodology, test specificity and other sample-specific factors to the attending pathologist Investigate and resolve problems related to collection, processing, and testing of specimens Oversee the proper technical preparation of, and quality control of, Pap smears and liquid based Pat tests; assess adequacy of specimens for testing Assist and train personnel providing primary care to women being screened as to proper protocol to be followed in submitting optimal diagnostic material Review and sign all final printed reports to assure that all information has been correctly transcribed from a worksheet Review follow-up clinical information and biopsy correlation when available 30% - Operations Management Implement and monitor quality assurance control program Ensure procedures for sample collection, evaluation, analysis, diagnosis and result reporting are compliant with all applicable department, State, Federal and other applicable regulations and standards for performance of screening, nomenclature for reporting results, and maintenance of statistics Participate in development of new techniques, procedures, methods or policies Collect, organize and report statistical data related to diagnostic findings for the Clinical Laboratory Information Association (CLIA) during audits of facility Monitor and maintain laboratory equipment; troubleshoot basic problems Manage the gradual transition to the latest technology for performing this type of screening Develop and document acceptable lab criteria, manuals, reports and protocols Maintain microscope in working condition by performing routine daily maintenance; report irregularities in operations with proper follow through; monitor maintenance of the equipment 10% - Staff Training and Supervision Oversee and participate in the external proficiency testing of all testing personnel and maintain records of such as required by law Select, schedule, and supervise work performed by subordinate staff - letter of appointment temporary personnel Maintain statistics on the performance of such personnel as required by law and accrediting agencies Provide instruction in lab protocol, safety measures, procedures Ensure cleanliness in the Lab to meet government regulations Review daily work performed by subordinates Range 4 (in addition to above R3): 30% - Cytology Lab Technical Operations Same as above 60% - Operations Management Plan, direct and evaluate overall operation of lab cytology program Research and monitor trends in methodology, equipment, sample procedures, sample collection Develop and implement new technology, procedures, equipment, other efficiencies 10% - Staff Training and Supervision Select, train, schedule, and supervise Cytotechnologist and other lab staff in proper protocols and procedures for screenings Position Description – Cytotechnologist – Line of Progression Page 4 3. Describe the level of freedom to take action and make decisions with or without supervision and how the results of the work performed impact the department, division and/or the university as a whole. Level of Freedom: Range 3: The Cytotechnologist is required to make highly technical decisions and choices in conducting and analyzing screening tests and in the referral of clients to the proper cancer physician or pathologist. The position evaluates the accuracy of abnormalities identified and uses professional judgment in reaching sound conclusions and recommending the right course of action for the patient. The program is highly regulated by Federal and State agencies so must meet strict health and medical guidelines and comply with Federal and state statutes regarding statistical reports and nomenclature of results. The position trains and supervises staff and clinicians on proper procedures and testing. The position consults with the supervisor on more technical screening analyses of abnormalities identified in which there may be a questionable outcome of the test. The supervisor ensures State and Federal guidelines are being followed. Range 4 (in addition R3 above): The Senior Cytotechnologist supervises the work of the Cytotechnologist and must ensure staff is properly trained and following procedures as federally regulated. Impact: Range 3: Decisions made impact the level of success of the screening program and its implementation throughout Northern Nevada. Inadequate performance would have a detrimental effect on the success of the program, the department, and UNSOM’s reputation in Nevada. An inadequate performance may result in contractual obligation failures and client dissatisfaction resulting in loss of future funding. An incorrect diagnosis and/or unsatisfactory training of staff could cause irreparable damage to the health of patients and bring issues of liability to the UNSOM and University. Range 4 (in addition R3 above): If staff and clinicians are not trained and monitored properly and correctly, the unsatisfactory performance could cause irreparable damage to the health of patients and bring issues of liability to UNSOM and the University. 4. Describe the knowledge, skills (to include cognitive requirement and verbal and written communication), and abilities (to include task complexity, problem solving, creativity and innovation) essential to successful performance of this job (in bullet format). Knowledge of: Range 3: State and federal laws pertaining to Clinical Laboratory Improvement Amendments of 1988 (CLIA), Bethesda consensus standardized nomenclature for reporting of results required by CLIA and the College of American Pathologies (CAP), and other related regulations Women’s health and gynecological screening and testing programs Scientific principles of cytologic evaluation as well as the technical, procedural, and problemsolving aspects; statistical methods and business and economic data State and Federal employment laws and regulations - Health Insurance Portability and Accountability Act (HIPAA) and physician-patient relationships Position Description – Cytotechnologist – Line of Progression Page 5 Pathology and diagnostic research, factors which affect health and disease, and importance of proper test selection and numerous causes of discrepant test results, deviations of test results, and ethics including result confidentiality Lab safety regulations Range 4 (in addition R3 above): Personnel management to include training and evaluation of laboratory staff Skills: Range 3: Proficiency in use of a personal computer and current software applications including but not limited to Microsoft Office Suite (Word, Access, Excel, PowerPoint, and email) and specifically in data collection programs Monitoring and training of laboratory staff Strong interpersonal and human relations skills Analysis, interpretation, and expertise in pathological screening testing Excellent verbal and written communication in order to provide administrative and technical consulting services on laboratory testing Range 4 (in addition R3 above): Supervision and training of laboratory staff and community clinicians Ability to: Range 3: Differentiate and resolve technical, instrument, physiologic causes of problems or unexpected findings Maintain confidentiality of sensitive information Understand and interpret formalized policies, guidelines, rules, and regulations Research, gather, and compile data for reports Be sensitive to gender, disabilities, and cultural and ethnic diversity issues Show tact and diplomacy in sensitive situations Stay current in discipline by seeking out and learning new information pertinent to performance of duties Develop and implement plans to correct and prevent problems Range 4 (in addition R3 above): Incorporate principles of educational methodology in the instruction of laboratory personnel, other health care professionals, and clients Provide relevant input to the policy development process Develop major policies and administrative procedures for a pathology lab Evaluate new techniques and procedures in the laboratory Represent the specialty to the health care community and consumers 5. Describe the type of personal contacts encountered in performing the duties of the job. Explain the nature and purpose of these contacts: i.e., to provide services, to resolve problems, to negotiate. Internal Range 3: Department and Lab staff (Staff Research Associates) NSHL Staff / Cytotechnologist Reason for Contact To train and monitor work and ensure compliance with Federal and State regulations on screening and testing To assist when necessary in time of absences Position Description – Cytotechnologist – Line of Progression Page 6 Range 4 (plus R3 above): Same as above External Range 3: Federal and State agencies, auditors, inspectors and regulators Patients Clinicians, Physicians, Pathologists, Health Care providers Range 4 (plus R3 above): Vendors for lab equipment Reason for Contact To coordinate and ensure corrective action reports are completed To provide a health program of screening for infectious and communicable diseases of the uterine cervix and provide outcomes and assistance in resolving problems of abnormalities found To discuss abnormalities, obtain additional interpretive information and give advice on recommended medical follow-up within parameters set by Laboratory Director To research latest technology and ensure maintenance of machines 6. Indicate the minimum qualifications which are necessary in filling this position should it become vacant. Please keep in mind the duties/responsibilities of the position rather than the qualifications of the incumbent. a. Minimum educational level, including appropriate field, if any. Range 3 or 4: Bachelor’s Degree from a regionally accredited institution with emphasis or major in sciences b. Minimum type and amount of work experience, in addition to the above required education necessary for a person entering this position. Range 3: Bachelor’s Degree and four years, or Master’s and two years, of experience in a clinical laboratory setting to include performing laboratory testing and productivity monitoring and one year of cytology technology training Range 4: Bachelor’s Degree and five years, or Master’s and three years, of experience in a clinical laboratory setting to include performing laboratory testing and productivity monitoring, lab staff supervision, and cytology technology training from an Accreditation of Allied Health Education Programs (CAHEA) accredited school Preferred Licenses or Certifications: None c. Indicate any license or certificate required for this position. Range 3: State of Nevada licensure as a Licensed Cytotechnologist or ability to obtain one within specified time period Range 4 (plus R3 above): Certification by the American Society of Clinical Pathologists (ASCP) (for Cytology Supervisors)