Yes/No - Northwest Portland Area Indian Health Board

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Benewah Medical Center
Job Description/Performance Evaluation
I.
POSITION: Family Nurse Practitioner: A non-exempt position serving Indian and
non-Indian patients/clientele.
II.
QUALIFICATIONS: Completion of an approved Nurse Practitioner program of
instruction is required. Ability to work successfully with other health care professionals,
patients and members of the community. Ability to provide comprehensive care in a
culturally sensitive manner in a teamwork environment. Experience in an ambulatory
care setting preferred. Able to practice without an on-site physician. ACLS certification is
required, with knowledge of acute trauma management. Solid oral and written skills.
Maintain at all times a current and active certification by the Board of Nursing as an NP.
Maintain a current and active license to practice as a Nurse Practitioner in the state of
Idaho or eligible to obtain Idaho State licensure.
III.
PERSONAL CHARACTERISTICS
a. Possesses demonstrated ability to perform as a team player.
b. Maintains positive peer relationships and provides assistance in a friendly, helpful
manner to all patients, visitors and staff.
c. Possesses the ability to work independently, is detail oriented, organized, and works
under pressure. Meets deadlines.
d. Must have consistent work attendance record.
e. Demonstrates cultural sensitivity.
f.
Understands and practices confidentiality.
IV.
SUPERVISION: The Medical Director will provide Administrative Supervision.
Medical Supervision will be under a staff physician as designated by the Medical
Director.
V.
ADA ESSENTIAL FUNCTIONS
A. Hearing: within normal limits with or without use of corrective hearing devices;
B. Vision: adequate to read 12-point type with or without use of corrective lenses
C. Must be able to verbally interact with staff, clients and public
D. Manual dexterity of hands/fingers for writing, computer input
E. Able to lift up to _25__ lbs.,
F. Standing _50__% of the day
G. Walking _25__% of the day
H. Pushing, up to _30____lbs.
I. Pulling, up to _20___lbs.
CEO Approval:
Date:
Benewah Medical Center
Job Description/Performance Evaluation
ESSENTIAL RESPONSIBILITIES: Responsibilities outlined below are to be rated on a
“Yes/No” scale; indicating meets/does not meet the outlined responsibility. Essential
responsibilities are evaluated at end of Introduction Period (initial 90 days) and annually on
employee’s anniversary date
Customer Service
1. Maintains a positive peer relationship and performs as a
team player.
2. Plans and prioritizes to maintain a time and attendance
record which complies with BMC policy.
3. Provides excellent internal and external customer
service assistance, providing knowledgeable and
appropriate information to customers.
4. Works independently in a very detail oriented manner,
and meet deadlines.
Comments:
Organizational Values: Employee
Demonstrates the values of
Benewah Medical Center and
Wellness Center
1.
2.
3.
4.
5.
6.
7.
Care and Compassion
Respect
Sharing
Professionalism
Confidentiality
Collaboration and Teamwork
Progressiveness
Comments:
Licensure and Certification
Comments:
1.
Employee Health and
Immunization
1. Measles-Mumps-Rubella (MMR)
2. Hepatitis B
3. TB Skin Test
Revised 12-12
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YES/NO
Benewah Medical Center
Job Description/Performance Evaluation
4. Influenza (optional)
5. Tetanus (optional)
Comments:
General Comments Regarding Performance of Essential Responsibilities:
Major Duties and Responsibilities outlined below will be rated annually on the employee’s anniversary
date. Ratings will be completed on a 1-5 scale, with the scale outlined below. Performance may be
evaluated at the discretion of the supervisor of the position if necessary and/or appropriate.
Rating Scale:
5=
Superior Performance – Performance consistently far exceeds expectations of the position.
Almost all job related activities were done in an outstanding manner. (There should be very few
individuals qualified for this rating.)
4=
Very Good Performance – Performance consistently meets and may exceed expectations.
Consistently contributes more than his/her share.
3=
Satisfactory Performance – Satisfactory performance on all assigned responsibilities.
2=
Marginal Performance – Performance satisfactory, but not in all areas of major responsibilities.
Needs further development and improvement to perform at satisfactory level.
1=
Poor Performance – Performance does not meet the requirements of the position. If
performance does not improve after a reasonable period of time, the employee should be
reassigned or terminated.
Rating:
Patient Care
Revised 12-12
1. Provides comprehensive health care to Indian and
non-Indian patients served by the Benewah Medical
Center.
2. Provides after hours telephone coverage as
scheduled.
3. Evaluate situations, which call for emergency
medical procedures or require physician
intervention.
4. Evaluation and treatment of acute injuries,
including injections, subcutaneous local anesthesia,
apply and remove casts for severe sprains and
fractures, suture superficial wounds, remove sutures
and treat/dress wounds.
5. Responsible for diagnosis and treatment of
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Benewah Medical Center
Job Description/Performance Evaluation
conditions within the scope of practice..
6. Evaluates patients including obtaining medical
history and physical exam. Orders and interprets
appropriate lab and x-ray data. Under the
supervision of a physician (either direct or indirect)
and within guidelines established by protocols and
standing orders, diagnose patient conditions,
prescribe medications, order tests, discriminate
between normal and abnormal finding and provide
treatment and therapy. This includes initiating
appropriate referrals to other health care providers.
7. Obtains appropriate consults from specialists when
needed.
8. Legibly document all patient visits as soon as
possible or within 24 hours following that
encounter. Medical records are not to be taken off
the premises.
9. Responsible for attending medical staff meetings, in
addition to general staff, provider/nurse and other
meetings as assigned. Assists in functions
associated with Quality Assurance.
10. Other duties as assigned and mutually agreed upon.
Comments:
Productive use of down time
1. Direct patient care issues always take priority. Medical
literature or journals read only when all direct patient
care issues and BMC administrative duties/projects are
addressed and completed.
Comments:
Computer Privileges
1. Uses e-mail services/internet appropriately. Checks email a minimum of twice weekly from Medical
Director, Patient Care Services Director, and Clinical
Director.
Comments:
Pharmacy
1. Attempts to use agreed upon formulary and works
closely with pharmacy to prevent medication errors.
Comments:
Revised 12-12
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Benewah Medical Center
Job Description/Performance Evaluation
Consistent recordings of audit
information
1. Along with assigned nurse assure that ongoing clinic
audit information is recorded during patient
appointment. (Providers are responsible for checking
that nursing complete documentation and flow sheets.)
Comments:
Productivity
1. Schedule has 20 slots for patients in 9-hour work day or
as agreed in Compensation package or equivalent if 8hour days.
Comments:
Team work and helping others
when finished with own tasks
1. Willing to serve on committees requiring a provider at
Medical Directors’ instruction.
2. Checks with other teams at end of day to get all patients
seen.
Comments:
Assigned tasks (including tasks
done above and beyond what is
required)
Comments:
1. QI activities as assigned by the Medical Director.
Attendance and tardiness
1. Should arrive on time or no later than 10 minutes after
the clinic opens for patient care and stay until 6:00 PM
unless other arrangements have been made with
Director or Acting Director.
Comments:
Revised 12-12
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Benewah Medical Center
Job Description/Performance Evaluation
Personal phone calls
1. Uses phone for Patient Services. Limits personal phone
calls.
Comments:
Correct and Complete
documentation
1. Uses EMR to accurately document each patient
encounter. Documentation must be completed by the
end of the next business day.
Comments:
Peer Review
1. Will participate in periodic peer review of randomly
selected charts from each provider.
2. Provider will conduct ad hoc peer reviews of events
involving physicians or midlevel providers involving
patient care or inter-staff events such as incident reports
involving physicians or midlevels.
Comments:
Interpersonal Skills
1. Ability to effectively interact with supervisor.
2. Verbal, non-verbal and written communication is
professional and appropriate.
3. Good public relations.
4. Strives to be a team player.
5. Takes concern, grievances through proper channels.
6. Does not undermine team cohesiveness.
7. Does not undermine the Administration or Health
Board goals and objectives.
Comments:
Revised 12-12
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Benewah Medical Center
Job Description/Performance Evaluation
Meetings/Committees
Comments:
1. Attends meetings/committees as assigned.
Routine Duties
1. Routine duties shall include providing medical care and
public health services to individuals eligible for
services provided by the IHS in homes, schools, clinics,
job sites, and other community locations within
Benewah Medical Center and Wellness Center.
Comments:
Other
1. Performs other duties that may be necessary in the best
interest of the organization.
EVALUATOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
Revised 12-12
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Benewah Medical Center
Job Description/Performance Evaluation
INDIVIDUAL GOALS/OBJECTIVES:
I understand that by signing this review, I am not indicating agreement with the rating, but I am
acknowledging that my supervisor has reviewed and discussed this performance evaluation with me.
Employee’s Signature:
Date:
Evaluator’s Signature:
Date:
Evaluator’s Supervisor:
Date:
Revised 12-12
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