Item 9-L-December 5, 2014 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 (if applicable): Position #(s): New Current Title: Cytotechnologist (NSPHL) (JCC: 67447) Current Range: 3 Department: Nevada State Public Health Laboratory / College/Division: School of Community (Moved from Pathology and Laboratory Medicine) Health Science / VP, Health Science Account #(s): 1206-119-1223 Action Proposed: (check all that apply) ( ) New position: Proposed Range: Proposed Title: ( ) Title Change, Proposed Title: ( ) Proposed Reassignment from Range to Range (X) Revised PDQ only (no change in range or title) JCC (Current ( ) Line of Progression (show titles below) or new HR Range: assigned): 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. ____________________________/_______________________________ Stephanie Vanhooser, Adm Dir, NSPHL / L.D. Brown, Director, NSPHL Immediate Supervisor’s Signature __________________ Date ____________________________________________________________ Trudy Larson, Director, SCHS / Thomas Schwenk, VP, HS / Dean, UNSOM Director/Chair/Dean __________________ 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): 67447 Range: 3 Pos #(s): JCC: EEO: 3H Eff: 12/1/2014 Cytotechnologist (NSPHL) Approved Title: 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 Manager (Nevada State Public Health Laboratory) 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 position is located in the Nevada State Public Health Laboratory (NSPHL) in the School of Community Health Science (SCHS). Under the administrative guidance of department leadership, the incumbent is responsible for screening patients for evidence of cancer or other pathological conditions, i.e., marking abnormalities, recording diagnoses, and submitting slides for pathologist review for gynecologic specimens. The position renders a final diagnosis on all atypical gynecologic material and records this information according to department policy. The incumbent submits all gynecologic slides with abnormal diagnoses to pathologist for final physician diagnosis. 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 records and statistics of all work performed in the NSPHL Cytology Laboratory for audit by the Clinical Laboratory Information Association (CLIA) and the College of American Pathologists (CAP). The Cytotechnologist Manager promotes the NSPHL Cytology program in Nevada and develops action plans to improve service to clients. The position trains and supervises temporary staff hired to assist with the screening program. The individual reports to the Administrative Director, NSPHL. 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). 60% - Women’s Screening with Emphasis on Public Health Programs Perform accurate microscopic screening and evaluation of gynecologic specimens for the detection of cancer and other pathologic conditions; correlate findings with patient clinical data according to established laboratory procedures; accurately report findings into the Laboratory Information System (LIS), bringing unexpected findings to the attention of the departmental pathologist; adhere to productivity rates established per individual and completes Quality Assurance activities related to cytological screening Serve as a consultant to NSPHL clients to educate on proper Pap Smear collection techniques and diagnostic evaluations Oversee the proper technical preparation of, and quality control of, Pap smears and liquid based Pap tests; assess adequacy of specimens for testing Verify patient identification is correct on the slide, in the LIS, and on the requisition and the patient demographic data is complete with age, LMP (for gynecologic specimens), clinical history, specimen type and site; assess the quality of specimen preparation, fixation and staining quality; assess for specimen adequacy Perform and appropriately document quality control and quality assurance programs, instrument function checks, and solve problems as indicated within the appropriate procedure/maintenance manuals; assist in the collection of data for statistical and productivity reports as needed; ensure lab safety Refer selected or abnormal cases with pre-determined regulatory guidelines to a physician/pathologist with special training in the diagnosis of the more severe and cancerous/pre-cancerous conditions Assure that cytology/histology correlations are performed on all cases as appropriate Manage transition to new Pap Smear evaluation technology as it becomes available or is appropriate at the NSPHL Ensure that laboratory and work specific competencies are demonstrated annually and completed within the established time frames Position Description – Cytotechnologist Manager (Nevada State Public Health Laboratory) Page 3 20% – Federal and State Compliance and Reporting Comply with all CLIA and College of American Pathologists (CAP) regulations, including but not limited to successfully passing annual CLIA-mandated proficiency testing for gynecologic cytology; documenting the slide interpretation results of each case examined or reviewed; recording total number of slides examined/reviewed within a 24 hour period; recording the number of slides examined/reviewed per hour within each 24 hour period Oversee and participate in the external proficiency testing of all Cytology and Pathology personnel reading Pap Smears at the NSPHL and maintain records of such as required by law Assure the NSPHL complies with all applicable Federal and State regulations for performance of screening, nomenclature for reporting results, and maintenance of statistics Maintain corporate compliance by observing and enforcing the related policies and procedures with emphasis on confidentiality Maintain government required statistics related to the diagnostic findings; prepare reports for CLIA and CAP during audits of facility 20% - 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 Schedule and supervise Letter of Appointment (LOA) temporary personnel hired to assist in the program Maintain statistics on the performance of such personnel as required by law and accrediting agencies Maintain microscope in working condition by performing routine daily maintenance; report irregularities in operations with proper follow through; monitor maintenance of the equipment Ensure cleanliness in the Lab to meet government regulations Train and supervise lab staff in proper protocols and procedures for screenings Assure staff act with the upmost professionalism when interacting with fellow employees, administration, students and peers 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: The Cytotechnologist Manager is required to make highly technical decisions and choices in conducting and analyzing screening tests and in the referral of clients to the 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 incumbent must make decisions to ensure compliance with 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 on proper procedures and testing. The position consults with the Pathologist 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. Impact: Decisions impact the level of success of the screening program and its implementation throughout the State of Nevada. Inadequate performance would have a detrimental effect on the success of the program and the NSPHL’s reputation in Nevada. An inadequate performance may result in contractual obligation failures and state 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 UNSOM and the University. Position Description – Cytotechnologist Manager (Nevada State Public Health Laboratory) Page 4 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: State and Federal laws pertaining to CLIA of 1988, College of American Pathologist’s requirements, the Bethesda consensus standardized nomenclature for reporting of results required by CLIA and the CAP, and other related regulations Women’s health and gynecological screening and testing programs. Current women’s health screening algorithms and recommendations. 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 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 LIMS to collect clinical and demographic information as required by policies and procedures Lab safety regulations Skills: 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 Ability to: 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 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 NSPHL staff Reason for Contact To train and monitor work and ensure compliance with Federal and State regulations on screening and testing; to ensure compliance with Federal and State regulations on screening and testing Position Description – Cytotechnologist Manager (Nevada State Public Health Laboratory) Page 5 External Federal and State agencies, auditors, inspectors and regulators Patients Reason for Contact To coordinate and ensure corrective action reports are completed Physicians, Pathologists, Health Care providers To discuss abnormalities, obtain additional interpretive information and give advice on recommended medical follow-up within parameters set by Department Director To research latest technology and ensure maintenance of machines Vendors for lab equipment 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 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. 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. Bachelor’s Degree and four years, or a Master’s Degree and two years, of experience in a clinical laboratory setting to include performing laboratory testing, monitoring productivity, regularly screening patient samples and one year of cytology technology training Preferred Licenses or Certifications: CT (ASCP) c. Indicate any license or certificate required for this position. i. State of Nevada licensure as a Licensed Cytotechnologist or the ability to obtain a Nevada license within two months of hire ii. Certification of Competency by the Association of Clinical Pathologists (ASCP) resulting in a Certified Cytotechnologist license as a CT (ASCP)