Job Duties Custom List 29-1141.01 — Acute Care Nurses
- Perform administrative duties that facilitate admission, transfer, or discharge of patients.
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- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Scan patients' health records into electronic formats.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Release information to persons or agencies according to regulations.
- Retrieve patient medical records for physicians, technicians, or other medical personnel.
- Transcribe medical reports.
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Consult classification manuals to locate information about disease processes.
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
- Identify, compile, abstract, and code patient data, using standard classification systems.
- Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Post medical insurance billings.
- Protect the security of medical records to ensure that confidentiality is maintained.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
- Review records for completeness, accuracy, and compliance with regulations.
- Schedule medical appointments for patients.
- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Scan patients' health records into electronic formats.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Release information to persons or agencies according to regulations.
- Retrieve patient medical records for physicians, technicians, or other medical personnel.
- Transcribe medical reports.
- Obtain informed consent from patients for anesthesia procedures.
- Discharge patients from post-anesthesia care.
- Manage patients' airway or pulmonary status, using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
- Respond to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.
- Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
- Select, order, or administer anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as necessary.
- Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics.
- Assess patients' medical histories to predict anesthesia response.
- Perform or manage regional anesthetic techniques, such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.
- Develop anesthesia care plans.
- Prepare prescribed solutions and administer local, intravenous, spinal, or other anesthetics, following specified methods and procedures.
- Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
- Calibrate and test anesthesia equipment.
- Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
- Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
- Select and prescribe post-anesthesia medications or treatments to patients.
- Perform or evaluate the results of diagnostic tests, such as radiographs (x-rays) and electrocardiograms (EKGs).
- Select, order, or administer pre-anesthetic medications.
- Insert peripheral or central intravenous catheters.
- Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
- Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in nursing.
- Request anesthesia equipment repairs, adjustments, or safety tests.
- Instruct nurses, residents, interns, students, or other staff on topics such as anesthetic techniques, pain management and emergency responses.
- Disassemble and clean anesthesia equipment.
- Obtain informed consent from patients for anesthesia procedures.
- Discharge patients from post-anesthesia care.
- Obtain patients' informed consent to proposed interventions.
- Discharge patient from physical therapy when goals or projected outcomes have been attained and provide for appropriate follow-up care or referrals.
- Plan, prepare, or carry out individually designed programs of physical treatment to maintain, improve, or restore physical functioning, alleviate pain, or prevent physical dysfunction in patients.
- Perform and document an initial exam, evaluating data to identify problems and determine a diagnosis prior to intervention.
- Record prognosis, treatment, response, and progress in patient's chart or enter information into computer.
- Instruct patient and family in treatment procedures to be continued at home.
- Evaluate effects of treatment at various stages and adjust treatments to achieve maximum benefit.
- Confer with the patient, medical practitioners, or appropriate others to plan, implement, or assess the intervention program.
- Administer manual exercises, massage, or traction to help relieve pain, increase patient strength, or decrease or prevent deformity or crippling.
- Test and measure patient's strength, motor development and function, sensory perception, functional capacity, or respiratory or circulatory efficiency and record data.
- Direct, supervise, assess, and communicate with supportive personnel.
- Review physician's referral and patient's medical records to help determine diagnosis and physical therapy treatment required.
- Identify and document goals, anticipated progress, and plans for reevaluation.
- Provide information to the patient about the proposed intervention, its material risks and expected benefits, and any reasonable alternatives.
- Provide educational information about physical therapy or physical therapists, injury prevention, ergonomics, or ways to promote health.
- Inform patients and refer to appropriate practitioners when diagnosis reveals findings outside physical therapy.
- Administer treatment involving application of physical agents, using equipment, moist packs, ultraviolet or infrared lamps, or ultrasound machines.
- Refer clients to community resources or services.
- Construct, maintain, or repair medical supportive devices.
- Evaluate, fit, or adjust prosthetic or orthotic devices or recommend modification to orthotist.
- Teach physical therapy students or those in other health professions.
- Conduct or support research and apply research findings to practice.
- Participate in community or community agency activities or help to formulate public policy.
- Direct group rehabilitation activities.
- Obtain patients' informed consent to proposed interventions.
- Discharge patient from physical therapy when goals or projected outcomes have been attained and provide for appropriate follow-up care or referrals.
- Admit patients for hospital stays.
- Diagnose, treat, or provide continuous care to hospital inpatients.
- Prescribe medications or treatment regimens to hospital inpatients.
- Order or interpret the results of tests such as laboratory tests and radiographs (x-rays).
- Conduct discharge planning and discharge patients.
- Write patient discharge summaries and send them to primary care physicians.
- Refer patients to medical specialists, social services, or other professionals as appropriate.
- Direct, coordinate, or supervise the patient care activities of nursing or support staff.
- Attend inpatient consultations in areas of specialty.
- Communicate with patients' primary care physicians upon admission, when treatment plans change, or at discharge to maintain continuity and quality of care.
- Participate in continuing education activities to maintain or enhance knowledge and skills.
- Direct or support quality improvement projects or safety programs.
- Direct the operations of short stay or specialty units.
- Train or supervise medical students, residents, or other health professionals.
- Admit patients for hospital stays.
- Record and process results of procedures.
- Administer radiopharmaceuticals or radiation intravenously to detect or treat diseases, using radioisotope equipment, under direction of a physician.
- Detect and map radiopharmaceuticals in patients' bodies, using a camera to produce photographic or computer images.
- Process cardiac function studies, using computer.
- Calculate, measure, and record radiation dosage or radiopharmaceuticals received, used, and disposed, using computer and following physician's prescription.
- Produce a computer-generated or film image for interpretation by a physician.
- Prepare stock radiopharmaceuticals, adhering to safety standards that minimize radiation exposure to workers and patients.
- Explain test procedures and safety precautions to patients and provide them with assistance during test procedures.
- Perform quality control checks on laboratory equipment or cameras.
- Dispose of radioactive materials and store radiopharmaceuticals, following radiation safety procedures.
- Gather information on patients' illnesses and medical history to guide the choice of diagnostic procedures for therapy.
- Maintain and calibrate radioisotope and laboratory equipment.
- Measure glandular activity, blood volume, red cell survival, or radioactivity of patient, using scanners, Geiger counters, scintillometers, or other laboratory equipment.
- Train or supervise student or subordinate nuclear medicine technologists.
- Position radiation fields, radiation beams, and patient to allow for most effective treatment of patient's disease, using computer.
- Add radioactive substances to biological specimens, such as blood, urine, or feces, to determine therapeutic drug or hormone levels.
- Develop treatment procedures for nuclear medicine treatment programs.
- Record and process results of procedures.
- Complete administrative responsibilities, such as coordinating paperwork, scheduling case management activities, or writing lesson plans.
- Evaluate hearing or speech and language test results, barium swallow results, or medical or background information to diagnose and plan treatment for speech, language, fluency, voice, or swallowing disorders.
- Write reports and maintain proper documentation of information, such as client Medicaid or billing records or caseload activities, including the initial evaluation, treatment, progress, and discharge of clients.
- Monitor patients' progress and adjust treatments accordingly.
- Develop or implement treatment plans for problems such as stuttering, delayed language, swallowing disorders, or inappropriate pitch or harsh voice problems, based on own assessments and recommendations of physicians, psychologists, or social workers.
- Administer hearing or speech and language evaluations, tests, or examinations to patients to collect information on type and degree of impairments, using written or oral tests or special instruments.
- Educate patients and family members about various topics, such as communication techniques or strategies to cope with or to avoid personal misunderstandings.
- Supervise or collaborate with therapy team.
- Participate in and write reports for meetings regarding patients' progress, such as individualized educational planning (IEP) meetings, in-service meetings, or intervention assistance team meetings.
- Teach clients to control or strengthen tongue, jaw, face muscles, or breathing mechanisms.
- Instruct clients in techniques for more effective communication, such as sign language, lip reading, or voice improvement.
- Consult with and advise educators or medical staff on speech or hearing topics, such as communication strategies or speech and language stimulation.
- Develop speech exercise programs to reduce disabilities.
- Consult with and refer clients to additional medical or educational services.
- Design, develop, or employ alternative diagnostic or communication devices or strategies.
- Participate in conferences, training, continuing education courses, or publish research results to share knowledge of new hearing or speech disorder treatment methods or technologies.
- Develop individual or group activities or programs in schools to deal with behavior, speech, language, or swallowing problems.
- Conduct lessons or direct educational or therapeutic games to assist teachers dealing with speech problems.
- Supervise students or assistants.
- Evaluate oral motor function in infants.
- Conduct or direct research on speech or hearing topics and report findings for use in developing procedures, technologies, or treatments.
- Use computer applications to identify or assist with communication disabilities.
- Provide communication instruction to dialect speakers or students with limited English proficiency.
- Communicate with non-speaking students, using sign language or computer technology.
- Complete administrative responsibilities, such as coordinating paperwork, scheduling case management activities, or writing lesson plans.
