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Home My WebLink AboutMINUTES - 03061984 - 1.33 33 �• POSITION ADJUSTMENT REQUEST No. 3 2 3 Date: 2/17/84 Dept. No./ Copers Department Health Services/Med. Care Budget Unit Nq 54Q/6990,-pt, � 6304 Agency No. 54 t Ems' Action Requested: Cancel vacant Hospital Attendant posi.tiogs,-J.585c(P.I. ) and 469 (24/40) ; Add one an one os ion Proposed Effective Date: 2/29/84 Explain why adjustment is needed: Consistent with movement to an all licensed nursing staff Classification Questionnaire attached: Yes ® No Estimated cost of adjustment: $ n_nnn Cost is within department's budget: Yes ® No E If not within budget, use reverse side to explain how costs are toAbededDepartment must initiate necessary appropriation adjustment.Use additional sheets for further explanations or comments. Web B cpartment Head Personnel Department Recommendation Date: Cancel vacant Hospital Attendant position .#1585 (P.I. ) and 469 (24/40) 9 Salary Level H1 869 (1083-1317) ; add one P. I. and one 24/40 LVN II position, Salary Level H2 084 (1340-1629). Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: day following Board action. Date WforQirec o ersonnel County Administrator Recommendation �y Date: •c Approve Recommendation of Director of Personnel D Disapprove Recommendation of Director of Personnel 0 Other: for County Administrator Board of Supervisors Action MAR 61984 Adjustment APPROVED/6fS*PPROM on J.R. Ols on, County Clerk Date: MAR 61984 By: Az�� I APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. (M347) 6/82 000L CONTRA COSTA COUNTY CLASSIFICATION QUESTIONNAIRE NAME DEPARTMENT DIVISION Nursing - Medical Care Health Services OFFICIAL JOB CLASS+FICA ION WORKING JOB T1TL:. Place III Wort and AeeIS'to Nous• L.V.N. 11 L.Y.N. II Hosp?• - Ward Time Required pes"iotior. of •.,e I . DIRECT PATIENT CARE - Nursing Docmentation and Knowledge Basic patient care utilizing knowledge and understanding of physiology, 30% pathophysiology of disease process. Integrates theory and practice. Documents in writing, observations, histories, assessments and nursing procedures of patients needing acute medical care, ie; acute myocardial infarction, 'respiratory distress, acute cerebral-vascular accident, acute' diabetic ketoacidosis and other medical conditions. D«rfT PATIENT CARE - Techni.cal Skills Performs technical skills as required by Nursing Policy/Procedures Manual _ --end Medical Departcicn; Manual with are in compliance with Title 22 of, the California State Code. Performs sterile procedures - catheterizations, dressings, ET-tube and tracheal suctioning. Performs nasogastric tube insertions, feedings and irrigationb. Vital signs; takes and records temperature, pulse, blood pressure, respirations, body weight and height. 50% Assists with liver biopsies, bone marrow aspirations, sigmoidoscopies, lumbar punctures, thoracentesis, paracentesis, and other procedures. Performs routine nursing duties, ie; making beds, lifting and moving patients, feeding and maintaining patien't personal hygiene. Cares for patients in strict isolation, recovers patients as needed, applies and cares for patients in leather restraints. Assists in occupational , physical and respiratory therapy programs. Participates in orientation and on-the-Job training of assigned personnel and student nurses. Participates in discharge teaching and health education. ADMINISTERS MEDICATIONS Prepares and a'dministersmedications, orally, subcutaneously, and intra- 10% muscularly. Responsible for controlled drugs - including narcotics. Par- tic(pates in resuscitation as required. CLERICAL Answers telephone inquireies concerning patient condition or health in- formation and inter-departmental communications. 5% Initiates nursing records and nursing notes, and nursing care plans. Notes and implements physician's orders. Orders medical , stationary, storeroom and pharmacy supplies. _ PSYCHO/SOCIAL Offers support and comfort to patients and families. 5% 0. . ttends to the psychological needs of patient and family or support member f patient. AK 75 000142 I Machines or Eglripment Operated os Port of Job: Oxygen and mist delivery devisesp suction machines, air compressors and electronic bed scales. signste the name and title of the person who supervises position _ R.N. , Supervising Nurse, Ward at the nomas Of employees au ntsea. a Whole unt as supervised ssmpty no—e The Ir-1 and aloft t e nus• er 01 etnp.oy,es• public contacts are regwred either it person of by phones■rape with wh or.., m erns for whb: s;c:e : Patient, family, "significant othersJs requtre�to deYi'ver payttenft care. Consents for care, providing health information. . 6omialinity Agencies - condition or location of patient, health information. .at decisions must be e.eae.n perfermuse Ilia worst Notification of R.N. and/or physician of patient condition changes. To institute cardio-pulmonary resusitation and protocols appropriate to medical crisis - ic . , chest :sin, respiratory distress , shock, etc. .at ports of Me lob vquue the greatest skill, knowledge,and Involve the greatest responsibility: Interpretation of hictory and vital signs and instituting appropriate protocol according to medical crisis. Assessments, documentatit -is, observations,._kn ills, equip- ment and drugs. _-- I*above ste10etents accurate!) deseubethis la!as at s 'e- tot the pas! Gnu _ its TSisna sire) ._—`_.— 1 Dote: COMMENTS Or IMMEDIATE SUPERVISOR v.t.ot way are tt.e above statemettc Incomplete. snort+tote or misleco:ng: Correct net;s it.* oaz,c p_rpose or fucctior. of this position ? - Direct patient care of medically ill patients. Making observations* assessments requiring knowledge of normal and abnormal physiology of diseases. i.c! c:.2 n g e46 nave occurred it. tie w•c:k of this positron 7 Nursing care and sophisticated medical treatments require more knowledge and nursing ikills. Hospital policy and protocols require almost ail nursing procedures done on the medical unit to be done by licensed staff. •ho: pets of it.rt lot or you eheci or review closely ano why 7 Review of total nursing care given by employee. Knowledge of protocols, procedures, technical nursing skill and documentation is reviewed to assure quality, promptness and appropriateness of nursing intervention and care. : Ice pet:uon req:.Ire46 typing of sl.or:)tand,are they incidenrol a-essenuai 7 Typing: Time Required: Shorthand: Time Required: ,mte .hot you believe, to be iiia special certificates and minimum amounts of training and experience required to perform thu lob: Iloquited education r L.V.N. McQutrod experience: One year acute medical—sgiCal . / Required license,'ar "rtiticeto I L.V.N. LkFense / ItignetuNl /� F"��lDot.I /C/ comurNTS OF DEPARTMENT HEAD Comment on the statement of the employee and supervisor. Vssignals any other positions in the department which you believe are sim:lo: sr,41,111046 aka rosponsi Watiex. ffignatunl (Dole} 000143 • l 33 POSITION ADJUSTMENT REQUEST No. Date: 2/28/84 Dept. No./ �r',: � Copers Department Veterans Resources Center Budget Unit No, 0579 Org. No. 0579 Agency No. 0579 rp ,+ Action Requested: Cancel one 24/40 Permanent Part Time Secretary Deep Class (Pos.No.87-0004) and add one Permanent Intermittent Clerk Experienced Level with typing Proposed Effective—Date- Explain ate:Explain why adjustment is needed: to more accurately reflect the duties of the job. Permanent Intermittent classification allows us more flexibility with the Job hours. _ Classification Questionnaire attached: Yes No Qx Estimated cost of adjustment: $ none Cost is within department's budget: Yes No If not within budget, use reverse side to explain how costs are�t" be unded. Department must initiate necessary appropriation adjustment. eRi 8er Use additional sheets for further explanations or comments. TiWEYD—epartment WEad Personnel Department Recommendation Date: .2-,2,,� '8q Cancel one 24/40 Permanent Part Time Secretary Deep Class #87-04 and add one Permanent Intermittent Clerk Experienced Level with typing. Secretary Deep Class Salary Level B8 167 (1164-1770) ; Clerk Experienced Level Salary Level Hl 887 (1103-1341 ). Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: ® day following Board action. C1 Date gforDirecto o ersonne County Administrator Recommendation Date: s2- 11,py X Approve Recommendation of Director of Personnel ❑ Disapprove Recommendation of Director of Personnel ❑ Other• i for County Administrator Board of Supervisors Action MAR 61984 Adjustment APPROVED on BY- APPROVAL qn. County Clerk MAR 61964 Date: l/% y APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M347 6/82 0 -144