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Home My WebLink AboutMINUTES - 04201984 - 1.3 (2) POSITION ADJUSTMENT REQUEST No. /3a so Date: 3/2/84 Dept. No./ is i '�;' . i� Copers Department Health Services/Med. Care Budget Unit No. M0/ 1690t0'Org, No. see belovAgency No. 54 Action Requested: Cancel Hospital Attendant P.I. po miAs wPA36,4 1597 and Hospital Attendant position ; add two P.I. and ions org. #63U4T— and one P. I. LVN 11 korg. Proposed Effective Dater/b4 Q _ Explain why adjustment is needed: Conversion to an all licensed staff. — Classification Questionnaire attached: Yes ® No Estimated cost of adjustment: $ Q,00 wear Cost is within department's budget: Yes ® No If not within budget, use reverse side to explain how costs are to be funded. Department must initiate necessary appropriation adjustment.4rTf-oirT—Department Beadle, Dept. Personnel Use additional sheets for further explanations or comments. Hea Personnel Department Recommendation Date: .3 - /3 -8 `l Cancel Hospital Attendant P. I. positions 1590, 436, 1597 and Hospital Attendant position #396 (24/40) ; add two P. I. and one 24/40 LVN II positions and one P. I. LVN II. Hospital Attendant Salary Level H1 869 (1083-1317) ; LVN II 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 or Direc ora onnel1 County Administrator Recommendation Date: Approve Recommendation of Director of Personnel D Disapprove Recommendation of Director of Personnel 0 Other: for County Administrator Board of Supervisors Action Adjustment APPROVED n MAR 2 01984 J.R. Olsson, County Clerk Date: _MAR 2_01984 By:,:;t!,l._, . APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M347 6/82 000181 .I CONTRA COSTA COUNTY CLASSIFICATION QUESTIONNAIRE µAMC DEPARTMENT PIV ISION Nursing - MedicahiG�re. "c '`health Services OFFICIAL JOB CLASS.FICA ION WORKING JOB TITLE Place of Work and AasiG ec Ho-.:s L.V.N. II L.V.N. II Hospital - Ward 'n no Rogl arsd Description of Work 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.. DIRECT PATIENT CARE - Techni.cal Skills Performs technical skills as required by Nursing Policy/Procedures Manual and Medical Department 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 irrigations. 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 administersmedications, orally, subcutaneously, and intra-. , 10% muscularly. Responsible for controlled drugs - including narcotics. Par- ticipates 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% Attends to the psychological needs of patient and family or support member of patient. ''" 'S 000182 i Machines or Equipment Operated as Pan of Job: Oxygen and mist delivery devises, suction machines, air compressors and electronic bed scares. .signal# the name and title of the person who supervises position , RX , Supervising Nurse, Ward N the na-tea of erne oyeo supe retried. if a w o e unita ..p.,v,..d simply none the unit and stole t e number of employees. public concocts are required etcher an persan or by phone, stale r,Ih rhpu.,and in gene , for what utpoae Patient, family, "significant other", required t- deY'iver pa`ViV care. Consents for care, providing health information. Community Agencies - condition or location of patient, health information. .at decisions must be made In performing lbe wars: Notification of R.N. and/or physician of patient condition changes. To institute cardio-pulmonary resusitation and protocols—appropriate to medical crisis - ie. , chest pain, respiratory distress , shock, etc. ort pert, o1 the .or."qusrr the greatest skill, knowledge,and Involve the greatest responsibility Interpretation of history and vital signs and instituting appropriate protocol according to medical crisis. Assessments, documentations, observations, knowledge of skills, equip- ment and drugs. it above statements accurately describe this lob as it has been for the pas: and _ eara� —Nortns r Dote' cosistENTS Or IMMEDIATE SUPERVISE,. what ray are 1.`.e odove stoter..e-.lc incomplete. Imoccutate or mtateco:mg: -- Co rrec t net is the basic purpose or function of this position ? Direct patient care of medically ill patients. Making observations , assessments requiring knowledge of normal and abnormal physiology of diseases . i.ca C.y,ges have occurred it.. the wc:k of this postcon ? Nursing care and sophisticated medical treatments require more knowledge and nursing skills. Hospital policy and protocols require almost all nursing procedures done on the medical unit to be done by licensed staff. hat putts of thte lob do you check at review closely ar.o why ? 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 pcs:uon requires typing of shorthand, are they incidentol o-essential ? Typing: Time Rrguiree: Shorthand: Time Required: dote what you believe to be the special certificates and minimum amounts of training and experience requited to perform this lob: Required education: L.V.N. Required experience: One year acute medical-surgical. Required license or certificate: L.V.N. License (Signature I (Date COMMENTS OF DEPARTUENT HEAD :ommehl on the statement of the employee and supervisor. Designate any other positions in the department which you believe ate sin.ilat :r. duties are #•span Ribi lilset. (Signature 1 (Date 1 000183 POSITION ADJUSTMENT REQUEST No. Date: March 6, 1984 Community Services �,pep� Np./ °d588 1407 Copers Department y IBudget Unit 'No. - Org. No. Agency No. 059 Action Requested: Decrease hours of EOP SPLST I (9KT1 ) Position #59-14 from 40/40 to 20/40, delete position of Account Clerk II (3DVA) Position #59-41 add one clerk entry level 40/40 position Proposed Effective Date: March 26, 1984 Explain why adjustment is needed: to enable department to establish adequate level of clerical support given programmatic requirements Classification Questionnaire attached: Yes [] No N/A Estimated cost of adjustment: $ -0- Cost is within department's budget: Yes Qx No [] If not within budget, use reverse side to explain how costs are t de Department must initiate necessary appropriation adjustment. Use additional sheets for further explanations or comments. for Department Head Personnel Department Recommendation Date: 3 — /3— ,F7 Decrease hours of EDP Specialist I position #14 from 40/40 to 20/40, Salary Level H2 375 (1793-2179) ; delete position of Account Clerk II position #41 , Salary Level H2 005 (1239-1506) ; add one Clerk-A level 40/40 position, Salary Level H1 747 (959-1166). Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: ® day following Board action. O Date ' for Di ect o ersonnel County Administrator Recommendation Date: Approve Recommendation of Director of Personnel D Disapprove Recommendation of Director of Personnel 0 Other: for County Administrator Board of Supervisors Action Adjustment APPROVED/ on MAR 2 0 1984 J.R. Olsson, County Clerk Date:. MAR 2 01984 By: P »�► � APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M347 6/82 000184 POSITION ADJUSTMENT REQUEST No. /3a 5d- Date: 3-9-84 Dept. Nb:'/ r. Copers Department Public Works Budget Unit No. 0079 Org. No. 4031 Agency No. 65 Action Requested: Addddoonnee (1 ) Storeroom Clerk position; cancel one (1 ) Storekeeper position Proposed Effective Date: 3-21-84 Explain why adjustment is needed: Operational exigency to backfill for employee who is retiring. Classification Questionnaire attached: Yes [] No Q Estimated cost of adjustment: $ Cost is within department's budget: Yes No If not within budget, use reverse side to explain how costs are %undDepartment must initiate necessary appropriation adjustment. Use additional sheets for further explanations or comments. partment Head Personnel Department Recommendation Date: March 13, 1984 Classify 1 Storeroom Clerk position, salary level H2 009 (1244-1512) and cancel Storekeeper, position 65-251, salary level H2 208 (1517-1844). Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: day following Board action. D Date "ecJP ersonnel County Administrator Recommendation � Date: �1 M Approve Recommendation of Director of Personnel C3 Disapprove Recommendation of Director of Personnel 0 Other: for ounty Administ for Board of Supervisors Action Adjustment APPROVE D/DISOMOK D on MAR 2 0 1984 J.R. Olsson, County Clerk Date: MAR 2 01984 By: ��,� APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M341 6/82 000185