Ambulatory Care Associate Occupational Medicine

• 1. Patient Centered Care: The ACA II provides care and services with information regarding individual values ,
  preferences, needs, and respects the patient or designee as a full partner in providing coordinated ,
  compassionate and culturally appropriate care.
  1.0 Obtains specific components of individual and age appropriate care requirements from registered nurse
  and/or licensed provider
  1 .1 Demonstrates respect relative to health decisions and health care services
  1. 2 Collects and documents data as delegated including but not limited to vital signs, POCT, hand- offs, and
  is aware of results outside of normal limits.
  1 .3 Integrates multiple dimensions of patient centered care such as, preferences, values, education,
  communication, information, comfort and support, involvement of family and transition to community. In
  addition, ensures privacy and discretion of patient and family.
  1 .4 Demonstrates patient centered care knowledge, attitudes/behavior and skills when delivering care and
  /or services
  1 .5 Provides patient centered care with sensitivity and respect for the diversity of human experience and
  demonstrates caring behaviors toward patient and significant others, while recognizing own values
  related to the diversity of the human experience, pain management, illness, suffering and end of life
  care.
  1 .6 Advocates on behalf patients, families, all individuals.
  1 .7 Reports observation related to patient discomfort and pain
  1 .8 Seen as role model for compassionate and culturally appropriate care in all communications.
  1 .9 Performance has a positive impact on patient care delivery.
• 2. Communication: The ACA II interacts effectively with patients, families and all health care providers and
  employees, fostering mutual respect to enhance the patient experience and health outcomes
  2 .1 Utilize appropriate methods for interacting effectively and professionally with persons of all ages and
  from diverse cultural, socioeconomic, educational, racial and ethnic backgrounds, sexual orientations,
  lifestyles and physical abilities.
  2 .2 Implements appropriate adaptions in communication which supports individual needs based on the care
  plan.
  2 .3 Listens, effectively and professionally communicates and interacts with patients , families, and staff.
  2 .4 Anticipates potential issues or concerns and addresses as appropriate and/or escalates up the chain of
  command.
  2 .5 Demonstrates knowledge of effective skills for communicating and resolving conflict
  2 .6 Uses standardized communication methods to hand-off care within and across all settings
  2 .7 Acknowledges patient and family feedback and communicate with team as well as participate in
  opportunities to improve future patient experience.
• 3. Team Collaboration: The ACA II functions effectively within nursing and interdisciplinary teams, demonstrating
  open communication, mutual respect, team learning and development
  3 .1 Demonstrates self-awareness, recognizes limitations and communicates concerns to appropriate team
  members
  3 .2 Functions competently within assigned areas
  3 .3 Offers assistance to team members when appropriate
  3 .4 Works together with all members of the team to get the work done ; focusing on the patient, and to
  enhance the patient/family experience
  3 .5 Attends and actively participates in staff meetings
  3 .6 Participates and/or takes a lead in unit and/or hospital initiatives.
• 4. Quality and Safety / Efficient delivery of Care: The ACA II minimizes risk of harm to patients and providers
  through effective individual and team performance. Practices behaviors specific to High reliability organizations
  (HRO) i.e. CHAMP behavior
  4 .1 Demonstrates effective use of equipment that support quality and safe patient care
  4 .2 Communicates observations and concerns related to hazards involving patients, families, and or health
  care team to appropriate personnel.
  4 .3 Uses established organizational policies, procedures and guidelines to ensure patient and staff safety
  4 .4 Participates in unit, service-line, organizational committees or task forces to improve quality and safety
  of care delivery
  4 .5 Supports the unit as evidenced by participation in regulatory readiness, quality and safety and HRO
  behaviors.
• 5. Informatics: The ACA II uses information and technology to communicate information, mitigate error, and
  support team decision making
  5 .1 Achieves and maintains competencies in clinical applications to support areas of responsibilities
  5 .2 Uses appropriate technology and clinical applications in the process of obtaining data, monitoring
  patients and communicating with team
  5 .3 Maintains the integrity, privacy and confidentiality of data and information
  5 .4 Unit resource for workflows and troubleshooting potential problems.
• 6. Professional Development/Clinical Competencies: The ACA II demonstrates accountability for clinical
  competency in care delivery
  6 .1 Demonstrates accountability and responsibility for own practice
  6 .2 Complies with established state, legal, ethical and regulatory standards of ACA practice
  6 .3 Promotes a positive image of the ACA role.
  6 .4 Continues to develop within defined role and responsibilities through training and competencies
  6 .5 Remains competent in technical skills required to perform in assigned clinical area consistent with
  scope of practice and organizational values.
  6 .6 Continues to seek opportunities for individual growth & development
  6 .7 Provides evidence of ability to maintain consistent practice of ACA II role.
• 7. Clinical Responsibilities: ACA II performs the following clinical functions as per scope of practice. Clinical
  functions may vary and are identified by the clinical service area requirements. Functions are not limited to
  the ones listed below. Reference unit/dept specific competencies for details on scope of practice.
  7 .1 As part of the Rooming Process: a. appropriately identifies patient b. Identifies self to patient/family and
  explains the role of the UAP. c. Escorts patients to exam/procedure room. d. Prepares patients for visit
  using standardized rooming workflow/protocol. May include; vital signs, height, weight, blood pressure,
  EKG, specimen collection, phlebotomy, INR, pulse oximetry, point of care testing, etc.
  7 .2 Performs screening (i.e. pain, falls, abuse, learning needs); ensures communication of abnormal results
  to the appropriate personnel.
  7 .3 Documents patient responses to standardized questions or forms; reason for visit, family social history,
  medications taking. * Per service area.
  7 .4 Assists with various procedures
  7 .5 Provides standard instructions to patients/family members/caregivers regarding what to expect.
  7 .6 Provides appropriate resource materials and referrals to patient/family as delegated.
  7 .7 Maintain patient records according to policy and procedure.
  7 .8 Per clinical service area routinely checks EPIC in-basket or other tools, i.e. paper workflow and follows
  up accordingly.
  7 .9 Participates in regulatory readiness for clinical areas.
  7 10 Consistently performs unit tasks/responsibilities and is receptive to acquiring additional skills within
  the scope to meet the needs of the patient population/service line.
• 8. Administrative Responsibilities: ACA II performs the following clerical, administrative functions as per scope of
  practice and as identified by the clinical service requirements. These functions are not limited to below.
  8 .1 Sends/receives patient medical records and abstracts new patient records into EPIC.
  8 .2 Obtains lab/radiology reports, hospital notes, referral information as requested.
  8 .3 Assists with completion of patient forms/requisitions as needed by forwarding for completion to RN or
  Licensed provider.
  8 .4 May function to support coverage of front desk responsibilities including but not limited to, greeting
  patients/visitors, answering calls, scheduling appointments. Cross training is essential for service areas
  to perform these functions.
  8 .5 Obtain pre-authorizations when necessary.
  8 .6 Performs a supportive role with clerical operations with adequate cross-training, as related to patient and
  clinical service needs, i.e. scanning documents, assisting patients with my chart enrollment, completion
  of surveys or questionnaires, etc.
  8 .7 Collaborates with team members and service area in quality improvement activities of all types and will
  assist in data collection, i.e. supply inventory for cost containment or patient survey for patient
  satisfaction.
• 9. ACA II performs the following environmental support functions as per scope of practice and as identified by the
  clinical service requirements. These functions are not limited to those listed below. Specific responsibilities
  will be defined by unit/service line.
  9 .1 Sets up instruments and equipment according to department protocol.
  9 .2 Applies principles and policies for infection control as per hospital policy.
  9 .3 Follow appropriate infection control; policy related to instrumentation and cleaning of exam rooms
  9 .4 Orders, sorts and stores supplies following established department policy.
  9 .5 Restocks exam/procedure rooms as required.
  9 .6 Participates in quality control checks and required documentation
  9 .7 Provides environmental support inclusive of supply management and maintaining regulatory readiness; participates in unit rounding and actively reports environment/equipment issues.
  9 .8 Ensures practice of maintaining adequate supplies while being fiscally accountable

EDUCATION

A minimum of a high school diploma or GED. Have graduated from an approved, accredited, postsecondary medical assisting program, Nursing Assistant
Program, or Patient Care Associate Training.

EXPERIENCE

12 months experience prior work as an ACA I in an outpatient clinical setting or relevant patient care environment
with documented competency demonstration

LICENSURE

Preferred current medical assisting credential (certifications or registration) acceptable to, and recognized by, the
Connecticut Department of Public Health

SPECIAL SKILLS

Demonstrated ability to communicate effectively with patient, families, peers, and interdisciplinary team.
Demonstrate flexibility in adjusting priorities and adjust work plans based on the needs of the patient, the
service/unit, and the patient care team
Demonstrates professional, appropriate, effective and tactful written, verbal and nonverbal communication with
patients, families, medical staff, colleagues, and all internal and external employees. Must work as a unified team
member, be a role model and mentor others.

PHYSICAL DEMAND

Able to lift a minimum of 40 pounds. Ability to perform tasks of physical endurance and dexterity as required by
placement. Consistent use of proper body mechanics.