; 8017 - Position description & performance evaluation - DME respiratory care supervisor
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8017 - Position description & performance evaluation - DME respiratory care supervisor


medicare regulations for dme and hme companies require this policy if it is applicable to the types of services your dme provides, we make this easy for you with just a small amount of customization, you too will meet the requirements of the federal regulations. this policy is updated to the newest 2010 standards.

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Job Title: DME Respiratory Care Supervisor                         Supervised by: Operations Manager
Prepared by: __________________________________                    Approved by: ___________________________
Date: ________________________________________                     Date: _________________________________

Job Summary: Responsible for the overall provision of respiratory care, including the planning, developing and
implementation of respiratory care programs; direct supervision of Respiratory Care Practitioners; coordination of
inservice programs.

      E = Exceeds the Standard            M = Meets the Standard            NI = Needs Improvement

Demonstrates Competency in the Following Areas:                                                 E       M       NI

Complies with all applicable company policies and procedures.                                   2       1        0

Ensures that all respiratory equipment and technical policies and procedures are current,       2       1        0
up-to-date and maintained in good working order.

Serves as a resource for technical questions, applications and problem solving regarding        2       1        0
respiratory equipment and other systems as needed.

Ensures that client records are complete.                                                       2       1        0

Maintains knowledge of the various methods of oxygen delivery, including the necessary          2       1        0
equipment. Assesses possible side effects to oxygen delivery.

Administers respiratory therapy treatments, understands the purpose of each and the             2       1        0
possible side effects associated with each.

Sets-up and monitors mechanical ventilators and the associated duties required for such         2       1        0
treatment, i.e., airway management, tracheal suctioning.

Documents all pertinent data on the medical record following completion of any service.         2       1        0

Demonstrates knowledge and understanding of the differences in techniques and                   2       1        0
treatment modalities as performed on clients of varying ages, including neonate, pediatric,
adolescent and geriatric clients.

Demonstrates knowledge and understanding of oxygen concentrations and medication                2       1        0
doses as they related to clients of varying ages, including neonate, pediatric, adolescent
and geriatric clients.

Manages and operates equipment safely and correctly. Inspects and tests respiratory             2       1        0
therapy equipment to ensure that it is functioning safely and efficiently.

Formulates a teaching plan based on identified learning needs of a client/family and            2       1        0
evaluates the effectiveness of learning.

Treats clients and their families with respect and dignity. Coordinates and directs client      2       1        0
care to ensure clients’ needs are met and company policy is followed.

Ability to assess client, his/her need and ability to tolerate treatment and reassessment for   2       1        0
response to the treatment provided.

Performs all aspects of client care in an environment that optimizes client safety and          2       1        0
reduces the likelihood of medical/health care errors.
© The Compliance Doctor, LLC                              1
Professional Requirements:                                                               E     M     NI

Adheres to dress code, appearance is neat and clean.                                     2     1     0

Completes annual education requirements.                                                 2     1     0

Maintains regulatory requirements.                                                       2     1     0

Reports to work on time and as scheduled, completes work within designated time.         2     1     0

Wears identification while on duty, uses computerized punch time system correctly.       2     1     0

Maintains client confidentiality at all times.                                           2     1     0

Attends annual review and performs inservices.                                           2     1     0

Stays current with industry standards by reading/attending educational presentations.    2     1     0

Represents the company in a positive and professional manner in the community.           2     1     0

Actively participates in performance improvement and continuous quality improvement      2     1     0
(CQI) activities.

Attends management meetings, as appropriate.                                             2     1     0

Ensures compliance with policies and procedures regarding operations, fire, safety and   2     1     0
infection control.

Complies with all organizational policies regarding ethical business practices.          2     1     0

Communicates the mission, ethics and goals of the company.                               2     1     0

                                          Total Points                                   ___   ___   ___

© The Compliance Doctor, LLC                              2
Regulatory Requirements:

         Current valid state license/certification as a Registered Respiratory Therapist.

         Graduate of an AMA-approved school of respiratory therapy.

         Current valid Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) provider.

         Successful completion of Neonatal Resuscitation certification.

         Three (3) or more years of previous experience in all aspects of respiratory therapy.

Language Skills:

         Able to communicate effectively in English, both verbally and in writing.

         Additional languages preferred.


         Effective management skills.

         Knowledge of respiratory equipment.

         Basic computer knowledge.

Physical Demands:

         For physical demands of position, including vision, hearing, repetitive motion and environment, see following

          Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
          functions of the position without compromising client care.


              I have received, read and understand the Position Description/Performance Evaluation above.

Name/Signature                                                                               Date Signed

© The Compliance Doctor, LLC                                3
                                                                                                                DESCRIPTION OF
                                                                                                             PHYSICAL DEMANDS
JOB TITLE:                                                                          DEPARTMENT:
NAME:                                                                               # HOURS/WORKDAY:
DEVELOPED BY:                                                                       DATE DEVELOPED:
MANAGER SIGNATURE:                                                                  DATE:


PHYSICAL DEMANDS                                                              WORK ENVIRONMENT
On-the-job time is spent in the following physical activities                 This job requires exposure to the following environmental conditions.
Show the amount of time by checking the appropriate boxes below.              Show the amount of time by checking the appropriate boxes below.
                                              Amount of Time                                                            Amount of Time 
                                         None up to 1/3 to 2/3 and                                                    None up to 1/3 to 2/3 and
                                                1/3    1/2    more                                                          1/3    1/2     more
                             Stand:                                           Wet, humid conditions (non-weather):
                              Walk:                                           Work near moving mechanical parts:
                                  Sit:                                               Fumes or airborne particles:
                       Talk or hear:                                                  Toxic or caustic chemicals:
  Use hands to finger, handle or feel:                                               Outdoor weather conditions:
                         Push/Pull:                                                 Extreme cold (non-weather):
   Stoop, kneel, crouch or crawl:                                                   Extreme heat (non-weather):
    Reach with hands and arms:                                                           Risk of electrical shock:
                    Taste or smell:                                                        Work with explosives:
                                                                                                 Risk of radiation:
This job requires that weight be lifted or force be exerted. Show how                                    Vibration:
much and how often by checking the appropriate boxes below.
                                              Amount of Time                The typical noise level for the work environment is:
                                         None   up to 1/3 to 2/3 and          Check all that apply.
                                                 1/3    1/2    more                  Very Quiet               Loud Noise
                                                                                     Quiet                    Very Loud Noise
               Up to 10 pounds:
                                                                                     Moderate Noise
               Up to 25 pounds:
               Up to 50 pounds:
              Up to 100 pounds:
                                                                                     Ability to hear alarms on equipment
          More than 100 pounds:
                                                                                     Ability to hear client call
                                                                                     Ability to hear instructions from physician/department staff
This job has special vision requirements. Check all that apply.
                                                                              REPETITIVE MOTION ACTIONS
     Close Vision (clear vision at 20 inches or less)                                                                     Number of Hours 
     Distance Vision (clear vision at 20 feet or more)                       Repetitive use of foot control          0    1-2   3-4    5-6   7+
     Color Vision (ability to identify and distinguish colors)                                 A. Right only
     Peripheral Vision (ability to observe an area that can
                                                                                                 B. Left Only
        be seen up and down or to the left and right while
                                                                                                     C. Both
        eyes are fixed on a given point)
     Depth Perception (three-dimensional vision; ability                           Repetitive use of hands
        to judge distances and spatial relationships)                                           A. Right only
     Ability to Adjust Focus (ability to adjust eye to                                          B. Left Only
        bring an object into sharp focus)                                                            C. Both
     No Special Vision Requirements                                                Grasping: simple/light
                                                                                                A. Right only
Specific demands not listed: ________________________________
                                                                                                 B. Left Only
_______________________________________________________                                              C. Both
_______________________________________________________                              Grasping: firm/heavy
_______________________________________________________                                         A. Right only
_______________________________________________________                                          B. Left Only
                                                                                                     C. Both
                                                                                              Fine Dexterity
Note:   Reasonable accommodations may be made to enable                                         A. Right only
        individuals with disabilities to perform the essential functions of                      B. Left Only
        this position.                                                                               C. Both

© The Compliance Doctor, LLC                                              4

Staff Member:                                        Job Title:

Performance Evaluation Score:
# of total points achieved                                    80 - 100% exceeds standards
                                                              50 - 79% meets standards
_________________________ X 100 = _________%                   0 - 49% needs improvement
(# questions x 2)

Manager’s Comments:

Recommended Goals/Actions:

Staff Member Comments:

Actions Recommended by Department Manager:
        Performance Review Only                                  Salary Increase: _____________
        Next Performance Review on: _____________                Salary Increase Denied

____________________________________________                      __________________________
Staff Member Signature                                            Date

____________________________________________                      __________________________
Department Manager Signature                                      Date

____________________________________________                      __________________________
Administrative Signature                                          Date

© The Compliance Doctor, LLC                   5
                     PERSONNEL MEMBER

As a member of the Company’s personnel team, your comments and input are important to both the
continuing development and quality provision of client care and services of the institution. Your continued
professional growth and job satisfaction are primary goals of the organization. The administrative team and
your department supervisor are interested in your comments regarding the following:

                                                                                              1 - 5
                                                                                       (1 = poor, 5 = excellent)

1.       How would you rate your current job satisfaction level?

2.       How would you rate your current job performance?

3.       How would you rate the organization’s provision of personnel benefits?

4.       How would you rate the organization’s provisions for personnel continuing education?

5.       How would you rate the organization’s physical working environment?

6.       How would you rate the organization’s emotional working environment?

7.       List your professional goals:

8.       List any departmental goals that may differ from professional goals (include educational and
         performance goals):

9.       Is there anything the organization can do to help you achieve any of these goals?

10.      If so, please describe:

11.      Comments you feel may assist the organization with improving personnel satisfaction levels:

Note: This organization pledges to utilize information provided for the sole purpose of improving
      personnel satisfaction and assisting the author with achievement of advanced personal and/or
      professional growth.

© The Compliance Doctor, LLC                         6

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