Job Summary
CNC is a front-line care provider as well as a coordinator and leader for the healthcare team. Within the nursing paradigm, the CNC applies the nursing process at the point of care through the strategic assessment, diagnosis, intervention, and evaluation of the unit as a whole to guide efforts for systematic, quality, and safety improvements. A critical component of the CNC role centers on improving effective interdisciplinary communication and coordination at the point of care. As a care-delivery-systems expert, the CNC helps patients and families navigate the complex healthcare system; advocates for both patients and families, as well healthcare providers, working within the unit, the hospital, and the system. The CNC is accountable for improving care delivery within a unique healthcare delivery setting. The core focus for CNC practice centers on maximizing safe, quality, evidence-based care within the complex systems.
Essential Job Functions
- Leads, motivates, initiates change and assumes responsibility for professional growth and development.
- Models and exemplifies the Leadership Pledge in a consistent and proactive manner. Leads change in a complex care environment.
- Assumes role of the Manager (Nurse Manager if applicable) in his/her absence.
- Aligns department with strategy map and continually works to implement drivers in support of Excela Health mission and vision and values.
- Makes a recommendation for at least one process improvement initiative for department on an annual basis.
- Participates in root cause analysis of reoccurring problems and takes appropriate action.
- Assists manager in departmental activities, represents department on committees.
- Standards and Accountability, Service Orientation and Customer Service.
- Assists manager to assure staff completes PPDs on a timely basis.
- Maintains a safe working environment; assures staff comply with safety, environmental and infection control guidelines.
- Assists manager to assure completion of mandatory annual education and competencies relative to job-specific criteria within department (staff licenses/registration).
- Supports standards of attendance policy consistently (unscheduled absences, breaks or meal periods) to all department staff.
- Participates in decision making with Manager (Nurse Manager where applicable) to consistently apply corrective action standards.
- Supports staff to comply with infection control and safety measures set forth by Excela Health.
- Practices and encourages survey readiness in compliance with agency regulations and guidelines.
- Demonstrates expectations of confidentiality by continually encouraging staff to keep private information confidential.
- Performs in accordance with Excela Health's behavioral standards in support of the mission, vision, true north and values. Hold staff accountable for modeling the behavioral standards.
- May and can conduct client service recovery issues within required time frame and to the satisfaction of the customer.
- Planning, Decision Making, Financial Management, Process Management, Prioritizing and Delegating
- Involves staff in decision making and problem solving.
- Considers global implementations of decisions made; involves all appropriate departments and individuals for optimal outcome.
- Is knowledgeable of and works within the department budgets; looks for opportunities to reduce operating costs while balancing quality resources.
- Identifies and recommends revenues enhancement opportunities.
- Provides input in performance appraisals and hiring decisions. May conduct interviews with Manager and/or Leadership and utilizes the peer interview process.
- Assists manager(s) to promptly investigate and resolve SORs and incident reports as necessary.
- Acts on most urgent tasks; available resources and provides clear direction.
- Recommends and may draft department policies and procedures.
- Communication
- In collaboration with the manager (where applicable) provides input for performance goals of staff; coaches toward compliance and addresses variance.
- Provides opportunities for staff to actively provide input into decision-making process. Seeks input before decision is made.
- Assists Manager with communication and maintaining a department communication board for the purpose of displaying current information.
- Interventional Radiology Department (where applicable) will participate and lead daily meetings.
- Developing People and Managing Relationships
- Participates in decision making with Managers (Nurse Manager if applicable) to hire, transfer and promote employees.
- Trains and develops other employees.
- Updates stakeholders on project process; uses sound judgment.
- Facilitates teamwork through coaching and mentoring of staff. Serves as a resource for other employees.
- Builds trust through fostering empowerment and shared decision making within the appropriate level and scope of authority.
- Clinical Practice
- Oversees the daily clinical practice activities to ensure that patient care is delivered in accordance with the PA Nurse Practice Act, hospital policies, procedures, and protocols, and other professional standards of care.
- Regularly reviews a sampling of patient charts to evaluate staff compliance with the nursing process and for completeness, accuracy and timeliness of documentation.
- Conducts daily patient rounds to assess the status of the patients and the quality of care delivered (not applicable in Bariatric).
- Monitors patient care to ensure that it is planned and provided through an interdisciplinary effort.
- Regularly accompanies and/or communicates with physicians on rounds to answer questions and resolve problems/issues related to medical treatment.
- Assigns patient care according to staff competency.
- Provides direct patient care as assigned.
- Where applicable for Bariatric, facilitates and maintains Task Force initiatives.
- Coordination of Patient Care Activities
- Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care, and improves outcomes.
- Assists in the coordination of the educational process to ensure that patients/families and staff receive education specific to their clinical areas and the patients/families served.
- Ensures the process includes education about safely and the effective use of medication, pain and managing pain, available resources, how to obtain further care, and information about their responsibilities in their care.
- Plans and implements patient/family teaching and monitors staff compliance with the interdisciplinary record of patient education.
- Provides and reviews written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care.
- Collaborative Relationships
- Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care.
- Communicates pertinent information for interdisciplinary patient care (conferences, shift reports and internal and external transfers are respective to the nursing areas) not applicable for Bariatric Surgery)).
- Takes action to proactively identify and resolve patient needs.
- Patient Safety
- Provides for patient safety in compliance with hospital and/or nursing department policies.
- Utilizes two forms of patient identification before implementing any form of patient care.
- Involves the patient and/or family in patient safety standards and processes.
- Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy (not applicable for Bariatric Surgery).
- Assumes appropriate code team role during code situations or mock codes, or RRT's (not applicable for Bariatric Surgery).
- Responds effectively during emergency situations, including internal and external disasters.
- The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised.
- Other related duties as assigned
Specialty Job Functions
- CNC functions in compliance with the specialty standards, practice guidelines and protocols to the assigned unit.
- Other related duties as assigned.
Required Qualifications
- Graduate of an accredited Nursing Program required.
- Minimum one (1) year relevant nursing experience.
- Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
- Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
Preferred Qualifications
- National Certification in area of specialty.
- Charge Nurse experience.
License, Certification & Clearances
- Current licensure to practice as a Registered Nurse in the State of Pennsylvania
- Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program.
- Act 33 with renewal
- Act 34 with renewal
- Act 73 FBI Clearances
- Current ACLS or completion within one (1) year of hire/transfer date into department.
- Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department.
Supervisory Responsibilities
- This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.
Position Type/Expected Hours of Work
- Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
- Travel may be expected locally between Excela Health locations.
LEAN
- Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.
AAP/EEO
- Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.
- Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Work Environment:
Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
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Physical Condition
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Essential
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Marginal
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Constantly
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Frequently
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Occasionally
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Rarely
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Never
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Extreme Heat
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x
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Extreme Cold
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x
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Heights
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x
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Confined Spaces
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x
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Extreme Noise(>85dB)
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x
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Mechanical Hazards
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x
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Use of Vibrating Tools
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x
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Operates Vehicle (Company)
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x
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Operates Heavy Equipment
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x
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Use of Lifting/Transfer Devices
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x
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x
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Rotates All Shifts
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x
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x
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8 Hours Shifts
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x
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x
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10-12 Hours Shifts
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x
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x
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On-Call
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x
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x
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Overtime(+8/hrs/shift; 40/hrs/wk)
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x
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x
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Travel Between Sites
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x
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Direct Patient Care
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x
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x
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Respirator Protective Equipment
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x
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x
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Eye Protection
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x
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x
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Head Protection (hard hat)
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x
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Hearing Protection
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x
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Hand Protection
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x
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x
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Feet, Toe Protection
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x
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Body Protection
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x
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x
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Latex Exposure
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x
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x
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Solvent Exposure
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x
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Paint (direct use) Exposure
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x
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Dust (sanding) Exposure
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x
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Ethylene Oxide Exposure
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x
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Cytotoxic (Chemo) Exposure
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Chemo Units
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Chemo Units
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X all other
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Blood/Body Fluid Exposure
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x
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x
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Chemicals (direct use) Exposure
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x
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x
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Mist Exposure
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x
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Wax Stripper (direct use)
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x
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Non-Ionizing Radiation Exposure
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x
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Ionizing Radiation Exposure
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x
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Laser Exposure
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x
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Physical Demands
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
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Physical Condition
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Essential
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Marginal
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Constantly
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Frequently
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Occasionally
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Rarely
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Never
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Bending (Stooping)
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x
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x
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Sitting
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x
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x
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Walking
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x
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x
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Climbing Stairs
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x
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x
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Climbing Ladders
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x
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Standing
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x
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x
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Kneeling
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x
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x
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Squatting (Crouching)
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x
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x
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Twisting/Turning
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x
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x
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Keyboard/Computer Operation
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x
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x
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Gross Grasp
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x
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x
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Fine Finger Manipulation
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x
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x
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Hand/Arm Coordination
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x
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x
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Pushing/Pulling(lbs. of force)
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x
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10#
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50#
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Carry
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x
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25#
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Transfer/Push/Pull Patients
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x
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x
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Seeing Near w/Acuity
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x
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x
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Feeling (Sensation)
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x
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x
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Color Vision
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x
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x
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Hearing Clearly
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x
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x
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Pulling/Pushing Objects Overhead
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x
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x
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Reaching Above Shoulder Level
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x
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x
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Reaching Forward
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x
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x
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Lifting Floor to Knuckle
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x
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10#
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Lifting Seat Pan to Knuckle
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x
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50#
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Lifting Knuckle to Shoulder
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x
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20#
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Lifting Shoulder to Overhead
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x
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10#
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When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
