Go to the State of Colorado Web
12/5/2007 Survey Tag 0152 Detail for:
RELIANT RENAL CARE RRC TRINIDAD
Wednesday, October 23, 2019 12:17 AM

Survey Date: 12/5/2007

Regulation Number:0152

Regulation Title: PERSONNEL RECORDS: JOB DESCRIPTIONS

Regulation Description: The governing body, through the chief executive officer of the ESRD facility, is responsible for maintaining and implementing written personnel policies and procedures that ensure that complete personnel records are maintained on all personnel including current job descriptions that reflect the employees' responsibilities and work assignments.

Surveyor Findings:


Based on employee personnel file review, it was determined that the governing body, through the chief executive officer of the ESRD facility failed to ensure that current job descriptions were maintained in 5 (#1, #2, #3, #4 and #5) of five employee files reviewed. This failure created the potential for employees to be unaware of their functions and responsibilities. The findings were:

The personnel file for employee #1 was reviewed on 12/5/07. Employee #1, a registered nurse (RN) and clinical supervisor, was hired on 10/6/06. There was no job description in the personnel file that defined either the position of RN or clinical supervisor or that listed the major functions and responsibilities required of the position.

The personnel file for employee #2 was reviewed on 12/5/07. Employee #2, a licensed practical nurse (LPN), was hired on 11/1/06. There was no job description in the personnel file that defined the position of LPN or that listed the major functions and responsibilities required of a LPN.

The personnel file for employee #3 was reviewed on 12/5/07. Employee #3, a patient care technician (PCT), was hired on 10/5/05. There was no job description in the personnel file that defined the position of PCT or that listed the major functions and responsibilities required of a PCT.

The personnel file for employee #4 was reviewed on 12/5/07. Employee #4, a social worker, was hired in 11/07. There was no job description in the personnel file that defined the position of renal social worker or that listed the major functions and responsibilities required of a social worker.

The personnel file for employee #5 could not be reviewed due to it being non existing. Therefore, no job description was available.

Facility Plan of Correction:

Upon review all missing job descriptions were placed in employee files. The descriptions were reviewed and signed by each employee. Renal Dietician's job description will be provided and reviewed on 12/31/07.

Employee #1, Clinic supervisor, was provided with job description and review of responsibilites and signed by employee on 12/13/07.

Employee #2, LPN, was provided with staff nurse and patient care technician job description and review of responsibilites and signed by employee on 12/18/07.

Employee #3, PCT, was provided with patient care technician job description and review of responsibilites and signed by employee on 12/13/07.


Employee #4, Clinical Social Worker, was provided with job description and review of responsibilites and signed by employee on 12/18/07.

Employee #5, Clinical Dietician, was provided with job description and review of responsibilites and signed by employee on 12/31/07.

Summit Kidney Centers policy states that all employee files will be reviewed annually in Januaray to ensure they are complete. The files will be completed and reviewed upon start date for new employees. The review will include Hep b screening (titer), Tb, CPR, Osha training, Emergency preparedness, Job description,and skills check list.

The medical parts, Tb and Hep b, will be kept in the OSHA Medical Health Records. Other parts of the review will be kept in the employee files.

QA at this time states that all employee files will be reviewed annually. A data base that monitors and flag dates and requirments has been started in the computer, a designated person will monitor and update files. The results will be reported to the DON and upward to the Medical Director.






Back to Survey Tag Summary for:RELIANT RENAL CARE RRC TRINIDAD

Colorado Department of Public Health and Environment
Health Facilities and Emergency Medical Services Division
4300 Cherry Creek Drive South
Denver CO 80246-1530
Email us or phone 303.692.2800 main

Return to Health Facilities Main Page