POSITION DESCRIPTION / PERFORMANCE EVALUATION Job Title: Housekeeping Assistant Prepared by: __________________________________ Date: ________________________________________
Supervised by: Housekeeping Supervisor Approved by: ___________________________ Date: _________________________________
Job Summary: To obtain the highest possible quality of cleanliness, germ control, odor control, and all levels of sanitation for employees, visitors, and patients according to the prescribed standards of the hospital.
DUTIES AND RESPONSIBILITIES: Performance is clearly outstanding;Performance is superior – it far exceeds standards E = Excellent or expectations;Performance is exceptional on a continuous basis. G = Good S = Satisfactory
Performance generally meets or exceeds standards or expectations;Attains all or nearly all of position objectives. Performance is adequate – it meets standards or expectations, and is developing within the position.
NI = Needs Improvement
Fails to meet one or more job expectations.
U = Unacceptable
Performance is below accepted levels;Fails to meet most job expectations.
Demonstrates Competency in the Following Areas:
E
G
S
NI
U
Cleans assigned areas by washing and mopping floors with special cleaning solutions.
5
4
3
2
1
Dusts window sills, blinds, floors, furniture, and equipment in an orderly fashion.
5
4
3
2
1
Scours and polishes sinks, tubs, mirrors, and similar equipment.
5
4
3
2
1
Replenishes supplies of soaps, towels, and other dispensable items.
5
4
3
2
1
Washes walls, and ceilings according to specified guidelines.
5
4
3
2
1
Gathers and disposes trash, washes wastebaskets and large refuse containers, and relines with plastic bags.
5
4
3
2
1
Maintains entryways clean by sweeping or picking up trash.
5
4
3
2
1
Vaccums carpeted areas as needed.
5
4
3
2
1
Spot cleans or shampoos carpet and/or chair fabric as needed.
5
4
3
2
1
Cleans room after patient discharged and prepares for new patient.
5
4
3
2
1
Monitors the employee kitchen – keeps sink and counters clean, loads/unloads & runs dishwasher as needed, clean out the refrigerator on a regular basis.
5
4
3
2
1
Assists departments with housekeeping duties as requested.
5
4
3
2
1
Assures that all housekeeping products, supplies and equipment are maintained properly.
5
4
3
2
1
Completes intermittent housekeeping chores according to quarterly, biannually, and yearly duties, assuring they are accomplished.
5
4
3
2
1
1
Professional Requirements:
E
G
S
NI
U
Adheres to dress code, appearance is neat and clean.
5
4
3
2
1
Maintains regulatory requirements, including all state and federal regulations.
5
4
3
2
1
Adheres to the Group IV level of HIPAA Minimum Necessary Standard with no access to Protected Health Information (PHI).
5
4
3
2
1
Reports to work on time and as scheduled.
5
4
3
2
1
Wears identification while on duty.
5
4
3
2
1
Attends annual review and departmental inservices.
5
4
3
2
1
Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
5
4
3
2
1
Acts proactively in managing time, workload and other departmental duties.
5
4
3
2
1
Represents the organization in a positive and professional manner.
5
4
3
2
1
Resolves personnel concerns at the departmental level, utilizing the grievance process as required.
5
4
3
2
1
Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control.
5
4
3
2
1
Effectively and consistently communicates administrative directive to personnel and encourages interactive departmental meetings and discussions.
5
4
3
2
1
Complies with all organizational policies regarding ethical business practices.
5
4
3
2
1
Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.
5
4
3
2
1
Total Points
___
___
___
___
___
2
Education/Experience Requirements:
•
High school diploma or GED.
•
General knowledge of the procedures, equipment and supplies used in housekeeping.
Skills:
•
Able to communicate effectively in English, both verbally and in writing.
Physical Demands:
•
Able to lift up to but not limited to 40 lbs.
•
For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
======================================================================================= I have received, read and understand the Position Description/Performance Evaluation above.
Name/Signature
Date Signed
3
DESCRIPTION OF PHYSICAL DEMANDS JOB TITLE: Housekeeping Assistant
DEPARTMENT: Housekeeping
NAME:
# HOURS/WORKDAY: 8
DEVELOPED BY:
DATE DEVELOPED: 9/26/05
MANAGER SIGNATURE:
DATE:
CHECK APPROPRIATE BOX FOR EACH OF THE FOLLOWING ITEMS TO BEST DESCRIBE THE EXTENT OF THE SPECIFIC ACTIVITY PERFORMED BY THE STAFF MEMBERS IN THIS POSITION
PHYSICAL DEMANDS On-the-job time is spent in the following physical activities Show the amount of time by checking the appropriate boxes below.
Stand: Walk: Sit: Talk or hear: Use hands to finger, handle or feel: Push/Pull: Stoop, kneel, crouch or crawl: Reach with hands and arms: Taste or smell:
Amount of Time None up to 1/3 to 2/3 and 1/3 1/2 more X X X X X X X X X
This job requires that weight be lifted or force be exerted. Show how much and how often by checking the appropriate boxes below.
Up to 10 pounds: Up to 25 pounds: Up to 50 pounds: Up to 100 pounds: More than 100 pounds:
Amount of Time None up to 1/3 to 2/3 and 1/3 1/2 more X X X X x
This job has special vision requirements. Check all that apply. x x x
Close Vision (clear vision at 20 inches or less) Distance Vision (clear vision at 20 feet or more) Color Vision (ability to identify and distinguish colors) Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point) Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships) Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus) No Special Vision Requirements
WORK ENVIRONMENT This job requires exposure to the following environmental conditions. Show the amount of time by checking the appropriate boxes below.
Wet, humid conditions (non-weather): Work near moving mechanical parts: Fumes or airborne particles: Toxic or caustic chemicals: Outdoor weather conditions: Extreme cold (non-weather): Extreme heat (non-weather): Risk of electrical shock: Work with explosives: Risk of radiation: Vibration:
Amount of Time None Up to 1/3 to 2/3 and 1/3 1/2 more X X X X X X X X X X X
The typical noise level for the work environment is: Check all that apply. Very Quiet Loud Noise x Quiet Very Loud Noise x Moderate Noise Hearing: Ability to hear alarms on equipment Ability to hear patient call x Ability to hear instructions from physician/department staff
REPETITIVE MOTION ACTIONS Repetitive use of foot control A. Right only B. Left Only C. Both Repetitive use of hands A. Right only B. Left Only C. Both Grasping: simple/light A. Right only B. Left Only C. Both Grasping: firm/heavy A. Right only B. Left Only C. Both Fine Dexterity A. Right only B. Left Only C. Both
Specific demands not listed: Going up and down the stairs and using the buffer. _____________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
4
0
Number of Hours 1-2 3-4 5-6 7+
X
X
X
X
X
PERFORMANCE EVALUATION CONTINUATION PAGE Staff Member: ___________________________________ Performance Evaluation Score: # of total points achieved ___________
Job Title: ________________________
140 – 112 points = Excellent 111 – 84 = Good 83 – 56 = Satisfactory 55 – 28 = Needs Improvement 27 – 0 = Unacceptable
100% 100% 75% 50% 25%
merit increase merit increase merit increase merit increase merit increase
Supervisors’ Comments:
Recommended Goals/Actions:
Staff Member Comments:
Actions Recommended by Administration: Current Wage: _____________ New Wage: __________
Performance Review Only
Cost of Living Increase: __________
Next Performance Review on: __________
Acknowledgement of Job Description
Total Increase: __________
Salary Increase Denied
Salary Increase: __________
____________________________________________ Staff Member Signature
__________________________ Date
____________________________________________ Supervisor Signature
__________________________ Date
____________________________________________ Administration Signature
__________________________ Date
5
PERSONNEL MEMBER ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION As a member of the Okeene Municipal Hospital’s personnel team, your comments and input are important to both our continuing development and quality provision of patient care and services. Your continued professional growth and job satisfaction are primary goals of the hospital. 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.
6
