Medical Assistant 3

Under supervision of the Nurse Manager, guided by policies and procedures of the Ambulatory Services, the Hospital Assistant III assists in the delivery of care to patients being seen in the practice. They will perform assigned patient care procedures in support of the care services provided to patients within the practice. They are required to adhere to the Telephone and House Standards as adopted by the department. The assistant also assists with front and back office responsibilities, which include scheduling, pre-registering, verifying insurance, obtaining referrals and authorizations and coordination of required medical and financial information. They work as a team member with other staff and consistently projects a professional, caring and courteous demeanor. The Hospital Assistant III is responsible for the efficient patient flow and provides support to multiple physicians. They communicate with referring physicians' offices,and serves a liaison for the outside providers. They are responsible for insurance authorizations and pharmacy refills, as well as complicated treatment authorizations and hospital admission arrangements.

UCSFMEDICAL CENTER

JOB DESCRIPTION

WORKING TITLE: Hospital Assistant III DATED: 3/1/2011

COST CENTER: 707572 UPDATED: 5/28/2019

REPORTS TO: Nursing Manager DEPT: Otolaryngology, Head & Neck Surgery

APPROVED BY: Administrative Director SUPERVISES: None

MANAGER'S SIGNATURE: _____________________________________

To be completed by Human Resources:

FLSA STATUS: _Non-exempt_______ PAYROLL TITLE: _____Hospital Assistant III________

PAY RANGE: ____________ JOB CODE: _9251__________

JOB SUMMARY

Under supervision of the Nursing Supervisor, guided by policies and procedures of the Ambulatory Services, and in collaboration with the Clinical Nursing Staff, the Hospital Assistant III assists in the delivery of care to patients in the Department of Otolaryngology, Head & Neck Surgery in the ambulatory group practices. Work includes a variety of personal care and clinical procedures including assuring positive care outcomes. S/he will perform assigned patient care and laboratory procedures in support of the specialty care services provided to patients within the practices. S/he is required to learn and be able to assist in the Department of Otolarygnology, Head & Neck Surgery. S/he is required to adhere to the Telephone and House Standards as adopted by the Medical Center.

This position makes a difference for patients in an outpatient care unit by providing excellent customer service, facilitating and ensuring the accuracy of the information flow between medical, hospital staff and departments to maximize unit efficiency. This Hospital Assistant III functions in the outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, joint UCSF health partnerships, Satellite Clinics, or with UCSF Faculty at other off-site clinic sites, et al).

REPORTING RELATIONSHIPS

Supervises no staff

DUTIES & ESSENTIAL JOB FUNCTIONS Percentage of Time Spent

Clinical 65%

1. Performs routine clinical functions and documents in patient chart, including but not limited to vital signs, height, weight, pain screening and documentation of chief complaints.
2. Documents use of interpreter as appropriate. Work with interpreting services to facilitate interpreter participation for medical appointments in person, by phone, or by video (if available).
3. Assists Nurses and Providers and patients in preparation for exam and/or procedures.
4. Successfully completes all appropriate competencies to perform or assist with procedures as required for department specialty and determined by the Administrative Nurse or Administrative Director--which may include but not limited to:

1. Performs disinfecting processing procedures in outpatient clinic such as Cidex OPA and maintain all appropriate logs.

   1. Cleans and prepares instruments for transport to the sterile processing department.

   c. Assists in in-clinic complex medical procedures and diagnostic testing/imaging (including but not limited to laser, nasal endoscopy, laryngoscopy, stroboscopy, EMG, botox, fine needle aspiration, ultrasound).

2. Acts as chaperone as needed for medical providers.
3. Works as an internal float for department as requested by supervisor.
4. Transports patients as directed and ensures their safety.
5. Monitors patient flow in and out of the clinic.

6. Sets up exam rooms in preparation for the provider and patient based on patient chief complaint/reason for visit.

7. Obtains specimens and performs simple Testing as directed, including QA/QC.
8. Obtains specimens and performs simple laboratory procedures conforming to all policies and procedures related to specimen handling and processing.
9. Participates in updating mandatory logs (i.e., temperature log, disaster cabinet log, crash cart log).
10. Facilitates referrals to other providers as ordered by the physician.
11. Obtains authorizations from insurers for medications.
12. Performs clinical activities in an accurate and timely manner.
13. Assists physician staff in writing and sending out patient communications.
14. Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative and clinical practice. Complies with activities mandated by JCAHO/Title 22.
15. Ensures all medication cabinets remain locked at all times.
16. Provides patient and family education as needed and documents in APeX.

Communication 15%

1. Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the Medical Center Telephone Standards.

2. Ensures a professional and helpful working environment by upholding the House Standards as adopted by the Medical Center.
3. Notifies providers of patient delays and service issues. Acts as an advocate for patients by helping to facilitate provider punctuality to maintain optimal clinic schedules.
4. Communicates provider delays to front office team and makes regular announcements to patients in waiting room or exam room as needed when delays are over 30 minutes.
5. Shares pertinent information and observations with other health team members, communicates critical issues, abnormal results, and excursions in a timely manner.
6. Identifies and communicates problems to the nursing staff or appropriate supervisor.
7. Offers suggestions for change or improvement in clinic/practice operations.
8. Assists patients with issues and complaints utilizing conflict management skills.
9. Contacts labs, pharmacies, and physician/provider offices as needed to obtain necessary patient information, complying with HIPAA guidelines.

10. Utilizes Electronic Health Record (APEX) for documentation within the scope of practice of a Hospital Assistant which may include but not limited to:

11. Documentation of vital signs, height, weight and pain scale.
12. Enter patient chief complaint and history (i.e. tobacco/family hx/ med/surg/social).
13. Enter patient reported medications and allergies.
14. Follow department and APeX protocols.
15. Documentation of test results.
16. Enter & "pend" scripted orders from provider.
17. Open a Medication Refill Encounter for provider.
18. Scheduling laboratory, radiology and other testing with a written order from a provider.
19. Open telephone encounters.
20. Open staff messages.
21. Updates and maintains pharmacy information in APeX.
22. Ensures patient care team information is current.

.

Operations Maintenance 20%

1. Maintains clean, well-stocked exam rooms, hub rooms and lab. Responsible for ordering and maintaining supplies, maintenance of lab equipment.

2. As requested, reviews Lab log of results and prints results for providers.

3. Obtains insurance authorizations for medications, procedures and film or slide review authorizations.

4. Schedules complex procedures and coordinates services for patients.

5. Coordinates meal and rest periods with other Hospital Assistants and ensures coverage of clinic under direction of supervisor/manager.

6. Maintains supply standards as directed by nursing staff or appropriate supervisor.

7. Adheres to infection control procedures as outlined in the Infection Control Manual.

1. Adheres to the Ambulatory Services policy and procedures for the cleaning, disinfecting and sterilizing of equipment.

   1. Participates in various QI and Customer Service initiatives such as wait time studies, outcome data collection from procedures, etc.

OTHER FUNCTIONS AND RESPONSIBILITIES

Performs any other duties related to patient care activities as required.

QUALIFICATIONS REQUIRED

1. Certification from an approved Medical Assistant program; or equivalent combination of training and experience.
2. One year of experience as a Medical Assistant/Hospital Assistant in a medical practice.
3. Current American Heart Association CPR Certification.

4. Experience working as a Medical Assistant in an ambulatory setting.

5. Superior customer service and interpersonal skills.

6. Previous experience using and documenting within an Electronic Medical Record.

PREFERRED

1. Previous experience using and documenting in APeX (or EPIC system).

2. Previous experience in Facial Plastic Surgery, Plastic Surgery, Otolaryngology (ENT), Dermatology, Cosmetic Medicine, or other procedural/surgical specialty practices.

3. Experience with inventory management systems, supply chain processes, and vendor coordination.

4. Experience participating in quality improvement, Lean, workflow optimization, or operational excellence initiatives; interest in pursuing advanced healthcare training or clinical careers is a plus.

5. Experience using Box, Excel, Outlook, Teams, or similar document management and collaboration platforms.

REQUIRED LICENSES/CERTIFICATIONS

Current American Heart Association CPR Certification

POPULATIONS SERVED

Populations served: Infant, Child, Adolescent, Adult, Geriatric.

MEDICATION ACCESS AND STORAGE

The "Medication and Auxiliary Staff Competency" must be successfully completed for Level I, Level II or Level III staff PRIOR to performing duties requiring medication access (including access, transport, and/or stocking activities OR access to medication storage areas for cleaning).

LEVEL 1: Access Med Storage Areas for Cleaning

LEVEL 2: Access & Transport

LEVEL 3: Access, Transport & Stocking

Environmental Service Personnel

Drivers

Anesthesia Technicians

Patient Support Assistants (PSAs)

Hospital Assistants (depending on specific duties; ask HR if unsure)

Hospital Unit Service Coordinators

Material Services Personnel

Volunteers

Medical Assistants

Nuclear Medicine Technologists

Ophthalmology Assist/Technician

Patient Care Assistants (PCAs)

Pharmacy Storekeepers

Radiology Technologists (all modalities, Ultrasound, Mammo, etc)

Instructions: After employee successfully completes the level-appropriate competency, please check the corresponding box below. Obtain the employee's and manager's signatures to attest that the competency was completed and send the signed job description to HR for the employee's personnel file.

_____ Level 1 As a part of his/her daily activities, employees may have access to medication storage areas for cleaning only. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 1.

_____ Level 2: As part of his/her daily activities, employee may access and transport medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 2

_____ Level 3: As part of his/her daily activities, employee may access, transport and stock medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 3.

Signature Section:

I have successfully completed the Medication and Auxiliary Staff Competency at my designated level (I, II, or III), in order to complete the functions of my position. I have had the opportunity to have all my questions answered.

_____________________________ __________________

Employee Signature Date

_____________________________ __________________

Manager Signature Date

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT 1. Check the frequency and number of hours a day the worker is required to do the following specific types of activities: ACTIVITY

FREQUENCY

# OF HOURS A DAY

CONTINUOUS

INTERMITTENT

1 2 3 4 5 6 7 8 8+ a. Sitting

X

O8 b. Walking

X

O8 c. Standing

X

O8 d. Bending

X

O8 e. Squatting

X

O8 f. Climbing

NA

g. Kneeling

X

O8 h. Twisting

X

O8 i. Lifting

X

O8

LIFTING

0-20 lbs. 20-30 lbs. 40-60 lbs. Over 60 lbs.

2. HAND MANIPULATION REQUIRED? _X Yes (If yes, complete a,b,c,d,e) _____No 2a. Repetitive hand movements? ___X__Yes _____No 2b. Simple Grasping?

Right Hand___X__

Yes___X__ No_____

Left Hand__X___

Yes___X___ No_____

2c. Power Grasping?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2d. Pushing Pulling?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2e. Fine manipulation:

Right Hand___X__

Yes__X___ No_____

Left Hand__X___

Yes__X____ No_____

3. (a) Does the job require worker to reach or work above the shoulder? ___X__Yes _____No _____Frequency Throughout the day pulling files, charts, and supplies

(b) Reaching at or below shoulder level? ____X_Yes _____No _____Frequency

Throughout the day pulling files, charts, and supplies

4. Does the job require use of his/her feet to operate foot controls or __X___Yes _____No for repetitive movement?

Foot controls on exam tables.

5. Are there special visual or auditory requirements? __X___Yes _____No

Describe: Working with computer terminal part of day looking up patient information. Aso communications throughout the day over the phone and in person with patients, family members, providers and other UCSF Departments.

WORK ENVIRONMENT:

1. Does the employee work near moving mechanical parts; in high, precarious places; and in outside weather conditions? ______Yes ___X___No

2. Is the employee exposed to fumes or airborne particles? ______Yes ___X__No

BLOOD/FLUID EXPOSURE RISK: (check the right category) N/A

___X___Category I: Tasks involve exposure to blood, fluids or tissue

_______ Category II: Usual tasks do not involve exposure to blood, body fluid, or tissues but job may require performing unplanned Category I tasks.

_______ Category III: Tasks involve no exposure to blood, body fluids, or tissues. Category I task are not a condition of employment.

QUALIFICATIONS REQUIRED

1. Certification from an approved Medical Assistant program; or equivalent combination of training and experience.
2. One year of experience as a Medical Assistant/Hospital Assistant in a medical practice.
3. Current American Heart Association CPR Certification.

4. Experience working as a Medical Assistant in an ambulatory setting.

5. Superior customer service and interpersonal skills.

6. Previous experience using and documenting within an Electronic Medical Record.

PREFERRED

1. Previous experience using and documenting in APeX (or EPIC system).

2. Previous experience in Facial Plastic Surgery, Plastic Surgery, Otolaryngology (ENT), Dermatology, Cosmetic Medicine, or other procedural/surgical specialty practices.

3. Experience with inventory management systems, supply chain processes, and vendor coordination.

4. Experience participating in quality improvement, Lean, workflow optimization, or operational excellence initiatives; interest in pursuing advanced healthcare training or clinical careers is a plus.

5. Experience using Box, Excel, Outlook, Teams, or similar document management and collaboration platforms.

REQUIRED LICENSES/CERTIFICATIONS

Current American Heart Association CPR Certification

POPULATIONS SERVED

Populations served: Infant, Child, Adolescent, Adult, Geriatric.

MEDICATION ACCESS AND STORAGE

The "Medication and Auxiliary Staff Competency" must be successfully completed for Level I, Level II or Level III staff PRIOR to performing duties requiring medication access (including access, transport, and/or stocking activities OR access to medication storage areas for cleaning).

LEVEL 1: Access Med Storage Areas for Cleaning

LEVEL 2: Access & Transport

LEVEL 3: Access, Transport & Stocking

Environmental Service Personnel

Drivers

Anesthesia Technicians

Patient Support Assistants (PSAs)

Hospital Assistants (depending on specific duties; ask HR if unsure)

Hospital Unit Service Coordinators

Material Services Personnel

Volunteers

Medical Assistants

Nuclear Medicine Technologists

Ophthalmology Assist/Technician

Patient Care Assistants (PCAs)

Pharmacy Storekeepers

Radiology Technologists (all modalities, Ultrasound, Mammo, etc)

Instructions: After employee successfully completes the level-appropriate competency, please check the corresponding box below. Obtain the employee's and manager's signatures to attest that the competency was completed and send the signed job description to HR for the employee's personnel file.

_____ Level 1 As a part of his/her daily activities, employees may have access to medication storage areas for cleaning only. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 1.

_____ Level 2: As part of his/her daily activities, employee may access and transport medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 2

_____ Level 3: As part of his/her daily activities, employee may access, transport and stock medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 3.

Signature Section:

I have successfully completed the Medication and Auxiliary Staff Competency at my designated level (I, II, or III), in order to complete the functions of my position. I have had the opportunity to have all my questions answered.

_____________________________ __________________

Employee Signature Date

_____________________________ __________________

Manager Signature Date

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT 1. Check the frequency and number of hours a day the worker is required to do the following specific types of activities: ACTIVITY

FREQUENCY

# OF HOURS A DAY

CONTINUOUS

INTERMITTENT

1 2 3 4 5 6 7 8 8+ a. Sitting

X

O8 b. Walking

X

O8 c. Standing

X

O8 d. Bending

X

O8 e. Squatting

X

O8 f. Climbing

NA

g. Kneeling

X

O8 h. Twisting

X

O8 i. Lifting

X

O8

LIFTING

0-20 lbs. 20-30 lbs. 40-60 lbs. Over 60 lbs.

2. HAND MANIPULATION REQUIRED? _X Yes (If yes, complete a,b,c,d,e) _____No 2a. Repetitive hand movements? ___X__Yes _____No 2b. Simple Grasping?

Right Hand___X__

Yes___X__ No_____

Left Hand__X___

Yes___X___ No_____

2c. Power Grasping?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2d. Pushing Pulling?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2e. Fine manipulation:

Right Hand___X__

Yes__X___ No_____

Left Hand__X___

Yes__X____ No_____

3. (a) Does the job require worker to reach or work above the shoulder? ___X__Yes _____No _____Frequency Throughout the day pulling files, charts, and supplies

(b) Reaching at or below shoulder level? ____X_Yes _____No _____Frequency

Throughout the day pulling files, charts, and supplies

4. Does the job require use of his/her feet to operate foot controls or __X___Yes _____No for repetitive movement?

Foot controls on exam tables.

5. Are there special visual or auditory requirements? __X___Yes _____No

Describe: Working with computer terminal part of day looking up patient information. Aso communications throughout the day over the phone and in person with patients, family members, providers and other UCSF Departments.

WORK ENVIRONMENT:

1. Does the employee work near moving mechanical parts; in high, precarious places; and in outside weather conditions? ______Yes ___X___No

2. Is the employee exposed to fumes or airborne particles? ______Yes ___X__No

BLOOD/FLUID EXPOSURE RISK: (check the right category) N/A

___X___Category I: Tasks involve exposure to blood, fluids or tissue

_______ Category II: Usual tasks do not involve exposure to blood, body fluid, or tissues but job may require performing unplanned Category I tasks.

_______ Category III: Tasks involve no exposure to blood, body fluids, or tissues. Category I task are not a condition of employment.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit:

QUALIFICATIONS REQUIRED

1. Certification from an approved Medical Assistant program; or equivalent combination of training and experience.
2. One year of experience as a Medical Assistant/Hospital Assistant in a medical practice.
3. Current American Heart Association CPR Certification.

4. Experience working as a Medical Assistant in an ambulatory setting.

5. Superior customer service and interpersonal skills.

6. Previous experience using and documenting within an Electronic Medical Record.

PREFERRED

1. Previous experience using and documenting in APeX (or EPIC system).

2. Previous experience in Facial Plastic Surgery, Plastic Surgery, Otolaryngology (ENT), Dermatology, Cosmetic Medicine, or other procedural/surgical specialty practices.

3. Experience with inventory management systems, supply chain processes, and vendor coordination.

4. Experience participating in quality improvement, Lean, workflow optimization, or operational excellence initiatives; interest in pursuing advanced healthcare training or clinical careers is a plus.

5. Experience using Box, Excel, Outlook, Teams, or similar document management and collaboration platforms.

REQUIRED LICENSES/CERTIFICATIONS

Current American Heart Association CPR Certification

POPULATIONS SERVED

Populations served: Infant, Child, Adolescent, Adult, Geriatric.

MEDICATION ACCESS AND STORAGE

The "Medication and Auxiliary Staff Competency" must be successfully completed for Level I, Level II or Level III staff PRIOR to performing duties requiring medication access (including access, transport, and/or stocking activities OR access to medication storage areas for cleaning).

LEVEL 1: Access Med Storage Areas for Cleaning

LEVEL 2: Access & Transport

LEVEL 3: Access, Transport & Stocking

Environmental Service Personnel

Drivers

Anesthesia Technicians

Patient Support Assistants (PSAs)

Hospital Assistants (depending on specific duties; ask HR if unsure)

Hospital Unit Service Coordinators

Material Services Personnel

Volunteers

Medical Assistants

Nuclear Medicine Technologists

Ophthalmology Assist/Technician

Patient Care Assistants (PCAs)

Pharmacy Storekeepers

Radiology Technologists (all modalities, Ultrasound, Mammo, etc)

Instructions: After employee successfully completes the level-appropriate competency, please check the corresponding box below. Obtain the employee's and manager's signatures to attest that the competency was completed and send the signed job description to HR for the employee's personnel file.

_____ Level 1 As a part of his/her daily activities, employees may have access to medication storage areas for cleaning only. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 1.

_____ Level 2: As part of his/her daily activities, employee may access and transport medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 2

_____ Level 3: As part of his/her daily activities, employee may access, transport and stock medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 3.

Signature Section:

I have successfully completed the Medication and Auxiliary Staff Competency at my designated level (I, II, or III), in order to complete the functions of my position. I have had the opportunity to have all my questions answered.

_____________________________ __________________

Employee Signature Date

_____________________________ __________________

Manager Signature Date

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT 1. Check the frequency and number of hours a day the worker is required to do the following specific types of activities: ACTIVITY

FREQUENCY

# OF HOURS A DAY

CONTINUOUS

INTERMITTENT

1 2 3 4 5 6 7 8 8+ a. Sitting

X

O8 b. Walking

X

O8 c. Standing

X

O8 d. Bending

X

O8 e. Squatting

X

O8 f. Climbing

NA

g. Kneeling

X

O8 h. Twisting

X

O8 i. Lifting

X

O8

LIFTING

0-20 lbs. 20-30 lbs. 40-60 lbs. Over 60 lbs.

2. HAND MANIPULATION REQUIRED? _X Yes (If yes, complete a,b,c,d,e) _____No 2a. Repetitive hand movements? ___X__Yes _____No 2b. Simple Grasping?

Right Hand___X__

Yes___X__ No_____

Left Hand__X___

Yes___X___ No_____

2c. Power Grasping?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2d. Pushing Pulling?

Right Hand__X___

Yes__X___ No_____

Left Hand__X___

Yes___X___ No_____

2e. Fine manipulation:

Right Hand___X__

Yes__X___ No_____

Left Hand__X___

Yes__X____ No_____

3. (a) Does the job require worker to reach or work above the shoulder? ___X__Yes _____No _____Frequency Throughout the day pulling files, charts, and supplies

(b) Reaching at or below shoulder level? ____X_Yes _____No _____Frequency

Throughout the day pulling files, charts, and supplies

4. Does the job require use of his/her feet to operate foot controls or __X___Yes _____No for repetitive movement?

Foot controls on exam tables.

5. Are there special visual or auditory requirements? __X___Yes _____No

Describe: Working with computer terminal part of day looking up patient information. Aso communications throughout the day over the phone and in person with patients, family members, providers and other UCSF Departments.

WORK ENVIRONMENT:

1. Does the employee work near moving mechanical parts; in high, precarious places; and in outside weather conditions? ______Yes ___X___No

2. Is the employee exposed to fumes or airborne particles? ______Yes ___X__No

BLOOD/FLUID EXPOSURE RISK: (check the right category) N/A

___X___Category I: Tasks involve exposure to blood, fluids or tissue

_______ Category II: Usual tasks do not involve exposure to blood, body fluid, or tissues but job may require performing unplanned Category I tasks.

_______ Category III: Tasks involve no exposure to blood, body fluids, or tissues. Category I task are not a condition of employment.