Dispatch
POSITION IDENTIFICATION
Reports to: Duty Captain
Employees Supervised/Directed: None
FLSA Code: Non-Exempt
POSITION PURPOSE AND SUMMARY:
Under the Duty Captain and Patriot Emergency Medical Services Inc. officers, the ideal Emergency
Medical Dispatcher (“incumbent”) will perform duties associated with providing telecommunications
services and directing emergency medical care to the sick and injured in accordance with all applicable
laws, regulations, and Patriot Emergency Medical Services Inc. policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The incumbent must possess and apply knowledge and skills necessary to perform the duties of
dispatcher, in a dignified and compassionate manner including:
Directing emergency and non-emergency calls, calmly, efficiently and promptly
Assessing the nature and extent of injury or illness to establish and prioritize medical resources;
Communicating with professional medical personnel and treatment facilities to obtain instructions
regarding further treatment and/or to arrange reception of patients to the appropriate center
The incumbent must perform all job responsibilities in a manner that protects patient privacy:
The incumbent is expected to protect the privacy of all patient information in accordance with the
Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in
accordance with general principles of professionalism as a health care provider. Failure to comply with
the Company’s Policies and Procedures on patient privacy may result in disciplinary action up to and
including termination of employment or of membership or association with Patriot Emergency Medical
Services Inc..
The incumbent may access protected health information and other patient information only to the
extent that is necessary to complete your job duties. The incumbent may only share such information
with those who have a need to know specific patient information you have in your possession to
complete their job responsibilities related to treatment, payment or other Company operations.
The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns
regarding the Company’s Policies and Procedures on patient privacy and any observed practices in
violation of that Policy to the designated Privacy Officer.
The incumbent is expected to actively participate in Company privacy training and is required to
communicate privacy Policy information to coworkers, students, patients and others in accordance with
Company Policy.
Coordinating requests for non-emergency transports in accordance with the non-emergency transport
policies
Monitoring communication equipment to maintain contact with the dispatcher
Performing rescue operations
Maintaining apparatus and equipment
The incumbent must perform routine tasks in and around the ambulance service building, including:
Cleaning, emptying trash and other related duties around the corporate office
Representing the ambulance service while on duty at public service functions, expositions, and other
public events
The incumbent must also:
Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure
system sanitation, readiness and adherence to quality assurance standards
Be flexible, as emergency services operate on a 24-hour clock; the incumbent’s assigned work shift
schedule may vary and the incumbent should be available to respond immediately for a call during the
assigned work period, and the start and shift times may vary due to the nature of the business
Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid
book systems
Maintain a thorough working knowledge of applicable current standards of care, including equipment
functions and uses
Assure that all certifications, licenses and registrations are up-to-date.
QUALIFICATIONS
Educational Requirements:
The incumbent must have a minimum of either a high school diploma or a
GED as evidence of completion of a high school education and must have and maintain a valid driver’s
license as well as reliable transportation.
Upon Accepting a position as a dispatcher the employee agrees to obtain and maintain certification in
EMD, APCO, CPR, HAZMAT Awareness, HAZMAT Operations, ICS 100,200,300,400,700,800. Additional
required training: Documentation, HIPAA, ZOLL and Emergency Medical Technician.
Patriot Emergency Medical Services
Dispatch Protocol
Overview of FCC Rules and Regulations
It Is Unlawful To:
Transmit Superfluous Signals, Messages, or Communications of any kind on your radio transmitter.
To use profane, indecent, or obscene language.
To willfully damage or permit radio apparatus to be damaged.
To cause unlawful or malicious interference with any other radio communications.
To intercept and use or publish the contents of any radio message without the express permission of the proper authorities in your department.
To transmit without first making sure that the intended transmission will not cause harmful interference.
To make unnecessary or unidentified transmissions.
To make any adjustments, repairs, or alterations whatsoever to your radio transmitter. It is required by law that only professional radio technicians, holding a second class license or higher, may make adjustments or repairs.
To deny access to your radio equipment if a properly identified representative of the Federal Communications Commission asks to inspect it. The equipment must be made available at any reasonable hour.
To transmit a call signal, letter or numeral which has not been assigned to your station.
It is the responsibility of the dispatcher to transmit clear, brief, and concise messages.
Organization and staffing:
The operation responsibilities for receiving all citizens and facilities requests
for ambulances and ambulettes and associated dispatching are assigned to Patriot EMS. Personnel will
be assigned shifts that are twelve hours and typically run on a 36/48 schedule. Dispatchers are
determined by workload. Dispatchers are directly accountable to the Duty Capta
Basic elements of dispatching:
The reception and processing of citizens/field units request for assistance.
The actual dispatching of field units.
The maintenance of all records and transactions.
A dispatcher will retain responsibility for an incident from the receipt through assignment completion,
enabling the dispatcher to efficiently and intelligently handle each call for service.
Responsibility for incoming requests/information rests with the dispatcher receiving the original
complaint or request and cannot be relinquished, except to a higher authority in performance of duty or
as necessitated during shift change. (In other words, when taking a call from the public or field unit,
follow up on the call/request to its completion).
Whenever any console position within Patriot EMS becomes overloaded with incoming calls or a
generalized heavy workload, any other position in the office less busy at the time shall immediately
assist the overloaded dispatcher.
Authority:
Dispatchers assigned to the radio room as dispatchers, perform in accordance with the
policies of Patriot EMS, the FCC, and orders and guidelines contained in the dispatch protocol manual.
Dispatchers inform the field units of information that may or may not require their action. It is the
Deputy Chief or shift supervisor’s responsibility to make command decisions. Dispatchers do have the
authority as to the priority of the calls to be dispatched, and which units to send based upon location or
availability according to set guidelines and policies.
Overriding a dispatcher:
Should any field unit have a good reason to doubt, or question the authority or practicality of a given assignment, the field unit shall notify the Duty Captain or if after hours the on-call supervisor. The supervisor shall have the authority to change the decision of reassignment of field units as he/she feels necessary and which is in compliance with the guidelines and notify the dispatcher of such changes. Under no circumstances will arguing with a dispatcher be permitted, and such action may be construed as cause for disciplinary measures to the offending field unit and or dispatcher. Refusal to respond will be considered a voluntary resignation.
General duties and responsibilities for dispatchers are hereby adopted by Patriot EMS.
a. Knowledge of Local Geography: Dispatchers must have a good working knowledge of the geography of the Patriot EMS service area and a mental picture of the location of highways, businesses, buildings, etc.
b. Knowledge of departmental policies and execute faithfully the service program within their respective areas of responsibility.
c. Responsibility of conditions and operations of Patriot EMS; while on duty, dispatchers will be responsible for the condition of the building and for its economical and efficient operation in accordance with policies, orders, guidelines, rules, or conduct and practices.
d. Telephone Courtesy: When answering the telephone, dispatchers will answer as follows: “Thank You for Calling Patriot EMS, May I please help you?” Dispatchers will be courteous and exert every effort to satisfy the reasonable and valid needs of citizens requesting service, assistance, or information, and courteously explain and instances where jurisdiction does not lie within the Patriot EMS area. All incoming calls should be answered as soon as possible.
e. Duty to remain on Post Until Relieved: Except when in the course of their work it becomes necessary to leave temporarily, dispatchers will remain at their respective positions while on duty. Under no circumstances will the dispatch center be occupied by less than one individual. Failure to remain on post will be considered a voluntary resignation.
f. Pre-Duty Briefing: When reporting on duty, each dispatcher will review the status of all units and stations, pending or stacked calls, and pertinent information of incidents that have or could take place.
g. Complaints from the Public: Complaints concerning any field unit will not be addressed by Patriot EMS personnel. When a caller wants to make a complaint or makes negative statements concerning a field unit, the caller will be immediately referred to the closest available member of management.
h. Overtime that has been signed up for in advance must be worked. If a dispatcher signs up for overtime and then feels they cannot work, it will be their responsibility to find another dispatcher to work their shift. This would not apply in the case of an emergency. If there is not sufficient coverage, the overtime will be mandatory. Failure to seek a replacement for the overtime shift will result in the loss of a personal day or vacation day or disciplinary action up to and including termination.
Specific Duties and Responsibilities:
Receiving Calls:
Dispatchers shall be responsible for receiving all incoming calls to Patriot EMS from
citizens, field units, office personnel, and other sources. Dispatchers are charged with the responsibility of answering all calls received via the telephone lines, for all radio traffic from field units on all radio frequencies and for the maintenance of proper records concerning their operations in accordance with the guidelines.
Upon receipt of a valid request for service, the dispatcher receiving the call will complete the steps via RightCad. Upon completion of the assignment the field unit should direct connect certain details back to the dispatcher who should in turn complete the remaining portions of the RightCad screen. All pertinent information concerning all calls for service should be recorded.
Sufficient Manpower:
Dispatchers are responsible for assuring the safety of all units in the field by:
Obtaining important information by the caller such as descriptions of suspects, weapons involved, and the means and direction of travel from the scene. Ensuring that sufficient manpower is initially assigned to handle all obviously dangerous calls, especially when it is known in advance that responding units involved will be dealing with a dangerous person/situation. Following the assignment of units to handle calls of a serious nature, Dispatchers will frequently check back with the units to ensure their condition is okay. If the scene is unsafe the dispatcher will notify the proper law enforcement agency to respond. The dispatcher shall in all cases dispatch a minimum of two field units in the event of possible dangerous or serious conditions and notify the on duty supervisor.
Record:
dispatchers shall directly be responsible for the proper completion of any communications records and logs in accordance with proper guidelines and common practices of daily activity.
Broadcasting:
Dispatchers will transmit information in strict accordance with the rules and regulations of the FCC all departmental signals and phonetic alphabet. No slang or “cute” terminology will be tolerated. Remember there are numerous people that are listening to radio traffic. Patriot EMS is judged by many different elements, one of which is proper radio transmission.
Monitoring of Communications:
Dispatchers shall monitor all radio traffic of his or her console to ensure that adequate knowledge and understanding of field situations and to ensure field unit safety.
Relaying Information:
Dispatchers will ensure that all pertinent information is relayed to field personnel as comes to the attention of the dispatcher.
Requests of Information/Action:
Dispatchers shall promptly fulfill all official requests from field units and office personnel when asked.
Divulging Information:
Dispatchers will not divulge any Patriot EMS or patient information without authorization.
Identification of Station:
Dispatchers will identify their station as frequently as is practicable.
Notification of Information:
Dispatchers shall immediately notify their superiors, particularly Deputy Chief personnel, of conditions within the area of an unusual nature so that the proper action may be taken. The Chief Operations officer will be notified in the event of an accident involving field personnel.
Heritage and Responsibility:
There are few positions in the public safety career field which are subject to more continuous scrutiny of standard operation procedure than that of dispatching, or where a higher standard of performance must be the rule rather than the exception. This performance arises from devotion of duty and the determination to fulfill assigned responsibility.
Because of the importance of this position, dispatchers must realize the importance of standard operating guidelines and common practice. Accordingly, dispatchers will be held strictly accountable for violations of regulations to promote efficiency.
The dispatcher will be only as effective as his or her own initiative and sense of responsibility may dictate, and neither the information in the manual nor that in any other will compensate for carelessness in performance of duty.
The key to a successful operation is cooperation among dispatchers. A new dispatcher will soon learn that many problems can be quickly overcome when there exists a climate of complete cooperation, sharing of information and assisting during periods of overloads.
Dispatchers must know the capabilities and limitations of the communications systems that he or she is authorized to operate. He must be familiar with the administrative organization of Patriot EMS, so as to be able to route radio traffic properly and be knowledgeable of the equipment and resources available to Patriot EMS for the process of their duties.
One of the best methods to handle information is to WRITE IT DOWN. Placing information to memory will result in forgetting and changing. REDUCE EVERYTHING TO WRITING.
It is the responsibility of Patriot EMS to assure that the system is operated in accordance with Federal
Communications Rules and Regulations.
TELEPHONE RULES:
Answer Promptly: All telephone lines will be answered as soon as possible, preferably before five rings.
Identify Yourself: Telephones shall be answered with “Thank you for calling Patriot EMS, this is how may I help you.” Speak directly into the mouthpiece.
Be Courteous: A calm, competent and decisive voice will be utilized at all times.
Take Charge of the Conversation: Determine who, what, when, where, and how, and be sure to WRITE IT DOWN on the call taking slip.
Give Correct Information:
Often citizens and facilities will seek information that you do not have. Do not guess. If requested information is not immediately available, refer to persons that do know or obtain a phone number and return a call. Never give a time of arrival on emergency calls. On pre-scheduled transports give a pickup time that is accurate, and a time which gives our crews enough time to load the patient and get to their destination.
Never Argue or Use Profanity:
Under no circumstances will dispatchers use profanity or be rude over the phone. If an individual calls the Patriot EMS dispatcher and makes obscene remarks directed to the dispatcher or makes personal threats and does not have a valid complaint to report, then the dispatcher may hang up the telephone, profanity or rudeness in return will not be tolerated.
Transferring Calls: Dispatchers will make every effort to satisfy a valid question or request before transferring the call.
Pre-Scheduled Calls: Pre-Scheduled calls will be taken following the format of the call taking sheet and the caller will be notified of a pickup time.
Dispatcher Personnel Meetings: Any dispatcher who desires to meet with the Chief may do so in the following manner:
Dispatchers shall request in writing through a Captain to meet with a Deputy Chief.
Dispatchers may request in writing through a Captain to meet with any Chief.
Any Chief may accept a direct application for a meeting when in the best interest of Patriot EMS or in
extreme circumstances.
Large Scale Disaster Messages or Warnings:
Calls or warning messages concerning large-scale emergencies such as existing or imminent military attack, hurricanes, floods and tornadoes will take precedence over all categories of messages except distress calls.
Semi-Emergency Messages: Relay of routine traffic or information.
Death Messages: Death messages will not be given over the telephone, but will be handled by a Deputy Chief making personal contact.
Missing Juvenile Messages: These messages will be broadcast immediately to all Patriot EMS Trucks.
Cancel Messages: All messages previously broadcast or relayed to agencies must be canceled when active report has been cleared.
TRANSMITTING RULES:
Authorized Transmissions: Messages shall be transmitted that give information pertaining only to the official business of Patriot EMS.
Violation of Patriot MES Rules: Any unit using superfluous wording, improper language, non-uniform terminology or making excess or unnecessary transmissions will be corrected politely by the dispatcher advising them of correct traffic. Dispatchers observing repeated violations shall report the unit involved to the appropriate supervisor.
Transmitting in General: Dispatchers will speak into the microphone or telephone in a normal voice. Phrases and words that are difficult to copy will be avoided.
Interference/Clearance: Transmissions will not be made until air is clear.
Transmit Only Facts: Transmit only information you receive from the complainant. Give only the facts, DO NOT ASSUME ANYTHING. Assumptions could get someone injured or killed.
Concise and Correct Messages: All messages transmitted will be brief, direct and according to standard ten series, signals and codes approved by Patriot EMS. Use of field unit names shall be avoided.
Profanity, Slang, Sarcasm:Profanity, slang and humorous comments will not be tolerated. Words or voice inflections which, when broadcast, reflect or indicate disgust or sarcasm shall not be utilized. Profanity usage may result in termination or employment.
No Response from Field Units: If, after direct connecting or radioing a unit twice, no reply is received, (for normal radio traffic) wait one minute and try again. If still no reply from the unit, contact the appropriate shift supervisor.
Long Messages: Long messages shall be broken into phrases. At the end of two or three phrases of a long message, dispatchers will pause by saying “break”, and then continue with the message.
Prompt Answering: Dispatchers shall monitor their radios in such a manner as to quickly answer a unit that calls. In no event shall a dispatcher fail to respond to a unit in more than two calls. Such failure to respond without due cause shall be considered neglect of duty. Field units take priority over telephone calls except when an emergency is being reported.
Transmitting Alphabet: Phonetic alphabet will be utilized at all times to pronounce letters.
Time Limits for Units On Calls: Patriot EMS establishes maximum times:
1) 15 minutes on scene time.
2) 15 minutes on loading and unloading of patients.
3) 15 minutes on destination time.
4) 1 minutes on response time.
Beyond the time limit, the dispatcher will contact the unit and check his status. If no response after three attempts, the supervisor shall be contacted. These times are rough estimates and the rule is that calls come first.
Transmitting Vehicle Information: To ensure uniformity, when dispatching any vehicle information dispatchers shall use the CYMBALS guide.
C-Vehicle Color
Y-Vehicle Year
M-Vehicle Make
B-Vehicle Body Style
A-And
L-License Information
S-Serial/VIN Number
Any other identifying information will be given after the CYMBALS code is use.
Transmitting Persons Information: To ensure uniformity, when dispatching any persons information, a standard format will be used. Starting from head to foot and finish with the clothing descriptors.
a. Sex
b. Race
c. Age
d. Height
e. Weight
f. Clothing
a. Hat
b. Shirt/Tie
c. Coat
d. Trousers
Break frequently on long descriptions. Don’t talk too fast, the units are trying to write it down.
Radio Traffic/Telephone Messages at the Same Time: Dispatchers will ask the telephone caller to wait until it can be determined if incoming radio traffic is urgent, or advise unit with traffic to stand by, you are busy with an emergency call. Priority will always be given to radio traffic until determined to be Non-Emergency.
Phonetic Alphabet: These are the names authorized by Patriot EMS to be used with the letters.
A-Adam J-John R-Robert
B-Boy K-King S-Sam
C-Charles L-Lincoln T-Tom
D-David M-Mary U-Union
E-Edward N-Nora V-Victor
F-Frank O-Ocean W-William
G-George P-Paul X-X Ray
H-Henry Q-Queen Y-Young
I-Ida Z-Zebra
Stacking Calls for Service: Dispatchers will not stack calls for service unless approved by an on-duty supervisor or calls that have been pre-determined by priority codes in the Computer-Aided Dispatch.
Dispatchers will record on the notes in the call taking screen, the officer that granted authority to stack the call.
Dispatchers will familiarize themselves with the policies for each of the service agencies.
PRIORITIES
When a dispatcher receives an ambulance call and has no unit available, the dispatcher shall contact the on call supervisor or the Deputy Chief of Facility Relations
COMMUNICATION CENTER RESPONSIBILITY
Information coming to the attention of a dispatcher or any member of the Patriot EMS service area, concerning emergency ambulance calls or other public assistance service requests shall be recorded in Computer Aided Dispatch (CAD) for ambulance.
This procedure ensures that proper action was taken by responding personnel for every call for public service. This procedure also establishes a staff control for proper administration and planning in an orderly manner and at a control point.
Every call for service will have a unique complaint number assigned to it when entered into CAD. The reporting year will begin on January 1 and end on December 31.
ENTERING CALLS FOR SERVICE
When To Initiate A Call For Ambulance Call: Each and every incident or call for service will be recorded on the call taking screen by the dispatchers.
All members of the agencies receiving complaints, on-view or otherwise, and no matter what the source, requiring action by the department, will contact the dispatcher as quickly as possible for the assignment of an Incident Control Number.
Dispatcher Duties: Upon receipt of a complaint or other call for service, the dispatcher will record the preliminary data in the call taking screen.
The incident, name, address, and telephone number of the complainant shall be requested so as to provide sufficient information to the units responding to the scene of the complaint. Supervisory scrutiny and inquiry will be made of all calls not properly prepared.
It is essential that as much information as possible is obtained from the complainant and relayed to the units responding to the call. The dispatcher will recommend or page to appropriate unit(s) to respond to the call as by policies established in the dispatch protocol. Dispatchers will then dispatch the call to the unit(s) using the appropriate three part dispatching.
When advised to do so, the dispatchers will arrive the unit(s) at the scene of the call.
When a unit completes an assignment the dispatcher will clear the call and provide the crew with an in-service time.
When a Law Enforcement Officer responds to a call where a report has already been made on the same incident, a “Follow Up” screen will be made with a new IC number, and will be referred to the original IC number.
Any request for notification of any units or services by the officers at the scene of an incident shall be recorded in RightCad and the time notified.
Any information obtained by an officer and referred to a dispatcher for purpose of rebroadcast will be handled promptly and the information will be recorded on the computer screen.
EMERGENCY AMBULANCE CALLS
The saving of a life depends upon fast and accurate communications between the caller and/or the victim and the dispatcher taking the call.
On any request for ambulance service, if the patient is going to be seen in the emergency room, dispatchers will notify the appropriate unit.
If the request is for a direct admission, the unit will be notified.
Receiving A Call For Service:
When taking an ambulance call the dispatcher will obtain the patient’s complaint, location and name. The name, address and phone number of the caller shall be obtained after the initial complaint is determined, if different from the patient. When calls for assistance are requested by other units, as much information as possible, as to the condition of the patient, should be obtained.
Available Units:
There will always be at least one unit on duty at a time. They work 12-hour shifts.
Dispatching of Calls:
A call for service will be dispatched by selecting the appropriate unit. Dispatchers will identify the MED STATION and unit and advise them to “Respond to:” giving the appropriate signal, or nature of call, and the address of the call. Dispatchers and paramedics will identify all ambulances as Unit# on each transmission.
Stacking Ambulance Calls:
No ambulance calls for service shall be stacked unless approved by a supervisor. When calls are received and no units are available to take the calls, dispatchers will immediately notify the nearest available member of management. The dispatcher will advise the units of the nature of the call and the location. The supervisor will advise dispatch what action to take regarding the call. Depending on the situation, units may be able to clear to respond to the call or the call will be referred to another service through Mutual Aid, and only when approved by a supervisor.
Emergency Transfers:
Patriot EMS will take emergency transfers from the emergency room or ICU to area hospitals. When contacted by hospital personnel, dispatchers will ascertain if the patient is ready to be transported and what needs the patient has.
Relaying Information: Any additional information received by the dispatcher, from whatever source, will immediately be relayed to the responding unit.
Reporting to Work Well Rested
Purpose: To maintain high levels of quality patient care by ensuring that personnel are not overworked and are able to function effectively.
Policy: Patriot Emergency Medical Services Inc. requires that all employees report to duty well rested, and able to meet the needs of the public and patients that we serve. Falling asleep at ANY time while on duty will result in immediate termination from employment.
No Call/No Show Job Abandonment Policy
Any employee who fails to show up for work without notifying his or her supervisor or on call supervisor directly of the absence prior to one hour of the shift’s completion will be considered a “No Call/No Show.” This will be considered a voluntary resignation by the employee. In addition, excessive tardiness is a serious disruption to the company’s business operation and violates company attendance guidelines. This conduct will result in disciplinary action, up to and including termination.
Organizational Values:
Reputation - Our reputation is unquestionable with excellent patient care being “second nature” to us. Knowing this reputation precedes us, we constantly strive to improve the “standard”. We earn our reputation every day.
Integrity- Trust is crucial to our continued success. We build trust by keeping our promises and fulfilling our duties to the best of our abilities.
Loyalty- Patriot EMS team members exhibit loyalty to the company, other team members, the citizens and facilities we serve, and most importantly, to one’s self.
Passion - We do not view our career as simply a job, but more a way of a life. We have a passion for what we do that extends beyond the “borders” of the workplace, but rather into every aspect of our day-to-day life. Our team members do not settle for simply meeting an acceptable standard: we continuously strive for improvement.
Personal Development - Patriot team members set goals for themselves. We provide a nurturing environment that supports their motivation. The result is a highly skilled and professional team.
Procedure:
I. Standards.
a. Because we provide emergency patient care, keen judgment, skill, and safe performance of job duties are required at all times. To do this, all personnel must report to work well-rested at the start of his or her scheduled shift.
b. To the extent that a second job prohibits personnel from being able to perform their duties for Patriot Emergency Medical Services Inc., because insufficient rest affects the quality of care, the staff member may be asked to go home, and be will not receive any pay for the remainder of the shift. Likewise, in situations where personnel appear overtired or otherwise exhausted due to insufficient rest, for any reason whatsoever, and where patient care may be affected, the personnel may be requested to return home, and be denied pay for the shift.
c. In addition to other employment, personnel are asked to schedule other personal outside activities appropriately, so as to be well rested and alert when reporting for duty.
d. Insufficient rest and other symptoms of exhaustion can affect the ability to perform job duties, and jeopardize the well being of patients and co-workers. In the interest of maintaining a safe work environment, and our commitment to the highest level of patient care, we expect everyone’s cooperation with this Policy.
e. A staff member who routinely arrives to work not well rested, or who shows signs of exhaustion such that patient care may be jeopardized may also face disciplinary action, up to and including termination.
DISCLAIMER
The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this position. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this position. Management has the sole discretion to add or modify the duties of the position and to designate other functions as essential at any time. This position description is not an employment agreement or contract.