Nursing assistant 1+4 PACU/ Preop

Advocate Health and Hospitals CorporationWake Forest, NC
Onsite

About The Position

Performs designated basic patient care and related nursing tasks to provide optimal/quality care consistent with Hospital mission and Nursing philosophy, goals, standards, and bylaws. Assists the Licensed Nurse in the implementation of nursing care in predictable, uncomplicated, and stable patient situations as directed.

Requirements

  • High School Diploma or GED
  • Successful completion of a applicable state Board of Nursing Aide 1 with plus 4 skills approved training program.
  • Approved training program/competency evaluation required.
  • Nurse Aide I Registration Division of Facility Services Nurse Aide I Registry. Required
  • BLS Course C, CPR Certification required per policy guidelines unless meets the requirements for restricted CPR certification.
  • Successful completion of General Hospital Orientation and demonstration of competency in the Nursing Assistant functions as determined by LOE staff (Learning and Organizational Effectiveness) staff and Registered Nurse staff.
  • Acquires/Maintains NA 1 plus 4 skills upon hire
  • Ability to hear and speak, and comprehend English language required.
  • Ability to understand verbal/written communication skills required.
  • Basic computer skills required.
  • This position requires the successful completion of a preemployment physical demands test.
  • Visual acuity required for accurately reading and documenting patient charts and observing patients.
  • Sense of smell required for safety issues.
  • Sense of touch is required to evaluate patient's vital signs.
  • Ability to speak and hear is required to effectively communicate with patients, family members, physicians, and staff.
  • Manual finger dexterity for writing, equipment operation (maneuvering wheelchairs/beds), and positioning and moving patients.
  • Ability to effectively manage a high stress environment resulting from patient volume.

Nice To Haves

  • plus 4 skills

Responsibilities

  • Observes and reports the patient's general appearance/behavior/response to basic care, procedures, and treatments.
  • Observes characteristics of patient's urine, stool, and drainage and reports abnormalities/changes.
  • Observes patient receiving intravenous therapy and reports to nurse immediately any disruptions/disconnections/swelling and patient complaints of pain/discomfort at site.
  • Observes and reports skin abnormalities and provides appropriate therapeutic measures.
  • Observes patient care equipment for proper functioning and reports any malfunctions to the Licensed Nurse.
  • Reports to the licensed nurse any abnormal vital signs and changes in patient behavior.
  • Obtains and documents patient temperature, pulse, respirations, heart rate, blood pressure, and pulse oximetry as required on admission and throughout hospitalization.
  • Obtains and documents patient heights/weights as required on admission and throughout hospitalization.
  • Measures and documents patient's fluid intake/output accurately.
  • Checks/records patient's diet/activity level/observations/ treatments/nursing care plan on worksheet and gathers all needed equipment in organizing/beginning patient care.
  • Collects urine/stool/sputum specimens as directed by the Licensed Nurse.
  • Maintains patient care environment in a safe and organized manner with necessities within reach.
  • Sets priorities in patient care/delegated treatments and consults nurse when changes occur or assistance is needed.
  • Assists patient with elimination activities (bedpan, urinal, bedside commode, bathroom, bladder/bowel training) as condition indicates/directed by the nurse.
  • Provides hygiene for the incontinent patient.
  • Performs hygienic/comfort measures (complete/partial/tub/ sitz bath, occupied/ unoccupied bed, back rub, mouth/hair/ skin/nail care, denture care, changing gown, HS care).
  • Performs and documents therapeutic measures (enemas, perineal/catheter care, unsterile heat/cold application, elastic/ therapeutic stockings, glucometers).
  • Checks, turns, and repositions the bedfast/incontinent patient every two hours.
  • Provides 1:1 monitoring of patients as directed.
  • Prepares patient for meals and assists or feeds patient and documents percentage eaten on Patient Care Profile.
  • Maintains fresh water and distributes juices/nourishments/ dietary supplies as directed/requested by patient.
  • Forces or restricts fluids as ordered/directed.
  • Assists in the admission/transfer/discharge process and safe management of personal belongings.
  • Assists patient in ambulation, transfer to chair/stretcher/ commode and uses lifts as needed.
  • Maintains unit and patient care environment in a clean and neat manner by emptying linen hampers, trash receptacles and cleaning the refrigerator as directed by the Licensed Nurse.
  • Changes linens for occupied/unoccupied beds and maintains clean, dry, wrinkle-free linens according to patient needs.
  • Obtains and/or returns supplies (i.e., blood, medications, etc.) and equipment as requested.
  • Answers call lights.
  • Assists in the standard pre-operative/post-operative care procedures as directed by the Licensed Nurse.
  • Performs surgical/orthopedic skin preps and surgical scrubs as needed.
  • Performs post-mortem care as needed.
  • Demonstrates initiative in seeking out patient care/unit maintenance tasks/assisting co-workers.
  • Completes unit assignments on patient assignment sheet as indicated by Charge Nurse/Unit Coordinator.
  • Reports to oncoming Nursing Assistant regarding work completed and work to be done.
  • Performs technical skills and demonstrates operational knowledge of current procedures/equipment/treatments as delineated in the NA I + 4 Skills Competency Evaluation.
  • Assists the licensed nurse with communication with physicians, other department/hospital staff and family members as needed regarding patient progress, problems and plans.
  • Ensures excellent customer service to patients including excellent communication, treating them in a caring manner, being timely regarding treatment and being professional in their care.
  • Promotes department to physicians, hospital and community in a positive manner at all times
  • Promotes a positive work environment with co-workers and other customers.
  • Attends/participates in a minimum of 75% of unit staff meetings.
  • Attends a minimum of 2 hours of continuing education programs (100% completion of mandatory programs).
  • Reviews memos/communication book/bulletin boards/ minutes of staff meetings to maintain current knowledge of hospital communications.
  • Upholds a professional working relationship at all times and adheres to department rules.
  • Practices teamwork and adheres to Standards of Behavior.
  • Performs other duties as assigned by management.
  • Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message.
  • Works with others respectfully and openly; provides help to achieve shared goals.
  • Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes.
  • Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks.
  • Identifies opportunities and takes action to continuously improve processes.
  • Maintains effectiveness and flexibility during change.
  • Complies with all required employee health programs including annual tuberculin testing and other applicable screening, testing and vaccinations.
  • Maintains current licensures, certifications and/or registrations (if applicable for the position).
  • Complies with requirements for job specific competency testing and demonstrates and communicates proficiency in skills required (if applicable to position).
  • Adheres to and understands the Health System's Corporate Compliance Plan as evidenced by timely participation in required training (including annual testing) and 100% compliance with the Corporate Compliance Code of Conduct.
  • Adheres to and understands the Health System's Environment of Care Plan as evidenced by timely participation in required training (including annual safety testing).
  • Adheres to and understands the Health System's HIPAA Compliance Plan as evidenced by timely participation in required training (including annual HIPAA testing).
  • Attends all required educational programs (including General Orientation, and departmental or job specific required programs).
  • Improve the accuracy of patient identification
  • Improve the effectiveness of communication among caregivers
  • Improve the safety of using medications
  • Reduce the risk of health care-associated infections
  • Consistently demonstrate appropriate hand hygiene techniques
  • Accurately and completely reconcile medications across the continuum of care
  • Reduce the risk of patient harm resulting from falls
  • Encourage patients' active involvement in their own care as a patient safety strategy
  • Identify safety risks inherent in its patient population
  • Improve recognition and response to changes in a patient's condition
  • Practice ‘Universal Protocol' when appropriate (conduct pre-procedure verification process, mark procedure site, perform a time-out)

Benefits

  • Paid Time Off programs
  • medical
  • dental
  • vision
  • life
  • Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • adoption assistance
  • paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
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