Sr Nursing Asst-Peds

Hurley•Flint, MI

About The Position

Provides basic nursing care to patients and assists with complex nursing care under the supervision of a Nurse Manager, registered professional nurse, or designee. Work is reviewed for conformance to established standards. The role participates in quality assessment and continuous quality improvement, complies with safety and infection-control standards, and performs duties courteously and in accordance with the Hurley Family Standards of Behavior. The position provides personal and hygiene care; supports patient comfort, mobility, and safety; performs delegated nursing procedures; documents care and observations; collects specimens; assists with respiratory care and patient transfers; maintains patient-care areas and equipment; and supports staff orientation and development. Duties include responding appropriately to the distinct needs of the patient age groups served and working effectively with patients, visitors, care partners, physicians, coworkers, and other departments. Employees with at least three years (6,240 hours) of Nursing Assistant experience at Hurley Medical Center, a satisfactory-or-above most recent performance evaluation, and at least a satisfactory clinical-excellence rating are designated Senior Nursing Assistant at pay level 12. Employees with less experience are designated Nursing Assistant at pay level 10. Nursing Assistant Trainees who complete the HMC six-month (1,040-hour) training program progress to Nursing Assistant at pay level 10.

Requirements

  • Successful completion of a formal nursing assistant or patient care technician training program, including six months of satisfactory clinical experience.
  • Demonstrated clinical competency.
  • Knowledge of aseptic techniques.
  • Physical and emotional health sufficient to perform the normally assigned duties of the position.
  • Ability to read, write, and comprehend English and clearly and accurately document activities.
  • Ability to understand and follow oral and written instructions.
  • Ability to keep required records and make reports.
  • Ability to perform basic mathematical calculations, including percentages and unit conversions.
  • Ability to maintain an empathetic attitude toward patients and harmonious working relationships with Medical Center staff and the public.
  • Successful completion of Health Care Provider Basic Life Support (BLS).

Responsibilities

  • Assist patients with personal care, including bedpan or urinal use, condom catheter, perineal care, and Foley catheter care.
  • Provide personal hygiene care, including bathing, sitz baths, feeding, shampooing, shaving, and oral care.
  • Provide directed emotional support and safety and comfort measures, including range of motion, massage, turning, repositioning, and positioning with proper body mechanics and special equipment as needed.
  • Transfer and mobilize patients using a gait belt, support licensed staff with patient-care activities, and initiate mobilization according to therapy orders and HMC policy.
  • Document care in the EHR; report and record pain; measure and record vital signs, weight, intake, and output; perform assigned waived tests; and report changes in patient condition to licensed staff.
  • Perform basic nursing procedures as directed, including obtaining cultures, thermal applications, dressing care, nonsterile soaks, wound irrigation, and application of restraints.
  • Administer enemas; remove fecal impactions; insert and remove rectal tubes; insert and discontinue Foley catheters; apply suction to and remove nasogastric tubes; prepare and hang feeding bags and label tubing for adult patients; and apply ostomy appliances.
  • Collect, label, record, and deliver specimens and cultures to the laboratory, and perform and record simple tests on patient specimens as directed.
  • Provide assigned respiratory care, including oral and tracheostomy suction and tracheostomy care (establish trach only) for adult patients, and assist with sustained maximal inspiration lung exercises.
  • Measure output from hemovac/Jackson Pratt tubes, nasogastric suction canisters, chest tubes, Foley catheters, and ostomy appliances; reprime hemovac/Jackson Pratt devices; apply or reattach cardiac monitor leads; and remove oxygen tubing or humidifiers after discontinuation.
  • Perform post-mortem care.
  • Apply and remove splints, anti-embolism stockings, sequential compression devices, and restraints under the direction or delegation of licensed staff.
  • Assist patients with dressing, equipment, support clothing, and orthotic, prosthetic, or protective devices; maintain Bucks, skeletal, and pelvic traction.
  • Set up for admissions and transfers; deliver equipment and supplies; and transport patients.
  • Maintain cleanliness of patient-care units, utility rooms, work areas, and equipment; remove equipment from hallways and closets; replace filled needle boxes; and store supplies.
  • Access computer or information systems to enter documentation or retrieve information as needed.
  • Attend assigned education and development programs and assist with orientation of newly assigned personnel.
  • Use effective judgment and respond appropriately to the needs of the patient age groups served.
  • Work effectively with patients, visitors, care partners, physicians, coworkers, the public, and other departments; remain tactful in stressful situations, defuse escalating behavior, and help maintain a calm atmosphere.
  • Perform other related duties as assigned and use improvements or technologies related to the job.
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