Sr Nursing Asst-Peds

Hurley Medical Center•Flint, MI

About The Position

Provides basic nursing care to patients and assists with complex nursing care. Participates in quality assessment and continuous quality improvement activities and complies with applicable safety and infection control standards. Performs duties courteously and with a customer-focused approach consistent with the Hurley Family Standards of Behavior. Works under the supervision of a Nurse Manager, registered professional nurse, or designee, with work reviewed for conformance to established standards. The position provides personal hygiene and comfort care, supports licensed staff in patient-care activities, monitors and documents patient condition and care in the EHR, performs assigned nursing procedures, collects specimens, assists with mobility and transfers, and maintains patient-care equipment and areas. Duties are performed under the direction or delegation of licensed staff where applicable. 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 successfully 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.
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 hygiene care, including bathing, sitz baths, feeding, shampooing, shaving, and oral care.
Provide emotional support and safety and comfort measures, including range-of-motion exercises, massage, turning, repositioning, and proper positioning using body mechanics and special equipment as needed.
Transfer and assist patients with mobility using a gait belt; initiate mobilization according to therapy orders and HMC mobilization policy.
Support licensed staff with patient-care activities.
Document care provided in the EHR according to Medical Center policy; report and record pain.
Measure, monitor, and record temperature, pulse, respirations, blood pressure, and weight, including using cardiac scales; record intake and output.
Perform waived tests, such as glucometer, urine dipstick, and hemocult slide tests, including control tests.
Report changes in vital signs or condition and significant signs, symptoms, or reactions to the licensed staff assigned to the patient.
Perform assigned basic nursing procedures, including obtaining cultures, thermal applications, dressing care, nonsterile soaks, wound irrigation, and applying 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; apply ostomy appliances.
Collect, label, record, and deliver specimens and cultures to the laboratory; 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; remove oxygen tubing or humidifiers after discontinuation.
Perform post-mortem care; apply and remove splints, anti-embolism stockings, sequential compression devices, and restraints.
Assist patients with dressing, equipment, support clothing, orthotic or prosthetic devices, and 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, clean and dirty utility rooms, work areas, and equipment, including glucometers, refrigerators, and sterile services carts.
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.
Demonstrate sound judgment and respond appropriately to the unique needs of the patient age groups served.
Work effectively with patients, visitors, care partners, physicians, coworkers, other departments, and the public; remain tactful in stressful situations, de-escalate behavior, and help maintain a calm atmosphere.
Perform other related duties as assigned and use improvements or technologies relevant to the job.