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Required Skills

1. Performs and documents nursing care measures to meet the physical needs of patients as directed by the registered nurse. Illustrative tasks and expectations include, but are not limited to, the following:

•  Provides hygiene and comfort measures, assuring privacy and preventing undue exposure.
  • Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
  • Assures that linens are dry, wrinkle free and that patient is comfortable.
  • Provides handwashing opportunity before and after meals, toileting, etc.
•  Activity:
  • Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.
•  Nutrition:
  • Serves and collects food trays and nourishments. Records percentage of diet intake.
  • Feeds or assists patients as necessary. Records intake. Reports deviations from normal.
  • Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.
•  Elimination:
  • Provides bed pan/urinal. Performs perineal care.
  • Performs bladder catheter care and discontinues bladder catheter as directed.
  • Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.
  • Records output. Reports deviations from normal.
•  Other related needs:
  • Assists with post-mortem care.
  • Assists with admission, transfer and discharge of patients.
  • Promptly responds to patient call light or requests (usually in less than ten minutes).

2. Performs and documents monitoring procedures; observes and reports the patient response. Illustrative tasks and expectations include, but are not limited to, the following:

•  Obtains vital signs (B/P and TPR).
• Obtains weight in kg (standing, chair or bed scale) and reports deviation from previous weight.
• Empties drainage collection devices.
• Performs blood glucose monitoring.
• Observes and reports unusual conditions and/or change in patient behavior or appearance.

 3. Performs therapeutic measures/procedure, observes and reports changes, deviations from normal. Illustrative tasks and expectations include, but are not limited to, the following:

•  Application of heat; i.e., K-pad.
• Application of cold; i.e., ice bags, sponge baths.
• Therapeutic baths, i.e., Sitz, Aveeno.
• Obtains routine non-sterile specimens.
• Assists with patient preparation for surgical, therapeutic and/or diagnostic procedures.
• Oxygen therapy (sets up/maintains/discontinues) as directed.
• Applies nonsterile dressing as directed.
• Discontinues peripheral IV as directed.
• Performs oral pharyngeal suctioning.
• Preps skin and applies telemetry patches.
• Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

4. Maintains safety and security of patient/family/self/others, observing safety precautions and promoting a sense of security and well being. Illustrative tasks and expectations include but are not limited to the following:

• Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).
• Follows standard precautions. Always washes hands between patients.
• Reports equipment malfunctions.
• Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.
• Uses proper body mechanics in moving, transferring and transporting patients.
• Positions side rails appropriate to the patient’s condition.
• Applies and maintains restraining devices as directed.
• Interacts with patients/visitors/others in a courteous and respectful manner.
• Fully explains procedures to patients/families prior to performing.
• Assures patient privacy/rights/confidentiality.
• Recognizes and reports patient concerns; offers constructive solutions.

5. Promotes efficient and effective functioning of the unit/hospital. Illustrative tasks and expectations include but are not limited to, the following:

• Skilled in computer messaging, obtaining results.
• Completes assigned aspects of unit inventory management.
• Complies with established policies, procedures, standards and guidelines.
• Uses designated lines of communication and authority.
• Supports efforts to reduce costs.
• Consistently utilizes time and resources effectively and efficiently.
• Maintains cleanliness of unit, service area and equipment.
• Cooperates with all members of the healthcare team.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Adheres to MHS Behavioral Standards.
• Handles floor stock medications or medications delivered from Pharmacy directly or through the pneumatic tube system. Relocate these medications, in original containers, to designated secure storage locations or deliver directly to appropriate licensed staff.

6. Performs additional unit specific tasks/care elements for which they have received specific instruction and demonstrated competence.

7. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Manages equipment and equipment preventative maintenance schedule. Performs cleaning, inspection and protective measures after equipment use to ensure proper operation.  Promptly identifies defects and malfunctions, coordinates plan for repair with GE, Biomedical Engineering, Purchasing, and external vendors.  Appropriately labels and reports equipment removed from service for repair and arranges for loaned items as directed. Inspects items returned from repair prior to replacing into service.

1. Consults with Charge Nurse and Resource Nurses to facilitate daily plan for case progression.

1. Collaborates with nursing and sterile processing personnel to actively contribute to non-clinical case start and turnover activities, including validation that all supplies and equipment planned for specific surgical cases are available and prepared for use, cleaning activities to reestablish a safe environment after each surgery procedure, transport of equipment and positioning devices to the operating room and opening of sterile packaging in a manner that permits aseptic delivery of contents to the sterile field.

1. Demonstrates competence in the use of flash/container sterilization and implements instrument sterilization as directed by nursing staff.

1. Examines the surgical environment for conditions that pose a safety risk and takes action to minimize risk.
2. Demonstrates knowledge of surgery equipment operation, providing a resource for nursing staff and physicians.

1. Verbally and nonverbally demonstrates a willingness to support organizational change and assists with the development of a plan to accomplish change. Functions to support a culture of teamwork and safety. 

1. Demonstrates knowledge of surgical attire, aseptic technique, event-related sterility, monitoring of environmental conditions, traffic patterns and other practices influencing maintenance of a sterile field.

1. Demonstrates compliance with safety principles. Recognizes and reports unsafe conditions and contributes to their resolution.  Demonstrates knowledge of fire safety and evacuation routes.

1. Monitor temperature logs on refrigerators, bone freezers and blanket /solution warmers in Surgery.

1. Demonstrates the ability to transfer patients.

1. Provides for patient safety, comfort, and privacy.

• Assists in the transportation of patients to the department and from the department if needed.
• Identifies patient properly by armband and verbal confirmation.
• Identifies self to patient and/or family. Is polite and informs family of location of appropriate waiting area when applicable.
• Uses good body mechanics to transfer the patient safely, maintaining body alignment with undue exposure, and seeks help if necessary.
• Raises the side rails.
• Reports significant observations of patient to appropriate personnel.
• Provides safe transportation of patients from pre-anesthesia holding area to OR. May assist in transfer to PACU post-operatively.
• Checks on patient comfort and provides reassurance to patient within level of responsibility. (Checks with patient regarding need for bedpans, urinals, blankets, etc., before leaving them in holding area.)
• Assist PACU in transfer of patients from one bed or stretcher to another and in post-op transportation of patients to their units as needed.
• Uses good handwashing techniques after each patient contact.
• Recognizes cardiac/respiratory arrest and takes appropriate action.
• Keeps patient information confidential.

1. Contributes to the smooth, efficient functioning of the department.

• Delivers and picks up supplies, specimens, etc., to and from proper departments. Delivers to appropriate OR suites and Lab as needed.
• Puts away unused supplies, equipment, films, etc. after cases.
• Answers STAT requests for equipment and supplies.
• Provides assistance with preps by acting as a limb holder.
• Assists in the orientation of new employees as necessary.
• Understands hospital disaster plans.
• Assumes other responsibilities as assigned.
• Willingly assists co-workers, as needed.
• Understands and follows hospital and departmental policies, procedures, and behavioral expectations.
• Attends 65 percent or a minimum of 6 unit staff meetings per year, whichever number is greater. Seeks excused absences from O.R. Support Supervisor when needed.
• Attends mandatory inservices.

1. Stock /order supplies in lounges and in sub-sterile areas daily.

1. Performs other related work as required or requested.

Required Skills

1. Provide support to persons with developmental disabilities, their natural family, guardian or foster family in order to maintain the individual in the least restrictive alternative in a crisis or routine situation.

1. Promote a living situation which is supportive and strengthening with the goal of helping residents by training/instructing recipients according to Individual Service Plans initiated for/by clients and/or their guardians to move to higher levels of personal responsibility. (Budgeting, maintenance of residence, meal planning and preparation, and daily living skills.)

1. Attend client staffing and related agency meetings as requested by supervisor.

1. Provide emergency services when warranted.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Participate in developing intramural and extramural activities with emphasis on community orientation (recreational and socialization resources and opportunities).

1. Assist in relating information regarding the facility’s expectations of its clients to other community resources.

1. Provide clients with orientation, including expectations and procedures within the facility.

1. May assist in planning and preparation of staff meetings with sponsoring agencies, and in developing individualized program goals. Complete all required progress and evaluation forms and attend staff meetings as assigned.

1. Supervisor client programs as determined in the IHP, making further client assessments based on progress achieved.

1. Transport clients as needed and requested.

1. Complete required administrative forms (time off slips, timesheet, expense vouchers).

1. Provide assessment of clients’ needs required for developing and coordinating a written individual treatment plan.

1. Oversee recordkeeping for client financial management.

1. Support importance of clients taking their medications.

1. Take all necessary steps to ensure that sanitary practices are followed in purchasing, storing, preparation, and serving of meals and maintenance of food service area.

1. Adhere to MBH/MHS Behavioral Standards

1. Complete all mandatory education requirements by specified deadlines.

1. Perform other duties as required by agency needs.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Provide support, leadership, and guidance for staff working in their department on their designated shift.

1. Work with the manager of PAS to ensure proper staffing of the area. Assist in coordinating staffing for open shifts as directed.

1. Work with staff in PAS in order to coordinate timely patient flow and services.

1. Develop a strong technical knowledge of all clerical aspects of PAS in order to help facilitate any problems or opportunities for improvement within the department.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Coordinate implementation of quality improvement initiatives in the department in order to better serve the patients and the volumes fluctuations throughout the day.

1. Monitor the patient volumes and flow throughout the day – adjust staffing as needed without the direction of the manager.

1. Contribute to the positive customer relations and work to address any issues that arise when patients are present in order to maintain the positive experience.

1. Responsible for providing training and education to those new hires on the various areas/aspects of the department and help orientate them to the area after they have been through the training for PAS.

1. Maintain current knowledge of department policies, procedures, goals and employee progress.

1. Coordinate educational needs within the department.

1. Take part in ongoing leadership development opportunities to further develop skills to assist with the department needs.

1. Work closely with Supervisors/Coordinators/Managers ensuring Great Patient Experience.

1. Recognize the need for communication with other department managers, supervisors, etc. and PAS management as needed for patient flow, expectations, and exceeding customer needs.

1. Assists in the performance appraisal process of PAS staff by providing input to Manager on individual performance.

1. Assist with completing payroll tasks when manager is not available.

1. May participate in an on-call rotation.

1. Perform all tasks associated with the PAS department. This includes scheduling, pre-registering, and registering patients of ALMH, performing financial collections for all patients, verifying insurance, interviewing incoming patients/entering information into all appropriate software, and completing patient placement duties.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Sets up and cleans as appropriate in daily assigned position.
• Accurately follows patient meal guides and sets up trays.
• Passes trays in an accurate and friendly manner according to procedure.
• Follows sanitation procedures (bleach, water, gloves, labeling).
• Follows scraping, loading/unloading, storage and dating procedures as required.
• Prepares and labels patient nourishments accurately.
• Takes dish machine temperatures regularly.
• Accurately stores clean dishes and pans.
• Restocks cafeteria accurately and in a timely manner.
• Performs other related work as required or requested.

Required Skills

Test

Required Skills

1. Maintains the safety and security of the patient.

•  Provides continuous observation and documentation for patients at risk for self-harm, elopement, or injury, as delegated by the RN. Under no circumstances is the patient to be left unattended.
•  Instructs patient to remain in bed or chair at all times until assistance arrives, as delegated by the RN.
• Calls out for assistance and/or utilizes call light for assistance in de-escalating patient and addressing at-risk behaviors.
• Observes and reports unusual conditions and/or change in patient behavior or appearance to the nurse.

2. Enforces adherence to infection prevention precautions for patients, colleagues, and visitors.

• Follows hospital policies to prevent the transmission of infections.
•  Sets up patient room with appropriate signage and PPE supplies.
•  Observes donning and doffing of PPE for all personnel entering and exiting the patient room.
• Maintain record of all colleagues entering and exiting the patient room.
• Assures equipment is cleaned and maintained per policy between patient encounters.
• Assists with coordinating movement of a COVID-19 positive or presumptive positive patient.

3. Promotes efficient and effective functioning of the unit/hospital.

• Complies with established policies, procedures, standards and guidelines.
•  Meets punctuality and attendance expectations.
• Uses designated lines of communication and authority.
• Cooperates with all members of the healthcare team.
• Interacts with patient/visitors and others in a courteous and respectful manner.

4. Performs other related work as required or requested.

Required Skills

Routine Duties:

• Responsible for checking, cleaning and stocking rooms with supplies and linens in preparation for daily work schedule.

• Responsible for performing equipment checks as directed, reporting all instances of malfunctioning to Biomed Department per MHS reporting policy.

• Responsible for maintaining a clean, organized and therapeutic environment.

• Responsible for utilizing supplies in a cost effective manner.

• Practices positive “Guest Relations” skills with public, with physicians, with other staff and other Medical Center personnel.

• Responsible for documentation of appropriate tasks.

• Responsible for following GPE initiatives directed by MPS/EC.

• Attends at all mandatory in-services.

• Completes all required unit specific training programs.

Patient Care Services:

• Provides care to patients under the direction of a Registered Professional Nurse and/or Licensed Physician according to Memorial Health System policies, procedures and standards of care.

• Maintains a level of clinical knowledge and skill commensurate with the level of patient care provided in accordance with the Department standards.

• Assist in the admission of patients, (i.e. placing patients in room, preparation of patient for examination, obtaining initial and/or repeat vital signs, communicates any unusual circumstances to the Registered Professional Nurse and/or Licensed Physician).

• Assists in the preparation and/or examination of the patient, (i.e. patient positioning, equipment, collection of specimens, surgical scrubs) while maintaining the privacy of the patients.

• Assists in executing Physician orders.

• Communicates with patient, family and/or significant other concerning procedures to be performed, anticipated waiting time and/or obtains information if unknown.

• Maintains an operating knowledge for providing appropriate assistance with various procedures (i.e. Splinting, Bandaging, Heat and Cold Applications, Cast Application and/or removal, oxygen application and maintenance, electrode placement and use of monitoring equipment, application of oral suctioning, preparation for suture application, cannot do any wound closure such as derma bond, steri-strips or sutures, can only apply steri-strips to wounds that are already closed and edges of the wound have been approximated, glucose monitoring and EKG application and testing.

• Transport patients in an appropriate manner with appropriate records.

• Maintains appropriate documentation skills.

• Performs clerical functions

• Provides preceptor functions as directed by Clinical Manager.

• Maintains familiarization with location and operation of equipment and procedure manuals for Department.

• Practices appropriately for the safety of patients, (i.e., uses side rails appropriately, disposes of infectious waste appropriately, addresses spill appropriately and initiates incident reports as appropriate).

• Demonstrates professionalism (i.e., attends or reviews 75% of staff meetings minutes, documenting review with signature and date; actively pursues opportunity to increase knowledge within area of responsibility; maintain patient confidentiality; complies with professional appearance policy; presents at work on time and maintains satisfactory attendance in accordance with department Ill/Absent policy).

• Participates in collecting data for Quality Improvement activities, assists in identifying patient care problems for study and applies Quality Improvement findings to patient care.

• Performs EC Triage on Patients according to policy.

Performs other related work as required or requested.