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Required Skills

Interacts with a variety of hospital personnel, doctors’ offices, patients, and visitors in a manner that enhances delivery of patient care and promotes positive relationships:

• Cooperates with personnel from other departments in a friendly, effective manner.
• Welcomes and directs visitors courteously.
• Answers telephone promptly and identifies unit, self, and job title.
• Uses paging system for physicians, anesthesiologists, and other personnel.
• Uses intradepartmental intercom system.
• Locates surgical personnel upon request.
• Places telephone calls upon request.
• Distributes mail to employee mail boxes.
• Behaves in accordance with hospital guest-relations programs, goals, and MMC Statement of Values.

Processes and communicates information accurately and clearly according to established procedure:

• Discriminates and sets priorities for received information.
• Receives and delivers telephone messages for doctors and residents.
• Receive Anesthesia calls regarding central lines, etc., and route appropriately to CRNA or physicians.
• Delivers emergency and or patient-related telephone messages to personnel.
• Provides appropriate verbal or written information to other departments as necessary.
• Refers requests from news media to Public Relations department.
• Operates pneumatic-tube system correctly.
• Operates hospital computer terminals correctly.
• Operates multi-line phone and several phones efficiently and effectively.
• Operates and maintains normal office machines with care and efficiency.

Performs non-clinical nursing tasks according to policy and established procedure:

• Sends for patients.
• Assembles and imprints OR records with addressograph for patient’s chart.
• Assigns surgical assistants and volunteers to run errands per request.
• Processes patient transfers or admits to the appropriate unit.
• Runs daily schedules for the OR staff and other pertinent hospital departments.
• Runs scheduling reports for physicians and OR staff.
• Calls for x-rays for added cases.
• Runs patient-billing report from Cerner system.
• Provides admitting with patient count based on the OR record of operation.
• Watches patients at front desk while waiting for units to pick up.
• Runs errands, picks up x-rays, and delivers specimens on weekends.

Maintains unit record according to established procedure:

• Completes patient charges for OR and Anesthesia patients during the day of surgery.
• Checks and balances OR record of operation with patient-charge sheet.
• Checks and balances OR and Anesthesia records.
• Completes patient records on Cerner system for ELL and CVOR from previous day by 10 a.m. daily.
• Completes pre-anesthesia evaluation sheets for next-day patients.

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.

Requisition services and maintains supplies and equipment for unit according to need and cost-containment objectives:

• Informs medical secretary of needed office supplies in respect to established standard quantities.
• Places supplies in proper location.
• Maintains adequate supplies of required OR forms.
• Completes dietary requisition for surgeons’ lounge monthly.

Assists in promoting efficient functioning of the unit in the interest of patient care.

• Complies with hospital and departmental policies, procedures, and behavioral expectations.
• Follows designated lines of communication and authority in department.
• Assists co-workers when time allows.
• Keeps orderly work area.
• Assists in on-the-job instruction to new secretary trainees.
• Rotates shifts for weekend and complete coverage.
• Notifies appropriate OR, AM Admit, Anesthesia, Holding, and Recovery Room staff of all added and canceled cases.
• Attends 65 percent or a minimum of 6 unit-staff meetings per year, whichever number is greater. Seeks excused absence from supervisor when needed.  Reviews and signs minutes.
• Attends mandatory inservices.
• Meets punctuality and attendance expectations.
• Consistently utilizes time and resources effectively and efficiently.
• Cooperates with all members of the health care team.
• Maintains personal cleanliness and appearance.
• Enthusiastically supports and participates in planned changes.
• Accepts responsibility for accurate and timely completion of tasks as assigned.
• Discourages gossip with and about others; does not repeat rumors.

Performs secretarial duties and OR scheduling duties according to established procedure and specific instructions of supervisor.

• Schedules cases accurately with pertinent information noted.
• Notifies specialty-resource nurses regarding special equipment and instrument requests.
• Checks scheduling computer for conflicts in scheduling.
• Refers physician’s office complaints to appropriate nursing personnel.
• Confirms scheduling of tentative cases.
• Schedules other departmental services needed (i.e., C-arm from X-ray).
• Notifies Anesthesia department concerning scheduled patients.
• Accurately prepares computerized OR schedule for next day’s surgery.
• Prints preference lists and pick tickets two days ahead of surgery schedule.
• Notifies Sterile Processing of all added cases and the correct charge ticket/pick list number.
• Runs reports to support system accuracy and department.
• Sets up and releases blocks appropriately.

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

I. 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:

A. Provides hygiene and comfort measures, assuring privacy and preventing undue exposure:

1. Provides or assists patient with bathing, oral hygiene, hair care, nail care, shaving, etc.
2. Assures that linens are dry, wrinkle free and that patient is comfortable.
3. Provides handwashing opportunity before and after meals, toileting, etc.

B. Activity:

1. Assists with patient’s activities including ambulation, chair, dangling and repositioning; uses proper body mechanics, positioning techniques, and assistive devices.

C. Nutrition:

1. Serves and collects food trays and nourishments.

1. Records percentage of diet intake.

1. Feeds or assists patients as necessary. Records intake.

1. Reports deviations from normal.

1. Clears IV and Tube Feeding Pumps at end of each shift and documents appropriately.

D. Elimination:

1. Provides bed pan.

1. Performs perineal care.

1. Performs bladder catheter care and discontinues bladder catheter as directed.

1. Performs ostomy care (ileostomy, colostomy, urostomy) including application of appropriate appliances.

1. Records output. Reports deviations from normal.

E. Other related needs:

1. Assists with post-mortem care.

1. Assists with admission, transfer and discharge of patients.

1. Promptly responds to patient call light or requests (usually in less than ten minutes).

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

A. Obtains vital signs (B/P and TPR).

B. Obtains weight in kg (standing, chair, or bed scale) and reports deviation from previous weight.

C. Empties drainage collection devices.

D. Performs blood glucose monitoring.

E. Observes and reports unusual conditions and/or change in patient behavior or appearance.

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

A. Application of heat; i.e., K-pad.

B. Application of cold; i.e., ice bags, sponge baths.

C. Therapeutic baths; i.e. Sitz, Aveeno.

D. Obtains routine non-sterile specimens.

E. Assists with patient preparation for surgical, therapeutic, and/or diagnostic procedures.

F. Oxygen therapy (sets up/maintains/discontinues) as directed.

G. Applies nonsterile dressing as directed.

H. Discontinues peripheral IV as directed.

I. Performs oral pharyngeal suctioning.

J. Preps skin and applies telemetry patches.

K. Records all interventions; observes and reports the patient response, changes, and/or deviations from normal parameters.

IV.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:

A. Conducts purposeful hourly rounding as a team member, inquiring of the four P’s (Pain, Potty, Possessions and Positioning).

B. Follows standard precautions. Always washes hands between patients.

C. Reports equipment malfunctions.

D. Assists in keeping patient rooms/corridors free of clutter. Cleans fluid spills.

E . Uses proper body mechanics in moving, transferring and transporting patients.

F. Positions side rails appropriate to the patient’s condition.

G. Applies and maintains restraining devices as directed.

H. Interacts with patients/visitors/others in a courteous and respectful manner.

I. Fully explains procedures to patients/families prior to performing.

J. Assures patient privacy/rights/confidentiality.

K. Recognizes and reports patient concerns; offers constructive solutions.

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

A. Skilled in computer messaging, obtaining results.

B. Completes assigned aspects of unit inventory management.

C. Complies with established policies, procedures, standards and guidelines.

D. Uses designated lines of communication and authority.

E. Supports efforts to reduce cost.

F. Consistently utilizes time and resources effectively and efficiently.

G. Maintains cleanliness of unit, service area and equipment.

H. Cooperates with all members of the healthcare team.

I. Enthusiastically supports and participates in planned changes.

J. Accepts responsibility for accurate and timely completion of tasks as assigned.

K. Adheres to MHS Behavioral Standards.

L. 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.

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

Principle responsibilities for Scrub Tech role

1. Performs duties in capacity of “scrub” technologist as prescribed by hospital policies and procedures.

A. Sets room for a routine, uncomplicated procedure with supplies and equipment in 5-15 minutes.

B. Sets room for complicated or multi-procedure case requiring many special supplies in 30 minutes.

C. Assists circulator in checking equipment.

D. Assist circulator in obtaining supplies prior to bringing patient to room.

E. Has basic knowledge of instrumentation and its appropriate use.

F. Checks instrumentation regarding cleanliness, function, correct number of pieces, and completeness of tray.

G. Allows adequate time for preparation of supplies and counting (i.e., routine case 15 minutes, complicated case 30-40 minutes).

H. Has basic knowledge of surgical procedures.

I. Organizes and maintains a neat, clean mayo, instrument, and back tables.

J. Attempts reasonable anticipation of sequence of instrumentation.

K. Properly identifies medication.

L. 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.

M. Keeps track of sponges, needles, and instruments during procedure at all times.

N. Relays accurate identification of specimens and cultures.

O. Organizes and assists in end-of-case clean up.

P. Separates sharp and delicate instruments during clean up.

Q. Assists in pulling cases.

II. Assists in maintenance of safe environment for patients and staff.

A. Has knowledge and applies principles of good aseptic practice (i.e., appropriate scrub length, OR attire, proper gowning, gloving, and draping methods).

B.Checks sterile supplies for proper packaging and dating.

C. Actively assists in recognizing and reporting breaks in sterile technique.

D. Requests assistance of Sterile Processing personnel in preparation of instruments for immediate reuse.

E. Follows protocol for universal blood and body fluid precautions at all times.

F. Prevents loss of instruments by thorough search of drapes before they are discarded.

III, Assists in the orderly function of the OR.

A. Demonstrates flexibility in a team effort (i.e., takes required supplies from circulator when offered).

B. Checks room for and put away excess supplies and equipment.

C. Takes initiative and seeks appropriate opportunities to update and maintain surgical skills (i.e., requests certain cases and attends inservices).

D. Assists in checking to-follow cases for completeness and accuracy.

E. Assists in orientation of new personnel.

F. Actively participates in checking and maintaining assignment by participating as a permanent team member.

G. Participates in updating surgeon’s preference list.

H. Reports to assigned room on time.

I. Understands and follows disaster plan.

J. Follows hospital/unit policies, procedures, and behavioral expectations.

K.. Uses designated lines of communication and authority.

L. Willingly assists co-workers to facilitate patient care.

IV. Initiates appropriate intraoperative behaviors unique to first assistant, if trained to do so.

A. Provides hemostasis to reduce potential for post-operative infection and potential for fluid volume deficit by clamping and/or ligating vessels, using electrosurgical cautery, applying direct pressure, applying chemical agents that promote coagulation, and other means as directed by surgeon.

B. Provides exposure of the operative site through the appropriate use of retractors and other instruments and through suctioning and sponging.

C. Uses surgical instrumentation skillfully in ways consistent with their design and purpose as directed by the surgeon.

D. Handles all variety of tissue appropriately to reduce potential for injury or compromised blood supply.

V. 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. 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.

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.

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.

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.

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.