Surgical Tech – Endoscopy and Surgery MAIN FUNCTION: Scrubs and assists the RN and other health care team members during surgical and endoscopic procedures. Assists in the care, preparation and maintenance of sterile and non-sterile equipment and supplies. MUST HAVE REQUIREMENTS: • Current certification/licensure from an accredited program or obtain within one year of hire. • Maintain a current AHA (American Heart Association) Healthcare Provider BLS card Must be able to respond to the hospital within 30 MINUTES or be willing to stay on site while on call. RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses Operations Verifies correct sponge, tape, needle, and instrument according to procedure. Assists the RN in receiving the patient in operating room or procedure room, checks patient identity and chart to assure all necessary information has been completed. Assists RN in assessing patient's physical and emotional needs according to the patient's age and development. Assembles necessary supplies and equipment andascertainsall are in working order. Assistsin properly positioning patient on operating table and preparing the operative site. Using sterile technique, properly dons sterile gown and gloves, and technique sets up table with instruments and supplies according to procedure. Gowns and gloves members of the surgical team according to procedure. Assiststhe surgeon and/or assistant during the operative procedure,anticipatingthe needs of the surgeon. Cleans and checks scopes and instruments according to procedures. Assistphysician with Endoscopy procedures and Surgical cases. Recognizes safety hazards andinitiatesappropriate correctiveaction. Applies knowledge of anatomy, physiology, and ability to translate it into patient care. 4 -10 hours shifts, 0630-1700, Monday to Friday with evening and weekend call 40 hours a week with additional call time
RN Case Manager (32-40hrs/week) MAIN FUNCTION: Supports the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. RESPONSIBLE TO : Manager, Care Management MUST HAVE REQUIREMENTS : Active unrestricted Ohio RN license Bachelor's Degree Acute care nursing and/or case management experience COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. PREFERRED ATTRIBUTES: Critical care experience Knowledge of discharge processes and resource utilization. Case management experience in an acute care setting Certification in Case Management through ACMA 5-years of experience in an acute care setting Prior case management experience strongly preferred POSITION EXPECTATIONS: Performs all aspects of Case Management, including care coordination, discharge planning and resource management. Determines appropriate level of care based on the intensity of effort required to diagnose, treat, preserve or maintain the patient’s physical or emotional state. Verifies that all inappropriate admissions, unnecessary continued days, and procedures not meeting approved indications are reviewed and discussed with the attending physician. Identifies delays in care or services and reports the findings to the appropriate department manager or attending physician. Interviews patients, patient representatives, and/or patients’ family/friends when appropriate; meets their psychosocial needs within the scope of authority and established procedures and protocols. Collaborates with patient/patient representative, patient caregiver, social worker, and multidisciplinary team to determine discharge plan for patients. Participates in multidisciplinary rounds working with the team to organize, secure, integrate and modify the resources necessary to ensure the patient is getting the right treatment in the right place at the right time. Participates in daily huddles to review LOS concerns, contributing knowledgeable to the discussion and enacting follow up recommendations Communicates with medical staff, hospital personnel, and post-acute providers to provide continuum of care to all patients. Initiates the discharge plan for patients of all ages and coordinates and arranges services needed by the patient post-discharge in collaboration with the discharge planning assistant. Regularly evaluates the need for continued hospitalization and for necessary changes in the discharge plan with subsequent documentation of such. Makes recommendations for changes in the department’s policies, procedures and protocols. Anticipates and reports potential problems to appropriate personnel. Monitors appropriateness of admissions and continued stay to specialty areas (Telemetry, ICU). Ensures completion of daily work assignments by prioritizing and reassigning duties. Monday through Friday with a weekend rotation requirement 0800-1630, 32-40 hrs/week
WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Medic, Emergency Department MAIN FUNCTION: Assists nurses in meeting patient needs as directed by RN or physician. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO : Department Manager, Charge Nurses, RN, LPN MUST HAVE REQUIREMENTS: Current Ohio Department of Public Safety Paramedic certification Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. ACLS and PALS within 1 year of hire, and maintain while in position PREFERRED ATTRIBUTES: Personal computer experience and keyboarding skills OTHER REQUIREMENTS: Employees in this position may be: Exposed to blood, body fluids and/or airborne pathogens and are required to wear barriers Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Required to take "on call" status Reassigned to a nursing unit to assist with tasks within current job description Subject to STHR according to policy POSITION EXPECTATIONS : All expectations detailed below are considered ADA (American Disabilities Act) Essential. Leadership Embraces teamwork by adhering to Nursing Practice Model Accepts and responds to change productively, while maintaining a positive attitude Demonstrates appropriate work place behavior and competence in job duties Demonstrates basic conflict resolution skills ______________________________________________________________________________ Communication Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families Maintains patient confidentiality in all communication interactions: written, verbal, electronic and digital Collaborates and communicates effectively with all members of the health care team Demonstrates basic ability to initiate and manage crucial conversations Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication Demonstrates acceptance of supervisory authority, guidance and instruction. Follows appropriate chain of command. Participates in huddles/team collaboration Reports patient observations and specific problems appropriately Interact with clinical students in a positive, productive manner Operations Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in an independent and timely manner. Effectively utilizes time management and organizational skills. Safely transports patients via wheelchair, beds, carts throughout facility Round on patients to identify patient needs and safety issues Maintain fall prevention strategies Uses appropriate personal protective equipment Under the direction of licensed Nursing Staff and/or physician: Provide appropriate hygiene care for patients Provide comfort measures Follow infection control guidelines and safety precautions Performs nasopharyngeal / oropharyngeal airway management Performs intraosseaous insertion Performs venipuncture and initiates saline lock or plain IV fluid infusion Performs phlebotomy, accurately labels lab specimens Collects and transports specimen(s) Performs surgical / procedural preps Performs eye irrigation with or without Morgan lens Transports stable patients (as identified per hospital policy) who require cardiac monitoring Assist Triage nurse with the following: Complete pre-registration of patients Performs vital signs Completes and documents rapid triage assessment Follows American Heart Association ACLS guidelines under the direction of a physician: Performs the function of Defibrillation, Synchronized cardioversion, and Transcutaneous pacing Performs appropriate airway management Administers the following medications via intravenous or intraosseous push method in an emergency (code) situation under the direct supervision of an RN: Amiodarone Atropine Calcium Chloride Dextrose Epinephrine Lidocaine Narcan Sodium Bicarbonate Accurate documentation of care provided in a timely manner Demonstrates reasonable and rational judgment in decision making Assists with flow of unit: Answers the EMS line, obtains and documents, squad report and appropriately communicates the report to the Charge RN and ED Physician Obtains & returns supplies and equipment as directed Operates and cleans equipment (ex. carts, IV pumps, wheelchairs) safely and appropriately. Initiates work orders/ reports to appropriate person Cleans and maintains nursing station, report and break rooms, kitchen areas and others as assigned Fulfills secretarial tasks such as: entering orders, arranging transfers, loggings patients, organizing charts, answering phones Other duties as assigned by management team Customer Service Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems. Use AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) to: Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s compliance Develop positive relationships with other departments to foster patient satisfaction Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution Staff Development / Personal Growth In conjunction with the Department Manager, Clinical Specialist and / or Educator: Function as a preceptor, seeking learning opportunities for orientee and or students. Interact with Department Manager, Clinical Educator/Instructor, to evaluate orientee or student’s progress towards goals, identifying additional needs. Demonstrate professional growth by participating in committees/unit projects Demonstrates initiative and responsibility to develop personal, leadership and career goals Accept feedback as opportunity for growth Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers. Performance Improvement Identify processes to be improved and communicate to management team. Assists in data collection as directed. Participates on at least one team, project and/or committee: unit, departmental or hospital based Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures Develop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided AGE SPECIFIC COMPETENCY Dependent upon department and the population served: Neonatal (Birth thru 28 days) Handles infants in gentle manner Speaks in soothing voice Holds and cuddles infant when necessary Facilitates parental interaction and care of infant Infant (29 days thru 12 months) Approaches infant in slow, non-threatening way Speaks in soothing way Holds and cuddles infant as much as possible Encourages parental interaction with infant Allows for familiar toys/blankets to be brought from home Pediatrics (one year thru 11 years) Allows choices when possible Speaks directly using few, clear, simple terms and explanations Limits number of strangers entering room Provides consistent nursing assignments Does not shame parents for lack of cooperation Holds child for painful procedures Adolescents (12 years thru 18 years) Allows participation in care and choices as appropriate Provides for patient's modesty Tells patient exactly what will be expected Allows patient control Speaks directly to patient in simple medical terms Geriatrics (65 years and older) Identifies physical/social/emotional barriers and physical limitations at discharge Teaches patient about one item at a time Repeats instructions several times Speaks slowly and distinctly when talking to the patient Rev 10.16.13 11/20/2012 36 hours per week/night shift/7p-7a 36 hours per week/night shift/7p-7a
WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Charge Nurse/Clinical Coordinator MAIN FUNCTION: Assists the department manager (and assistant manager if applicable) in the shift management of the department. The Charge Nurse/Clinical Coordinator is a role model for professional behavior, clinical skills and customer service and hold staff accountable for the same. Coordinates and directs activities during the shift to meet nursing care requirements and assure effective communication during the shift and with the prior and following shifts. Manages shift resources to achieve optimal clinical and financial effectiveness. Maintains visibility and communication to staff, other departments, patients, visitors and physicians. Functions as a resource to all nursing staff members and physicians. Direct patient care is required within the Charge Nurse’s scope of practice. Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO : Department Manager, and Assistant Manager as applicable MUST HAVE REQUIREMENTS: Licensed in Ohio A BSN is required for any nurse promoted to a charge nurse / clinical coordinator position. Nurses without a BSN who are currently in the role are required to enroll in a BSN program within two years. Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. 2 years relevant hospital experience Demonstrates leadership skills / abilities Strong teaching and mentoring skills Demonstrates strong customer service skills Demonstrates strong written and verbal communication skills Demonstrates support of unit and hospital leadership Accepts change with a positive helpful attitude Demonstrates initiative and problem solving skills Demonstrates professional nursing practice and behaviors PREFERRED ATTRIBUTES: BSN Clinical certification OTHER REQUIREMENTS: Employees in this position may be exposed to blood, body fluids and/or airborne pathogens and are required to wear barriers Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Certifications as appropriate and required by the Department such as ACLS, NRP, PALS must be obtained within 1 year and maintained while in this position Meets all expectations, behaviors and clinical practice implementation expectations both departmental and unit specific as outlined in the Staff Nurse job description POSITION EXPECTATIONS : All expectations detailed below are considered ADA Essential. Leadership Functions in a professional and thoughtful manner, demonstrating: Decision-making and priority setting skills Time management and effective use of resources Appropriate delegation skills Conflict resolution skills Adherence to Charge RN unit responsibility list Professional communication that fosters a calm and orderly environment Demonstrate ability to lead/direct a team of caregivers in providing care for a group of patients Facilitates teamwork by adhering to Nursing Practice Model Demonstrates support of employee involvement through reward and recognition activities, both formal and informal, on a hospital wide and unit level (e-mails, gain sharing, etc.). Seeks out innovative ways to recognize and encourage staff. Accepts and responds to change productively, while maintaining a positive attitude Role models professional nursing practice and behavior Demonstrates basic ability to have and manage a crucial conversation Demonstrates clinical expertise in daily patient care and role modeling for staff Responds positively to change, promotes enthusiasm for change Effectively monitors the implementation of the nursing process for patients on assigned unit, including appropriate delegation Communication As directed by the Manager / Assistant Manager Communicates changes in practice, policies, procedures, expectations, performance improvement Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, customers, physicians, patients and families Maintains patient confidentiality in all communication interactions: written, verbal, electronic and digital Collaborates and communicates effectively with physicians and all members of the health care team Reports critical information to physician and others as indicated Properly utilizes chain of command to handle issues Demonstrates ability to initiate and manage crucial conversations. Coaches staff in development of the ability to have crucial conversations. Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication Interacts with clinical students in positive, productive manner Facilitates communication between staff members and assures huddling and rounding are taking place Operations Monitors and adjusts unit staffing based on patient acuity and unit activity Develop and revise schedule as per departmental standards / practices Facilitates daily flow of the department when on duty including assignment planning, movement of staff, re-assessment of departmental needs, re-assignment of staff, facilitation of lunch / breaks. Evaluates and recommends the skill mix, quantity of personnel, equipment, and supplies necessary for unit function and operations Investigate incident reports and follow up with staff as directed Round on/makes clinical visits with patients: For the patient: evaluate care provided according to standards and evidence based practice, evaluate educational plan and its implementation, assess for gaps in care, evaluate additional / alternative care needs, patient & family satisfaction, assure safety & infection control standards are met. For the nurse: evaluate clinical competency, adherence to nursing practice standards of care and documentation of standards of care. Maintains appropriate clinical skills: Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner Initiates, evaluates and reviews plan of care Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources. h. Administers medication safely: Correctly demonstrates use of CPOE(Computer Physician Order Entry) Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis. Follows 6 rights of medication administration Demonstrates appropriate/safe medication handling/administration Reassesses and documents effectiveness of medication i. Assures team members huddle and round on patients to: Evaluate environment to assure safety & infection control standards met Evaluate care provided according to standards and evidence based practice Evaluate educational plan and its implementation, assessing for gaps in care Evaluate additional /alternative care needs, and patient/family satisfaction Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members j Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner. Demonstrate reasonable and rational judgment in decision making Other duties as assigned by management team Customer Service Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution Staff Development / Personal Growth In conjunction with the department manager, Clinical Specialist and / or Educator: Function as a preceptor, seeking learning opportunities for orientee/student. Interact with Department Manager, Clinical Educator/Instructor, to evaluate orientee/student progress toward goals, identifying additional needs. Demonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activities Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care. Assist with annual/ ongoing competency validation to assure proficiency in performing assigned tasks Assesses educational needs of staff and communicate identified needs to the manager Completes assigned performance evaluations within specific time limits Demonstrates initiative and responsibility to develop personal, leadership and professional goals / objectives and determines methods to meet these goals and objectives Accept feedback as opportunity for growth Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers. Performance Improvement In conjunction with the Unit Manager/Assistant Manager: Identify processes to be improved and communicate to management team. Assists in data collection/aggregation as directed. Facilitates changes in practice based upon PI data as determined by Nursing Leadership Communicate PI processes, data and changes to staff Participates on at least one team, project and/or committee: unit, departmental or hospital based Develop and maintain awareness of DVD, CMS (Centers for Medicare Services) and other required quality and safety measures Develop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided AGE SPECIFIC COMPETENCY Dependent upon department and the population served: Neonatal (Birth thru 28 days) Handles infants in gentle manner Speaks in soothing voice Holds and cuddles infant when necessary Facilitates parental interaction and care of infant Infant (29 days thru 12 months) Approaches infant in slow, non-threatening way Speaks in soothing way Holds and cuddles infant as much as possible Encourages parental interaction with infant Allows for familiar toys/blankets to be brought from home Pediatrics (one year thru 11 years) Allows choices when possible Speaks directly using few, clear, simple terms and explanations Limits number of strangers entering room Provides consistent nursing assignments Does not shame parents for lack of cooperation Holds child for painful procedures Adolescents (12 years thru 18 years) Allows participation in care and choices as appropriate Provides for patient's modesty Tells patient exactly what will be expected Allows patient control Speaks directly to patient in simple medical terms Geriatrics (65 years and older) Identifies physical/social/emotional barriers and physical limitations at discharge Teaches patient about one item at a time Repeats instructions several times Speaks slowly and distinctly when talking to the patient Unit Specific Requirements: Clinical Coordinator Home Health Services OTHER REQUIREMENTS: Certified Home Health Coder Knowledge of OASIS Standards Additional Position Expectations Develops, reviews, and/or revises the plan of care with the ordering physician based on assessed patient needs and regularly communicates with the physician regarding patient condition Reviews OASIS assessments and ensures OASIS and 485’s accuracy with Coding, clinical function and service Makes accurate decisions for provision of client care based on Medicare, Medicaid and other 3 rd party payer guidelines Coordinates, provides and monitors direct and indirect care Assures the timely third party payer authorization for continued services and communicates to other staff as appropriate Monitors all services provided to clients, reviews medical record documentation for accuracy and completeness Performs supervisory visits on all disciplines and ensures disciplines are compliant Initiates unit performance improvement activities including quarterly chart audits Attends and directs multidisciplinary team conferences as scheduled to coordinate and monitor patient episodes and plan of care Follows up on transferred patients Works with staff RN to act as a liaison with physician offices-writes verbal orders, monitors lab results, verifies applicable medications and faxes or calls results to physician (s), infusion companies, etc. Monitors scheduling of clinical staff visits according to patient need and department policy Is knowledgeable of and utilizes allied health resources and community agencies to provide continuity of care Provides input regarding employee performance evaluations to HHS Manger Evaluates each patient’s service needs as a total episode taking into consideration PPS reimbursement and cost based on acuity Reviews medication on therapy patients, ensures fall risk interventions are implemented Monitors incidents, completes and/or reviews incident reports and initiates appropriate action and follow-up Based on staff RN/PT needs, notifies physician and other health care providers of changes in patient’s condition, pertinent information and observations Assesses staff for educational needs and provides education programs and quarterly competencies Orients and assigns students for appropriate learning experiences Med Surg Additional Position Expectations Demonstrate knowledge and use of infant security system Sexual Assault Nurse Examiner (SANE) Coordinator OTHER REQUIREMENTS: SANE trained 2 years of SANE experience PREFERED REQUIREMENTS SANE–A certification IAFN Member Additional Position Expectations Reports to and collaborates with the Emergency Department Manager Participates in the hiring of SANE nurses Completes and coordinates the training of newly hired SANE nurses Completes the annual performance evaluation of all SANE nurses Responsible for monthly SANE on-call schedule Collaborates and assists the billing department in billing SANE cases Acts as a liaison between the Attorney General’s Office and WCH Gathers and reports the program’s statistics Tracks and reports to the ED manager when supplies are needed Coordinates SANE staff meetings Continuously monitors state protocols per the Attorney General’s Office to assure WCH compliance Monitor protocols of the International Association of Forensic Nurses (IAFN) to assure WCH compliance In collaboration with the ED manager updates WCH SANE standards of care Attends community agency events to educate citizens about the program 1/20/13 Revised 7/16/20 7a-7p 36hours
WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Nursing Student Technician MAIN FUNCTION: The Nursing Student Technician supports the patient care team by performing multifunctional activities such as direct patient care under the direction of a Registered Nurse. Performances of technical skills are identified on a skills checklists for which training and competency must be established. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO: Department Director, Clinical Manager, and Registered Nurse MUST HAVE REQUIREMENTS: Enrolled in a credentialed registered nursing program Successful completion of 1 clinical rotations. No written disciplinary action in the last 12 months Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. PREFERRED ATTRIBUTES: Personal computer experience and keyboarding skills Medical terminology course or demonstrated knowledge OTHER REQUIREMENTS : Employees in this position may be: Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment Must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Required to take "on call" status Reassigned to another unit to perform duties within current job description Subject to STHR (short term hour reduction) according to policy POSITION EXPECTATIONS : All expectations detailed below are considered ADA (American Disabilities Act) Essential. Leadership 1.23.17 Embraces teamwork by adhering to Nursing Practice Model Accepts and responds to change productively, while maintaining a positive attitude Demonstrates appropriate workplace behavior and competence in job duties Demonstrates basic conflict resolution skills ______________________________________________________________________________ Communication Maintains awareness of verbal/ non verbal communication in interactions with staff, other departments, physicians, patients and families Maintains Patient confidentiality in all communication interactions: written, verbal, electronic and digital Collaborates and communicates effectively with all members of the health care team Demonstrates basic ability to initiate and manage crucial conversations Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication Demonstrates acceptance of supervisory authority, guidance and instruction. Follows appropriate chain of command. Reports patient observations and specific problems appropriately Interact with clinical students in a positive, productive manner Operations Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in an independent and timely manner. Effectively utilizes time management and organizational skills. Safely transports patients via wheelchair, beds, carts throughout facility Round on patients to identify patient needs and safety issues Participates in huddles/team collaboration Maintain fall prevention strategies Uses appropriate personal protective equipment Under the direction of licensed Nursing Staff All nursing student technicians: Provide appropriate hygiene care for patients Provide comfort measures Follow infection control guidelines and safety precautions Assist patients with nutrition, elimination and activity/mobility Specimen collection and transport using appropriate technique Completes surgical / procedure prep (if applicable) Upon completion of WCH training and competency checklist, the nursing student technician may perform the following tasks: vital signs, weights, pulse oximetry, point of care glucose testing, dressing changes, urinary catheter insertions and discontinuation, and intravenous discontinuation Reports immediately any abnormal findings or changes in physical, mental and emotional conditions to the RN. Accurately document care provided in a timely manner Demonstrate reasonable and rational judgment in decision making Assist with flow of unit: Obtains & returns supplies and equipment as directed Operates and cleans equipment safely and appropriately. Initiates work orders/ reports to appropriate person Cleans and maintains nursing station, report and break rooms, kitchen areas and others as assigned Assists with admissions, discharges and transfers Other duties as assigned by management team Customer Service Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems Use AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) to: Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s compliance Develop positive relationships with other departments to foster patient satisfaction Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution Staff Development / Personal Growth In conjunction with the Department Manager, Clinical Specialist and / or Educator: Function as a preceptor, seeking learning opportunities for orientee. Interact with Department Manager, Clinical Educator/Instructor, to evaluate orientee progress towards goals, identifying additional needs. Demonstrate professional growth by participating in committees/unit projects Demonstrates initiative and responsibility to develop personal, leadership and career goals Accept feedback as opportunity for growth Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers. Performance Improvement Identify processes to be improved and communicate to management team. Assists in data collection as directed Participates on at least one team, project and/or committee: unit, departmental or hospital based Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures Develop and maintain ongoing understanding of current practice for the types of patients for whom care is provided AGE SPECIFIC COMPETENCY Dependent upon department and the population served: Neonatal (Birth thru 28 days) Handles infants in gentle manner Speaks in soothing voice Holds and cuddles infant when necessary Facilitates parental interaction and care of infant Infant (29 days thru 12 months) Approaches infant in slow, non-threatening way Speaks in soothing way Holds and cuddles infant as much as possible Encourages parental interaction with infant Allows for familiar toys/blankets to be brought from home Pediatrics (one year thru 11 years) Allows choices when possible Speaks directly using few, clear, simple terms and explanations Limits number of strangers entering room Provides consistent nursing assignments Does not shame parents for lack of cooperation Holds child for painful procedures Adolescents (12 years thru 18 years) Allows participation in care and choices as appropriate Provides for patient's modesty Tells patient exactly what will be expected Allows patient control Speaks directly to patient in simple medical terms Geriatrics (65 years and older) Identifies physical/social/emotional barriers and physical limitations at discharge Teaches patient about one item at a time Repeats instructions several times Speaks slowly and distinctly when talking to the patient Unit Specific Requirements: A/C, PACU, PAT Specific Duties: Completes surgical skin preps Cross trains to Materials Management and anesthesia cart stocking and maintenance. Assists with these tasks as necessary. Clerical functions as identified and directed (Ex: chart assembly, order entry, charge entry) ED Specific Duties : Obtains and accurately documents measurements and vital signs Performs phlebotomy, accurately labels lab specimens Assists physician with procedures Applies DME equipment and documents Performs surgical preps Performs relief secretary duties g. Performs blood glucose testing as directed by the RN and maintains yearly competency Inpatient Rehab PCA Must be competent in FIMS (Functional Independent Measures) scoring Obtains and accurately documents measurements and vital signs Obtains point of care blood glucose testing under supervision of the RN Intensive Care: PCA also trained as Unit Secretary: Responsible for duties outlined in secretary job description During any shift, may function in both capacities PACU Specific Duties: Obtains vital signs and point of care blood glucose testing under the supervision of the RN Take on call for PACU Progressive Care: PCA also trained as Unit Secretary: Responsible for duties outlined in secretary job description During any shift, may function in both capacities Surgery Specific Duties: Surgery (OR) Assistant Cross train to Materials Management and anesthesia cart stocking and maintenance. Assist with these tasks as necessary. Clerical functions as identified and directed (Ex: chart assembly, order entry, charge entry) MAIN FUNCTION: As a member of the turnover team, assists nursing staff with room turnover. Performs routine duties such as patient transport, stocking of supplies, cleaning of rooms and equipment, and other tasks as assigned. Restocks OR rooms, transports patients to and from AC, floor and PACU and transports specimens to Lab. MUST HAVE REQUIREMENTS: 2 years of related experience Must live within 30 minutes from Hospital PREFERRED ATTRIBUTES: Material management experience Additional position expectations: Transports specimens to pathology several times daily Assists with surgical waiting area by greeting patient and escorting customers throughout the hospital Assists with inventory management including annual inventory count Assists nursing staff and anesthesia with room turnover Assists by answering phone and relieving team members for lunch Transition Care Unit PCA Specific Duties: Obtains and accurately documents ADL and vital signs. Obtains point of care blood glucose testing under supervision of RN ADL (Activities Daily Living) Maintain mandatory education hours for licensure Performs relief secretary duties as outlined in secretary job description Responsible for duties outlined in secretary job description During any shift, may function in both capacities 4.29.2016, 7/19
