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The UNC REX Patient Monitoring department is part of our centralized staffing pool providing nursing care to patients across the hospital.
Schedule: Full time, 36 hours per week
Shift: Nights, 7p-7a
The PSA will primarily provide either 1:1 or 1:2 care for patients who meet criteria and require sitter services. The PSA will be a certified nursing assistant. In the absence of sitter needs, the PSA will be assigned to a designated unit to work as a nursing assistant providing care to multiple patients.
Description of Job Responsibilities:
1. Maintains an environment of safety for patients, self and others and supports patient safety initiatives as demonstrated by following positive patient identification procedures, performing hand hygiene per policy, using PPE appropriately, demonstrating correct body mechanics and utilizing safe lifting equipment and slide sheets. Follows falls risk monitoring protocol every two hours for patients at risk for falling. When providing 1:1 or 1:2 care for patients who meet criteria for sitter services the PSA will adhere to the Suicide policy, to include document requirements and the Sitter Expectations and Responsibilities.
2. Answers signal lights, bells, or intercom system to determine patients' needs as demonstrated by responding promptly to all alarms including bathroom, bed/chair exit alarms, and emergency alarms. Rounds hourly to anticipate requests and meet customer needs before being asked. Accurately relays information regarding patient needs to RN or US in a timely manner.
3. Performs activities of daily living for or with patients as demonstrated by assuring patient personal hygiene needs are met including mouth care and foley care. Provides for patient safety, comfort and privacy when performing responsibilities. Facilitates patient activity and ambulation as appropriate. Takes the initiative to turn non ambulatory patients every 2 hours.
4. Takes and records temperature, blood pressure, pulse and respiration rates, and food and fluid intake and output, as directed. Takes actual weights on admission and per protocol. Abnormal dynamap readings are verified with manual equipment. Patient data is entered into RCare in a timely manner as care is provided.
5. Promotes skin integrity as demonstrated by changing bed linens keeping linen clean, dry, wrinkle free and limited to one layer of linen. Utilizes slide sheets and keeps HOB less than 30 degrees, if appropriate, to reduce friction and shear. Uses skin care products appropriately.
6. Keeps patient rooms neat and orderly. Removes food trays after meals. Wipes up spills. Empties bedside commodes, hats, and urinals. Removes soiled linens from rooms and does not store excess linen in rooms. At end of shift, empties all foley catheters/drains, records all intake and output, passes ice, empties trash in assigned rooms, empties linen hampers and ensures that rooms are tidy.
7. Provides transport for patients to designated areas within the facility and promptly assists transport team with transfers. Completes errands with attention to priorities and promptly returns to unit. Reports appropriately to the nurse and other nursing assistants. Signs on the board at the nurse’s station when leaving the unit for breaks and plans for coverage.
8. Communicates pertinent patient information to appropriate person(s). Accurately relays information regarding patient needs and or any patient changes to the RN in a timely manner. Follows up with nurse throughout the shift regarding the status of all delegated tasks. Documents appropriately in RCare and on suicide documentation forms. All documentation is complete and accurate. Reports off to the RN and the oncoming NA prior to the end of shift.
High school diploma or general education degree (GED) required. One to two years previous related experience desired.
Requires NA I certification. Requires BLS certification.