Care Partner I -Vascular (WO)

Tracheal

• When the patient is assessed by the Registered Nurse to be stable. 6) Wound Care Criteria A) Places patient on specialty bed B) Performs dressing changes (sterile and clean) C) Cares for pin care site after assessment has been completed by the Registered Nurse. Assists in monitoring that traction weights are hanging freely and in good alignment. 7) Bowel and Bladder Elimination Criteria A) Administers enemas B) Performs straight catheterization. Provides catheter care. 8)
• Hygiene
• Criteria
• A)
• Provides: 1. Hygiene and grooming daily 2. Mouth care (including dentures) at least twice/day. 3. Fresh water at 0800, 1600, 2400 and as needed 4. Perineal care 5.
• Toileting 9)
• Specimen
• Collection
• Criteria
• A)
• Obtains: 1. Midstream (clean-voided) urine specimen. 2. Timed urine specimen 3. Sterile urine specimen from an indwelling catheter 4. Urine specific gravity (5 South and 5 ICU only) 5. Urine pH 6. Expectorated sputum specimens 7. Blood specimens by venipuncture 8. Stool specimens 10) Clerical Criteria A) Answers phone within 3 rings identifying self, title and nursing unit. Does not keep person on hold for extended periods. B) Provides directions to physicians, hospital personnel, and visitors to patient’s room. C) Notifies the physician and nursing staff of new patient’s arrival to unit. D) Assists in the receiving of articles brought to the nursing unit. E) Answers pneumatic tube promptly and returns carriers to the appropriate area. F) Prepares a daily worksheet and confirms all appointments concerning daily work (including blood work) and updates worksheet on each shift. G) Verifies census sheet, maintains and updates as necessary. H) Informs Admitting Department of all transfers, discharges, admissions, room changes, and deaths through the computer. Includes disposition of appropriate paperwork. I)
• Informs staff/charge nurses / nurse manager of nursing unit activities: return of patients to the floor, physician stat orders, new admissions, etc. J) Assist nursing staff and ancillary personnel to ensure appropriate and complete specimen labels/requisition orders. K) Reports critical lab values to appropriate personnel. L) Initiates and completes secretarial portion of the pre-op checklist. M) Completes the administrative data screen for all new admissions and updates daily. N) Assists the nursing staff with paperwork involved in the patient transfer and discharge procedure to include movement of medications. O) Gives a full report to the oncoming person. (Leaves a written report if unable to give verbal). Informs the Charge Nurse if additional orders are left for the night shift. P) Checks patient chart periodically throughout the shift for “stat”, flagged and un-flagged orders. Q) Checks physician orders daily for unsigned verbal/telephone orders and places appropriate flag. R) Enters orders into the computer accurately. S) Calls departments to order tests, procedures, and consults which cannot be ordered through the computer. T) Transcribes orders for tests/procedures/consults onto the TESTS/PROCEDURES section of the profile. U) Ensures labels are correctly placed on all forms V) Transcribes medication orders to the medication administration record accurately. W) Places all physician orders in pharmacy bin. Faxes all physician orders to pharmacy during night shift. X) Signs orders to indicate orders were taken off with date, time, signature and title Y) Utilizes appropriate backup systems in the event of computer downtime. Z) Ensures that stat and timed orders are transcribed promptly. AA) Initiates and assembles charts BB) Keeps chart in order; thins chart as needed and places in appropriate file. CC) Obtains old charges from Medical Records through the computer. DD) Ensures that Medical Records picks up old charts by placing them in assigned pick up area on day of discharge. EE) Completes medical record checklist and ensures that the complete chart is sent to Medical Records within 24 hours of discharge and immediately upon patient death. FF) Sends complete chart including thinned chart and old chart on transfer to patient. GG) Ensures allergy, and isolation cards are posted in charts when indicated. HH) Completes and signs secretarial portion of death summary. 11)
• Safety/Infection
• Control: Performs job in accordance with safety and infection control policies. (5,8) 5% Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients / families / employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Keeps personal conversations/background noise to a minimum. 3. Adheres to dress code. C) Reports risk management concerns. D)
• Assumes responsibility for completing all annual mandatory requirements: 1. Yearly TB Screening 2. Annual Ethics Training (Initial Ethics, if new employee) 3. Annual Safety Training 4. Required Information Security course 5. Required Abuse & Neglect course 6. Annual Blood Borne Pathogens training (if required) 7. Coursework as assigned for .edu 8. Annual competency 9. Age/Population specific competency (if applicable) 10. Orientation competency (if new hire) 11. Unit Specific E) Obtains report from Registered Nurse and informs nurse of changes in patient’s condition. F) Communicates concerns or patient complaints to Registered Nurse and other team members as appropriate. G) Documents all procedures and care concisely and legibly on chart forms according to chart form guidelines. H) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. I) Empties soiled linen containers. J) Works in a constant state of alertness and safe manner. 12)
• Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 2, 3, 4, 5) 10% Criteria A) Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2.Meets physical, spiritual, psychological and emotional needs of patients and families as directed by Registered Nurse. 3. Responds to call lights promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient / family concerns and addresses needs within scope of responsibility. 2. Explains procedures and all education in a manner that staff / patient/ family understands. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate change of shift report. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. 13)
• Personal
• Accountability: Demonstrates accountability for own job performance. (6) 5% Criteria A) Adheres to and incorporates all customer service standards in patient care and work practices. B) Participates in additional learning experiences to increase competence including: 1. Staff meetings 2. Mandatory in-services and educational programs 3. Evaluation of self-performance by identifying strengths and areas for improvement. C) Assists in identifying and implementing nursing unit goals. 14)
• Performance
• Improvement (PI): Incorporates Performance Improvement into one's job performance. (6) 5% Criteria A) Identifies problems, participation in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. B) Participates in the performance / process improvement process. 1. Assists in developing unit based PI plan. 2. Participates in discussion of PI outcomes. 3. Collaborates in developing and implementing action plans. C) Incorporates Performance Improvement and Commitment to Quality (C2Q) results into job performance D) Offers suggestions for improvement of unit activities. E) Participates in discussion of PI C2Q data outcomes. F) Collects PI C2Q data as assigned G) Participates in research activities on the nursing unit as appropriate. 15)
• Age
• Appropriate
• Care:
• Provides age-appropriate care to: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.
• F)
• Position specific: Need to enter those responsibilities specific for position 16)
• Specialized
• Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) <1% Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application. 2. Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides for trail release and removal of restraint as soon as possible. B) Pain Management 1. Follows pain management plan of care, e.g.: repositioning, message, immobilization, music therapy etc. 2. Reports patient complaints of pain to the nursing staff and/or physician. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the physician & Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation.
• DISCLAIMER: Performs other related duties as assigned or requested.
• Rationale for
• Essential
• Functions: 1) The performance of this function is the reason the job exists. 2) There are limited employees among whom the performance of this function can be distributed. 3) This function occupies a great deal of the employee’s time. 4) This function is highly specialized. Employees are hired for the skill/ability to perform this function. 5) Failure to perform this function may have serious consequences. 6) The function was performed by past employees, and is performed by current employees. 7) Exposure to blood borne pathogens that require the use of protective equipment 8) Exposure to tuberculosis that requires the use of protective equipment "Work requiring the knowledge and skills necessary to provide direct patient care appropriate to patient population of specialty":
• Job
• Specifications
• MINIMUM
• EDUCATION: High School graduate or GED equivalent and at least 18 years of age. Post High School vocational/specialized training preferred.
• MINIMUM
• Experience:
• None
• Required
• COURSE: Completion of learning program with 80% passing score on written and skills performance examination.
• WORKING
• CONDITIONS: Regular exposure to the risk of blood-borne diseases. Contact with patients under wide variety of circumstances. Exposure to unpleasant elements (accidents, injuries, illness). Subject to trying and unpredictable situations. May perform emergency care. Subject to irregular hours. Pressure due to multiple competing demands.
• Physical
• REQUIREMENTS: Prolonged, extensive, or considerable standing/walking. Lifts, positions, pushes, and/or transfers patients. Lifts supplies/equipment. Considerable reaching, stooping, bending, kneeling, crouching, lifting, pushing, pulling 100+ pounds. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that…) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will…)
• Achieve
• Excellence in
• Infection
• Control By: Isolating per policy. Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks.
• Achieve
• Excellence in
• Nursing
• Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines.
• Own and
• Respect
• My
• Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat, clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patient’s room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that…) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will…) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co-workers through effective communication about patients’ condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution – not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every 01 hour 0 30 minutes 0 15 minutes per clinical standard and as appropriate. Standard (I understand that…) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non-vernal means that I am here to help. (Service) Expectations (So I will…) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient’s needs and prevent patient falls. Respect the patient’s privacy and modesty – close curtains, cover patient, reduce traffic in patient’s room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. _______________________________________________________________________________ Staff Signature Print Name Date _______________________________________________________________________________ Manager Signature Print Name Date REQUIRED
• Professional
• LICENSE
• AND/OR
• Certifications
• State of
• Work
• Location: Illinois, Missouri, Oklahoma, Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Other resuscitation certifications may be required dependent on department.
• Work
• Shift:
• Night
• Shift (United
• States of
• America)
• Job
• Type:
• Employee
• Department: 1030000037
• Med
• Surg - 6N
• Scheduled
• Weekly
• Hours: 36
• Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
• Paid
• Parental
• Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible
• Payment
• Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront
• Tuition
• Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more. Create or login to your SSM Health Candidate Workday account to track your application progress and see real-time updates. Remember to keep a record of your login information to access your Candidate Workday account in the future! Current Employees & Contractors – please apply internally via the Career app on your Workday home page. Do not continue here. Visit here for more information.