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Patient Care Assistant
Trinity Health Corporation | Darby, Pennsylvania
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Job Description

The Patient Care Assistant (PCA) is responsible for direct patient care tasks as assigned and under supervision of professional nursing personnel. Also provides indirect care to maintain unit functions as directed by the professional nursing staff i.e. care and cleaning of specific equipment, transportation of patients, stocking of supplies and equipment, etc.

Demonstrates knowledge and compliance with Hospital Safety and Infection Control policies as required by OSHA and the patient Safety Program.

1. Consistently demonstrates knowledge if universal precautions, isolation procedures, and other infection control measures.

2. Provides a safe environment for all patients, employees, and visitors.

3. Identifies safety problems encountered during the course work that if corrected may result in the prevention of accident/injury to patients, employees and visitors and reports problems to appropriate supervisor or the Patient Safety Hotline.

4. Adheres to System, Hospital and Department-specific safety programs.

* Medical / health care error reporting.
* Aware of sentinel events definition and reporting procedure.
* Completes annual patient safety fair training.

Performance Measures

* Completes infection control modules as assigned on HealthSteam Online.
* Demontsrates 100% compliance with Hand Hygiene program.
* Required documentation in MIDAS is 100% accurate.

Population Served

* Recognizes special needs/concerns of populations served and adjusts communication accordingly, i.e., language barrier, diminished hearing, concrete terms, etc.
* Creates a safe and therapeutic environment that supports the special needs of the population served.
* Demonstrates effective abuse free verbal and non-verbal communication with residents/patients, their families, visitors and staff, i.e., communicates in a respectful manner of the person to whom communicating stage of development and cultural background. Performance Measures
* Utilizes Cyracom Phone/ Language line appropriately with patients with language barriers.
* Able to demonstrate process for obtaining interpreter for the Blind and Deaf patients

Department Process

* Completes admission according to policy (room setup, vital signs, orientation, etc).
* Prioritizes and organizes work assignment and adjusts priorities based on changing situations in conjunction with licensed nursing personnel.
* Completes work within assigned time frame.
* Monitors patient condition per policy.
* Monitors patient for potential risk factors.
* Recognizes and integrates patient special needs and individualizes care
* Includes pain management and supportive care issues.
* Assumes accountability for the delivery of patient care within the scope of nursing assistant.
* Responsible for learning policies and nursing procedure applicable to nursing assistants and communicates to others.
* Demonstrates attributes necessary to function as a team member, i.e. answers call lights promptly and courteously regardless of ""assignment"".
* Provides a climate conductive to educational experiences for nursing students and new employees.
* Functions as a preceptor when necessary.
* Recognizes role of Nursing Assistant based on Hospital policy and State Board regulations.
* Utilizes the information management system to enhance communication (i.e.; Meditech).
* Communicates change in patient's condition to all appropriate individuals.
* Communicates transfer of patient responsibility (i.e. shift report guided by the plan of care or any other pertinent documents, 1:1/close observation/ hand-off communication).
* Cooperates with all areas in the admission and transfer of patients throughout the hospital to ensure efficiency.
* Updates licensed nursing staff on a regular basis throughout shift.
* Maintains fall risk precautions/interventions.
* Runs errands if needed

Perfomance Meausres

* Obtains vital signs within (1) hour of patient arrival on unit on 100% of the patients arriving to the unit and documents them accordingly into the Meditech system.
* Maintains the DO NOT PASS ZONE environment and ensures that all call bells are answered within 1 minute
* Insures that NA to NA patient handoff is done 100% of the time at the end of every shift as well as at times of breaks.

Patient Care / Plan Of Care

* Acts as a patient advocate and upholds patient's rights.
* Promotes and maintains a safe, clean and orderly environment.
* Consults and refers to other Health Care professionals.
* Refers ethical concerns to appropriate resources.
* Cooperates with all areas in the admission and transfer of patients throughout the hospital to ensure efficiency.
* Updates licensed nursing staff on a regular basis throughout shift.
* Mainatains open communication and dialogue with Registered Nurse throughout shift to insure that safe appropriate care is always being maintained

Emergency Response

* Maintains BCLS/CPR
* Recognizes changes in patient condition & responds appropriately.
* Functions in Nursing Assistant role with the resuscitation team :
* Locates and transports crash cart and defibrillator to site.
* Properly uses bag-valve-mask resuscitator (adult, geriatric).
* Functions calmly and efficiently in an emergency situation .
* Assists in transition to next level of care.
* Demonstrates proficiency in end of life policies (i.e.; DNR, Organ Donation/Gift of Life).
* Makes rounds on all patients during emergency
* Relocates other patients (when possible) and family members during emergency.

Performance Measures

* Current BCLS (program must be knowledge and skills validation)
* Can verbalize the emergecncy response number to call for Rapid Response.

Safety/Infection Control

* Utilizes good body mechanics when lifting, pushing or pulling patients or objects
* Disposes of linen and trash appropriately. Assures linen hampers are emptied prior to end of shift and as needed.
* Able to locate and demonstrate appropriate use of safety equipment:
* Gloves -- latex and latex free
* Masks/eye shields
* Gowns
* Transports lab specimens directly to lab maintaining blood/body fluid precautions -- documents specimen in log book in lab
* Participate in the management of medications process by:
* Storing procedure trays containing medications in a locked/secured area.
* Maintaining integrity of ""double wrapped"" packaging on procedure trays containing medications.
* When accessing and delivering procedure trays containing medications, observes proper security requirements.
* Adheres to infection control standards specific to patient care.
* Maintains isolation precautions where indicated;
* Identifies specific isolation precautions in use (airborne, droplet, contact) and specific techniques required (gowns, mask - surgical vs. HEPA, gloves)
* Disposes of supplies appropriately -- used and unused
* Empties bed pans, urinals, bedside commodes on ongoing basis.
* Does restraints and attempts alternatives appropriately including least restrictive measures.
* Utilizes bed/chair alarms appropriately.
* Takes patient injury prevention measures.
* Maintains risk precautions/interventions.
* Prevents, recognizes and reports abuse.
* Recognizes and identifies changes related to aging that may decrease wound healing ability, i.e. frail skin, decreased nutritional status, musculoskeletal changes, multiple comorbidities, sensory changes, etc., and adjusts interventions based on identified:
* Decreases use of tape on frail skin
* Special care when removing dressings and adhesives
* Reinforces patient education (age specific consideration)
* Recognizes age-related issues and takes necessary precautions, i.e. choking hazards, fall/tripping hazards, etc.
* Utilizes hand-off communication forms (report form, Ticket to Ride) consistently and correctly.
* Promotes and maintains a safe, clean and orderly environment.
* Refers ethical concerns to appropriate resources.

Performance Measures

* Utilizes appropriate isolation precautions with identified patients 100% of encounters
* Responds immediately to all safety alarms on unit regardless of ""assignment""
* Performs Hand Hygiene upon entering and exiting patient rooms 100% of the time.
* Utilizes appropriate PPE when it is required 100% of the time.

Patient Care Assistant Competence

* Performs hygiene/comfort measures including bath/shower, mouth care, shaving etc.
* Assists the licensed nurse in monitoring/evaluation of the patient (vital signs, intake and output, weighing).
* Collects lab specimens and cultures according to nursing practice standards (sputum, stool, urine, wound).
* Cares for an agitated/confused patient by utilizing de-escalation techniques.
* Assists patients in activities of daily living.
* Uses appropriate patient transfer techniques.
* Maintains patient body alignment and positioning (assist with normal range of motion, hip precautions, pressure relief of high risk areas: heels, sacrum, scapula, hips, etc.)
* Maintains respiratory support (checks flow rates of O2 nasal cannula, face masks, pulse oximetry, incentive spirometry, replaces O2 removed by patient).
* Cares for and maintains dignity of deceased patients (post mortem, medical examiner/autopsy)
* Repositions patients every 2 hours or as needed to maintain circulation and prevent pressure ulcers.
* {Signs and symptoms of hyper/hypo glycemia, foot care etc.}
* Provides 1:1 suicide/close observation precautions as assigned.
* Never leaves patient alone.
* Remains within arm's length.
* Reports any problems to RN immediately.
* Monitors patient potential risk factors when performing 1:1 patient monitoring / close observation patient monitoring.
* Performs Patient Care Assistant duties for patient(s)
* Interacts with patient(s) during 1:1/close observation
* Responsible for all patient comfort measures.
* Recognizes the signs and symptoms of stroke and reports such to professional staff.
* Demonstrates essential knowledge and skills in caring for the patient with a stroke.
* Participates in Stroke related continuing education as assigned.
* Participates in CHF related continuing education as assigned
* Care of patient in cast or traction (monitors circulation, elevates extremity, etc.).

Patient Care Assistant Skills

* Measures and documents intake and output.
* Cares for and empties urinary drainage bag.
* Applies and removes electronic compression devices.
* Measures and applies antithrombolytic stockings.
* Handles application of heat and cold.
* Cares for patient with IV fluids.
* Does not disconnect IV fluids.
* Reports to licensed nursing staff any site changes or repetitive pump alarms.
* Performs ostomy bag care.
* Enemas (without medication)
* Performs 12 lead EKG's.
* Prevents, recognizes and reports abuse.
* Performs capillary blood glucose monitoring accurately and reports results to RN/LPN in a timely manner.
* Appropriately uses pulse oximeter (including reassuring that pulse ox is painless):
* Properly uses different sensors based on age, location to be used, and
* equipment functioning.
* Documents care in Meditech
* Vital signs
* Intake and output
* Nutrition (meal intake)
* ADL's
* Weigh

Performance Measures

* Maintains current glucose meter operator certification
* Measures and Documents accurate intake and output on 100% of the patients in which it is appropriately ordered.
* Documentation is at or close to ""Real Time"" of intervention

High school graduate or equivalent.

Documented Nursing Assistant experience, Certified Nursing Assistant or current nursing school enrollment with completion of a Nursing Fundamentals course required. Current BCLS required.

Strong interpersonal and communication skills. Ability to perform diversified duties with time limitations with a high degree of accuracy.

Prior clinical experience preferred. Preference will be given to applicants who are pursuing higher education in the health care field

0.6 FTE 7a-3:30p every other weekend with rotation

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