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Job Summary

BASIC FUNCTION AND RESPONSIBILITY

100558 – Under direct supervision from a Registered Nurse or other designated supervision, provides direct patient care or miscellaneous technical support by performing delegated procedures of a specialized and technical nature, which may include obtaining hemodynamic measurements, setting-up and maintaining specialized clinical equipment and performing delegated clinical or laboratory procedures, changing dressings, assisting with admitting and discharge procedures.  Assist with more complex procedures and perform complex diagnostic testing.  Develop and recommend changes in patient care activities to improve the quality of patient care services.  Under FLSA, incumbents in this position are non-exempt.    

Responsibilities*

CHARACTERISTIC DUTIES AND RESPONSIBLITIES

                Observation/Monitoring

·         Obtains vital signs, temperature, height/length, weight, and oxygen saturation.  Promptly reports abnormal values to RN.  Obtains other measurements (i.e., head circumference, abdominal girth) per unit standard. 

·         Utilizes palpation/auscultation and Doppler to determine heart rate and blood pressure.

·         Observes, monitors and reports the overt physical condition of assigned patient(s).

·         Responds to physiologic monitor alarms based on unit training and competencies.  Alarms should be silenced or paused prior to an activity that will trigger an alarm such as bathing, drawing blood or getting a patient out of bed as delegated by RN.  Ensures that alarms are “on” when activity is completed and/or before leaving the patient.

·         Measures and records intake and output.

·         Functions as a sitter.

·         Assists physician/provider with patient positioning during diagnostic procedures; supports patient before and during procedures; assists in specimen collection. 

·         Applies and changes ECG electrodes and pulse ox probe; attaches patient to travel (ECG and A-line) monitor.

·         Places monitor strips on inpatient records per unit standard.

 

Specimen Collection

·         Performs point of care testing; maintains and calibrates equipment and supplies. 

·         Collects blood specimens from arterial, CVP and PIC lines per unit guidelines.

·         Collects specimens, including urine, stool, sputum and swabs, and performs urine determination including sugar, acetone, specific gravity protein, and pH.

·         Performs finger/heel stick blood collection and chemstick test.    

·         Initiates, maintains and records 24-hour urine collection. 

·         Transports blood and laboratory specimens.

 

Intravenous Lines

·         Discontinues peripheral IV’s as directed by RN.

·         Under the direction of an RN may change peripheral IV dressings as needed.

·         Primes peripheral and central/pressure setups (without additives) and dates & times bag/tubing per policy.  In units that use heparinized central/pressure set ups, tech may prime tubing after bag is spiked by RN.

 

Patient ADLs

·         Assists patients with, or administers routine personal hygiene including baths, chlorhexidine applications, oral care, skin care, umbilical cord and circumcision care.

·         Performs preventative skin care, pre-operative preps, perineal care.

·         Provides toileting/bedpan/urinal; remove/empty Foley catheters; weighs diapers. 

·         Accompanies, escorts, ambulates, moves, turns, dangles, lifts, transports and attends/holds/positions patients. 

·         Assists with range of motion; applies rehabilitation equipment; releases and applies devices, (i.e. wheelchair seatbelt, adaptive equipment) in accordance with specific instructions, to position patients to limit movements per unit standards.

·         Provides patient nourishment by performing such duties as passing and collecting trays, providing snacks/beverages, assists with ordering meals/snacks; feeds patients.

·         For infants receiving breast milk feedings, the tech retrieves the milk from the patient’s refrigerator and scans it before feeding the infant. 

 

Tube Feedings

·         Perform tube feedings of patients, at the direction of the RN, and after the RN has established tube placement prior to each tube feeding.  Duties may also include: changing feeding bag; priming line and setting the rate after notifying RN; refilling tube feeding bag as directed by RN.

 

 

 

Urinary Catheters

·         Performs intermittent sterile urinary catheterizations.

·         Performs clean urinary catheterizations (Pediatrics only).

·         Assembles intermittent bladder irrigation supplies.

·         Measures output and empties urinary catheter bag per unit guidelines.

·         Discontinues urinary catheters as directed by RN.

·         Applies and removes condom catheter.

·         Determines bladder volume using bladder scanner, documents and reports to the RN.

 

Enemas/Suppositories

·         Administers cleansing enemas that do not contain medication. 

·         Applies external fecal Incontinence device bags.

 

Wound Care

·         Cleanses and redresses non-sterile wounds.

·         Performs simple sterile dressing changes (example: arterial line dressings).

·         Assists RN with complex dressing changes.

·         Cares for permanent drainage sites and apply appropriate collection device, i.e., ostomy, G-tube, etc.

·         Applies binders, ACE wraps, hot and cold applications; provides soaks and special baths as directed by RN.

 

Respiratory Care

·         Assist with tracheostomy care on stable tracheotomies including such duties as cleaning and redressing area; assists with tape and tie changes.

·         Under the direction of an RN, performs endotracheal/tracheostomy tube suctioning after assessment by RN of patient stability.

·         Provides ventilation via Ambu bag to the intubated, or patients with a tracheostomy.

·         Assists with Endotracheal tube care and tape changes. 

·         Assists with P&PD by holding the patient. 

·         Per unit specific guidelines, measures and records chest tube drainage; sets-up pleurovac; checks pleurovac water levels and notifies RN prn.

·         Coaches/prompts patient to use incentive spirometer, and in coughing and deep breathing.

·         Performs routine nostril and/or oral suctioning per unit guidelines.

 

Other Interventions

·         Measures and obtains TED hose; applies sequential compression devices.

·         Performs post-mortem care and transports deceased patients to the morgue/pathology.

·         Responds to call lights and alarms; answers unit telephone and relays messages prn.

·         Empties and measures drainage collection devices and emesis.

·         Assists RN with admissions, discharges, and transfers.

·         Provides skin care at the direction of the RN, applying select topical emollients containing medication (ie, cortisones, tar, Silvadine Cream, butt cream, and skin lotions).

·         Transports blood products, materials, supplies, medications, specimens, patient belongings, equipment and medical records.

·         Performs patient care comfort-safety rounds per unit routine.

·         Assists with application and maintains restraints.

·         Documents care provided.

·         Performs 12-lead ECG per unit guidelines

·         Transports/transfers stable, non-monitored patients as requested.

·         Maintains BLS competency.

 

Environment

·         Stocks supplies and equipment in patient care spaces. 

·         Sets up patient rooms for admission or procedure.

·         Changes bed linens as needed.

·         Maintains orderliness of the patient room and unit, including equipment/cords, linen, trash, patient belongings, etc.

·         Upon a patient discharge, readies the room for discharge cleaning.  This includes removal of IV poles & IV fluids, IV pumps, SCD’s, rental equipment etc and disposal of tubing (O2 or suction); emptying suction canisters; emptying commode if needed; and removal of re-usable supplies as appropriate.

·         Cleans and maintains inventory of equipment and supplies in patient care spaces.  Unit owned equipment includes: Dopplers; seizure pads; portable fan etc.

·         Cleans shared work areas as needed. Examples include conference room(s), nursing station, locker room.

·         In specific departments/units, obtains, opens and arranges sterile instruments and supplies for   procedures.

·         Clean, packs, sterilizes and stores instruments.

·         Checks emergency equipment per unit guidelines.

·         Performs clerical duties prn.

 

CLERICAL DUTIES-

 

·         Obtain nursing assignments for each shift and program nursing pagers into the SANS system

·         Routinely (hourly) review the clerical work list and process flagged patient orders in an accurate, thorough, and timely manner.  Maintain the work list by indicating the completion of orders as appropriate

·         Make arrangements for patient admissions, transfers and discharges on one or more inpatient units

·         Update patient information in the appropriate systems following established procedures/systems to ensure the intent of the order is complete

·         Ensure that all STAT orders receive immediate attention and follow through

·         Answer multiple telephone lines

·         Provide customer service to patients, families, visitors, and staff by facilitating business processes i.e. Telephone triage, hospital and community way finding

·         Handle all unit communication from internal and external customers promptly while utilizing excellent customer service techniques and maintaining a positive, professional demeanor

·         Relay information to clinicians promptly and as appropriate. This includes but is not limited to phones, walk-in customers, patient call lights, faxes, mail and information received via a pneumatic tube system

·         Facilitate communication between physicians, nursing staff and the care management teams

·         Perform appropriate tasks in emergent situations such as rapid response, code blues, fire/safety events, and escalating security issues

·         Provide training to new and temporary staff

·         Assists in identifying and resolving operational problems including unexpected computer downtime, tube system outages, security issues, and telephone/paging issues

·         Maintain accurate census information in electronic, paper and other display formats

·         Process confidential medical information in physical or electronic format according to established procedures while ensuring that the information is matched to the correct patient

·         Adhere to all HIPPA Privacy and Security Regulations by maintaining patient confidentiality at all times

·         Coordinate and arrange patient transportation (SWAT and Patient Transportation) to and from appointments using appropriate documentation and with consideration of pre-procedure preps, method of transport, and other specific patient needs

·         Order unit/patient supplies, equipment, and services via appropriate mechanism, or process

·         Provide status updates of requests as appropriate

·         File forms according to the established chart order

·         Perform tasks associated with the Infant Security System including tracking tags, monitoring security screens, removing devices from patients, and cleaning previously used tags

·         Familiarize self with unit procedures and maintain competence via training materials and job aides

·         Utilize resources and serve as a resource for other staff

Required Qualifications*

Required:  High school diploma, GED or equivalent.  Employee must also have one of the following:

a.       Completion of a certified nurse or medical assistant program.  (Certification preferred).

b.       (or) Junior status in an accredited BSN program

c.       (or) 2nd year in accredited ADN program

d.       (or) Bachelor’s Degree in Applied Medical Science;

e.       (or) a 1-year recent experience in an unlicensed assistive role in a patient care setting, such as nurse aide in a hospital setting

f.        (or) a minimum 2-years’ experience in such a role in a nursing home or other health care environment

g.       ability to read and write.  

Desired Qualifications*

·         Basic computer skills; course work in an Allied Health field.    

Work Schedule

Hours/Week: 36/wk
Shift/Hours: Nights
Location: Central Staffing Resource- Pediatric Short Stay

Background Screening

University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.

Mission Statement

The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.