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Course Description

100558 – Under direct supervision from a Registered Nurse or other designated supervision, provides direct patient care and assists in the maintenance of a safe environment that supports patient care needs.

Responsibilities*

Observation/Monitoring

  • Obtains vital signs, temperature, height/length, weight, oxygen saturation and pain scores; 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).
  • Measures and records intake and output.
  • Functions as a sitter.
  • Assists physician/provider during diagnostic procedures; assists and supports patient before and during procedures; assists in specimen collection. 
  • Responds to monitor alarms.
  • Reapplies pulse ox probe.

 

Specimen Collection

  • Performs point of care testing; maintains and calibrates equipment and supplies. 
  • Collects specimens, including urine, stool, sputum and swabs, and performs urine determination including sugar, acetone, specific gravity protein, 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.
  • Removes peripheral IV dressings.

 

Patient ADLs

  • Assists patients with, or administers routine personal hygiene including baths, oral care, skin care, umbilical cord and circumcision care.
  • Performs oral suctioning utilizing Yankauer tips, suction toothbrushes and oral care sponges.
  • 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, etc., in accordance with specific instructions, to position patients to limit movements.
  • Provides patient nourishment by performing such duties as passing and collecting trays, providing snacks/beverages, assists with ordering meals/snacks; feeds patients.
  • Double check breast milk with RN.

 

Urinary Catheters

  • Connects, drains and disconnects urinary catheters.
  • Assembles intermittent bladder irrigation supplies.
  • Discontinues urinary catheters.
  • Applies condom catheter.
  • Performs clean urinary catheterizations (Pediatrics only).
  • Determines bladder status with Bladder Scanner.

 

Enemas/Suppositories

  • Administers cleansing enemas that do not contain medication. 
  • Applies external Fecal Incontinence Device (FID) bags.

 

Wound Care

  • Cleanses and redresses non-sterile wounds.
  • Applies binders, ACE wraps, hot and cold applications; provides soaks and special baths.
  • Assists RN with complex dressing changes.

 

Respiratory Care

  • Assist with tracheostomy care on stable tracheotomies including such duties as cleaning and redressing area; assisting with tape and tie changes. 
  • Assist with P&PD by holding the patient. 
  • Coach/prompt patient to use incentive spirometer, and in coughing and deep breathing.

 

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; answer unit telephone and relay messages prn.
  • Empties and measures drainage collection and emesis.
  • Assists RN with admissions, discharges, and transfers.
  • Provides skin care at the direction of the RN, applying select topical emollients containing medication (i.e., cortisones, tar, silvidine, butt cream, and dermatology lotions).
  •  Initiates emergency care utilizing the “ABC’s”—Airway, Breathing, Circulation.
  • Transports 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. 

 

Environment

  • Stocks supplies and equipment in patient care spaces. 
  • Sets up patient rooms for admission or procedure.
  • Makes up beds with linen, changes bed linens and linen hamper during patient stay.
  • Maintains orderliness of the patient room and unit, including equipment/cords, linen, trash, patient belongings, etc.
  • Cleans and maintains inventory and outdates of equipment and supplies in patient care spaces. 
  • Cleans assigned equipment and areas of work. 
  • Obtains, opens and arranges sterile instruments and supplies for specific procedures.
  • Cleans, packs, sterilizes and stores instruments.
  • Checks emergency equipment.

Required Qualifications*

High school diploma, GED or equivalent is required.   Certified Nurse Aide or Certified Medical Assistant training with a minimum of 6 months recent experience in a patient care setting or junior status in an accredited BSN program or second year in an accredited ADN program is required.  Ability to read and write required.  Certification as a Nurse Aide or Medical Assistant, recent experience in an acute care inpatient setting, and basic computer skills desired. 

 

U-M EEO/AA Statement

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