Patient Care Associate - SHC - 32 Hour Evening Rotating Shift 4W
Spaulding Hospital-Boston & Cambridge(SRN,SRH,SHC)


Job Info


GENERAL SUMMARY/ OVERVIEW STATEMENT:

Under the direction of a registered/licensed nurse (RN), the PCA as a member of the interdisciplinary health care team assists in clinical support functions to promote a safe, compassionate patient care environment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1.Assists with meeting direct patient care needs

2.Consistently fosters a healing environment with respect and kindness demonstrating respect for all individuals with sensitivity to cultural diversity

3.Contributes to the plan of care through ongoing communication with the RN

4.Assists with patient data and specimen collection

5.Assists with equipment preparation and set up

6.Supports a Culture of Safety by providing a safe and comfortable patient/family experience where risks are reduced and/or eliminated

6.1.Completes hourly patient care rounds, anticipating patient needs proactively

6.2.Maintains patient and family privacy and confidentiality

6.3.Responds to patient and family requests, including answering patient call lights in a timely manner

6.4.Seeks registered nurse assistance to meet patient/family needs when necessary.

6.5.Communicates in a respectful manner with all members of the interdisciplinary team

6.6.Monitors patient and environment for safety concerns and immediately reports changes to RN/licensed nurse

6.7.Maintains a safe and clean patient care environment

6.8.Follows Infection Prevention Practices

a.Proper hand washing demonstrated 100% of the time

b.Utilizes 2 patient identifiers for proper patient identification prior to all specimen collections

6.9 Follows Safe Patient Handling principles to maintain safety for both patients and staff

7.Documents aspects of care on approved forms or electronic medical record

8.Participates as a member of the Interdisciplinary team to meet patient/family and unit/department needs

9.Proactively provides assistance to others

10.Performs delegated responsibilities and demonstrates willingness to adapt to changing unit demands

11.Provides care appropriate to age group of patients on assigned unit(s) as described in the relevant unit profiles

12.Mentoring and teaching is provided for new PCAs to meet performance expectations

13.Other duties as assigned

In collaboration with the Nursing Manager/Director and Clinical Nurse Specialist/Nursing Practice Specialist/Nursing Professional Development Specialist identifies and meets learning needs. Completes annual required training and updates knowledge through periodic inservices.

Direct Patient Care:

• Assists with activities of daily living (i.e. personal hygiene/grooming, bathing/showering, toileting, dressing, and functionality/mobility)

• Sets up food trays and assist patients with meals as indicated

•Performs preventative skin care

• Assists patients with positioning, turning, mobilization, ambulation, passive and active range of motion per plan of care

• Applies/removes pneumatic sequential compression sleeves

• Adheres to standard precautions

• Adheres to hand hygiene guidelines

• Assists with admission/discharge process

• Provides safe patient transportation

• Orients patients and families/visitors to surroundings

• Ensures safekeeping of patient valuables including packing and storing

• Checks patients for ID bands, and notifies nurse if replacement is needed

Patient Data and Specimen Collection:

• Utilizes 2 patient identifiers for proper patient identification prior to all specimen collections

• Obtains and records vital signs, pulse oximetry and non-invasive B/P and immediately reports changes to RN/licensed nurse

• Performs blood glucose testing

Equipment:

• Retrieves equipment from other areas

• Cleans equipment between patient use

• Follows equipment management protocols on assigned unit for patient use:

• Cardiac monitors

• Portable oxygen cylinder

• Nasal cannula/face mask

• Pulse oximeter and probe

• Suction canister-liner system

• Patient lifting equipment

• Scales: Standing/Chair/Wheelchair

• Provides a Safe and Comfortable Patient/Family experience

• Adheres to service excellence standards during care provision with respectful, courteous, culturally sensitive care

• Responds to call lights in a timely manner and prioritizes call light response appropriately

• Participates in hourly rounding per unit protocol

• Provides constant observation for patients at risk for injury in person or virtually

• Reapplies soft restraints/roll belt per unit protocol

• Uses principles of Safe Patient Handling

Documentation on Approved Forms and in Medical Record

• Records intake of fluids and food

• Records height and weight

• Records output of urine, stool, vomitus, and drain output

• Records vital signs, pulse oximetry and noninvasive BPs

• Records blood glucose results

Qualifications
Qualifications and Experience

Education/Degree

Required

  • High school diploma, GED or equivalent

Certifications:

Required:
  • Certification as a Nursing Assistant at time of hire within the Spaulding Rehabilitation Network or within 120 days of employment if enrolled in a sponsored program and must remain active thereafter, OR
  • Nursing student currently enrolled in a formal nursing program and has successfully completed at least one clinical rotation. Must become certified within 120 days from employment start date.
  • Certified Nursing Assistants employed as of June 1, 2018 with ten (10) or more years of service in this role are exempt from this requirement except for SRB which requires certification due to mandated DPH regulatory requirements.

Experience

Preferred
  • Minimum of 1 year of experience as a nursing assistant preferred.

Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)

Required:
  • Must demonstrate effective verbal and written communication skills with the English language.
  • Must demonstrate basic skills in math and computer science.
  • Must demonstrate the ability to perform, modify, and record all physical therapy skills with relevance to appropriate thoroughness and sequencing.
  • Healthcare Provider CPR certification required.
  • Knowledge of DPH/OEMS regulations.
Preferred:
  • Highly developed communications and interpersonal skills, working with diverse population.
  • Work independently, be self-directed and contribute as a member of a team.
  • Anticipates challenges and develops and implements strategies for addressing them.
  • High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
  • Attention to detail.

PHYSICAL REQUIREMENTS

Work Environment:
Activity

Amount of Time Spent

None

1 - 25%

25 - 50%

50 - 75%

Over 75%

Outdoor weather conditions

X

Extreme cold (non weather)

X

Work in high place(s)

X

Work in confined space(s)

X

Risk of electrical shock

X

Risk of radiation exposure

X

Exposure to blood borne pathogens

X

Flammable/explosive gases

X

Toxic / caustic chemicals

X

Dust or other irritants

X

Grease or oils

X

Hazardous specimens

X

Exposure to lab animals

X

Infectious / contagious disease

X

Cleaning agents/chemicals

X

Hot equipment

X

Noisy equipment

X

Humid or wet conditions (non -weather)

X

Other

X

Lifting/Carry Requirements of this job
No Lifting required

No Carrying required

Number of pounds
Amount of Time

1 - 25%

25 - 50%

50 - 75%

Over 75%

Lift
Carry
Lift
Carry
Lift
Carry
Lift
Carry

Up to 10 pounds

X

X

Up to 25 pounds

X

X

Up to 50 pounds

X

Up to 100 pounds

X

Over 100 pounds

X

Push/Pull Requirements of this job:
No Pushing required

No Pulling required

Number of pounds
Amount of Time

1 - 25%

25 - 50%

50 - 75%

Over 75%

Push
Pull
Push
Pull
Push
Pull
Push
Pull

Up to 10 pounds

X

X

Up to 25 pounds

X

X

Up to 50 pounds

X

X

Up to 100 pounds

X

X

Over 100 pounds

X

X

Physical Activity requirements of this job:
Activity
Amount of Time Spent

None

1 - 25%

25 - 50%

50 - 75%

Over 75%

Stand

X

Walk

X

Sit

X

Use of hands requiring fine motor skills and sense of touch

X

Move / rotate / bend wrist(s)

X

Type / use keyboard or other data entry device

X

Reach with hands & arms

X

Climb stairs

X

Climb ladder or other equipment

X

Drive / operate motor vehicle

X

Balance

X

Stoop, kneel, crouch, bend, crawl

X

Speak

X

Hear

X

Taste

X

Smell

X

Touch

X

Other

X

Vision Requirements of this job:
Vision Requirement

Always called upon in job

Sometimes called upon in job

Rarely called upon in job

Close vision

X

Distance vision

X

Color vision

X

Peripheral vision

X

Depth perception

X

Ability to adjust focus

X

Other

Safety equipment used while performing this job:

Safety eye glasses

X

Gowns

X

Filter lens (welding/soldering)

Scrubs

X

Face shields

X

Boots

Ear plugs or Mufflers

Hard hat

Surgical mask / dust mask

X

Coveralls

Self contained breathing apparatus (SCBA)

Gloves

X

Other

Level of noise typical in this work environment:

Very quiet

Quiet

Moderate

X

Loud

Very loud

EEO Statement
SRN is committed to diversity in the workplace which begins with respect and opportunity for all. PHH takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law.



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