Assists in setting mutually agreed upon realistic individual patient goals.
Integrates the RN’s directions re: the patient’s plan of care into the care given to the patient.
Gives RN report before the end of the shift regarding the patient’s response to the plan of care issues, and at various times during the shift to report unusual findings e.g. abnormal blood sugar results, vital sign changes, pain etc.
Intervention
Promotes infection control by using the appropriate hand washing techniques.
Follows standard precautions and any other isolation precautions as dictated by the patient’s condition.
Maintains a safe environment and protects the patient from injury by observing the patient who may be at risk for falls, confusion, disorientation, wandering or suicidal behaviors; follows Constant Observation Policy.
Applies and monitors patients in restraints per policy and per medical order.
Observes or monitors behavior/health state and responses to therapy.
Temperature, Pulse, Respiration
Blood Pressure
Neurological Checks
Vascular Checks
Height and Weight
Intake and Output
Bowel and Bladder Function Checks
Pain
Communicates pertinent observations to appropriate members of the health care team in a timely fashion.
Participates in multidisciplinary rounds on the patient care unit.
Performs patient care rounds per unit policy.
Participates in staff and unit council meetings.
Works in collaboration with all members of the healthcare team.
Reports findings to nurse concerning the patient and or family which may impact patient care.
Performs or assists the patient with activities of daily living such as bathing, (bed, tub, shower) grooming, eating, feeding, range of motion, ambulating, transferring and oral hygiene.
Participates in the prevention and treatment of skin breakdown.
Applies current accepted methods of heat and cold therapy as directed by the nurse.
Provides for the patient’s oral dietary needs using currently accepted methods.
Provides for the elimination needs by giving a bed pan, urinal, emptying urinary and or bowel appliances or implementing the bowel program under the direction of the RN.
Assists with colostomy irrigations.
Assists with vaginal irrigations.
Applies urosheath/condom catheter.
Removes foley catheter as directed by the nurse and monitors urinary output as directed.
Administers cleansing enemas as ordered.
Performs post mortem care.
Assists the physician to perform physical exams.
Assists with oxygen therapy only and does not regulate the flow of oxygen.
Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing.
Utilizes the appropriate equipment for patient lifting.
Reinforces health care instruction to patients according to the directions of the nurse.
Displays competence in using the following equipment and reports findings to the registered nurse:
Performs continuous bladder irrigations per direction of RN
Performs or assists the patient with activities of daily living such as bathing, (bed, tub, shower) grooming, eating, feeding, range of motion, ambulating, transferring and oral hygiene.
Participates in the prevention and treatment of skin breakdown.
Applies current accepted methods of heat and cold therapy as directed by the nurse.
Provides for the patient’s oral dietary needs using currently accepted methods.
Provides for the elimination needs by giving a bed pan, urinal, emptying urinary and or bowel appliances or implementing the bowel program under the direction of the RN.
Assists with colostomy irrigations.
Assists with vaginal irrigations.
Applies urosheath/condom catheter.
Removes foley catheter as directed by the nurse and
Monitors urinary output as directed.
Administers cleansing enemas as ordered.
Performs post mortem care.
Assists the physician to perform physical exams.
nurse:
Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing.
Utilizes the appropriate equipment for patient lifting.
Reinforces health care instruction to patients according to the directions of the nurse.
Displays competence in using the following equipment and reports findings to the registered nurse:
Pulse oximeter
Bladder scanner
12 Lead ECG
Data Scope
Electric Fetal Monitor (as applicable)
Glucometer
Foley removal
Lift and transfer devices
Glucometer
iStat Point of Care blood analyzer.
Performs POCT for only those assays for which authorized based on training and competency validation.
Follows all Lab procedures related to specimen handling, processing, test analysis and results reporting.
Follows all relevant safety protocols
Performs proficiency testing in the same manner as patient testing
Adheres to all quality control policies, instrument maintenance and associated documentation requirements
Recognizes test problems that may affect test results and notifies appropriate supervisor
As appropriate, follows lab’s corrective action policies when test system performance does not meet specification.
Performs continuous bladder irrigations per direction of RN
Performs Phlebotomy as per protocols (after required training is completed)