This night-shift post on the Ortho Trauma ward involves delivering quality patient care through collaboration with team members, under the direct supervision of a registered nurse. The certified nursing assistant supports the nurse in providing care to patients and families, including collecting and reporting patient data. The role suits a candidate committed to superior quality care and PPMC's Standards of Excellence.
Responsibilities
Receive and give written/verbal reports at the beginning and end of each shift from/to the registered nurse (RN) regarding patient care, including for patients needing constant observation
Report any abnormalities to the RN and oncoming CAN or PCA as they occur
Identify the patient per hospital policy before carrying out functions
Assist with data collection for nursing history and physical, such as vital signs, height, weight, blood sugar results, and functional status, and communicate changes to the RN in a timely fashion
Participate in respectful communication with patients, families, and co-workers
Provide patient and family information to the registered nurse for coordination of care and discharge planning
Observe skin changes and report discoloration, abrasions, infestations, or skin breakdown
Assist in setting mutually agreed-upon realistic individual patient goals
Integrate the RN’s directions regarding the patient’s plan of care into the care given to the patient
Give 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)
Promote infection control by using appropriate hand washing techniques
Follow standard precautions and any other isolation precautions as dictated by the patient’s condition
Maintain a safe environment and protect the patient from injury by observing patients at risk for falls, confusion, disorientation, wandering, or suicidal behaviors
Follow Constant Observation Policy
Apply and monitor patients in restraints per policy and medical order
Observe or monitor behavior/health state and responses to therapy, including temperature, pulse, respiration, blood pressure, height and weight, intake and output, bowel and bladder function checks, and pain
Communicate pertinent observations to appropriate members of the health care team in a timely fashion
Participate in multidisciplinary rounds on the patient care unit
Perform patient care rounds per unit policy
Participate in staff and unit council meetings
Work in collaboration with all members of the healthcare team
Report findings to the nurse concerning the patient and/or family which may impact patient care
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Perform or assist the patient with activities of daily living such as bathing (bed, tub, shower, or sitz), grooming, eating, feeding, range of motion, ambulating, transferring, and oral hygiene
Participate in the prevention of skin breakdown
Maintain turning and offloading
Apply current accepted methods of heat and cold therapy as directed by the nurse
Provide for the patient’s oral dietary needs using currently accepted methods (special swallowing precautions)
Provide for 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
Assist with colostomy irrigations
Assist with vaginal irrigations
Apply urosheath/condom catheter
Administer cleansing enemas as ordered
Perform post mortem care
Assist the physician to perform physical exams
Assist with oxygen therapy only and do not regulate the flow of oxygen
Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning, and deep breathing
Utilize appropriate equipment for patient lifting
Reinforce health care instruction to patients according to the directions of the RN
Requirements
Basic Cardiac Life Support (BCLS) certification
CPR certification from American Heart Association (AHA)
Certified Nurse Aid (CNA) certification from the state of Pennsylvania
In lieu of CNA certification, matriculation in an accredited ASN nursing program with minimally completed nursing foundations/fundamentals clinical course with a 3.0 GPA overall and in the nursing major
H.S. Diploma/GED
Graduate of a certified nursing assistant program
In lieu of certification, must be a nursing student matriculated in an accredited ASN, BSN, or MSN nursing program having minimally completed the nursing foundations/fundamentals clinical course with a 3.0 GPA overall and in the nursing major, and continue to maintain a 3.0 GPA in all nursing major subjects
Nursing students must maintain active enrollment and complete all related course and grade requirements
Nursing students employed as CNAs must immediately (within 24 hours) and in writing report to their supervisor if they have not sustained the academic GPA requirement or discontinued/withdrawn from their matriculated ASN/BSN/MSN program
Failure to meet and maintain nursing student requirements in lieu of certification will result in termination of the nursing assistant position
The CNA position cannot be performed by an individual who holds an RN license
Benefits
Comprehensive compensation and benefits program
One of the finest prepaid tuition assistance programs in the region
Important Details
Schedule: Rotating shifts
About the Company
Penn Medicine is dedicated to its tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical, and business professionals across all disciplines. Penn Medicine employees are actively engaged and committed to its mission to make medical advances that help people live longer, healthier lives.