2003 Template



Applies to: FORMCHECKBOX WW FORMCHECKBOX RNPH FORMCHECKBOX ED FORMCHECKBOX SMH FORMCHECKBOX OR FORMCHECKBOX Amb FORMCHECKBOX Job Description FORMCHECKBOX Performance EvaluationPeriod Covered by this Performance Evaluation: _________ TO __________ Unlicensed Clinical Positions Employee Name: FORMTEXT ?????Department/Unit:Current Title:CLINICAL/ADMINISTRATIVE CARE PARTNER Current Title Code:Supervisor Name: FORMTEXT ?????Supervisor Title: FORMTEXT ?????Approved Title (for reclassifications only): FORMTEXT ?????Approved Title Code (for reclassifications only): FORMTEXT ?????Methods of Measurement Include the Following:AGES SERVED FORMCHECKBOX Direct Observation FORMCHECKBOX Documentation FORMCHECKBOX Neonates (< 30 days) FORMCHECKBOX Adults (> = 18 years to < 65 years) FORMCHECKBOX Feedback from staff or patients FORMCHECKBOX PI Reports FORMCHECKBOX Infants (> 30 days and < 1 year) FORMCHECKBOX Geriatrics (> = 65 years) FORMTEXT ????? FORMCHECKBOX Pediatrics (> = 1 year & < 13 years) FORMCHECKBOX Not Applicable FORMCHECKBOX Adolescents (> = 13 years & 18 years)Place an “X” if over 20% of work is exposed to one or more of the following conditions: FORMCHECKBOX Confined area FORMCHECKBOX Noise Exposure FORMCHECKBOX Extreme temperatures FORMCHECKBOX Potential allergenic/irritant conditions FORMCHECKBOX Exposed to weather FORMCHECKBOX Vibrations FORMCHECKBOX Atmospheric conditions FORMCHECKBOX Other (specify)Please check all that apply (Competencies must be up-to-date at time of Performance Evaluation)COMPETENCIES:INITIAL: FORMCHECKBOX RR UCLA MC Dept. Specific Orientation FORMCHECKBOX Job Specific SUMMARY STATEMENT:Performs basic patient care skills, follows infection control practices, positions, transfers and transports patients, takes vital signs, collects specimens, accurately observes, reports and charts, performs range of motion and assists with feedings, self-care activities and elimination needs. Additional duties include customer relations, area coordination, patient record maintenance, office/unit operations, automated data maintenance, (verifying, recording, posting and filing informational materials via automated/manual systems). Training of clerical staff, and performing other duties as required.TYPE OF SUPERVISION RECEIVED:Under the direction of the Unit Director/Clinical Nurse Manager and/or designee.Duties and TasksRatingDMCUSTOMER RELATIONS FORMCHECKBOX FORMCHECKBOX Demonstrate positive interpersonal skills and caring behaviors in working with patients, significant others, and members of patient care teamAcknowledge presence and provides assistance to people approaching the nurses’ station FORMCHECKBOX FORMCHECKBOX Consistently model exceptional interpersonal skills and caring behavior in working with patients, significant others and members of patient care team FORMCHECKBOX FORMCHECKBOX Answer patient call lights in a courteous and timely manner, using 3 part greeting (greet, acknowledge patient and state “how may I help you” FORMCHECKBOX FORMCHECKBOX Perform patient rounds, introducing self and connecting with patients within the 1st two hours of the shift or according to the unit standard FORMCHECKBOX FORMCHECKBOX Facilitate a calm, orderly, professional and quiet environment FORMCHECKBOX FORMCHECKBOX Coordinate flows of communication between appropriate staff FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Distribute mail and other designated items to patients FORMCHECKBOX FORMCHECKBOX Respect customer/staff individuality FORMCHECKBOX FORMCHECKBOX Assist with directing flow of visitor to the Unit (FOR CCP ONLY) FORMCHECKBOX FORMCHECKBOX Effectively respond to the unique needs of neonatal, pediatric, adolescent, adult, and/or geriatric patients as needs arise (FOR CCP ONLY) FORMCHECKBOX FORMCHECKBOX PATIENT CARE DUTIES (FOR CCP ONLY) FORMCHECKBOX FORMCHECKBOX Assist patients with admitting procedure: FORMCHECKBOX FORMCHECKBOX Set up room for admission and transfers in FORMCHECKBOX FORMCHECKBOX Orient patient to environment and routine of unit FORMCHECKBOX FORMCHECKBOX Take and record patient’s vital signs, weight & height as directed FORMCHECKBOX FORMCHECKBOX Take care for patient’s personal property, label and store personal items FORMCHECKBOX FORMCHECKBOX Label door, urinals, bedpans, measuring devices, water pitchers, and all patient equipment FORMCHECKBOX FORMCHECKBOX Report observations and pertinent information to assigned RN regarding patient's condition immediately FORMCHECKBOX FORMCHECKBOX Assist patients during transfer procedure/discharge: FORMCHECKBOX FORMCHECKBOX Prepare and assist with the collection and transfer of personal items and equipment FORMCHECKBOX FORMCHECKBOX Accompany patient during transport/discharge as needed FORMCHECKBOX FORMCHECKBOX Replace bed and bedside tables as needed FORMCHECKBOX FORMCHECKBOX Provide for patients’ personal hygiene: FORMCHECKBOX FORMCHECKBOX Provide A.M. and P.M. care on a routine basis FORMCHECKBOX FORMCHECKBOX Provide oral hygiene and denture care FORMCHECKBOX FORMCHECKBOX Provide skin care as directed FORMCHECKBOX FORMCHECKBOX Provide hair care and shampoo as needed FORMCHECKBOX FORMCHECKBOX Provide perineal care/incontinent care FORMCHECKBOX FORMCHECKBOX Provide indwelling catheter care FORMCHECKBOX FORMCHECKBOX Assist with shaving of male patients FORMCHECKBOX FORMCHECKBOX Check patient’s ID band every shift FORMCHECKBOX FORMCHECKBOX Report patient observations and pertinent information to assigned staff nurse FORMCHECKBOX FORMCHECKBOX Report problems or changes in patient’s condition immediately FORMCHECKBOX FORMCHECKBOX Assist ambulatory patients to bathroom; assist with bedpans, urinals and commodes FORMCHECKBOX FORMCHECKBOX Assist patients with meals and nourishment: FORMCHECKBOX FORMCHECKBOX Assist and feed patients as needed FORMCHECKBOX FORMCHECKBOX Observe aspiration precautions for all patients FORMCHECKBOX FORMCHECKBOX Assist with completing menu and place in designated area as necessary FORMCHECKBOX FORMCHECKBOX Deliver and collect trays as necessary FORMCHECKBOX FORMCHECKBOX Document food intake for calorie count as ordered FORMCHECKBOX FORMCHECKBOX Assist with respiratory care: FORMCHECKBOX FORMCHECKBOX Assemble suction equipment FORMCHECKBOX FORMCHECKBOX Fill humidifier bottles when not attached to patient FORMCHECKBOX FORMCHECKBOX Suction oral cavity as directed/needed FORMCHECKBOX FORMCHECKBOX Assist patient with incentive spirometer FORMCHECKBOX FORMCHECKBOX Perform CP (chest percussion) as directed FORMCHECKBOX FORMCHECKBOX Assist patients in coughing, deep breathing and position changes as directed FORMCHECKBOX FORMCHECKBOX Assist in providing patient safety and comfort measures: FORMCHECKBOX FORMCHECKBOX Follow standard precautions for all patients FORMCHECKBOX FORMCHECKBOX Maintain and reinforce isolation policy FORMCHECKBOX FORMCHECKBOX Implement and maintain heel protectors, special mattress/bed and other pressure reduction devices as directed FORMCHECKBOX FORMCHECKBOX Apply and monitor restraints as directed per hospital protocol FORMCHECKBOX FORMCHECKBOX Maintain individual patient safety, e.g., side rails up, brakes locked and call bells within reach, and initiate fall precautions as directed FORMCHECKBOX FORMCHECKBOX Respond to emergency situations per hospital protocol FORMCHECKBOX FORMCHECKBOX Tag/report malfunctioning equipment to appropriate personnel FORMCHECKBOX FORMCHECKBOX Respond to/report alarms immediately to RN FORMCHECKBOX FORMCHECKBOX Provide care to patients who are at risk of harming self and others per departmental/hospital policy FORMCHECKBOX FORMCHECKBOX Maintain a clean and orderly environment: FORMCHECKBOX FORMCHECKBOX Change bed linen on a routine basis and as needed FORMCHECKBOX FORMCHECKBOX Assist in tidying patients’ bedside and personal effects FORMCHECKBOX FORMCHECKBOX Keep bedside supply trays stocked per unit protocol (except for NPH) FORMCHECKBOX FORMCHECKBOX Maintain cleanliness of patient’s special equipment FORMCHECKBOX FORMCHECKBOX Remove unused equipment and/or supplies from room and place in designated area for pick-up or storage FORMCHECKBOX FORMCHECKBOX Routinely check each patient’s bedside to ensure that call bell, light and room clock are accessible and functioning FORMCHECKBOX FORMCHECKBOX Assist in the identification of environmental (i.e. frayed cords, spills, wet floors, etc.) hazards and report to appropriate personnel FORMCHECKBOX FORMCHECKBOX Keep corridors uncluttered-Remove or arrange for removal of unnecessary equipment-Maintain neatness of linen rooms-Empty linen hampers as appropriate and keep all linen off the floor FORMCHECKBOX FORMCHECKBOX Maintain refrigerator logs as directed FORMCHECKBOX FORMCHECKBOX Perform/assist with ER cart and defibrillator checks as directed FORMCHECKBOX FORMCHECKBOX Maintain unit based equipment as directed FORMCHECKBOX FORMCHECKBOX Perform and record vital patient information: FORMCHECKBOX FORMCHECKBOX Take and record height and weight, intake and output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry as directed FORMCHECKBOX FORMCHECKBOX Complete required documentation on flow sheets per unit protocol FORMCHECKBOX FORMCHECKBOX Perform EKG as directed FORMCHECKBOX FORMCHECKBOX Perform the role of a Monitor Tech. as directed (except for NPH) FORMCHECKBOX FORMCHECKBOX Set up and maintain monitoring equipment (except for NPH) FORMCHECKBOX FORMCHECKBOX Empty drainage bags (Indwelling, Jackson-Pratt, and Hemovac) FORMCHECKBOX FORMCHECKBOX Provide population specific/unit protocols care FORMCHECKBOX FORMCHECKBOX Assist with pre-operative/post-operative/special procedures as directed: FORMCHECKBOX FORMCHECKBOX Provide pre-op scrubs and preps as directed FORMCHECKBOX FORMCHECKBOX Assist in removing or taping of jewelry, removal of dentures or other articles (wigs, glasses, etc.) FORMCHECKBOX FORMCHECKBOX Label patient’s belongings with patient’s name and ID, secure and store all belongings FORMCHECKBOX FORMCHECKBOX Prepare beds for post-operative/procedural patients FORMCHECKBOX FORMCHECKBOX Assist with non-sterile dressing changes and wound care FORMCHECKBOX FORMCHECKBOX Assist patients with activity and mobility: FORMCHECKBOX FORMCHECKBOX Assist patient in position changes, dangling and ambulation FORMCHECKBOX FORMCHECKBOX Assist patient in and out of bed FORMCHECKBOX FORMCHECKBOX Assist in the application and removal of anti-embolic and pulsatile stockings, as directed FORMCHECKBOX FORMCHECKBOX Assist with PT/OT Care such as:-Range of motion-Transfers-Endurance activities-Application of splints, prosthetics and orthotic support devices-Feeding for dysphagia patients -ADL practice/training for home care FORMCHECKBOX FORMCHECKBOX Perform special procedures as directed: FORMCHECKBOX FORMCHECKBOX Sitz bath FORMCHECKBOX FORMCHECKBOX Breast care FORMCHECKBOX FORMCHECKBOX Perineal care FORMCHECKBOX FORMCHECKBOX Provide Seizure precautions as directed FORMCHECKBOX FORMCHECKBOX Provide patient observation as assigned FORMCHECKBOX FORMCHECKBOX Collect all specimens as directed FORMCHECKBOX FORMCHECKBOX Assist with post-mortem care: FORMCHECKBOX FORMCHECKBOX Assist with care and labeling of body according to policy FORMCHECKBOX FORMCHECKBOX Assist with packing, labeling and transferring of belongings FORMCHECKBOX FORMCHECKBOX ADDITIONAL PATIENT CARE DUTIES (FOR CCP ONLY)Perform start of shift and end of shift fresh drinking water service to all patients unless contraindicated by dietary restrictionsPerform DASH Monitor setup routinely and also in emergenciesPerform daily refrigerator temperature log checks as assignedPerform medication, lab, or blood product retrieval from the Pneumatic tube station while practicing universal precautions and in compliance with OSHA guidelines Provide patient and family individualized escort service to assigned room and perform initial room orientation including call bell usage, television overview, bathroom location, electronic bed rail functions, and identification of assigned Registered Nurse name FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX IV. AREA COORDINATION (FOR ACP ONLY) FORMCHECKBOX FORMCHECKBOX Perform secretarial duties in a manner that enhances the daily operation of the unitAssist with directing flow of visitors to the unit FORMCHECKBOX FORMCHECKBOX Track patient flow on and off unit by updating patient location screen FORMCHECKBOX FORMCHECKBOX Notify appropriate personnel of admissions, discharges, and transfers in a timely manner FORMCHECKBOX FORMCHECKBOX Locate boarders by using “Service System List”- Omit for RNPH FORMCHECKBOX FORMCHECKBOX Update white board assignments per shift and as necessary FORMCHECKBOX FORMCHECKBOX Reconcile “accommodation code” and level of care, i.e. monitored, non-monitored FORMCHECKBOX FORMCHECKBOX Perform daily charge document reconciliation on a per patient by communicating with each nurse FORMCHECKBOX FORMCHECKBOX Perform shift reconciliation report for unit and status audit reports for all patients FORMCHECKBOX FORMCHECKBOX Enter nursing unit charges to capture procedures and treatments, if applicable FORMCHECKBOX FORMCHECKBOX Enter nursing unit charges manually on timely basis in accordance with hospital policy-if applicable FORMCHECKBOX FORMCHECKBOX Monitor and coordinate, phone, beeper and voice pagers relaying accurate messages to appropriate people FORMCHECKBOX FORMCHECKBOX Label charts, rooms, doors and other equipment according to standard unit protocol FORMCHECKBOX FORMCHECKBOX Assist in returning/forwarding x-ray films, belongings and other items as appropriate FORMCHECKBOX FORMCHECKBOX Assist multi-disciplinary team members in obtaining necessary paperwork, equipment, supplies; assist with other requests FORMCHECKBOX FORMCHECKBOX Communicate with RN to ensure patients get their meals as appropriate FORMCHECKBOX FORMCHECKBOX Coordinate diagnostic tests procedures, consultations and appointments accurately and notify patient and/or appropriate nurse FORMCHECKBOX FORMCHECKBOX Communicate appropriate information to charge RN to facilitate work of unit FORMCHECKBOX FORMCHECKBOX Use high-level problem solving skills, accessing needed resources to facilitate work of unit FORMCHECKBOX FORMCHECKBOX Establish PAR level and demonstrate cost effective utilization of clerical supplies FORMCHECKBOX FORMCHECKBOX Perform additional administrative support functions as requested by the Unit Director/Clinical Nurse Manager FORMCHECKBOX FORMCHECKBOX Pick up and deliver supplies as directed FORMCHECKBOX FORMCHECKBOX V. PATIENT RECORD MAINTENANCE/ AUTOMATED DATA MAINTENANCE (FOR ACP ONLY) FORMCHECKBOX FORMCHECKBOX Maintain the medical records, transcribe orders, and utilize the computer in a manner that facilitates patient careNotify nursing staff of new, revised and STAT orders FORMCHECKBOX FORMCHECKBOX Monitor and update “treatment team’ list per shift and/or as needed. Use Nurse call’s “white board” to update the assigned nurse, CCP and “buddy”- Omit for RNPH FORMCHECKBOX FORMCHECKBOX Prepare, print, and forward necessary requisitions as appropriate FORMCHECKBOX FORMCHECKBOX Order equipment and supplies as needed FORMCHECKBOX FORMCHECKBOX Assemble and complete expiration packets - Omit for RNPH FORMCHECKBOX FORMCHECKBOX Ensure all “hard copy” patient records accompany patient at all times, i.e., consent form, blood transfusion, resuscitation form, EKG print out FORMCHECKBOX FORMCHECKBOX Obtain previous inpatient and requested outpatient medical record on the unit for transferring a patient to SNF, etc. FORMCHECKBOX FORMCHECKBOX Break down chart when patient is discharged FORMCHECKBOX FORMCHECKBOX Send copies of Advance Directives (AD) to admissions department when completed, work with Admissions to reconcile AD issues as applicable FORMCHECKBOX FORMCHECKBOX Notify Organ Procurement Organization of all deaths/imminent death within one hour (work with nursing team) FORMCHECKBOX FORMCHECKBOX Assist in obtaining completed death paperwork and sending it to Decedent Affairs within 15 hours of death FORMCHECKBOX FORMCHECKBOX VI. MISCELLANEOUS DUTIES (FOR CCP ONLY) FORMCHECKBOX FORMCHECKBOX Assist with duties as assigned by the charge nurse/shift coordinator:Assist with checking and stocking cart supplies and assist with charging of patient charge items FORMCHECKBOX FORMCHECKBOX Assist in tracking and inventory of equipment FORMCHECKBOX FORMCHECKBOX Participate in Nursing Department committees or projects and communicate outcomes to staff and Unit Director/Clinical Nurse Manager FORMCHECKBOX FORMCHECKBOX Pick up and deliver supplies as directed FORMCHECKBOX FORMCHECKBOX VII. TRAINING FORMCHECKBOX FORMCHECKBOX Demonstrate a willingness to assist other members of the team while maintaining performance of individual dutiesAssist in orienting new personnel FORMCHECKBOX FORMCHECKBOX Participate in work-related continuing education and communication activities FORMCHECKBOX FORMCHECKBOX IX. PROFESSIONAL AND/OR INSTITUTIONAL STANDARDS Maintain professional appearance and behavior FORMCHECKBOX FORMCHECKBOX Observe institutional/unit standards and requirements regarding work schedule commitments FORMCHECKBOX FORMCHECKBOX Report to charge nurse/shift coordinator, giving destination when leaving unit for any period of time FORMCHECKBOX FORMCHECKBOX Give report to the oncoming personnel at shift’s end as directed FORMCHECKBOX FORMCHECKBOX Adhere to Unit Interpersonal Standards as applicable FORMCHECKBOX FORMCHECKBOX Adhere to department attendance standards including hours of work FORMCHECKBOX FORMCHECKBOX Support that telephone and computer usage is for patient care business only FORMCHECKBOX FORMCHECKBOX Seek and accept guidance from Unit Director/Clinical Nurse Manager or appropriate person to accomplish job duties FORMCHECKBOX FORMCHECKBOX Participate in work-related meetings and /or represent unit on task forces/committees/projects as requested FORMCHECKBOX FORMCHECKBOX Accept delegated duties from Unit Director/Clinical Nurse Manager and/or appropriate personnel as requested FORMCHECKBOX FORMCHECKBOX RNPH ADDENDUM: (FOR ACP ONLY)Greeter FORMCHECKBOX FORMCHECKBOX Sit at the Greeter Desk, located at the front of each pod FORMCHECKBOX FORMCHECKBOX Greet patents, family members, faculty and staff, using eye contact, and asking how you can assist them FORMCHECKBOX FORMCHECKBOX Provide directions and way-finding as needed FORMCHECKBOX FORMCHECKBOX When asked for access to the unit by an unknown individual, contact the appropriate nurses’ station to request guidance FORMCHECKBOX FORMCHECKBOX If asked about the location of an individual patient, respond that you cannot confirm or deny that someone is a patient, ask for the name of the individual and call the nurses’ station to inquire if you should allow the person to enter the unit FORMCHECKBOX FORMCHECKBOX When asked for access by faculty or staff with a valid ID card, but no unit proximity card access, open the door to the secure foyer area and call the appropriate nurses’ station for staff to escort the individual FORMCHECKBOX FORMCHECKBOX For patient admission:Greet patient and family or staff accompanying patientNotify nursing staff from appropriate nursing station that the patient has arrived Open door to the secure foyer to allow patient and family to enterAsk patient and family to leave all bags, suitcases, and other personal possessions in the contraband room connected to the greeter station until these items can be searched by a staff memberPatient will be escorted to the assigned room by nursing staff FORMCHECKBOX FORMCHECKBOX Arrange with shift coordinator for coverage at the greeter station when needing to leave area for breaks, errands, etc. so that the station is covered. (If unable to obtain coverage, lower the Cookson door prior to leaving the area). FORMCHECKBOX FORMCHECKBOX X. UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CAREObserve and practice all the Service Standards listed in the “World Class Practices” (which I have read and signed) Practice C-I-CARE when interacting with patients, their families, visitors, or internal customersConnect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer Introduce yourself and your roleCommunicate what you are going to do, how long it is going to take, and how it will impact the patient.Ask and anticipate patient and/or family needs, questions or concernsRespond to patient and/or family questions and requests with immediacyExit courteously and/or with an explanation of what will come next (or when you will be back to check on them)Practice C-I-CARE phone etiquette during all phone interactionsAlways exercise courtesy whenever patients, family members, visitors and co-workers are present? Respect privacy and dignity of our patients, family members, visitors and co-workersMaintain professionalism in the presence of patients, their families, visitors and co-workersObserve departmental Patient Experience plan, competencies and practicesAct as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organizationParticipate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work placeComply with Health System Workplace Conduct Policy Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, includingpassive or active behaviors will not be tolerated as stated in the HS Workplace Conduct PolicyComply with Health System Dress Code Policy and practices FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX INSTITUTIONAL AND/OR PROFESSIONAL STANDARDSComply with HIPAA and Confidentiality Policies and Procedures as they apply to the jobComply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standardsAdhere to all Hospital Policies and ProceduresKnowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX PERFORMANCE IMPROVEMENTAdhere to current organizational Performance Improvement prioritiesParticipate in quality studies through data collection and dashboard data collectionMake recommendations and take actions to improve structure, system or outcomes FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX OTHER DUTIES FORMCHECKBOX FORMCHECKBOX Clinical Care Partner: Psychiatric Addendum Patient Care Therapeutic and Safety Measures FORMCHECKBOX FORMCHECKBOX Perform systematic inventory of patients belongings in the patients presence: FORMCHECKBOX FORMCHECKBOX Complete personal belongings form, sign and give to admitting RN FORMCHECKBOX FORMCHECKBOX Remove sharps, mirrors, glass, weapons, and medications, secures them and inform the admitting RN FORMCHECKBOX FORMCHECKBOX Identify valuables and inform admitting RN FORMCHECKBOX FORMCHECKBOX When patient’s behavior becomes disruptive, provide initial interventions and inform RN FORMCHECKBOX FORMCHECKBOX Assist patients with meals and nourishment FORMCHECKBOX FORMCHECKBOX Conduct patient rounds per shift/unit procedure and ensure patient safety FORMCHECKBOX FORMCHECKBOX Assist with management of the milieu to ensure a therapeutic environment FORMCHECKBOX FORMCHECKBOX Utilize therapeutic communication techniques according to age specific/unit protocols FORMCHECKBOX FORMCHECKBOX Individualize specific verbal/non-verbal interactions to patient and situation FORMCHECKBOX FORMCHECKBOX Monitor patient behavior and reports changes to RN FORMCHECKBOX FORMCHECKBOX Manage physically and verbally aggressive patient using least restrictive measures FORMCHECKBOX FORMCHECKBOX Ensure patient status is maintained per departmental policy and procedure, e.g. Suicidal Observation, Constant Observation, Constant Eyesight FORMCHECKBOX FORMCHECKBOX Participate in meaningful activities with patients to meet their diversionary needs FORMCHECKBOX FORMCHECKBOX Observe and report to RN the patient's response following individual and group activities FORMCHECKBOX FORMCHECKBOX Function as group activity leader as directed by RN FORMCHECKBOX FORMCHECKBOX Provide one to one care as directed by RN for patient safety and/or therapeutic intervention FORMCHECKBOX FORMCHECKBOX Accompany and remain with patient for clinic appointments, clinical laboratory, radiology tests and school FORMCHECKBOX FORMCHECKBOX Assist with patient pre and/or post ECT as directed by the RN FORMCHECKBOX FORMCHECKBOX Qualifications:Inpatient psychiatric experience preferred7/12/02Skills, Knowledge and Abilities(Disregard this section for performance evaluations)REQUIREMENTS:List any equipment (machines, tools, office appliances or motor vehicles) required to do the job, with or without a reasonable accommodation. Indicate whether use is seldom, occasional, frequent, or constant.See Nursing Policy and Procedure Equipment Manual. FORMCHECKBOX CPR: FORMCHECKBOX License: FORMTEXT ????? FORMCHECKBOX Certifications:CNA or other as listed under SKA #1 FORMCHECKBOX Degree:High School Diploma or GED preferred and “X” the box FORMCHECKBOX Experience: FORMTEXT ?????Skills, Knowledge and AbilitiesCurrent California Certification of Nursing Assistant OR current enrollment in a state approved nursing school program, with a minimum of one completed med/surg rotation Foreign trained RN considered. CNA certification would be required within 12 monthsGraduate from an approved nursing program; CNA certification is required within one year of an appointment as a CCPCurrent BCLS certificationHigh School Diploma/GEDKnowledge of computer fundamentalsAbility to speak clearly and distinctly using appropriate English vocabulary and grammarAbility to understand oral and written directivesAbility to read and write Standard English textAbility to perform basic arithmetic computations (add, subtract, multiply, and divide)Demonstrates an understanding of basic medical terminology and abbreviationsAbility to organize and prioritize work to complete assignments in a timely mannerFor Neuropsychiatric Hospital, refer to Psychiatric AddendumImportance:Required or PreferredRequiredRequiredRequiredPreferredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredIf overall rating is “Does Not Meet Expectations”, please complete Future Plans and Actions Section.According to the Employee Performance Evaluation Policy, an overall rating of “Does Not Meet Expectations” requires an action plan and a follow-up performance evaluation in either a three-month or six-month period depending on the time needed to demonstrate improved performance. Action plan steps must be objective and measurable with a defined time frame. The date of the follow-up performance evaluation will reset the performance evaluation due date.Does Not Meet Expectations FORMCHECKBOX Meets Expectations FORMCHECKBOX Comments: FORMTEXT ?????Future Plans and Actions: FORMTEXT ?????Employee Comments: FORMTEXT ?????To update our files, please answer the following questions:Have you received a higher education degree in past 12 months: Yes ______No______If Yes, in what field:_______________________________________ Type:_____________Have you received a national certification in the past 12 months: Yes ______No______If yes, please list and bring a copy of certificate to Nursing Resources:__________________ Employee SignatureI have reviewed this Job Description and/or Performance EvaluationDateEvaluator SignatureDateDepartment Head or Designee SignatureDate ................
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