PRN Student Nursing Assistant - Neuro ICU at HUP

Description

Penn Medicine is dedicated to our 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.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

The Student Nurse/ Co-Op (Level 2) interacts with patients at the most intimate level and highest frequency. As an integral member of the health care team, the Student Nurse/ Co-Op (Level 2) shows up and remains engaged in all aspects of the role, drive results with intention, partners with unwavering support, commit to every single moment and serve with compassion. While working under the direct supervision of the registered nurse, the Student Nurse/ Co-Op (Level 2)'s primary focus is to support and assist in the delivery of quality care to patients and families. Some of the major responsibilities include participation in RN/CNA hand-off communications and unit huddles, timely collection and reporting of patient data, demonstrating safety protocols and adherence to policies at all times, timely notification and escalation of data or clinical conditions, remaining alert and responsive to activities on the unit, and demonstrating a genuine care for the patient (paying a close attention to the basics), e.g., active listening, timely response, cultural sensitivity, individualized approach to care. Accountabilities • Demonstrates a genuine care for the patient, e.g., active listening and responding, gentle approach to providing care, knock then identify yourself before entering a patient's space, provide timely information to patients in a caring manner; ensure an individualized approach to care to include cultural sensitivities, anticipate patent needs based on dialogue and observation. Communicate with patients to ascertain feelings or need for assistance or social and emotional support. • Active participation in daily RN/CNA handoffs and unit huddles. Gather information from caregivers, nurses, or physicians about patient condition, treatment plans, or appropriate activities • Demonstrates flexibility/change in assignments based on patient acuity and unit needs • Demonstrates support of quality and safety measures in the work environment, e.g., demonstrated support of the unit's Quality Assessment Performance Improvement (QAPI) goals • Ensure actions and behaviors demonstrate their support in creating a positive, caring and healing patient environment • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures • Other duties as assigned to support the unit, department, entity, and health system organization • Report • Receives written/verbal report at the beginning of each shift from the registered nurse (RN) regarding the care that is to be delivered to the assigned group of patients, or for patient needing constant observation. • Gives report when leaving unit, and at the completion of the shift regarding the care that was delivered; any abnormalities that occur during the shift are to be reported as they occur to the RN as well as to the oncoming CNA or PCA. • 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. • Timely notification and escalation of data or clinical data/information, including clinical emergencies • Delegates tasks appropriately and also receptive to delegation from healthcare team • Assists in Assessment • Identifies the patient per hospital policy before carrying out functions. • Assists with data collection for nursing history and physical e.g., vital signs, ht. wt, blood sugar results, functional status and communicates changes to the RN in a timely fashion. • Participates in respectful communication with patients, families and co workers. • Provides patient and family information to the registered nurse for coordination of care and discharge planning. • Observes skin changes and reports discoloration, abrasions, infestations or skin breakdown. • Planning • 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. • Participates in multidisciplinary rounds on the patient care unit. • Performs patient care rounds per unit policy. • Participates in staff and unit council meetings. • Reinforces health care instruction to patients according to the directions of the RN. • Consistently focuses on improving the patient experience in collaboration with the care team • Intervention • Assist patient in their independence (when appropriate), preserving the patient's dignity while providing care. • Answer patient call signals, signal lights, bells, or intercom systems to determine patients' needs. • Document and report interventions and observations of patient behavior, complaints, or physical symptoms to nurses. • Demonstrate adherence to infection prevention policy and protocols, including attire, patient precautions and hand hygiene. 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,monitors and documents patients in restraints per policy and per medical order. • Demonstrate safe patient handling skills, following policy and using safe patient handling equipment • Observes,monitors and documents behavior/health state and responses to therapy. o Temperature, Pulse, Respiration o Blood Pressure o Height and Weight o Intake and Output o Bowel and Bladder Function Checks o Pain • Performs or assists 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. • Participates in the prevention and of skin breakdown. Maintain turning and offloading. • 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. (special swallowing precautions). • 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. • Applies urosheath/condom catheter. • Administers cleansing enemas as ordered. • Assists with colostomy irrigations and vaginal irrigations. • 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. • Communicates pertinent observations to appropriate members of the health care team in a timely fashion. • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures • Other duties as assigned to support the unit, department, entity, and health system organization UPHS Organizational Behavioral Competencies Competency Level 1 Ensures Accountability Holding self and others accountable to meet commitments. Patient/Customer Focus Building strong patient/customer relationships and delivering patient centric solutions. Demonstrates Self-Awareness Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses. Communicates Effectively Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Collaborates Building partnerships and working collaboratively with others to meet shared objectives. Instills Trust Gaining the confidence and trust of others through honesty, integrity and authenticity. Values Differences Recognizing the value that different perspectives and cultures bring to an organization. Critical Thinking and Problem Solving Using thought, knowledge, logic and methods to solve problems with effective solutions. QUALIFICATIONS Education/Experience Req Pref Education Level Major/Area of Study And/Or Experience Experience Details X H.S. Diploma/GED X Other Matriculated in an accredited BSN Nursing Program; minimally completed the nursing foundations/fundamentals Education/Experience Req Pref Education Level Major/Area of Study And/Or Experience Experience Details clinical course with a 3.0 GPA overall and within the Nursing major Licenses, Registrations, and Certifications Req Pref Licenses/Registrations/Certifications Licenses/Registrations/Certifications (Drop Down) X BLS required with American Heart Association Skills and Abilities Req Pref Skill/Ability X Ability to perform functions as described above in the position description, according to the clinical level X A demonstrated track record of success in creating an environment that facilitates an outstanding patient experience for each and every patient X Working knowledge of basic patient safety principles X Must be able to listen supportively to patients and families X Experience in the processes surrounding Patient Care Outcomes and Quality Improvement Standard Work Environment Work Environment Selection Nursing Environment (RNs, APs) Physical Demands Never Rarely 0 - 10% Occasional 11% - 35% Frequent 36% - 70% Constant 70% plus Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching X Climbing: Ascending or descending ladders, stairs, scaffolding, and ramps using feet and legs and/or hands and arms X Crawling: Moving about on hands and knees or hands and feet X Fine Manipulation: Able to manipulate objects while maintaining a grasp at all times X Grasping: Applying pressure to an object with the fingers and palm X Keyboard operation: Amount of time typing on computer keyboard X Kneeling: Bending legs at knee to come to a rest on knee or knees X Reaching: Extending hand(s) and arm(s) in any direction X Repetitive Foot Control: For example as when using sink pedals or driving X Repetitive Use of Hands: The act of repeating the same hand motion X Standing: Remaining upright on the feet, particularly for sustained periods of time X Sitting: Remaining in a position in which one's weight is supported by one's buttocks rather than one's feet and one's back is upright for sustained periods of time X Stooping: Bending the body downward and forward by bending leg and spine. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles X Physical Demands Never Rarely 0 - 10% Occasional 11% - 35% Frequent 36% - 70% Constant 70% plus Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another X Lift/Carry Raising objects from a lower to a higher position or moving objects horizontally from position to position Never Rarely 0 - 10% Occasional 11% - 35% Frequent 36% - 70% Constant 70% plus Sedentary: 5 pounds and under X Light: 6-10 pounds X Moderate: 11-49 pounds X Heavy: 50 pounds and over X Push/Pull Using upper extremities to press against something with steady force in order to thrust forward, downward, or outward or to exert force in order to draw, drag, haul, or tug objects in a sustained motion Never Rarely 0 - 10% Occasional 11% - 35% Frequent 36% - 70% Constant 70% plus Sedentary: 5 pounds and under X Light: 6-10 pounds X Moderate: 11-49 pounds X Heavy: 50 pounds and over X Specific Needs Never Rarely 0 - 10% Occasional 11% - 35% Frequent 36% - 70% Constant 70% plus Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication and making fine discriminations in sound X Seeing: Vision for near, far, peripheral, depth, and color X Talking: Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly X Driving or Equipment Operation: Driving a car, van, cart, or truck and/or operating heavy equipment X Employee

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.