SHC - Patient Care Associate, 32-hour Evening, Rotating Shift

    Massachusetts General Hospital
    Cambridge, MA
    Part-time
    Similar jobs pay $27.69 - $44.51

    Job Description

    GENERAL SUMMARY/ OVERVIEW STATEMENT: Summarize the nature and level of work performed. Please note that this section should be written in a paragraph format and provide a broad description of the role and its purpose as well as the reporting structure.

    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: In order of importance, list essential areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation. This section should be completed as a bulleted list and explain how the role is performed.
    • Assists with meeting direct patient care needs
    • Consistently fosters a healing environment with respect and kindness demonstrating respect for all individuals with sensitivity to cultural diversity
    • Contributes to the plan of care through ongoing communication with the RN
    • Assists with patient data and specimen collection
    • Assists with equipment preparation and set up
    • Supports a Culture of Safety by providing a safe and comfortable patient/family experience where risks are reduced and/or eliminated
      • Completes hourly patient care rounds, anticipating patient needs proactively
      • Maintains patient and family privacy and confidentiality
      • Responds to patient and family requests, including answering patient call lights in a timely manner
      • Seeks registered nurse assistance to meet patient/family needs when necessary.
      • Communicates in a respectful manner with all members of the interdisciplinary team
      • Monitors patient and environment for safety concerns and immediately reports changes to RN/licensed nurse
      • Maintains a safe and clean patient care environment
      • Follows Infection Prevention Practices
        • Proper hand washing demonstrated 100% of the time
        • Utilizes 2 patient identifiers for proper patient identification prior to all specimen collections
      • Follows Safe Patient Handling principles to maintain safety for both patients and staff
    • Documents aspects of care on approved forms or electronic medical record
    • Participates as a member of the Interdisciplinary team to meet patient/family and unit/department needs
    • Proactively provides assistance to others
    • Performs delegated responsibilities and demonstrates willingness to adapt to changing unit demands
    • Provides care appropriate to age group of patients on assigned unit(s) as described in the relevant unit profiles
    • Mentoring and teaching is provided for new PCAs to meet performance expectations
    • 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
    Addendum: Lists essential areas of responsibility, major job duties, special projects and key objectives for this position that are applicable to a specific unit that may not be all inclusive. As there is variability in delegated tasks depending on the population of a particular patient care unit, these items should be evaluated throughout the year and included in the written annual evaluation.

    Example Addendums

    Patient Data and Specimen Collection
    • Depending on unit requirements as outlined may perform the following:
    • Records 12 lead ECG
    • Performs phlebotomy
    • Performs Pulse Volume Recording (PVR)
    • Performs bladder scanning
    • Collects and tests stool for fecal occult blood
    Critical Care
    • Demonstrates blood withdrawal via arterial line using needleless vacutainer
    • Demonstrates blood withdrawal for blood gases via arterial line stopcock
    • Sets up noninvasive measurement of BP and pulse via monitor software
    • Performs oral suctioning with a yankeur catheter
    • Demonstrates insertion of a urinary catheter
    • Demonstrates removal of a urinary catheter
    Psychiatric
    • Works effectively in the therapeutic milieu
    • Checks patient belongings on admission per unit protocol
    • Provides safety checks and patient visibility rounds
    • Maintains sharps sign out roster
    • Checks patients/visitors in and out of unit
    Tasks Supporting the Medication System
    • Removes medication from the pneumatic tube system and places those medications in the drop-off bin located in the medication storage area
    • In the Post-Anesthesia Care Unit, the PCA removes the medications from the pneumatic tube system and delivers them directly to the registered nurse responsible for the patient
    Unit Specific Skills:
    • Discontinues short peripheral IV catheters
    • Applies/removes continuous passive motion (CPM) device with assist in the presence of a healthcare professional
    • Assists the healthcare professional in performing extensive wound care
    • Removes and applies splints/devices with assist in the presence of a healthcare professional
    • Assists with tracheostomy care including ventilatory support with ambu bag in the presence of a healthcare professional
    • Performs urine dipstick testing
    Note: These roles are consistent with the application of professional delegation as outlined in the Board of Registration in Nursing and Nurse Practice Act.


    Qualifications :

    SKILLS & COMPETENCIES REQUIRED: This section should be a bulleted list of minimum requirements explaining the skills (what the individual is trained for) and competencies (measurable as defined by the job) necessary to perform the job.
    • Knowledge of English language sufficient to read, speak, and write accurately
    • Knowledge of simple arithmetic
    • Ability to lift and transport patients using the appropriate physical technique in a safe manner for the patient and self, according to Safe Patient Handling Guidelines
    • Ability to master basic computer skills
    • Excellent interpersonal skills to interact effectively with patients, visitors and hospital personnel
    LICENSES, CERTIFICATIONS, and/or REGISTRATIONS: Specify minimum credentials and clearly indicate if required or preferred.

    Not Applicable

    Licenses:

    Required:
    • None
    Preferred:
    • None
    Certifications:

    Required:
    • Certification as a Nursing Assistant at time of hire required at McLean Hospital Geriatric/Psych Unit and at the Partners Academic Medical Centers including MGH, BWH, and BWFH, NSMC - Union Hospital only
    • Certification as a Nursing Assistant at time of hire within the Spaulding Rehabilitation Network or within 120 days of employment and must remain active thereafter, OR
    • Nursing student currently enrolled in a formal nursing program who has successfully completed at least one clinical rotation
    • 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.
    Preferred:

    Registrations:

    Required:
    • None
    Preferred:
    • None
    Posting ID: 552624249Posted: 2020-05-27