Med-Surg Day CP/CNA
Company: SSM Health
Location: Saint Louis
Posted on: May 26, 2023
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Job Description:
It's more than a career, it's a calling. MO-SSM Health Saint
Louis University Hospital Worker Type: Regular Job Highlights:
Offering competitive compensation, comprehensive and cost
competitive options for medical, dental, vision, disability and
life, continuing education and more! We are SLU Hospital To view
our accomplishments, click here: Academic medicine and level 1
trauma get a new home! Larger ICUs, private beds, expanded ED,
dedicated education spaces, technology and greenspaces are just
part of this exciting project. You have the chance to shape your
new department with your team and establish best practices in this
beautiful new hospital. - To be eligible for this position you must
have a CNA certification or 2 years' experience in a skilled
nursing facility or higher. This shift is 7AM - 7PM! Job Summary:
Care Partners are responsible for meeting the basic needs of
patients by providing skilled levels of bedside patient care under
the direction of the Registered Nurse. Care Partners also perform
clerical duties necessary to the functioning of the nursing unit.
Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES
AND PERFORMANCE CRITERIA (% of Time) Essential Functions: The
following are essential job accountabilities and performance
criteria: 1) General Patient Care: Criteria A) Carries out the
patient's plan of care as it relates to the patient's physical
needs under the direction of the Registered Nurse. B) Delivers care
requiring broad knowledge of aseptic technique, medical terminology
and equipment. C) Assists nurses and physicians with procedures. D)
Maintains knowledge of and operates equipment used in patient care
safely. E) Retrieves patient care items that are not routinely
available on the unit. F) Retrieves, recovers or follows up on
patient care needs. G) Completed unit clerical duties including the
coordination of designated unit activities, transcription of
orders, medical record maintenance and serving as a unit
receptionist. H) Prepares rooms prior to admissions and following
discharges. Completes patient's belongings list on admission and
transfer. I) Directs prompt and courteous attention to the needs of
patients, families, and visitors. J) Rounds with purpose. K)
Engages in service recovery activities referring unusual problems
to Nurse Manager/ Designate. L) Rounds after dietary trays are
passed to ensure all meals are appropriate or as required for
patient satisfaction /care needs. M) Takes appropriate action when
necessary including the resolution of issues related to late or
wrong trays. N) Feeds and sets up trays as needed. O) Recognizes
needs and initiates appropriate action in regard to maintaining
supplies and equipment P) Notifies appropriate department in order
to maintain a clean safe environment (housekeeping, maintenance,
dietary, etc.) Q) Functions as a resource person to co-workers,
patients/families, medical staff, and ancillary personnel. 2)
Safety and Comfort Criteria A) Correctly places restraints;
observes for constriction of circulation, changes to skin
integrity, adequate breathing; knows when and how to change
position; provides range of motion (ROM) and skin care, toileting,
and opportunities for socialization. B) Operates Cardiac Monitor
i.e. 1. On/off switch 2. Alarms/stand-by 3. Obtaining strip 4. Lead
placement 3) Vital Signs/Measurement Criteria A) Completes Point of
Care Testing as approved by hospital and competency B) Obtains
vital signs including temperature C) Measures abdominal girth D)
Weighs patients E) Measures intake and output 4) Mobility and
Exercise: Criteria A) Applies Pneumatic Air Stockings / Ted Hose B)
Ambulates, turns and positions patients. 5) Respiratory Care
Criteria A) Assists with incentive spirometry and cough / deep
breath. B) Sets up oxygen therapy such as, nasal cannula or mask as
directed by Registered Nurse. C) Monitors pulse oximetry D)
Completes tracheostomy care E) Performs suctioning 1. Oral 2.
Tracheal: When the patient is assessed by the Registered Nurse to
be stable. 6) Wound Care Criteria A) Places patient on specialty
bed B) Performs dressing changes (sterile and clean) C) Cares for
pin care site after assessment has been completed by the Registered
Nurse. Assists in monitoring that traction weights are hanging
freely and in good alignment. 7) Bowel and Bladder Elimination
Criteria A) Administers enemas B) Performs straight
catheterization. Provides catheter care. 8) Hygiene Criteria A)
Provides: 1. Hygiene and grooming daily 2. Mouth care (including
dentures) at least twice/day. 3. Fresh water at 0800, 1600, 2400
and as needed 4. Perineal care 5. Toileting 9) Specimen Collection
Criteria A) Obtains: 1. Midstream (clean-voided) urine specimen. 2.
Timed urine specimen 3. Sterile urine specimen from an indwelling
catheter 4. Urine specific gravity (5 South and 5 ICU only)5. Urine
pH 6. Expectorated sputum specimens 7. Blood specimens by
venipuncture 8. Stool specimens 10) Clerical Criteria A) Answers
phone within 3 rings identifying self, title and nursing unit. Does
not keep person on hold for extended periods. B) Provides
directions to physicians, hospital personnel, and visitors to
patient's room. C) Notifies the physician and nursing staff of new
patient's arrival to unit. D) Assists in the receiving of articles
brought to the nursing unit. E) Answers pneumatic tube promptly and
returns carriers to the appropriate area. F) Prepares a daily
worksheet and confirms all appointments concerning daily work
(including blood work) and updates worksheet on each shift. G)
Verifies census sheet, maintains and updates as necessary. H)
Informs Admitting Department of all transfers, discharges,
admissions, room changes, and deaths through the computer. Includes
disposition of appropriate paperwork. I) Informs staff/charge
nurses / nurse manager of nursing unit activities: return of
patients to the floor, physician stat orders, new admissions, etc.
J) Assist nursing staff and ancillary personnel to ensure
appropriate and complete specimen labels/requisition orders. K)
Reports critical lab values to appropriate personnel. L) Initiates
and completes secretarial portion of the pre-op checklist. M)
Completes the administrative data screen for all new admissions and
updates daily. N) Assists the nursing staff with paperwork involved
in the patient transfer and discharge procedure to include movement
of medications. O) Gives a full report to the oncoming person.
(Leaves a written report if unable to give verbal). Informs the
Charge Nurse if additional orders are left for the night shift. P)
Checks patient chart periodically throughout the shift for "stat",
flagged and un-flagged orders. Q) Checks physician orders daily for
unsigned verbal/telephone orders and places appropriate flag. R)
Enters orders into the computer accurately. S) Calls departments to
order tests, procedures, and consults which cannot be ordered
through the computer. T) Transcribes orders for
tests/procedures/consults onto the TESTS/PROCEDURES section of the
profile. U) Ensures labels are correctly placed on all forms V)
Transcribes medication orders to the medication administration
record accurately. W) Places all physician orders in pharmacy bin.
Faxes all physician orders to pharmacy during night shift. X) Signs
orders to indicate orders were taken off with date, time, signature
and title Y) Utilizes appropriate backup systems in the event of
computer downtime. Z) Ensures that stat and timed orders are
transcribed promptly. AA) Initiates and assembles charts BB) Keeps
chart in order; thins chart as needed and places in appropriate
file. CC) Obtains old charges from Medical Records through the
computer. DD) Ensures that Medical Records picks up old charts by
placing them in assigned pick up area on day of discharge. EE)
Completes medical record checklist and ensures that the complete
chart is sent to Medical Records within 24 hours of discharge and
immediately upon patient death. FF) Sends complete chart including
thinned chart and old chart on transfer to patient. GG) Ensures
allergy, and isolation cards are posted in charts when indicated.
HH) Completes and signs secretarial portion of death summary. 11)
Safety/Infection Control: Performs job in accordance with safety
and infection control policies. (5,8) 5% Criteria A) Practices
standard precautions and disposes of hazardous wastes per
established guidelines. B) Maintains a safe, clean, comfortable,
and therapeutic environment for patients / families / employees in
accordance to hospital standards. 1. Maintains clutter free
environment. 2. Keeps personal conversations/background noise to a
minimum. 3. Adheres to dress code. C) Reports risk management
concerns. D) Assumes responsibility for completing all annual
mandatory requirements: 1. Yearly TB Screening 2. Annual Ethics
Training (Initial Ethics, if new employee)3. Annual Safety Training
4. Required Information Security course 5. Required Abuse & Neglect
course 6. Annual Blood Borne Pathogens training (if required)7.
Coursework as assigned for .edu 8. Annual competency 9.
Age/Population specific competency (if applicable)10. Orientation
competency (if new hire)11. Unit Specific E) Obtains report from
Registered Nurse and informs nurse of changes in patient's
condition. F) Communicates concerns or patient complaints to
Registered Nurse and other team members as appropriate. G)
Documents all procedures and care concisely and legibly on chart
forms according to chart form guidelines. H) Identifies problems,
gathers pertinent data, suggests solutions, communicates using
appropriate lines of authority, and works toward problem
resolution. I) Empties soiled linen containers. 12) Service:
Provides service excellence to the customers of Saint Louis
University Hospital by delivering timely, high quality care in a
courteous, and respectful manner. (1, 2, 3, 4, 5) 10% Criteria A)
Demonstrates care and courtesy 1. Provides prompt, respectful,
courteous service. 2.Meets physical, spiritual, psychological and
emotional needs of patients and families as directed by Registered
Nurse. 3. Responds to call lights promptly. 4. Apologizes for
mix-up and delay. B) Communicates effectively and maintains
confidentiality 1. Listens to staff/patient / family concerns and
addresses needs within scope of responsibility. 2. Explains
procedures and all education in a manner that staff / patient/
family understands. 3. Allows time for questions. C) Demonstrates
competence and collaboration 1. Provides accurate change of shift
report. 2. Provides quality care in accordance to standards. 3.
Shares knowledge with other departments to facilitate work flow and
continuity. D) Provides cost effect services 1. Uses resources
wisely. 2. Recommends changes in practice that increases efficiency
and minimizes waste. 13) Personal Accountability: Demonstrates
accountability for own job performance. (6) 5% Criteria A) Adheres
to and incorporates all customer service standards in patient care
and work practices. B) Participates in additional learning
experiences to increase competence including: 1. Staff meetings 2.
Mandatory in-services and educational programs 3. Evaluation of
self-performance by identifying strengths and areas for
improvement. C) Assists in identifying and implementing nursing
unit goals. 14) Performance Improvement (PI): Incorporates
Performance Improvement into one's job performance. (6) 5% Criteria
A) Identifies problems, participation in data collection when
requested, suggests solutions, communicates using appropriate lines
of authority and works toward problem resolution. B) Participates
in the performance / process improvement process. 1. Assists in
developing unit based PI plan. 2. Participates in discussion of PI
outcomes. 3. Collaborates in developing and implementing action
plans. C) Incorporates Performance Improvement and Commitment to
Quality (C2Q) results into job performance D) Offers suggestions
for improvement of unit activities. E) Participates in discussion
of PI C2Q data outcomes. F) Collects PI C2Q data as assigned G)
Participates in research activities on the nursing unit as
appropriate. 15) Age Appropriate Care: Provides age-appropriate
care to: ____Infant ___Child ____Adolescent _____Adult
_____Geriatric Criteria A) Demonstrates knowledge and skills of
normal growth & development necessary to provide services to the
age of the patient served by the department. B) Demonstrates
ability to assess and interpret age specific data to identify
patient needs. C) Utilizes communication skills necessary to
interpret age specific responses to service and interaction. D)
Involves family or significant other in decision making related to
services provided. E) Demonstrates ability to provide service
needed for the age groups routinely served by the department
assigned. F) Position specific: Need to enter those
responsibilities specific for position 16) Specialized Care:
Provides specialized care to patients at high risk for injury. (1,
2, 4, 5, 8) Criteria A) Restraint Care 1. Initiates/evaluates
alternatives to restraint prior to application. 2. Applies
restraints consistent with the approved procedure. 3. Monitors and
assesses patient's response throughout the restraint period at the
appropriate intervals. 4. Provides specified patient care
(toileting, skin care, hydration, feeding, etc.) on a timely basis.
5. Provides for trail release and removal of restraint as soon as
possible. B) Pain Management 1. Follows pain management plan of
care, e.g.: repositioning, message, immobilization, music therapy
etc. 2. Reports patient complaints of pain to the nursing staff
and/or physician. C) Abuse Assessment 1. Is aware of abuse
recognition criteria and incorporates it into assessments. 2.
Reports signs of possible abuse/neglect to the physician & Risk
Management, and recommends appropriate consultations (psychiatric,
Social Work) for evaluation. DISCLAIMER: Performs other related
duties as assigned or requested. Rationale for Essential Functions:
1) The performance of this function is the reason the job exists.
2) There are limited employees among whom the performance of this
function can be distributed. 3) This function occupies a great deal
of the employee's time. 4) This function is highly specialized.
Employees are hired for the skill/ability to perform this function.
5) Failure to perform this function may have serious consequences.
6) The function was performed by past employees, and is performed
by current employees. 7) Exposure to blood borne pathogens that
require the use of protective equipment 8) Exposure to tuberculosis
that requires the use of protective equipment "Work requiring the
knowledge and skills necessary to provide direct patient care
appropriate to patient population of specialty": Job Specifications
MINIMUM EDUCATION: High School graduate or GED equivalent and at
least 18 years of age. Post High School vocational/specialized
training preferred. MINIMUM EXPERIENCE: None REQUIRED COURSE:
Completion of learning program with 80% passing score on written
and skills performance examination. WORKING CONDITIONS:
Keywords: SSM Health, St. Louis , Med-Surg Day CP/CNA, Healthcare , Saint Louis, Missouri
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