Co-op Nursing Assistant

* JOB SUMMARY

* The Drexel Co-Op Level II must be enrolled in the Drexel Nursing Co-Op program and must have current CPR certification (BLS for Healthcare Provider with the American Heart Association). The Drexel Co-Op Level II position is designed to provide the nursing student with an opportunity to strengthen and reinforce his or her knowledge and skill in the practice of nursing under the direct supervision of a registered nurse preceptor and ease the transition of the realities of the work world.

The they will follow his or her preceptor's work schedule and will care for that nurse's patients.

* ESSENTIAL FUNCTIONS

* PATIENT / CUSTOMER

* Essential Accountabilities Assessment:

* 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.

* Identifies the patient per hospital policy before carrying out functions.

* Assists with data collection for nursing history and physical.

* Participates in therapeutic communication.

* Includes available auxiliary information i.e., physician, lab, x-ray.

* Provides information to the registered nurse for coordination of care and discharge planning including both the patient and family.

* Observes skin changes and reports discoloration, abrasions, infestations or skin breakdown.

* Planning

* Participates with patient/family and the healthcare team in decisions related to the care plan of the patient.

* Assists in setting mutually agreed upon realistic individual patient goals.

* Receives report form the RN on the patient's plan of care.

* Gives RN report before the end of the shift regarding patient care issues.

* Intervention

* Promotes infection control.

* 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.

* Supports the observer in one to one/constant observation situation.

* Applies and monitors patient restraints per policy.

* Observes or monitors behavior/health state and responses to therapy.

* Temperature, Pulse, Respiration

* Blood Pressure

* Neurological Checks

* Vascular Checks

* Pain Assessment/Level of Sedation

* Height and Weight

* Intake and Output

* Communicates pertinent observations to appropriate members of the health care team.

* Participates in multidisciplinary rounds on the patient care unit.

* Participates in staff meetings.

* 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.

* Performs bed bath, tub bath, shower.

* Participates in the prevention and treatment of skin breakdown.

* Assists patient with activities of daily living such as bathing, grooming, eating, feeding, range of motion, ambulating, transferring.

* Applies current accepted methods of heat and cold therapy.

* Provides for the patient's oral dietary needs using currently accepted methods.

* Provides for the elimination needs by giving a bed pan, urinal or implementing the bowel program under the direction of the nurse.

* Inserts urinary catheter under direct supervision of the RN.

* Removes urinary catheter.

* Assists with colostomy irrigations.

* Assists with vaginal irrigations.

* Applies urosheath/condom catheter.

* Administers cleansing enemas as ordered.

* Assists with suctioning under direct supervision of RN.

* 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.

* Assists with Hoyer/ceiling lifts.

* Reinforces health care instruction to patients according to the directions of the nurse.

* Displays competence in using the following equipment:

* Pulse oximeter

* Bladder scanner

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