|Nurse Tech / Nurse Intern
|Franklin Medical Center
POSITION: UNLICENSED NURSING PERSONNEL (NURSE TECH AND NURSE INTERN)
DEPARTMENT: NURSING SERVICE, HOSPITAL SETTING
FLSA STATUS: NON-EXEMPT
Under the direction and supervision of a registered or advanced practice nurse; continuously responsible for assisting professional nursing personnel in providing non-complex patient care tasks.
*Nurse Interns and Techs perform duties of unlicensed assistive personnel.
As an integral part of our community, Franklin Medical Center’s mission is to provide the highest quality health care and customer satisfaction to all those we serve. We are committed to delivering compassionate, capable, and personalized treatment to our patients and their families, always keeping in mind that our responsibility is to the health needs of the people.
Ceil Blue (Nurse Tech)
Hydrogreen (Nurse Intern)
NURSE TECH AND NURSE INTERN RESPONSIBILITIES AND PRIVILEGES:
A NT or NI must be currently enrolled in an accredited licensed practical or a registered nursing program and have completed (at least) the first clinical semester or term of the nursing program.
The Nurse Tech and Nurse Intern:
Contingent upon the RN’s evaluation of each patient’s condition and also upon the RN’s evaluation of competency of each unlicensed assistive personnel (UAP), an RN may delegate non-complex tasks to an UAP. A non-complex task is one that can safely be performed according to exact directions, with no need to alter the standard procedure, and the results are predictable. When the above criteria have been met, the following interventions may be delegated when non-complex:
Permanent gastrostomy tube (PEG) feeding
One touch glucose monitoring
Deliver and/or warm patient meals (cannot feed patients)
Pass out ice, filling water pitchers (must know patient’s diet, if NPO)
Foley catheter insertion (RN supervision immediately available)
(EXCEPTION: patient with a history of BPH, hematuria, stricture(s), any form of obstruction or malformation of the GU system)
Empty & measure drains
Collect urine (voided or by indwelling urinary catheter port), stool, or sputum specimens
Intake & Output measurements
ECG, placing of leads and probes
May ambulate with patients, transfer in wheelchair
Alert the nurse regarding alarms, electrodes displaced
Fall prevention (placement of non-slip socks, bed in low position, rails up with egress, hourly rounding (evaluation of the 4 Ps: potty, pain, personal belongings, need for repositioning)
Helps to maintain a safe, comfortable, and therapeutic environment for patients/families in accordance with hospitals standards
Clean patient care rooms, equipment and instruments
Wound taping (e.g., steristrips)
Dressing removal and application (Stage I)
Stage I: Nonblanchable erythema of intact skin, the heralding lesion of skin ulceration. In individuals with darker skin, discoloration of the skin, warmth, edema, induration, or hardness may also be indicators.
Removal of sutures and staples
Patient personal hygiene care (bathing, brushing teeth, turning, bed making, incontinence care, replacing spoiled garments or briefs
The following wound care interventions may be delegated when non-complex: topical application of anti-infective medications, protective ointments, wound cleansers, skin sealants, gauze, transparent films, hydrocolloids, and hydrogels and the cleansing of the skin of a mature, healed PEG tube site with soap and water. For example, the application of a transparent film to an area of redness over a bony prominence in a stable patient is a non-complex task; however, the application of a transparent film and hydrocolloid agent for the purpose of autolytic debridement of the wound is a complex task and may not be delegated to UAP.
Transport patient to another department
Act as Ward Clerk (answer phones, clean equipment, stock carts, etc.).
Report patient requests, report and changes in condition or behavior of patients or unusual incidents
Report equipment problems, order and store supplies, maintain appropriate PAR levels
Assist and accompany patients during the admission, transfer, and discharge process
Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don’t understand
Reinforce patient education that has already been provided
Makes an introduction to the patient, includes name, discloses discipline. Explains all tasks and procedures to the patient. Asks permission to provide care or complete patient specific task. Asks the patient if they have any questions before beginning. Reports to the charge nurse any issues or concerns.
Reinforce discharge plan
Assist with pre-op preparation of the patient to include the preoperative checklist
Assist provider with medical procedures
Assist in change of shift report
NURSE TECHS AND NURSE INTERNS MAY NOT PERFORM (COMPLEX TASK):
Basic Life Support Certification (preferably by the American Heart Association) or must obtain within 30 calendar days of date of position
Tuberculin Skin Test, TB questionnaire; random drug and alcohol screening; COVID vaccination or exemption records.
Individuals who are not fully vaccinated shall be subjected to random COVID-19 testing on a weekly basis until they are fully vaccinated. The number of individuals tested will be subject to the availability of tests.
In addition, exempted or otherwise unvaccinated individuals should report any new health and/or individual condition, as well as, monitor and report any symptoms that may indicate COVID-19 infection to their immediate supervisor as soon as possible (e.g., fever, cough, shortness of breath, irregular temperature, etc.).
ADDITIONAL STANDARDS OF PERFORMANCE:
We are here to serve our customers by meeting their needs with utmost care and courtesy. Our attitude represents the hospital’s commitment to excellence. This commitment is reflected by providing a positive and caring experience with every interaction.
We consider our customer’s expectations in how we present our facility and ourselves. We have only one opportunity to make a positive first impression. This commitment is reflected in our ethics, appearance, manner, expressions, and concern.
Communication: We are committed to listening attentively to our co-workers, patients and customers in order to fully understand and meet their needs. This commitment is reflected by our verbal, non-verbal, and written communications being delivered with courtesy, clarity, care, and a smile.
Dignity and Respect:
We recognize, value, and respect the diversity of our co-workers, patients, and customers by honoring their perspectives, choices, and differences. This commitment is reflected in our conduct by ensuring their knowledge, values, beliefs, and cultural backgrounds are incorporated into staff interactions, care planning, and decision-making.
We are committed to the protection of our co-workers’ and patients’ rights to personal and medical privacy. We treat the patient, patient information and/or property with confidentiality and respect and strive to create a secure and trusting environment. This commitment is reflected by ensuring that rights to privacy and modesty are honored.
Knowledge and Expertise:
We believe our patients deserve to have people caring for them who are knowledgeable and technically proficient in what they do. This commitment is reflected through preceptorships, mentorships, continuing education, and ongoing competency evaluations.
We all share in the responsibility of maintaining a safe environment for our co-workers, patients and customers. This commitment is reflected by our safety conscious attitudes, actions, and continuous safety training.
Sense of Ownership:
We take pride in what we do, taking responsibility for the outcomes of our efforts. This commitment is reflected by our ongoing effort to complete our work promptly and accurately the first time.
Fiscal Responsibility: As a public hospital, we are accountable to the community to ensure responsible use of resources to provide the needed services for all those we serve. This commitment is reflected by our actions and attitudes toward expense and time management.
We believe in complying with all government rules and regulations relative to receiving compensation for our services. This commitment is reflected by exercising ethical and accurate billing and financial practices.
Customer Service: We believe in the importance of growth and on-going public support. This commitment is reflected by providing exceptional customer service to all we serve and by responding quickly to resolve problems.
Recruitment and Retention:
We believe our patients deserve to have the very best providers and staff available to provide their care. This commitment is reflected in our organization by continually attracting, developing, and retaining staff with exceptional skills.
The above physical requirements are intended to describe the general nature and level of work to be performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Significant hazard exposure: risk exposure to biohazardous materials requiring extensive safety precautions and may include the use of personal protective equipment.
OSHA EXPOSURE CATEGORY: A – has the potential to be exposed to bloodborne pathogens.