What are the responsibilities and job description for the Constant Observation Attendant - Constant Observation Unit FT PM position at Lakeland Regional Health?

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Provisional Level 1 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 72.00
Shift : Weeknights with Occasional Weekends
Location : 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate : Min $16.44 Mid $17.60

Position Summary

Responsible to the Team Leader, Charge Nurse, Shift Supervisor or Department Manager. Assist with patients under the direction/delegation of the Registered Nurse or licensed nurse assigned by the RN, as needed, and must be able to perform satisfactorily the specific patient care skills as outlined by the facility and the department(s). Must effectively interact with patients, families and other health team members. Must report pertinent information to the RN or licensed nurse assigned by the RN, and respond to requests for information in a timely manner. Assist with tasks to support patient care. Must act as Virtual Safety Attendant for remote monitoring as assigned, engaging patients and staff to ensure safety. As a VSA, perform hourly virtual rounds and activate alarms as needed.

Position Responsibilities

People At The Heart Of All We Do

Fosters an inclusive and engaged environment through teamwork and collaboration.

Ensures patients and families have the best possible experiences across the continuum of care.

Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

Behaves in a mindful manner focused on self, patient, visitor, and team safety.

Demonstrates accountability and commitment to quality work.

Participates actively in process improvement and adoption of standard work.

Stewardship

Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.

Knows and adheres to organizational and department policies and procedures.

Standard Work Duties: Constant Observation Attendant

Observes patients for changes in condition or behavior and promptly reports these changes to RN, as needed. Follows up as appropriate with supervisor regarding reported complaints, problems, and concerns 100% of the time. Report to RN reddened areas, N/V, amount and color of emesis, diarrhea, or any abnormal BMs, constipation, poor appetite, any complaints of pain, any complaints patient and family has or questions regarding Plan of Care, no urination, appearance of urine if anything other than clear, change in alertness, pain or leaks at IV site, equipment alerts. Complete COA flow sheet with every patient

Beginning of Every Shift: Receive report from RN. Introduction to the patient, know patient’s diagnosis, any recent act of violence, any precautions. Call light and phone is within patient’s reach, unless ordered otherwise by the RN, educate patient on use of call light. Tidy the room, bedside table, floor, and keep path to the bathroom free from clutter, gather all anticipated supplies that will be needed. Fill water pitcher, provide fresh cup and linen.

Providers constant observation for patients being held under the Florida Mental Health Act and other patients as assigned. This includes accompanying patients to all medical procedures. Always maintain a clear exit for safety. It is suggested to sit on the side of the bed closest to the door or near the door depending on your patient

Daily: Under the discretion of the supervising nurse, assist with bath, assist with oral care (including dentures), brush hair, offer and administer back rub if requested, soak feet, assist and/or monitor shaving. Ask if patient has toothpaste, soap, toothbrush, etc. Assist in changing bed linens as needed.

Every Shift: Report to the RN the percentage of diet consumed. Assist patient with ambulation to a chair or the bathroom.

Throughout Shift: Communicates effectively with team members, maintains patient comfort, confidentiality and privacy. Adheres to HIPAA standards. Follows all protocols and policies to ensure patient safety. Documentation including care provided and patient’s behavior are recorded on the Constant Observation sheet. Place COA flow sheet in chart when completed. It is part of the permanent medical record. Make sure RN completes safe room checklist with you and all patient belongings are removed by security if under Baker Act.

Every 2 Hours: Assist patient care staff with turning patients. Observes their skin (heels, back, ears, shoulder blades, elbows, buttocks, back of head) and reports changes to RN. If needed, prop pillows on back and place pillow between knees. Reports complaints of pain to the patient care staff.

Meal Times: Offer wash cloth so patient care wash hands before meals. Set up food trays, feed patient if needed. Patients with swallowing difficulty may need specific direction form RN prior to feeding patient.

Throughout Shift: Inspect all aspects of patient’s environment to ensure patient’s safety, and report correct unsafe conditions or report to RN. Assist patient to the bathroom at least every 2 hours. Keep door propped open at all times. Have a clear visual of patient and arm length distance if a fall risk. Offer assistance with toileting. Offer wash cloth so patient can wash hands after bathroom. Assist RN and PCA with care as needed within COA job description parameters. Maintain clean environment. Place soiled linen in bag and place at door for removal.

Virtual Safety Responsibilities: Complete virtual rounding a minimum of every hour, alert clinical staff to any patient needs or concerns, activate stat alarm as needed, complete documentation hourly.

Communication: Active listening to patient. No judgmental statements or opinions. Report any reports of abuse to supervising nurse. Report any signs or statements made by patient about harming themselves or others to supervising nurse.

Competencies & Skills

Essential:

Must be able to satisfactorily perform each essential function; use effective verbal and written communication skills.
Satisfactorily demonstrate required competencies in the care of patients, including age-specific competencies.

Qualifications & Experience

Essential:

High School or Equivalent

Essential:

RMC Constant Observation Attendant course and successfully completes course posttest during orientation

Essential:

Basic Cardiac Life Support

Other information:
Experience Preferred: Three to six months prior experience either in acute patient care, long-term care, home health care, or in a licensed child care facility preferred.
Certification Essential: BLS

Salary : $16

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