Work Type: Active - Benefit Eligible and Accrues Time Off
Exempt: No

Work Schedule: Weeknights with Rotating Weekends
Work Hours per Biweekly Pay Period: 72

Shift Time: 7:00PM- 7:30AM
Location: Medical Center, US:FL:Lakeland

Summary:
Responsible to the Team Leader, Charge Nurse, Shift Supervisor or Department Manager. Delivers care to 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 RN, as needed, and respond to requests for information in a timely manner. Assist with tasks to support patient care.

Detailed 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 or licensed nurse assigned by 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, or if IV hurts, leaks or pump beeps. Complete COA/ROA flow sheet with every patient.
- Beginning of Every Shift: Receive report from RN Introduction to the patient, Call light and phone is within patient's reach, unless ordered otherwise by the RN, and patient knows how to use it, Tidy the room, bedside table, floor and keep path to bathroom free from clutter, gather all anticipated supplies that will be needed. Fill water pitcher, provide fresh cup and linen.
- Provides constant observation for patients being held under the Florida Mental Health Act and other patients as assigned. This includes accompanying patient to all medical procedures.
- Daily: Under the discretion of the supervising nurse (The ROA will not be required to do daily care) assist with bath, assist with oral care (including dentures), brush hair, back rub'offer and administer if requested, soak feet, assist and/or monitor shaving Ask if patient has toothpaste, soap, toothbrush, etc., (request from patient care staff if needed), Change bed linens as needed
- The ROA will have no more than 4 patients at one time to observe and will be responsible to toilet and position the patient as needed The ROA may assist the PCA/RN/LPN with the bed change as needed
- Every Shift: Measure and record oral Intake (I) and Output (O) and record percentage of diet consumed. Empty top hat, BM's, Foley and emesis. Assist patient with ambulation to a chair or the bathroom. THROUGH OUT Shift: Communicates effectively with team members; maintains patient comfort, confidentiality and privacy and 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/Roaming Observation Sheet. Place COA/ROA flow sheet in chart when completed. It is part of the permanent Medical record.
- EVERY 2 Hours: Assist patient care staff with turning patients. Observes their skin (heels, back, ears, shoulder blades, elbows, buttocks) and back of head and reports changes to RN or nurse assigned by 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 can wash hands before meals. Set up food trays. Feed patient, if needed. Patients with swallowing difficulty may need specific direction from the patient care staff
- THROUGH OUT Shift: Inspect all aspects of patient's environment to ensure patient's safety, and report correct unsafe conditions or report to RN or nurse assigned to patient. Assist patient to bathroom at least every 2 hours. Offer assistance with toileting. Offer wash cloth so patient can wash hands after bathroom. Assist RN, LPN, and PCA with care as needed within COA/ROA job description parameters. Maintain clean environment. Empty trash and place new liner in can. Place soiled linen in bag and place at door for removal
- 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.

Education:
Essential:
* High School or Equivalent

Education equivalent experience:
Essential:
* RMC Constant Observation Attendant course and successfully completes course posttest during orientation


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 .