NURSE AIDE II

About the Role

Under direct supervision from a Registered Nurse or other designated supervision, provides direct patient care and assists in the maintenance of a safe environment that supports patient care needs.

Responsibilities

• Observation/Monitoring
  • Obtains vital signs, temperature, height/length, weight, oxygen saturation, and pain scores; reports abnormal values to RN.
  • Obtains other measurements (e.g., head circumference, abdominal girth) per unit standard.
  • Utilizes palpation/auscultation and Doppler to determine heart rate and blood pressure.
  • Observes, monitors, and reports the overt physical condition of assigned patient(s).
  • Measures and records intake and output.
  • Functions as a sitter.
  • Assists physician/provider during diagnostic procedures; assists and supports patient before and during procedures; assists in specimen collection.
  • Responds to monitor alarms.
  • Reapplies pulse oximetry probe.
• Specimen Collection
  • Performs point-of-care testing; maintains and calibrates equipment and supplies.
  • Collects specimens, including urine, stool, sputum, and swabs, and performs urine determination (sugar, acetone, specific gravity, protein, pH).
  • Performs finger/heel stick blood collection and chemstick test.
  • Initiates, maintains, and records 24-hour urine collection.
  • Transports blood and laboratory specimens.
• Intravenous Lines
  • Discontinues peripheral IVs.
  • Removes peripheral IV dressings.
• Patient ADLs
  • Assists patients with, or administers, routine personal hygiene including baths, oral care, skin care, umbilical cord, and circumcision care.
  • Performs oral suctioning utilizing Yankauer tips, suction toothbrushes, and oral care sponges.
  • Performs preventative skin care, pre-operative preps, and perineal care.
  • Provides toileting/bedpan/urinal; removes/empties Foley catheters; weighs diapers.
  • Accompanies, escorts, ambulates, moves, turns, dangles, lifts, transports, and attends/holds/positions patients.
  • Assists with range of motion; applies rehabilitation equipment; releases and applies devices (e.g., wheelchair seatbelt, adaptive equipment) to position patients and limit movements.
  • Provides patient nourishment by passing and collecting trays, providing snacks/beverages, assisting with ordering meals/snacks, and feeding patients.
  • Double-checks breast milk with RN.
• Urinary Catheters
  • Connects, drains, and disconnects urinary catheters.
  • Assembles intermittent bladder irrigation supplies.
  • Discontinues urinary catheters.
  • Applies condom catheters.
  • Performs clean urinary catheterizations (Pediatrics only).
  • Determines bladder status with Bladder Scanner.
• Enemas/Suppositories
  • Administers cleansing enemas that do not contain medication.
  • Applies external Fecal Incontinence Device (FID) bags.
• Wound Care
  • Cleanses and redresses non-sterile wounds.
  • Applies binders, ACE wraps, hot and cold applications; provides soaks and special baths.
  • Assists RN with complex dressing changes.
• Respiratory Care
  • Assists with tracheostomy care on stable tracheotomies, including cleaning and redressing the area and assisting with tape and tie changes.
  • Assists with postural drainage and percussion (P&PD) by holding the patient.
  • Coaches/prompts patient to use incentive spirometer and in coughing and deep breathing.
• Other Interventions
  • Measures and obtains TED hose; applies Sequential Compression Devices.
  • Performs post-mortem care and transports deceased patients to the morgue/pathology.
  • Responds to call lights and alarms; answers unit telephone and relays messages as needed.
  • Empties and measures drainage collection and emesis.
  • Assists RN with admissions, discharges, and transfers.
  • Provides skin care at the direction of the RN, applying select topical emollients containing medication (e.g., cortisones, tar, silvidine, butt cream, and dermatology lotions).
  • Initiates emergency care utilizing the "ABC's": Airway, Breathing, Circulation.
  • Transports materials, supplies, medications, specimens, patient belongings, equipment, and medical records.
  • Performs patient care comfort-safety rounds per unit routine.
  • Assists with application and maintains restraints.
  • Documents care provided.
• Environment
  • Stocks supplies and equipment in patient care spaces.
  • Sets up patient rooms for admission or procedure.
  • Makes up beds with linen, changes bed linens and linen hamper during patient stay.
  • Maintains orderliness of the patient room and unit, including equipment/cords, linen, trash, and patient belongings.
  • Cleans and maintains inventory and outdates of equipment and supplies in patient care spaces.
  • Cleans assigned equipment and areas of work.
  • Obtains, opens, and arranges sterile instruments and supplies for specific procedures.
  • Cleans, packs, sterilizes, and stores instruments.
  • Checks emergency equipment.

Requirements

• High school diploma, GED, or equivalent is required.
• Ability to read and write.
• Must also meet one of the following requirements:
  • A minimum of 6 months recent experience in a patient care setting.
  • Junior status in an accredited BSN program.
  • Second year in an accredited ADN program.

Desired Qualifications

• Certification as a Nurse Aide or Medical Assistant.
• Recent experience in an acute care inpatient setting.
• Basic computer skills.

Benefits

• Excellent medical, dental, and vision coverage effective on your very first day.
• 2:1 Match on retirement savings.

Schedule

• Shift: Day shift (7:00 AM – 3:30 PM).
• 32 hours per week (8-hour shifts).
• Required to work every other weekend and some holidays.

This position is covered under the collective bargaining agreement between the University of Michigan and the AFSCME union.