Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Under direct supervision from a Registered Nurse or other designated supervision, this position will be staffed for 1:1 care of patients with acute mental illness and/or behavioral disturbances and perform direct patient care as a Nurse Aide II as part of the Central Staffing Resources nursing department. The Psychiatric Care/Nurse Aide Worker will work with unit staff and Consult Liaison Group to assist in managing patient behaviors and to assist in the maintenance of a safe environment that supports patient care needs as needed.
As a member of the Central Staffing Resource Department, this position may be assigned to staff any inpatient unit in UH/CVC (including ICUs), or Mott (including ICUs), and assignments may include occasional use of video monitoring technology.
Observation/Monitoring
- Assist the patients to control aggressive or destructive behavior by providing therapeutic and/or physical intervention under supervision
- Participate in patient assessment and patient care planning by communicating oral and written data and behavioral information to nurse assigned to patient.
- Assist patients to curb aggressive behaviors by first providing therapeutic interventions.
- Function as an attendant by providing constant, alert observation of patient as assigned by nurse.
- Assist with restraint application or placing the patient in seclusion and the subsequent monitoring and documentation thereof, as directed by nursing.
- Assist with the ECT treatment as directed by Attending Physician.
- Obtains vital signs, temperature, height/length, weight, oxygen saturation and pain scores; reports abnormal values to RN. Obtains other measurements (i.e., head circumference, abdominal girth) per unit standard.
- Responds to monitor alarms.
- Utilizes palpation/auscultation and Doppler to determine heart rate and blood pressure.
- Observes, monitors and reports the overt physical condition of assigned patient(s).
- Responds to physiologic monitor alarms based on unit training and competencies. Alarms should be silenced or paused prior to an activity that will trigger an alarm such as bathing, drawing blood or getting a patient out of bed as delegated by RN. Ensures that alarms are ?on? when activity is completed and/or before leaving the patient.
- Measures and records intake and output.
- Assists physician/provider during diagnostic procedures; assists and supports patient before and during procedures; assists in specimen collection.
- Applies and changes ECG electrodes and pulse ox probe; attaches patient to travel (ECG and A-line) monitor.
- Places monitor strips on inpatient records.
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 including sugar, acetone, specific gravity protein, pH.
- Performs finger/heel stick blood collection and chemstick test.
- Initiates, maintains and records 24-hour urine collection.
Intravenous Lines-
- Discontinues peripheral IV?s.
- Removes peripheral IV dressings.
Patient ADLs:
- Assists patients with, or administers routine personal hygiene including baths, oral care, and skin care.
- Performs preventative skin care, pre-operative preps, perineal care.
- Provides toileting/bedpan/urinal; remove/empty 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, i.e. wheelchair seatbelt, adaptive equipment, etc., in accordance with specific instructions, to position patients to limit movements.
- Provides patient nourishment by performing such duties as passing and collecting trays, providing snacks/beverages, assists with ordering meals/snacks; feeds patients.
- Double check breast milk with RN.
Urinary Catheters
- Connects, drains and disconnects urinary catheters.
- Assembles intermittent bladder irrigation supplies.
- Discontinues urinary catheters.
- Applies condom catheter.
- 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
- Assist with tracheostomy care on stable tracheotomies including such duties as cleaning and redressing area; assisting with tape and tie changes.
- Assist with P&PD by holding the patient.
- Coach/prompt patient to use incentive spirometer, and in coughing and deep breathing.
- Perform routine nasal and/or oral suctioning.
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 alarms
- 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 (i.e., 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 when patient is moved or transferred
- Assists with application and maintains restraints.
- Documents care provided.
- Care for permanent drainage sites and apply appropriate collection device, i.e., ostomy, G-tube, etc.
- Position patients by performing such duties as the limiting of movements using special restraints and braces.
- Transport, ambulate, move and lift patients.
- Perform emergency first aid measures, such as the handling of convulsions or fainting.
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, including equipment/cords, linen, trash, patient belongings, etc.
- 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.
- Checks emergency equipment.
- High school diploma, GED or equivalent
- Progressively responsible experience working with adult or pediatric psychiatric patients, or an equivalent combination of education and experience working in an adult or pediatric inpatient psychiatric facility within the last 2 years
- Effective writing and verbal communication skills
- Must be able to perform a wide range of physical activities
- Experience as certified nursing assistant, medical assistant, or patient care technician is desired.
- Experience with electronic health record, demonstrated ability to work effectively under mental/emotional pressure, and basic computer skills are desired.
- Course work in an Allied Health field is desired and a Bachelor?s degree in healthcare is preferred.
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
- Excellent medical, dental and vision coverage effective on your very first day
- 2:1 Match on retirement savings
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
5 shifts per week,
Rotating weekends and Holidays required
8 hour shifts
11:00pm-7:30am
This position is covered under the collective bargaining agreement between the U-M and the AFSCME union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third-party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
In addition to the screenings indicated above under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.
Job openings are posted for a minimum of five calendar days. The review and selection process may begin as early as the sixth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
