Certified Nursing Technician
Hybrid-based
ONET: 31-1014.00
1
Years
80
Skills
19h
Related instructions
2000h
On-the-job training
Classroom instruction topics
- General Orientation including Electronic Documentation Training
- Review of: Job Description/Performance Appraisal, IDD 17.013 - Probationary Period for New Employees
- Unit Specific Orientation
- Clinical Information Systems, EMMC Intranet
- I-Care Training
- EMHS Webmail (if applicable)
- Review of Job Hazard Analysis
- Review of MSDS
- Review of Policies and Procedures: Intranet: Policies & Procedures Page
- Intranet: Leadership Paqe, Intranet: Clinical Applications Page, Educational Resources, Unit Based Information
- Review of EMMC's Caring Behaviors
- Nurse Call System, Who to Call for Repairs
- Time and Attendance
- Review of areas frequently used by unit
- Review of Security Plan
- Performance Improvement Plan, Review of Audit Tools (if applicable)
- Employee Health Services, Flu Vaccine
- CPR
- TB Mask/fit
On-the-job training
- Orientation
- Understands and complies with basic employment requirements
- Understands their role and responsibilities of the within the parameters of the care team
- Seeks opportunities for ongoing professional growth; implements to improve practice and shares with colleagues as appropriate
- Gives full attention to what other people are saying, taking the time to understand; ask questions and not interrupt
- Creates and maintains a positive work environment
- Completes mandated trainings
- Uses logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems
- Key Processes and Polices
- Understands organizational charts (EMMC Intranet - Leadership Page -Who's Who)
- Understands Function Teams
- Understands Role of DHN, Clinical Supervisor, Clinical Educator, SN II, SN I, SN, Chc1rge Nurse, LPN, NT, CNS and US
- Identifies Support Departments/knows when & how to contact: Infection Control, Dispatch, Transport, Facilities, Care Management, Patient Relations, Risk Management
- Contributes to Professional Practice Committee
- Participates on Safety Committees
- Attends and contributes to Unit Staff Meetings
- Attends Patient Care Process Review Committee
- Understands and respects the Role of the: Nursing Supervisor, Patient Access Manager
- Understands the Role of Resource Nurse
- Understands Principles of Corporate Compliance - Can contact the Compliance Hotline
- Applies Patient First Initiative procedures, Patient Satisfaction (AVATAR), Quarterly Leadership Workouts, Quarterly Employee Updates, Must Haves (Thank You Notes, Follow-Up Phone Calls [Discharge Call Manager]) White Boards
- Performs "Rounding with a Purpose", "Pain, positioning, potty, pump", Patient Rounding, Employee Rounding
- Physical Environment
- Able to describe and locate: Main Corridor(s): Emergency shut offs, Fire extinguishers, Fire alarms, Means of egress (evacuation), Elevators and stairs
- Able to describe and locate: Patient Room: Bed operation, Call system (including bathroom/emergency calls), Lights, Bathroom, Sharps containers, Medical gas/vacuum (including emergency shut off), Red outlets, Telephones. Television, Closets (A Bed verses
- Able to describe and locate: Nurse Station: Disaster Phone, Computer terminals (include call system monitor), Drawers and files, Photocopier/FAX machines, Pneumatic Tube system, Drawers and contents, Chart rack (describe color wheel and process), Other un
- Able to describe and locate: Kitchen: Refrigerator - temperature check/documentation, Pantry supplies, Nourishment carts, Ice/water machines
- Able to describe and locate: Nurses Lounge: Combination, Lockers, Securing of valuable
- Able to describe and locate: "Dirty" utility room: Trash compactors, Dietary trays, Dirty equipment
- Able to describe and locate: Clean utility area: Medication prep area, Eye Wash Station, Linen carts, Exchange carts, Other supplies, Time clocks, Mailboxes, Bulletin boards
- Able to describe and locate: Dictating room: Dictaphone/Telephone, Other supplies
- Can locate other Offices/Workspaces on the Unit
- Equipment use (including repair facilitation)
- Demonstrates competency in use of: NBIP
- Demonstrates competency in use of: Pulse Oximeter
- Demonstrates competency in use of: Thermometer
- Demonstrates competency in use of: Doppler
- Demonstrates competency in use of: O2 Tanks
- Demonstrates competency in use of: Scales - bed and standing
- Demonstrates competency in use of: Glucometer
- Demonstrates competency in use of: EZ Lift
- Demonstrates competency in use of: Tube feeding pumps
- Demonstrates competency in use of: Eye Wash Station
- Demonstrates competency in use of: Portable computers (including maintenance)
- Demonstrates competency in use of: Able to locate and provide assistance with Otoscope/Ophthalmoscope
- Demonstrates competency in use of: Point of Care Testing
- Emergency Procedures
- Understands and responds appropriately: Dr. STAT/Rapid Response Team: 4444, Emergency call light, Initiate CPR/Note time of and details of arrest, STAT Cart contents, Defibrillator, STAT Cart coverage
- Understands and responds appropriately: Fire Safety: 4444, Staff role in fire drill/fir, Fire alarms/extinguishers and locations
- Understands and responds appropriately: Code Pink: 4444, Staff responsibilities, Searching of unit
- Understands and responds appropriately: Disaster Drill: Role of staff, Call down lists, Role of charge nurse, Role of secretary, Command center
- Patient Care
- Provides AOL's: Bathes patient in bed, tub or shower, Shampoo, Sitz bath, Mouth care, Skin care, Mouth care/Denture Care, Shaving, Feeding patient, Makes occupied/unoccupied bed, Ambulation/transfers, Elimination (urinals, bedpans, commodes), Perinea! car
- Accurately takes and records vital signs
- Collects specimens (urine, fecal) for lab tests
- Administers and reports results of: Saline enema, Cleaning enema, Fleets enema, Rectal suppository (glycerin)
- Properly turns and positions patients
- Administer douche
- Provide assistance with active and passive range of motion
- Applies sequential compression devices
- Assist with hot and cold non-sterile applications
- Assists with post-mortem care
- Application of a sterile band-aid dressing and 4X4 gauze
- Applies slings, splints and binders
- Properly applies air mattresses, foam mattresses, bed cradles, sheepskin and donut rings
- Performs colostomy care on an established stoma
- Documentation of care
- A. Performs accurate documentation electronically and on remaining paper documents; B. Accurately documents l & O; C. Verbalizes understanding of rationale behind "Unacceptable Abbreviations" and can state what abbreviations are unacceptable for use in th
- Admissions
- Obtains admission vital signs
- Obtains and enters height, weight and allergies into clinical information system
- Completes the Valuables Record (on-line documentation)
- Orients patient to room
- Assists with review of information contained in admissions packet
- Patient Discharge
- Assists RN with patient discharge ensuring that patient has all belongings and valuables
- Able to verbalize an understanding of the Hospitality Unit and identify patients who can use this service
- Restraint Management
- Able to identify patients who may require restraint management
- Identifies alternatives to prevent, reduce and/or eliminate the use of restraints
- Demonstrates the proper use of restraints: PCD's 6.001 and 6.001
- Exhibits Restraint competency as describes in booklet
- View Video: Restraint reduction and Fall Protection
- Completes restraint application competency
- Verbalizes an understanding of the CMS requirement of reporting the death of a patient: In restraint at the time of death, In restraint within 24 hours of death, In restraint within one week where it is reasonable to assume that the restraint contributed
- Patient Care (requiring precautions)
- Fall Prevention: Reviews PCD 6.00; Demonstrates the ability to identify patients who may be at risk for falls; Identifies techniques and strategies to prevent, reduce and eliminate falls
- Suicide Precautions: Verbalizes an understanding of the various levels of suicide precautions and strategies to keep the patient safe
- Isolation Precautions: Verbalizes an understanding of the various types of isolation precautions and required PPD.; Standard Precautions; Contact Precautions; Droplet Precautions; Airborne Precautions
- Performance Improvement Process
- Verbalizes the performance improvement initiatives and measures of performance occurring house-wide and unit specific
- Verbalizes an understanding of the following organizations and the role they play: JCAHO, CMS, Maine Quality Forum, IHI, VHA
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