Patient Care Technician Orientation Instructions:

Patient Care Technician Orientation Instructions: Please note that these requirements must be completed prior to being scheduled to attend unit orientation. You will be contacted by a Staff Development Specialist, via email, to arrange your unit orientation. 1. Log into the Safety Test Bank at https://testbank.utoledo.edu and complete the requirements listed below. a. Nursing Orientation: On-line: You must click on the CLICK BUTTON TO VIEW to access the content. Once you have reviewed the PowerPoint please complete the test. The test must be successfully passed to meet compliance for this module. You are required to complete this module if you are not scheduled to attend the Nursing Day 1 orientation. This should be communicated with you by the HR specialist. b. Nursing Assistant Test: YOU DO NOT NEED TO COMPLETE THIS AS COMPLETING ALL OF THE ORIENTATION REQUIREMENTS WILL MEET THIS REQUIREMENT. c. Inmate/Incustody Patients: This is a video with an attestation at the end for completion. d. Stroke Education: This is a memo about recognizing the signs and symptoms of stroke with an attestation at the end for completion. e. 2 Patient ID Video: This is a video with an attestation at the end for completion. f. Pain Management Education: This is a presentation with a brief test. g. icare Attestation: This is a group of memos that you need to review and attest to reviewing. h. Diversity Training: To access this training, please go to select test and select Diversity Training test #172. If you try to select it any other way the video will not play. This training can be completed about one week after attending HR orientation. i. LVAD Attestation: ONLY COMPLETED BY CVU STAFF!! This is a memo regarding chest compressions in the LVAD patient population and points of contact for LVAD patients. 2. To access the Orientation-Day 1 Tests in Mosby s Nursing Skills go to https://utmc.utoledo.edu/depts/nursing. Go to Resources and under General Resources you will see a link to Mosby s Nursing Skills. Learner name= enter your UTAD; password=hello. a. Abuse and Neglect of Older Adults b. Code Management c. Fall Prevention d. Family Issues: Adolescent Patients e. Hand Hygiene f. Isolation Precautions g. Pressure Ulcer: Risk and Prevention 3. EMR Training: If you have NOT had McKesson training with our IT educators at UTMC you will be required to attend a 1 hour EMR class. Please communicate with your Staff Development Specialist if

you will need to be scheduled. You should receive a confidentiality form from the Staff Development Secretary that will need to be signed and returned for processing. Timely return of this document is imperative so that you can have access to UTMC documentation. 4. Uniforms: You should have received a uniform order from in the email you received from Human Resources. Uniforms may be tried on in Nursing Administration, MLA 245. It is strongly encouraged to try them on; they are unisex and tend to run big. Uniforms cannot be exchanged once worn. Once completed, return to Olha.Andriychuk@utoledo.edu. There is a processing time which can take up to 48 hours so please return your order forms in a timely fashion. You will receive an email when your uniform is ready for pick up. Uniforms are to be picked up in Nursing Administration, MLA 245. 5. HR verification form, HIPAA certificate, Hand Hygiene attestation: Please place these documents that you will receive from HR orientation in the Staff Development mailbox when you pick up your uniforms. Our mailbox is located in the top left hand corner above where the uniforms will be. 6. Submit all orientation hours to your Nursing Director/Manager in order to be paid. This must be done by Tuesday at 11am following the week of HR Orientation. Failure to do so will result in not getting paid. This communication will need to continue until your ID badge works with API. 7. Orientation Competency Requirements: Print off the document below. Follow the directions for completion at the top of the page. Once it is completed in its entirety, please return to your assigned Staff Development Specialist. For questions please contact any of the Staff Development Specialists: Office: CCE building room 2203 Greg Shannon, MSN, RN (419)383-4011 Greg.Shannon@utoledo.edu Tricia Yates, BSN, RN (419)383-4986 Tricia.Yates@utoledo.edu Julia Benfield, BSN, RN, SANE (419) 383-6256 Julia.Benfield@utoledo.edu Jill Brubaker, MSN, RN, CCRN (419) 383-6231 Jill.Brubaker@utoledo.edu Elena Alvarado, Secretary (419) 383-6257 Elena.Alvarado@utoledo.edu

PATIENT CARE TECHNICIAN ORIENTATION COMPETENCY STATEMENTS Orientee Unit Start Date Completion Date COMPLETION GUIDELINES: 1. The learner will complete the section prior to instruction in this module using the following legend: 1= No experience and/or knowledge with this topic; 2= Has some experience and/or knowledge of this topic; 3= Able to function independently in this area. 2 The learner will complete the assigned learning options based upon recommendation from the preceptor. 3 The preceptor will initial and date the box in the column preceptor when it has been discussed/demonstrated with the learner. 4 The preceptor will initial and date the box in the column for when the learner has met the acceptable level of performance in all areas of Criteria. 5 It is not required to sign off both the and boxes for each skill. It is dependent on the skill/procedure being evaluated. In some cases, only 1 of these boxes may be filled out. 6 The preceptor will sign name with credentials, print name, and initials with date at the bottom of each page. Please see the following example. Paperwork must be filled out completely! EXAMPLE: s Competency a. Operates the following appropriately: Nursing Station Area: 1) Nurse Call System 2) Phone System 3) Label Station 4) Pneumatic Tube System 5) Computer System 2 Work with Clerical Specialist Work with Attend EMR Training confirms proper use of: Nurse Call System Phone System Label Station Pneumatic Tube System Mosler Telelift Computer Attends EMR Training 12/4/2014 NN 12/4/2014 NN Nancy Nurse, RN _ Nancy Nurse, RN NN 12/4/2014 Revised 4/2013

General Care/Equipment s 1. ability to operate unit equipment. Uses specified equipment correctly and safely. 2. Communication 1) Answers patient call lights. confirms proper use of: Electric beds (incl. bed alarm and CPR release); Specialty beds EPC pump/cuffs; Plexi pulse system Telemetry Portable vital sign machine Panic Button Nursing/ ASCOM systems Pneumatic tube system O 2 flow meter; Suction gauge meter 2) Notify RN of changes in patient s condition. answering call lights in a timely fashion confirms knowledge of normal range of: blood pressure, temperature, pulse, oxygen saturation intake & output confirms appropriate notification of: abnormal findings/problems with the patient s skin concerns or questions voiced by the patient Revised 4/2013

s 3) Orient patient to room. 4) Greet visitors; direct/take them to requested area. introduction to the patient explanation of how to use room equipment (bed, TV, call light) 5) Talks with patient/families. Acknowledge of presence of visitors 3. Patient Care 1) Performs Activities of Daily living: Bath/shower Oral hygiene/denture care Shaving Assist with elimination (bedpan; bedside commode; urinal) 2) Provide skin care to the incontinent patient. does not attempt to answer medical questions/concerns for patients and their family members notifies nurse of any concerns or questions of the patient/family Bath/shower completed while maintaining patient privacy/safety Oral care provided as needed; dentures treated with care Assists with elimination as appropriate for patient confirms performs skin care as needed; application of skin barriers/protectants; changing of linens due to incontinence reports changes in the patient s skin Revised 4/2013

s 3) Provide preventative skin care. condition confirms provision of care that will help prevent skin breakdown: back rubs applying lotion/moisture barriers to patient s skin turns and repositions patients every 2 hours or as needed/directed by nurse protects bony prominences 4. Patient Activity 1) Turn and reposition patient. Attends lifting and transfer class confirms ability to: maintain proper body alignment when repositioning a patient; use pillows to 2) Assist with a patient transfer: bed to chair chair to bed bed to stretcher total lift discharge Attends lifting and transfer class effectively reposition a patient; lift patient off of bed to prevent friction proper body mechanics used while moving/lifting a patient; maintains Revised 4/2013

s safety of the patient 3) Assist with ambulation of a patient. utilizes slide board or AirPal transfer device when appropriate; utilizes assistive devices needed (ie. walker) reports unsteady gait to the nurse encourages patients to use assistive devices as needed (ie. crutches; cane; walker) 5. Patient Safety 1) Cares for a patient on fall precautions; suicide precautions; restraints Attends Nursing Service Orientation Read Nursing Service Standard of Care (SOC): D21 Fall Prevention keeps patients side rails up x2 or x3; call light within patient s reach; performs safety checks with hourly S04 Care for Medical Acuity and rounding; bed locked and in the low Continuous Direct Observation for Suicidal Ideation of Disruptive Behavior/Fall Risk D19 Restraint Use position whenever not working directly with patient; use of bed alarm; supervises ambulation; stays in room when patient is in bathroom completes documentation of patients activities every 15 minutes (suicide precautions) Revised 4/2013

s 2) Maintains isolation precautions: Contact Droplet Airborne Protective Attends Nursing Service Orientation applies, maintains and monitors restraint devices: wrist restraints; posey vest; vinyl restraints/tat cuffs proper hand washing technique prior to entering/exiting patients room; proper application/removal of gowns, gloves and masks before entering/exiting isolation room proper handling of contaminated linens; proper set up of isolation supplies outside of patients room 3) Works with patients who have seizure activity. Read Nursing Service Standard of Care (SOC): D22 Seizure Precautions set up a safe environment for patient with seizure disorder: padded siderails; oral suction setup; vital signs 6. Patient Nutrition 1) Meal trays. assist with meal setup ( ie: removing plate cover, opening containers, cut up food, ect) holds trays for patients who are NPO/ off the unit; reheat patient s meal in a timely manner upon return to unit; collects meal trays when patients are done eating Revised 4/2013

s 2) Maintain aspiration precautions. 7 Data Collection feeds/assist patients as needed force/restrict fluids as directed Document calorie counts, intake. remains with patient while eating; suction setup; patient s head of bed is elevated; liquids are thickened, if ordered 1) Obtain and record vital signs. Attends Nursing Service Orientation ability to obtain a BP, temp, pulse, RR documents vital signs in the medical record in a timely fashion notifies RN of abnormal values 2) Obtain heights and weights. 3) Measure and record intake and output. Attends Nursing Service Orientation 4) Collect specimens. ability to obtain a patients height & weight; documents weight and height; assist transport with bed scale weights verifies: ability to measure a patients intake/output; totals and records patient intake and output at the end of shift notifies RN of any abnormal values Appropriately collects & labels specimens; places specimen in a Revised 4/2013

s biohazard bag before leaving the patients room; makes the lab aware of stat labs when they are delivered to the lab 8. Environmental Maintenance 1) Maintain orderly patient room. 9. Procedures/Treatments confirms ability to: keep patient s room neat and uncluttered; keep items off of window sills and vents empty garbage cans as needed collect soiled linen and place in collection cart replaces sharps containers when ¾ full set up patient room for admission strips room after discharge of patient 1. Assist patient with use of incentive spirometer (IS). ability to assist patient in using IS; encourages the patient to use IS; notifies nurse when patient is having difficulty using the IS Revised 4/2013

s 2. EKG monitoring equipment. Attends Nursing Service Orientation 3. Assist patient with coughing and deep breathing (C&DB). 4. Apply and maintain antiembolism stockings (TED hose). 5. Performs dry dressing changes. Reviews standard in Mosby s Works with preceptor ability to connect/replace EKG lead patches using EASI lead placement; ability to replace battery; obtains/returns telemetry monitor to RCMS assist patient to do C&DB every hour while awake; assists patient with splinting of incision areas while C&DB; notifies nurse if/when patient is unable to C&DB ability to measure patient for TED hose; applies TED hose correctly; removes TED hose while bathing This MUST be evaluated by an RN! Verifies 2 patient identifiers Performs correct steps in removal of old dressing and placement of new dressing (including proper hand hygiene) Notifies nurse of any redness, drainage, or foul odor from site Properly labels dressing and documents procedure in patient s medical record Revised 4/2013

s 6. Discontinues IV therapy. Reviews standard in Mosby s Works with preceptor This MUST be evaluated by an RN! 7. Discontinues indwelling urinary catheter. Reviews standard in Mosby s Works with preceptor Verifies 2 patient identifiers Discontinues IV fluids if infusing Performs correct steps in removal of IV catheter (including proper hand hygiene) Apply pressure to achieve hemostasis and apply clean dressing Inspect catheter for intactness after removal Notify RN of any site redness, pain, drainage, or swelling Document procedure in patient s medical record This MUST be evaluated by an RN! Verifies 2 patient identifiers Performs hand hygiene Removes catheter anchoring device Connects luer lock syringe to hub of catheter s inflation valve and allow syringe to fill with sterile water from catheter balloon (ensure amount of water removed was the amount instilled) Pull catheter out slowly (if any resistance met, stop pulling and notify RN) Clean perineum and reposition patient as necessary Discard supplies and gloves and Revised 4/2013

s perform hand hygiene Document procedure in patient s record Adopted/Adapted from AACN Essentials of Critical Care Orientation Program/Critical Care Education UTMC 2008 By: The Staff Development Department Revised 4/2013