Job Description

**Constant Observer (Patient Sitter) Float Pool 40hrs Rotate FUH**

**Job ID:** 2105033467 **Date posted:** 12/20/2021 **Facility:** MetroWest Framingham Union Hospital **Job Details**

**GENERAL SUMMARY:** Under general supervision of Charge Nurse or a Registered Nurse and according to established department policies and procedures, maintains appropriate level of supplies and cleaning of equipment. Assists with observation and moving and restraining of patients as necessary. Provides services to adult, geriatric, and pediatric patients as instructed. Ensures quality and safe delivery of care to patients in the following age groups: All ages; School age; Adolescent; Adult; Geriatric.

**PRINCIPAL DUTIES AND RESPONSIBILITIES:**

1. Observation

Checks in with charge nurse for assignment

Obtains report from patients nurse prior to starting assignment to include reasons for constant observation, level of constant observation, precautions, level of awareness, communication status, mobility, dietary restrictions, safety concerns, status for visitors

Able to follow and understand level of constant observation for patient assigned by nurse

Maintains constant visual contact including if going with patient to other departments for tests or diagnostics, while patient in bathroom and when visitors are present

Does not leave patient unattended or out of view (constant observer will schedule breaks with the patients nurse and stay with patient until another constant observer comes to take your place while on break)

When in room, keeps patient in view at all times

Does not shut door to bathroom when patient using it, keeps patient in view

Does not leave room to get supplies or anything else

Documents on constant observer flow sheet every 15 minutes or more often as nurse instructs

Calls for assistance as nurse instructs per hospital policy

2. Safety

Keeps patient door will be open/partly open at all times

Maintains level of constant observation at all times

Keeps sharp/dangerous items out of room (plastic cutlery only, no lighters, no guns/knives)

Assists nurse to inspect all items brought in by visitors, nurse will instruct you if assistance is needed

Does not keep scissors in your pocket

Does not have items around your neck (ID badge, stethoscope)

Does not allow patient to leave room unless the nurse allows it

Does not try to physically restrain patient, do not physically block a patient attempting to leave, follows at a safe distance, calls for help using instructions given by nurse. If a patient leaves the room, calls for help immediately. Does not follow a patient without calling for help. Follows hospital specific code to call for this situation

Does not allow patient to leave area including to go to other departments unless nurse allows, if a transporter arrives to take patient off the area, asks nurse if this will be allowed

Assists patients in/out of bed and to/from bathroom as ordered activity level permits

Informs nurse immediately if patient expresses desire to harm self

3. Patient Privacy

Maintains confidentiality of all patient information

Refrains from discussing patient and information with anyone other than staff assigned to patient or patients physician

Respects the patients rights with concern for safety as a priority

Listens and acknowledges patients feelings

Conveys compassion, empathy and understanding

4. Conduct

Patient has control of the choice of TV station

Do not have personal electronics or anything that takes your attention from patient (iPod, CD player, Game boy, phone, books, magazines)

Do not make personal phone calls, eat food, close eyes, sleep

Always have someone in the room to observe the patient before you take any breaks

Notify the charge nurse for any issues/concerns

**WORKING CONDITIONS:** Patient care environment. Exposure to patient elements and body fluids during the course of work. Frequent lifting, pushing, and moving of equipment and supplies weighing 20-30 pounds. Also lifting and moving of patients in difficult positions. May stand for long periods of time while assisting with patients.

The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities associated with the job.

**Qualifications:**

**KNOWLEDGE, EXPERIENCE AND OTHER JOB REQUIREMENTS:**

1. The level of knowledge equivalent to that ordinarily acquired through completion of a High School Diploma with formal training for the team approach to patient intervention.

2. CPR certification required.

3. Completes all required online courses on duties of the constant observer, on restraint and seclusion.

4.Completes hospital approved training in managing patient behaviors and de-escalation techniques (i.e. CPI, SAMA).

5. Constant observer providing patient care must have completed all applicable competencies.

#LI-KF1

Job: Nursing Assistants and PCA Primary Location: Framingham, Massachusetts Facility: MetroWest Framingham Union Hospital Job Type: Full-time Shift Type: Rotate Employment practices will not be influenced or affected by an applicants or employees race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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