UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Applies to:
WW
SMH
RNPH
OR
ED
Amb
Job Description
Performance Evaluation
Period Covered by this Performance Evaluation: _________ TO __________
Unlicensed Clinical Positions
Employee Name:
Department/Unit:
Supervisor Name:
Supervisor Title:
Current Title:
CLINICAL/ADMINISTRATIVE CARE
PARTNER
Approved Title (for reclassifications only):
Methods of Measurement Include the Following:
Direct Observation
Feedback from staff or patients
Documentation
PI Reports
Current Title Code:
Approved Title Code (for
reclassifications only):
AGES SERVED
Neonates (< 30 days)
Infants (> 30 days and < 1 year)
Pediatrics (> = 1 year & < 13 years)
Adolescents (> = 13 years & 18 years)
Adults (> = 18 years to < 65 years)
Geriatrics (> = 65 years)
Not Applicable
Place an “X” if over 20% of work is exposed to one or more of the following conditions:
Confined area
Exposed to weather
Noise Exposure
Vibrations
Extreme temperatures
Atmospheric conditions
Potential allergenic/irritant conditions
Other (specify)
Please check all that apply (Competencies must be up-to-date at time of Performance Evaluation)
COMPETENCIES:
INITIAL:
RR UCLA MC Dept. Specific Orientation
Job Specific
SUMMARY STATEMENT:
Performs basic patient care skills, follows infection control practices, positions, transfers and transports patients, takes vital signs, collects specimens, accurately
observes, reports and charts, performs range of motion and assists with feedings, self-care activities and elimination needs. Additional duties include customer
relations, area coordination, patient record maintenance, office/unit operations, automated data maintenance, (verifying, recording, posting and filing informational
materials via automated/manual systems). Training of clerical staff, and performing other duties as required.
TYPE OF SUPERVISION RECEIVED:
Under the direction of the Unit Director/Clinical Nurse Manager and/or designee.
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
I. CUSTOMER RELATIONS
Demonstrate positive interpersonal skills and caring behaviors in working with patients, significant others, and members of patient care team
1. Acknowledge presence and provides assistance to people approaching the nurses’ station
2. Consistently model exceptional interpersonal skills and caring behavior in working with patients, significant others and members of
patient care team
3. Answer patient call lights in a courteous and timely manner, using 3 part greeting (greet, acknowledge patient and state “how may I help
you”
4. Perform patient rounds, introducing self and connecting with patients within the 1 st two hours of the shift or according to the unit standard
5. Facilitate a calm, orderly, professional and quiet environment
6. Coordinate flows of communication between appropriate staff
7. Distribute mail and other designated items to patients
8. Respect customer/staff individuality
9. Assist with directing flow of visitor to the Unit (FOR CCP ONLY)
10. Effectively respond to the unique needs of neonatal, pediatric, adolescent, adult, and/or geriatric patients as needs arise (FOR CCP
ONLY)
II. PATIENT CARE DUTIES (FOR CCP ONLY)
Assist patients with admitting procedure:
a. Set up room for admission and transfers in
b. Orient patient to environment and routine of unit
c.
Take and record patient’s vital signs, weight & height as directed
d. Take care for patient’s personal property, label and store personal items
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
e. Label door, urinals, bedpans, measuring devices, water pitchers, and all patient equipment
f.
Report observations and pertinent information to assigned RN regarding patient's condition immediately
Assist patients during transfer procedure/discharge:
1. Prepare and assist with the collection and transfer of personal items and equipment
2. Accompany patient during transport/discharge as needed
3. Replace bed and bedside tables as needed
Provide for patients’ personal hygiene:
1. Provide A.M. and P.M. care on a routine basis
2. Provide oral hygiene and denture care
3. Provide skin care as directed
4. Provide hair care and shampoo as needed
5. Provide perineal care/incontinent care
6. Provide indwelling catheter care
7. Assist with shaving of male patients
8. Check patient’s ID band every shift
9. Report patient observations and pertinent information to assigned staff nurse
10. Report problems or changes in patient’s condition immediately
11. Assist ambulatory patients to bathroom; assist with bedpans, urinals and commodes
Assist patients with meals and nourishment:
1. Assist and feed patients as needed
2. Observe aspiration precautions for all patients
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
3. Assist with completing menu and place in designated area as necessary
4. Deliver and collect trays as necessary
5. Document food intake for calorie count as ordered
Assist with respiratory care:
1. Assemble suction equipment
2. Fill humidifier bottles when not attached to patient
3. Suction oral cavity as directed/needed
4. Assist patient with incentive spirometer
5. Perform CP (chest percussion) as directed
6. Assist patients in coughing, deep breathing and position changes as directed
Assist in providing patient safety and comfort measures:
1. Follow standard precautions for all patients
2. Maintain and reinforce isolation policy
3. Implement and maintain heel protectors, special mattress/bed and other pressure reduction devices as directed
4. Apply and monitor restraints as directed per hospital protocol
5. Maintain individual patient safety, e.g., side rails up, brakes locked and call bells within reach, and initiate fall precautions as directed
6. Respond to emergency situations per hospital protocol
7. Tag/report malfunctioning equipment to appropriate personnel
8. Respond to/report alarms immediately to RN
9. Provide care to patients who are at risk of harming self and others per departmental/hospital policy
Maintain a clean and orderly environment:
1. Change bed linen on a routine basis and as needed
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
2. Assist in tidying patients’ bedside and personal effects
3. Keep bedside supply trays stocked per unit protocol (except for NPH)
4. Maintain cleanliness of patient’s special equipment
5. Remove unused equipment and/or supplies from room and place in designated area for pick-up or storage
6. Routinely check each patient’s bedside to ensure that call bell, light and room clock are accessible and functioning
7. Assist in the identification of environmental (i.e. frayed cords, spills, wet floors, etc.) hazards and report to appropriate personnel
8. Keep corridors uncluttered
-Remove or arrange for removal of unnecessary equipment
-Maintain neatness of linen rooms
-Empty linen hampers as appropriate and keep all linen off the floor
9. Maintain refrigerator logs as directed
10. Perform/assist with ER cart and defibrillator checks as directed
11. Maintain unit based equipment as directed
Perform and record vital patient information:
1. Take and record height and weight, intake and output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry as directed
2. Complete required documentation on flow sheets per unit protocol
3. Perform EKG as directed
4. Perform the role of a Monitor Tech. as directed (except for NPH)
5. Set up and maintain monitoring equipment (except for NPH)
6. Empty drainage bags (Indwelling, Jackson-Pratt, and Hemovac)
7. Provide population specific/unit protocols care
Assist with pre-operative/post-operative/special procedures as directed:
1. Provide pre-op scrubs and preps as directed
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
2. Assist in removing or taping of jewelry, removal of dentures or other articles (wigs, glasses, etc.)
3. Label patient’s belongings with patient’s name and ID, secure and store all belongings
4. Prepare beds for post-operative/procedural patients
5. Assist with non-sterile dressing changes and wound care
Assist patients with activity and mobility:
1. Assist patient in position changes, dangling and ambulation
2. Assist patient in and out of bed
3. Assist in the application and removal of anti-embolic and pulsatile stockings, as directed
4. Assist with PT/OT Care such as:
-Range of motion
-Transfers
-Endurance activities
-Application of splints, prosthetics and orthotic support devices
-Feeding for dysphagia patients
-ADL practice/training for home care
Perform special procedures as directed:
1. Sitz bath
2. Breast care
3. Perineal care
4. Provide Seizure precautions as directed
5. Provide patient observation as assigned
6. Collect all specimens as directed
Assist with post-mortem care:
1. Assist with care and labeling of body according to policy
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JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
2. Assist with packing, labeling and transferring of belongings
III. ADDITIONAL PATIENT CARE DUTIES (FOR CCP ONLY)
1.
2.
3.
4.
5.
Perform start of shift and end of shift fresh drinking water service to all patients unless contraindicated by dietary restrictions
Perform DASH Monitor setup routinely and also in emergencies
Perform daily refrigerator temperature log checks as assigned
Perform medication, lab, or blood product retrieval from the Pneumatic tube station while practicing universal precautions and in
compliance with OSHA guidelines
Provide patient and family individualized escort service to assigned room and perform initial room orientation including call bell usage,
television overview, bathroom location, electronic bed rail functions, and identification of assigned Registered Nurse name
IV. AREA COORDINATION (FOR ACP ONLY)
Perform secretarial duties in a manner that enhances the daily operation of the unit
1. Assist with directing flow of visitors to the unit
2. Track patient flow on and off unit by updating patient location screen
3. Notify appropriate personnel of admissions, discharges, and transfers in a timely manner
4. Locate boarders by using “Service System List”- Omit for RNPH
5. Update white board assignments per shift and as necessary
6. Reconcile “accommodation code” and level of care, i.e. monitored, non-monitored
7. Perform daily charge document reconciliation on a per patient by communicating with each nurse
8. Perform shift reconciliation report for unit and status audit reports for all patients
9. Enter nursing unit charges to capture procedures and treatments, if applicable
10. Enter nursing unit charges manually on timely basis in accordance with hospital policy-if applicable
11. Monitor and coordinate, phone, beeper and voice pagers relaying accurate messages to appropriate people
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Rating
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
12. Label charts, rooms, doors and other equipment according to standard unit protocol
13. Assist in returning/forwarding x-ray films, belongings and other items as appropriate
14. Assist multi-disciplinary team members in obtaining necessary paperwork, equipment, supplies; assist with other requests
15. Communicate with RN to ensure patients get their meals as appropriate
16. Coordinate diagnostic tests procedures, consultations and appointments accurately and notify patient and/or appropriate nurse
17. Communicate appropriate information to charge RN to facilitate work of unit
18. Use high-level problem solving skills, accessing needed resources to facilitate work of unit
19. Establish PAR level and demonstrate cost effective utilization of clerical supplies
20. Perform additional administrative support functions as requested by the Unit Director/Clinical Nurse Manager
21. Pick up and deliver supplies as directed
V. PATIENT RECORD MAINTENANCE/ AUTOMATED DATA MAINTENANCE (FOR ACP ONLY)
Maintain the medical records, transcribe orders, and utilize the computer in a manner that facilitates patient care
1. Notify nursing staff of new, revised and STAT orders
2. Monitor and update “treatment team’ list per shift and/or as needed. Use Nurse call’s “white board” to update the assigned nurse, CCP and
“buddy”- Omit for RNPH
3. Prepare, print, and forward necessary requisitions as appropriate
4. Order equipment and supplies as needed
5. Assemble and complete expiration packets - Omit for RNPH
6. Ensure all “hard copy” patient records accompany patient at all times, i.e., consent form, blood transfusion, resuscitation form, EKG print out
7. Obtain previous inpatient and requested outpatient medical record on the unit for transferring a patient to SNF, etc.
8. Break down chart when patient is discharged
9. Send copies of Advance Directives (AD) to admissions department when completed, work with Admissions to reconcile AD issues as
applicable
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
10. Notify Organ Procurement Organization of all deaths/imminent death within one hour (work with nursing team)
11. Assist in obtaining completed death paperwork and sending it to Decedent Affairs within 15 hours of death
VI. MISCELLANEOUS DUTIES (FOR CCP ONLY)
Assist with duties as assigned by the charge nurse/shift coordinator:
1. Assist with checking and stocking cart supplies and assist with charging of patient charge items
2. Assist in tracking and inventory of equipment
3. Participate in Nursing Department committees or projects and communicate outcomes to staff and Unit Director/Clinical Nurse Manager
4. Pick up and deliver supplies as directed
VII. TRAINING
Demonstrate a willingness to assist other members of the team while maintaining performance of individual duties
1. Assist in orienting new personnel
2. Participate in work-related continuing education and communication activities
IX. PROFESSIONAL AND/OR INSTITUTIONAL STANDARDS
1. Maintain professional appearance and behavior
2. Observe institutional/unit standards and requirements regarding work schedule commitments
3. Report to charge nurse/shift coordinator, giving destination when leaving unit for any period of time
4. Give report to the oncoming personnel at shift’s end as directed
5. Adhere to Unit Interpersonal Standards as applicable
6. Adhere to department attendance standards including hours of work
7. Support that telephone and computer usage is for patient care business only
8. Seek and accept guidance from Unit Director/Clinical Nurse Manager or appropriate person to accomplish job duties
9. Participate in work-related meetings and /or represent unit on task forces/committees/projects as requested
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
10. Accept delegated duties from Unit Director/Clinical Nurse Manager and/or appropriate personnel as requested
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
RNPH ADDENDUM: (FOR ACP ONLY)
Greeter
1. Sit at the Greeter Desk, located at the front of each pod
2. Greet patents, family members, faculty and staff, using eye contact, and asking how you can assist them
3. Provide directions and way-finding as needed
4. When asked for access to the unit by an unknown individual, contact the appropriate nurses’ station to request guidance
5. If asked about the location of an individual patient, respond that you cannot confirm or deny that someone is a patient, ask for the
name of the individual and call the nurses’ station to inquire if you should allow the person to enter the unit
6. When asked for access by faculty or staff with a valid ID card, but no unit proximity card access, open the door to the secure
foyer area and call the appropriate nurses’ station for staff to escort the individual
7. For patient admission:
 Greet patient and family or staff accompanying patient
 Notify nursing staff from appropriate nursing station that the patient has arrived
 Open door to the secure foyer to allow patient and family to enter
 Ask patient and family to leave all bags, suitcases, and other personal possessions in the contraband room
connected to the greeter station until these items can be searched by a staff member
 Patient will be escorted to the assigned room by nursing staff
8. Arrange with shift coordinator for coverage at the greeter station when needing to leave area for breaks, errands, etc. so that the
station is covered. (If unable to obtain coverage, lower the Cookson door prior to leaving the area).
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
X. UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CARE
 Observe and practice all the Service Standards listed in the “World Class Practices” (which I have read and signed)
o Practice C-I-CARE when interacting with patients, their families, visitors, or internal customers
o Connect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer
o Introduce yourself and your role
o Communicate what you are going to do, how long it is going to take, and how it will impact the patient.
o Ask and anticipate patient and/or family needs, questions or concerns
o Respond to patient and/or family questions and requests with immediacy
o Exit courteously and/or with an explanation of what will come next (or when you will be back to check on them)
o Practice C-I-CARE phone etiquette during all phone interactions
 Always exercise courtesy whenever patients, family members, visitors and co-workers are present
o Respect privacy and dignity of our patients, family members, visitors and co-workers
o Maintain professionalism in the presence of patients, their families, visitors and co-workers
 Observe departmental Patient Experience plan, competencies and practices
o Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to
the profession and the organization
o Participate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work
place
 Comply with Health System Workplace Conduct Policy
o Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, including
passive or active behaviors will not be tolerated as stated in the HS Workplace Conduct Policy
o Comply with Health System Dress Code Policy and practices
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
INSTITUTIONAL AND/OR PROFESSIONAL STANDARDS
 Comply with HIPAA and Confidentiality Policies and Procedures as they apply to the job
 Comply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standards
 Adhere to all Hospital Policies and Procedures
 Knowledge and adherence to Infection Control and Environment of Care
Guidelines and Procedures as described in the annual education module
PERFORMANCE IMPROVEMENT
 Adhere to current organizational Performance Improvement priorities
 Participate in quality studies through data collection and dashboard data collection
 Make recommendations and take actions to improve structure, system or outcomes
OTHER DUTIES
Clinical Care Partner: Psychiatric Addendum
Patient Care Therapeutic and Safety Measures
1. Perform systematic inventory of patients belongings in the patients presence:
o
Complete personal belongings form, sign and give to admitting RN
o
Remove sharps, mirrors, glass, weapons, and medications, secures them and inform the admitting RN
o
Identify valuables and inform admitting RN
2. When patient’s behavior becomes disruptive, provide initial interventions and inform RN
3. Assist patients with meals and nourishment
4. Conduct patient rounds per shift/unit procedure and ensure patient safety
5. Assist with management of the milieu to ensure a therapeutic environment
o
Utilize therapeutic communication techniques according to age specific/unit protocols
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Rating
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Duties and Tasks
o
Individualize specific verbal/non-verbal interactions to patient and situation
o
Monitor patient behavior and reports changes to RN
o
Manage physically and verbally aggressive patient using least restrictive measures
o
o
Ensure patient status is maintained per departmental policy and procedure, e.g. Suicidal Observation, Constant Observation, Constant
Eyesight
Participate in meaningful activities with patients to meet their diversionary needs
o
Observe and report to RN the patient's response following individual and group activities
6. Function as group activity leader as directed by RN
7. Provide one to one care as directed by RN for patient safety and/or therapeutic intervention
8. Accompany and remain with patient for clinic appointments, clinical laboratory, radiology tests and school
9. Assist with patient pre and/or post ECT as directed by the RN
Qualifications:
Inpatient psychiatric experience preferred
7/12/02
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
Skills, Knowledge and Abilities
(Disregard this section for performance evaluations)
REQUIREMENTS:
List any equipment (machines, tools, office appliances or motor vehicles) required to do the job, with or without a reasonable
accommodation. Indicate whether use is seldom, occasional, frequent, or constant.
CPR:
See Nursing Policy and Procedure Equipment Manual.
License:
CNA or other as listed
Certifications: under SKA #1
High School Diploma or GED
Degree: preferred and “X” the box
Experience:
Skills, Knowledge and Abilities
1. Current California Certification of Nursing Assistant OR current enrollment in a state approved nursing school program, with a
minimum of one completed med/surg rotation
2. Foreign trained RN considered. CNA certification would be required within 12 months
3. Graduate from an approved nursing program; CNA certification is required within one year of an appointment as a CCP
4. Current BCLS certification
5. High School Diploma/GED
6. Knowledge of computer fundamentals
7. Ability to speak clearly and distinctly using appropriate English vocabulary and grammar
8. Ability to understand oral and written directives
9. Ability to read and write Standard English text
10. Ability to perform basic arithmetic computations (add, subtract, multiply, and divide)
11. Demonstrates an understanding of basic medical terminology and abbreviations
12. Ability to organize and prioritize work to complete assignments in a timely manner
Importance:
Required or Preferred
Required
Required
Required
Preferred
Required
Required
Required
Required
Required
Required
Required
Required
For Neuropsychiatric Hospital, refer to Psychiatric Addendum
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UCLA Health System
JOB DESCRIPTION/PERFORMANCE EVALUATION
If overall rating is “Does Not Meet Expectations”, please complete Future Plans and Actions Section.
According to the Employee Performance Evaluation Policy, an overall rating of “Does Not Meet Expectations” requires an action plan and a follow-up
performance evaluation in either a three-month or six-month period depending on the time needed to demonstrate improved performance. Action plan
steps must be objective and measurable with a defined time frame. The date of the follow-up performance evaluation will reset the performance
evaluation due date.
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Comments:
Future Plans and Actions:
Employee Comments:
To update our files, please answer the following questions:
Have you received a higher education degree in past 12 months:
Yes ______No______
If Yes, in what field:_______________________________________
Type:_____________
Have you received a national certification in the past 12 months:
Yes ______No______
If yes, please list and bring a copy of certificate to Nursing Resources:__________________
Employee Signature
I have reviewed this Job Description and/or Performance Evaluation
Date
Evaluator Signature
Date
Department Head or Designee Signature
Date
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