Patient Sitter - Constant Observer

Job Summary

Working under the supervision of the registered nurse, the constant observer maintains constant direct observation and visualization of identified patient(s).

• Patient Observation: 
  • Keeps patient within view at all times. 
  • Never leaves patient unattended.
  • Uses the call light/intercom system to summon staff for assistance or needed equipment/supplies.
  • Accompanies and stays with patient when transported off the unit for any diagnostic tests or procedures. Asks nurse before accompanying patient 
  • Remains in patient room at all times and does not leave without RN approval and/or relief.
  • Documents observations on flow sheet as instructed and indicated. 
• Patient Safety: 
  • Keeps patient room door open/partially open at all times. 
  • Keeps bathroom door open at all times. 
  • Removes sharp/dangerous items out of room. 
  • Assists nurse to screen all items brought in by visitors. 
  • Knows patient’s ordered activity level 
  • Avoids wearing items around neck (ID badge, stethoscopes, necklace, etc.) 
• Patient Privacy: 
  • Maintains confidentiality of all patient information. 
  • Refrains from discussing patient information with anyone other than nurse or physician.
  • Respects the patient’s right to dignity while providing care, with concern for safety as a priority. 
• Communication: 
  • Listens and acknowledges patient’s complaints and feelings. 
  • Conveys attitudes of compassion, empathy, and understanding.
  • Does not discuss any information related to patient’s medical condition or plan of care.
  • Seeks guidance and direction when unsure.
  • Informs nurse immediately if patient expresses desire to harm self/others or wants to leave the hospital.
  • Provides report to relief patient sitter and to nurse prior to leaving at shift end.
• Conduct:
  • Provides only constant observation. 
  • Does not make personal phone calls, eat food in the room, or sleep.
  • Allows patient control of television (channel, volume). 
  • Does not use any items or personal electronics (iPod, iPad, game boy, etc.) or anything that can distract attention from patient.
  • Does not leave patient(s) until relief patient sitter has arrived and is in the patient room.
  • Does not use the patient's bathroom for personal use.
• Other related job tasks or responsibilities as assigned

• Special Skills: 
  • Ability to read in English to follow oral and/or written instructions. 
  • Ability to prioritize work. 
  • Must have good customer service skills. 
• Minimum Requirements
  • Education: High school diploma or equivalent 
  • Experience: One year experience
  • Certifications: Current American Heart Association BLS certification 
• Preferred Requirements
  • Experience: Prior constant observer and/or CNA experience preferred 
  • For constant observers utilized exclusively with non- behavioral health patients, all related competencies must be administered and completed prior to assignment of a patient. There will be one level of competency for all constant observers in this category. 

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