CNA Baseline Duties as a Patient Safety Attendant (PSA)
Description
Standard Duties of Patient Safety Attendant (PSA)
Behavioral Criteria
Get report from off-going PSA and nurse
Complete documentation for safety observations (activity, behaviors, interventions)
Try to keep patient on normal sleep/wake cycle
Wake patients, assist with toileting/diaper changes, oral care (open window blinds)
Have patient out of bed and performing activities as much as possible during daytime hours
Provide bedtime care (offer lavender lotion/oil, give sleep hygiene)
Collect vital signs at ordered times, report data to Nurse as soon as completed
Bathe patients
Prepare patient for meals including hand washing and sitting them up in the chair if appropriate
Ensure assistive devices in place (dentures, glasses, etc.)
Help patients who can’t feed themselves
Ambulate patients or turn patients
Provide toileting regularly, do not leave patient unattended in bathroom
Provide activity for confused patients (i.e. wheeling around the unit, using items from the GREAT kit)
Prepare and accompany patient for off unit procedures
Report any changes in baseline to the nurse
Evidence of Achievement
Direct observation of competency in all areas
through patient care or simulation / case study; documentation in
electronic health record accurate and complete
References
- Toolbox (Policy/Procedure)
- Duties as a Patient Safety Attendant
- Handoff Communication
- Mezey, M. (2016). Decision-making and dementia. Try this: Best practices in nursing care to older adults with dementia, D9. Accessed April 2020 via the Web at https://consultgeri.org/try-this/dementia/d9decision2016r3.pdf
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The Joint Commission. (2020). Standard NPSG.07.01.01. Comprehensive accreditation manual for hospitals. Oakbrook Terrace, IL: The Joint Commission. (Level VII)
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World Health Organization. (2009). "WHO guidelines on hand hygiene in health care: First global patient safety challenge, clean care is safer care" [Online]. Accessed April 2020 via the Web at https://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf?sequence=1 (Level IV)
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National Institute on Aging, National Institutes of Health. (2017). "Talking with your older patient: Communicating with a confused patient [Online]. Accessed April 2020 via the Web at https://www.nia.nih.gov/health/communicating-confused-patient
