CNA Baseline Duties as a Patient Safety Attendant (PSA)

 

CNA Baseline Duties as a Patient Safety Attendant (PSA)

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• Historical Ratings

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

• The Joint Commission. (2020). Standard NPSG.07.01.01. Comprehensive accreditation manual for hospitals. Oakbrook Terrace, IL: The Joint Commission. (Level VII)
• 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)
• 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

My Rating

Rating

Comments / Evidence of Achievement Optional

Documents Optional

• No attached documents

Risk / Outcome

• Age Related
• Decreased Volume
• High Volume
• Increased Risk
• Learner's Needs
• Low Volume
• New Scope of Practice
• Performance Issue
• Problem Prone
• Quality
• Safety
• Satisfaction(Patient)
• Special Needs Population
• Time Sensitive

• Communication
• High Risk
• Hospital Initiative
• Infection Control
• Low Risk
• New Equipment
• Orientation
• Policy Change
• Professional Development
• Regulatory
• Satisfaction(Employee)
• Satisfaction(Physician)
• Teamwork

Method Of Validation

• Case Study
• Direct Observation
• Evidence of Daily Work
• Exemplar
• Mock Survey
• Peer Review
• Presentation
• Skills Checklist
• Testing - Oral

• Confidence Based Learning
• Documentation Review
• Evidence Submission
• Inservice Education
• Online Simulation
• PI Data Trending
• Simulation Lab
• Skills Lab/Skills Fair
• Testing - Written