Thursday, June 23, 2011

NOC Shift BHW Duties and Responsibilities for South Campus (Revised 6/23/11)

Since I don't have anything else to write about, this is what I'm going to post. Ever since my job switched to electronic medical records a couple of months ago, some of my duties and responsibilities have changed and/or have been rearranged. In 2006 I independently made an orientation checklist for new Behavioral Health Workers (or mental health workers) and also as a reminder for old ones in case they have forgotten what they have to do. The checklist below shows the current responsibilities shared by all BHW's.

*Get report from day shift.
*Q-15 minute checks on all assigned patients.
*Pass out snacks at 8:00 p.m.
*Monitor free phone calls at 8:00 p.m.
*Vital Signs – all patients need orthostatic vital signs taken at start of shift. Make 4 copies afterwards and give one to Team 1, 2, and 3 RN’s and Med Room.
*Chart vital signs, nutrition, and ADL’s in Cerner Powerchart.
*Put stickers on Close Observation (Q15 minute checks) Sheets
*Check stickers binder first to see if it is up to date: contains all the patients names in them and in the correct rooms. If any are missing, check the charts if there are some in them. If not, ask the charge nurse to print some out.
*Mark precautions (everybody is automatically on Fall Precautions), write in date and room number of both sides of the Close Observation (Q15 minute checks) Sheets.
*Update Roster (South Campus Combined Precautions Diet Meal & Shower Log) with patient names, precautions, and diet then print out to put on clipboard for day shift.
*Update Goals and Reflections sheet then print out to put on clipboard for day shift.
*Update South Campus NEW Orthostatic Vital Signs sheet for NOC shift.
*Update VITALS-Sherrie Version for A.M. shift then print out to put on clipboard for day shift.
*Monitor smoke breaks at 9:15 p.m. and 6:45 a.m.
*Turn off phones and close dayroom for housekeepers to clean at 10 p.m.
*Insert forms from chart packs in empty chart binders in preparation for new admissions.
*Assemble new chart packs
*When the chart packs in folders run low in the basket, put in new packs in folders and refill the basket.
*Admissions: Check vital signs, height, and weight. Have patient sign forms then witness them. Inventory property and call Security for valuables to be placed in the safe. Orient patient to unit.
*Check showers for items left behind by patients like: soiled towels, gowns, pajamas, empty plastic bottles.
*Assist patients with ADL’s as needed
*Assist with laundry as needed.
*End of the month: Denial of Rights sheets – make new ones for each patient by filling in Month, Year, Medical Records Number and Legal Status. File each under Graphics divider in chart. Tear off white copy from the previous month and place in case manager’s filing tray.

So there you go. This is my job and that is what I do. Oh, and talk to the patients of course.

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