The mission of Central Staffing Resource Department is to deliver world class expert care across the University of Michigan Health System, with the primary focus on patients and families. Our commitment is to provide supplemental staffing of Registered Nurses, Patient Care Associates, and Clerical Personnel to University Hospital, Mott Children's Hospital and The Cardiovascular Center.

The primary goal of CSR is to provide high quality, safe and effective patient care by providing supplemental staffing resources to units on an anticipated and unanticipated basis. In addition, CSR is committed to forming a partnership with other UMHS team members to better serve the welfare of the patients and families by establishing and maintaining high quality staffing standards.

Temp Patient Care Temp (PCT) are managed and assigned by CSR. General nursing support is provided on inpatient units in University Hospital, Mott Children's Hospital and the Cardiovascular Center. PCT staff utilize their skills to facilitate efficient patient progressions that contribute to a quality patient care experience.

Under direct supervision from a Registered Nurse or other designated supervision, provides direct patient care or miscellaneous technical support by performing delegated procedures of a specialized and technical nature, which may include obtaining hemodynamic measurements, setting-up and maintaining specialized clinical equipment and performing delegated clinical or laboratory procedures, changing dressings, assisting with admitting and discharge procedures.  Assist with more complex procedures and perform complex diagnostic testing.  Develop and recommend changes in patient care activities to improve the quality of patient care services.  Under FLSA, incumbents in this position are non-exempt.    

Central Staffing Resource Department PCT Temps will

• staff all adult inpatient units (excluding ICU’s and overflow spaces)
• participate in CSR PCTA Frequent Rounding Program
• staff as Video Monitor Tech
• staff as Patient Attendant

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good

RATES OF PAY:

Base Hourly rate:  $17.04

Mid & Eve Differential: $1.80/hr

Night Differential:  $2.00/hr

Float Pay:  $2.00/hr

Weekend Day Differential: $1.75/hr

Weekend Eve Differential: $2.30/hr

Weekend Night Differential: $2.75/hr

Observation/Monitoring

• Obtains vital signs, temperature, height/length, weight, oxygen saturation and pain scores; reports abnormal values to RN.  Obtains other measurements (i.e., head circumference, abdominal girth) per unit standard. 
• Responds to monitor alarms.
• Utilizes palpation/auscultation and Doppler to determine heart rate and blood pressure.
• Observes, monitors and reports the overt physical condition of assigned patient(s).
• Responds to physiologic monitor alarms based on unit training and competencies.  Alarms should be silenced or paused prior to an activity that will trigger an alarm such as bathing, drawing blood or getting a patient out of bed as delegated by RN.  Ensures that alarms are “on” when activity is completed and/or before leaving the patient.
• Measures and records intake and output.
• Functions as a patient attendant.
• Assists physician/provider during diagnostic procedures; assists and supports patient before and during procedures; assists in specimen collection. 
• Applies and changes ECG electrodes and pulse ox probe; attaches patient to travel (ECG and A-line) monitor.
• Places monitor strips on inpatient records.

Specimen Collection

• Performs point of care testing; maintains and calibrates equipment and supplies. 
• Collects specimens including urine, stool, sputum, swabs, and performs urine determination including sugar, acetone, specific gravity protein, and pH.
• Performs finger/heel stick blood collection and blood sugar testing.    
• Initiates, maintains and records 24-hour urine collection. 
• Transports blood and laboratory specimens.

Intravenous Lines

• Discontinues peripheral IV’s.
• Removes peripheral IV dressings.

Patient ADLs

• Assists patients with, or administers routine personal hygiene including baths, oral care, skin care, umbilical cord and circumcision care.
• Performs preventative skin care, pre-operative preps, perineal care.
• Provides toileting/bedpan/urinal; remove/empty foley catheters; weighs diapers. 
• Accompanies, escorts, ambulates, moves, turns, dangles, lifts, transports and attends/holds/positions patients. 
• Assists with range of motion; applies rehabilitation equipment; releases and applies devices, i.e. wheelchair seatbelt, adaptive equipment, etc., in accordance with specific instructions, to position patients to limit movements.
• Provides patient nourishment by performing such duties as passing and collecting trays, providing snacks/beverages, assists with ordering meals/snacks, feeds patients. 

Urinary Catheters

• Performs intermittent sterile urinary catheterizations.
• Performs clean urinary catheterizations (Pediatrics only-waiting for data).
• Connects, drains and disconnects urinary catheters.
• Assembles intermittent bladder irrigation supplies.
• Discontinues urinary catheters.
• Applies condom catheter.
• Determines bladder status with Bladder Scanner.

Enemas/Suppositories

• Administers cleansing enemas that do not contain medication. 
• Applies external Fecal Incontinence Device bags.

Wound Care

• Cleanses and redresses non-sterile wounds.
• Assists RN with complex dressing changes.
• Cares for permanent drainage sites and apply appropriate collection device, i.e., ostomy, G-tube, etc.
• Applies binders, ACE wraps, hot and cold applications; provides soaks and special baths.

Respiratory Care

• Assist with tracheostomy care on stable tracheotomies including such duties as cleaning and redressing area; assists with tape and tie changes.
• Performs endotracheal/tracheostomy tube suctioning after assessment by RN of patient stability.
• Provides ventilation to the intubated/trached patient with an Ambu bag.
• Assists with Endotracheal tube care and tape changes. 
• Assists with P&PD by holding the patient. 
• Measures and records chest tube drainage; sets-up Pleurevac; checks Pleurevac water levels and notifies RN prn.
• Coaches/prompts patient to use incentive spirometer, and in coughing and deep breathing.
• Performs routine nasal and/or oral suctioning.

 Other Interventions

• Measures and obtains TED hose; applies Sequential Compression Devices.
• Performs post-mortem care and transports deceased patients to the morgue/pathology.
• Responds to call lights and alarms
• Answer unit telephone and relay messages prn.
• Empties and measures drainage collection and emesis.
• Assists RN with admissions, discharges, and transfers.
• Provide skin care at the direction of the RN, applying select topical emollients containing medication (i.e., cortisones, tar, Silvadene, butt cream, and dermatology lotions).
• Initiates emergency care utilizing the “ABC’s”—Airway, Breathing, Circulation.
• Transports materials, supplies, medications, specimens, patient belongings, equipment and medical records.
• Performs patient care comfort-safety rounds per unit routine.
• Assists with application and maintains restraints.
• Documents care provided.

Environment

• Stocks supplies and equipment in patient care spaces. 
• Sets up patient rooms for admission or procedure.
• Makes up beds with linen, changes bed linens and linen hamper during patient stay.
• Maintains orderliness of the patient room and unit, including equipment/cords, linen, trash, patient belongings, etc.
• Cleans and maintains inventory and outdates of equipment and supplies in patient care spaces. 
• Cleans assigned equipment and areas of work. 
• Obtains, opens and arranges sterile instruments and supplies for specific procedures.
• Cleans, packs, sterilizes, and stores instruments.
• Checks emergency equipment.

Required:  High school diploma, GED or equivalent, ability to read and write, and one of the following:

• 6 months experience in skilled long-term facility/acute care hospital OR
  Enrolled in a nursing program and have completed fundamentals of nursing course OR
  1 year experience short-term care facility (i.e., rehab) OR
  Completion of a Certified Nurse Assistant (CNA) program

Must be able to perform a wide range of physical activities which include moving, transporting and positioning patients and equipment as well as constantly positioning self to provide patient care and related duties.

Completion of a Certified Nurse Aide or Certified Medical Assistant program; basic computer skills; course work in an Allied Health field.    

Hours/Shift/Days:  A CSR PCT Temp should schedule themselves to work minimum of 32 hours per 4-week schedule block. 

Location:  University Hospital Central Staffing Resources

CSR PCT Temps are expected to:

• Work all shifts (8 or 12 hour shifts) requested unless no work is available.
• It is the intention that all temps will float to all units within the specified area of hire.  However, the progression of orientation will be dependent upon clinical competency, staffing needs of individual units and number of hours worked by PCT.
• CSR PCT Temps will not be used in Overflow or ICUs
• CSR PCT Temps may be reassigned as patient attendants as needed.

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended

The University of Michigan is an equal opportunity/affirmative action employer.