Certified Nurse Assistant NOC Shift(SNF) at Coalinga Regional Medical Center – Coalinga, California

POSITION TITLE: Certified Nursing Assistant

DEPARTMENT: Skilled Nursing

EMPLOYEE REPORTS TO: DSD/LVN

SUPERVISES: N/A

FLSA STATUS: Non-Exempt

EMPLOYMENT STATUS: (Full-time, Part-time, Per Diem)

DESCRIPTION OF THE POSITION

This job description is a record of the essential functions of the listed job. The job description provides the employee, Administration, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation.

POPULATION SERVED

The position involves direct and indirect patient care for a population of patients age 18

and older. Age specific experience and/or special training and/or expertise is required

to serve this population.

POSITION SUMMARY

Under the general supervision of a Licensed Practical/Vocational Nurse and/or Director

of staff Development, the Certified Nursing Assistant performs routine tasks in patient

care, bedside nursing, and documentation of care provided. This position does provide

direct patient care to adult and geriatric patients.

DUTIES AND RESPONSIBILITIES

I. PERFORMS VITAL SIGNS ACCURATELY

• Takes temperature, pulse, respiration, and blood pressure using appropriate single use patient equipment.
• Measures and records fluid and food intake and output
• Records calorie count accurately
• Performs weights accurately

II. PERFORMS TREATMENTS AND PROCEDURES APPROPRIATELY

• Collects specimens, gives sitz baths
• Assists in physical examinations, special treatments or postmortem care as directed.
• Transports patients to and from various treatment centers when necessary; assists transporters in moving patients in and out of stretchers and wheelchairs

III. CLEANS EQUIPMENT AND INSTRUMENTS APPROPRIATELY

MAINTAINS CLEAN WORK ENVIRONMENT

• Maintains the cleanliness of various instruments and equipment such as bedpans, urinals, and wheelchairs. Ensures that such equipment is labeled and properly stored when not in use. Empties canisters as needed. Follows appropriate Infection Control protocol.
• Keeps the patient’s room in clean and orderly condition. Makes beds, replaces soiled linen, straightens bedside tables, discards trash, keeps window ledges free of clutter, removes unused equipment and returns to storage after it is properly cleaned.

IV. MAINTAINS UNIT STOCK LEVELS OF SUPPLIES AND EQUIPMENT AS

DIRECTED

• Assists in restocking rooms with supplies and equipment as directed. Checks trays, charts and cabinets for adequacy of inventory; assists with cleaning when necessary.

V. PERFORMS PATIENT CARE ACTIVITIES APPROPRIATELY.

• Performs services for the patient involving bathing using basinless bath products, oral hygiene, care of hair, and oral feeding.
• Answers patient lights and performs services in a timely manner that adds to the physical well being of the patient.
• Participates in hourly rounds.
• Reports any unusual circumstances or change in patient’s condition to the LPN and/or Supervisor.
• Recognizes and communicates cardiopulmonary arrest and initiates basic life support.
• Observes patients for unusual symptoms or signs of illness and reports significant findings to LPN/Supervisor.
• Practices good isolation techniques to maintain a safe environment and to control the spread of infection.
• Performs all other duties as required.

VI. PROVIDES A LEVEL OF COMPETENCY TO PATIENTS AGES 18 AND OLDER.

• Adults:
• Involves them with care planning by meeting any needs they identify during assessment.
• Identifies their normal patterns of living and strives to attain them.
• Geriatric:
• Strives to obtain understanding by speaking distinctly and moving slowly.
• Involve family as much as possible.
• Explains all procedures, provides for adequate rest periods, and listens to their concerns and fears.

VII. UPHOLDS ALL SERVICE STANDARDS

• Safety- We do no harm and create an error-free environment.
• Follow environment of care plan
• Follow established clinical practices
• Routine assessment of the environment for high risks with immediate correction (look for dangerous things and fix them; identify high risk issues and fix them)
• Pay attention to detail
• Communication- We engage our customers in exchanging clear, timely and accurate information.
• Listen carefully
• Ensure understanding of treatment and services
• Timely follow-up on commitments
• Constantly learn about the customers and identify their needs
• Courtesy- We treat everyone with respect, social sensitivity and professionalism.
• We acknowledge our customers with a smile and treat them as welcomed guests
• Listen to our customers
• Look at each interaction as an opportunity to promote courtesy with our customers
• We treat each other as we treat our guests
• We strive to exceed our customers expectations
• Presentation- We provide a positive customer experience through the appearance of our environment and employees.
• Maintain a clean and organized environment, including workspaces
• Control hospital odors
• All employees are compliant with the dress code
• All employees communicate in a professional and courteous manner, including body language
• Protect the privacy of patients
• Maintain a quiet atmosphere
• Efficiency- We use resources appropriately to benefit the customer and the organization.
• Availability, assessment and application of resources
• Do it right the first time
• Pay attention to details
• Save steps through planning
• Timely responses

POSITION QUALIFICATIONS

The Certified Nursing Assistant must have a high school diploma or equivalent. This

position requires hospital experience as a nursing assistant, certification as a nursing

assistant, or as an actively enrolled nursing student. Knowledge of basic nursing

techniques and procedures, aseptic practices, and cardio-pulmonary techniques is

desirable. Nursing students may be considered as nurse assistants if approved by the

State Practice Act.

This position requires the ability to communicate effectively, both verbally and in writing.

The capability to follow written and verbal instructions, process basic math skills, and

the ability to maintain an effective working relationship with others is critical to the

position. BLS certification with-in 2 months of hire.

Ability to maintain assigned work hours: Requires endurance to perform assigned

tasks over long periods during working hours.

DEMANDS AND CHARACTERISTICS OF WORK, EQUIPMENT USAGE, AND

WORK ENVIRONMENT.

PERCENTAGE OF WORK TIME

• Standing/Walking -67-100%
• Sitting -34-66%
• Twisting -34-66%
• Lifting/Carrying -67-100%
• Pushing/Pulling -67-100%
• Climbing (Ascending/descending) -1-33%
• Bending/Stooping -67-100%
• Using arm muscles frequently or for extended periods. -34-66%
• Using leg muscles frequently or for extended periods. -34-66%
• Using back muscles frequently or for extended periods. -67-100%

LIFTING REQUIREMENTS – Individuals in patient care positions are required to lift a patient with or without assistance.

• 2-10 Pounds -67-100%
• 11-20 Pounds -67-100%
• 21-30 Pounds -67-100%
• 31-40 Pounds -67-100%
• 41-50 Pounds -67-100%
• 51 Pounds or More -67-100%

WORKING ENVIRONMENT

• Working in hot, cold, wet surroundings -34-66%
• Working outdoors -1-33%
• Working with or near chemicals -1-33%
• Working near radiation sources -1-33%
• Potential exposure to communicable diseases -67-100%
• Working with hazardous waste materials -1-33%
• Utilizing essential upgraded or adaptive equipment as industry standards require -1-33%
• Using hand tools -1-33%

EXCHANGE OF IDEAS

• Ability to express or exchange ideas. -67-100%
• Ability to understand communication of others with or without adaptive devices. -67-100%
• Ability to perform secondary math. -67-100%
• Ability to read at a secondary level. -67-100%

WORKPLACE BEHAVIORS

I. RESULTS ORIENTATION – Meets current objectives and positions the

organization for future growth. Completes daily tasks and assignments and

processes large volumes of work associated with the operation of the department

and communicates findings to the supervisor.

II. SOCIAL SENSITIVITY - Builds positive relationships based on respect for others.

Demonstrates a helpful, positive attitude. Maintains effective communication with

peers, medical staff, patients, visitors, and families.

III. QUALITY OUTCOMES – Meets and exceeds expectations of internal and external

customers. All organizational and departmental standards regarding quality of

performance are met. Demonstrates a strong commitment to confidentiality.

Participates in quality improvement programs as directed and follows infection

control guidelines.

IV. SAFE WORKING ENVIRONMENT – Demonstrates an awareness of and

adherence to safety and legal requirements established at the facility with an

emphasis on maintaining a safe environment for all persons working in the facility.

• Accident/Injury Reporting – Reports any accidents, injuries, and unsafe equipment and conditions to supervisor by the end of the shift and reports any pre-existing conditions as identified by the ADA.
• Unsafe Conditions – Immediately reports and corrects, if possible, unsafe conditions or equipment.
• Workplace Standards – Compiles with relevant regulations, standards and policies governing safe workplace environment (OSHA, Accreditation, etc.)
• Safety Techniques – Maintains current knowledge of all aspects of the facility’s safety program by attending safety-related training as mandated upon hire and thereafter as required by facility.
• Modified Work – Accepts modified work assignments after receiving the physician’s release to return to work following an accident/ injury.
• Follows Prescribed/Recommended Treatment – Follows the prescribed/recommended treatment given by treating physician(s) after an accident/injury.

V. EDUCATION – Participates in required in-services and educational programs on an ongoing basis. Successfully completes basic assessment classes for Nursing Assistants through Central Valley Post Acute within 90 days of hire. Participates in all annual education as required by the hospital.

VI. ATTENDANCE AND PUNCTUALITY – Follows all facility guidelines outlining

standards of attendance and punctuality. Responsible for reporting to and

completing work at assigned times. Reports required reason for call off in

confidence as to determine if related to communicable disease for routine

prevention of infection within the hospital.

UNIVERSAL PRECAUTIONS

Universal precautions will be observed in order to prevent contact with blood or other

potentially infectious materials. Under circumstances in which differentiation between

body fluid types is difficult or impossible, all body fluids shall be considered potentially

infectious materials. All blood or other potentially infectious materials will be considered

infectious regardless of the status. The category shown below is designed to

communicate the risk of exposure for this particular position.

Category I

Tasks involve light contact with moist body substances, non-intact skin or mucous

membranes. Department procedures define and require use of minimum protective

measures to perform the task.

Category II

Tasks involve no contact with moist body substances, non-intact skin or mucous

membranes; however, employment may require performing unplanned Category I

task. Appropriate protective measures are readily available.

Category III

Tasks of employment involve no contact with moist body substance, non-intact skin

or mucous membranes.