Description:
POSITION TITLE: Certified Nursing Assistant
DEPARTMENT: Nursing Department
EMPLOYEE REPORTS TO: DON, RN, 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
Registered Nurse, 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.
Requirements:
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 upon hire.
Ability to maintain assigned work hours: Requires endurance to perform assigned
tasks over long periods during working hours.
The duties and responsibilities are listed below. It is the expectation of the institution
that the employee be able to demonstrate competency in each area. It is the duty of the
institution to provide orientation and performance evaluation in each area stated.
DUTIES AND RESPONSIBILITIES
I. PERFORMS VITAL SIGNS ACCURATELY
A. Takes temperature, pulse, respiration, and blood pressure using
appropriate single use patient equipment.
B. Measures and records fluid and food intake and output
C. Records calorie count accurately
D. Performs weights accurately
II. PERFORMS TREATMENTS AND PROCEDURES APPROPRIATELY
A. Collects specimens, gives sitz baths
B. Assists in physical examinations, special treatments or postmortem care
as directed.
C. 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
A. 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.
B. 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
A. 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.
A. Performs services for the patient involving bathing using basinless bath
products, oral hygiene, care of hair, and oral feeding.
B. Answers patient lights and performs services in a timely manner that
adds to the physical well being of the patient.
C. Participates in hourly rounds.
D. Reports any unusual circumstances or change in patient’s condition to
the LPN and/or Supervisor.
E. Recognizes and communicates cardiopulmonary arrest and initiates
basic life support.
F. Observes patients for unusual symptoms or signs of illness and reports
significant findings to LPN/Supervisor.
G. Practices good isolation techniques to maintain a safe environment and
to control the spread of infection.
H. Performs all other duties as required.
I. PROVIDES A LEVEL OF COMPETENCY TO PATIENTS AGES 18 AND
OLDER.
A. 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.
B. 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
A. 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
B. 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
C. 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
D. 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
E. 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
DEMANDS AND CHARACTERISTICS OF WORK, EQUIPMENT USAGE, AND
WORK ENVIRONMENT
PERCENTAGE OF WORK TIME
1-33% 34-66% 67-100%
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 - 34-66%
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%
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.
A. 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.
B. Unsafe Conditions – Immediately reports and corrects, if possible, unsafe
conditions or equipment.
C. Workplace Standards – Compiles with relevant regulations, standards
and policies governing safe workplace environment (OSHA, Accreditation,
etc.)
D. 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.
E. Modified Work – Accepts modified work assignments after receiving the
physician’s release to return to work following an accident/ injury.
F. 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 Specialty Hospital 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.
