CNA - Acute

Position Summary:

The certified nursing assistant in acute care assists in the provision of nursing care of the patients as directed by the PCC/RN/LPN. Care skills include but are not limited to: comfort and safety measures personal hygiene assisting with activities of daily living and simple nursing procedures. When students are providing patient care treatment and/or services as part of their training any or all employees may be asked to work with and supervise the students.

Education/Experience:

None

Required Credentials (Licensure Certification or Registration):

Certification from a state approved program for nursing assistant or completion of inhouse certification program by the end of four months of employment. BLS required.

Employment Variables:

Normal working hours are twelve 12 hour shifts Sunday through Saturday including holidays. Occasionally may need to work beyond normal shift as the workload necessitates. May be exposed to communicable or infectious disease hazardous materials and injury from performance of assigned duties. Subject to multiple sensory and environmental stressors. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills:

Ability to read write speak and understand the English language. Excellent oral and written communication skills. Ability to deal with people in a professional manner.

Direct Supervisor:

Chief Nursing Officer

PART II: CODE OF ETHICS

Honesty We will do the right thing at all times even if it is difficult maintaining strong ethical practices. We protect the confidentiality of others including patients staff and the facility as a whole. We will take responsibility for our actions.

Expertise We will demonstrate superior judgment training and skill at all times demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability utilizing all resources and tools available.

Approachability We will be nonjudgmental friendly and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect We will be understanding and sensitive to others feelings; caring and responding in a manner that sets them at ease keeping the situation in perspective without minimizing others feelings or reactions. We will listen to others with full attention in a sincere civil fashion being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming anothers name.

Teamwork We willingly work together with a common approach trusting and supporting members of our organization using our skills and resources sharing information to achieve a common aim.

PART lll. ESSENTIAL JOB FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job along with the corresponding performance standards.

Function Explanation

Clinical Competency

Demonstrates operating knowledge of equipment and supplies necessary to perform assigned duties. Demonstrates appropriate aseptic and hygiene techniques to prevent the spread of infection to patient self and others. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care. Assists Charge nurses and Physicians with assessments examinations and treatments.

Patient Care Functions

Assists in development and implementation of patients plan of care including personal hygiene nutrition and elimination. Observes patient reactions to treatments or any unusual conditions and records or reports adverse conditions to supervising nurse.

Patient & Work Safety

Demonstrates appropriate lifting repositioning proper use of restraints and moving of patients and equipment.

Working With Delegation

Willingly accepts from nurses the delegation of tasks that are within the job description and own competence level. Consistently seeks clarity and/or direction from nurse when tasks or assignments are unclear outside job description or outside the competency level. Seeks appropriate assistance when needed form healthcare team members to ensure the safe administration of patient. Consistently provides charge nurse with feedback regarding outcomes from delegated tasks (i.e. VS pain assessment activity). Demonstrates appropriate independence/interdependence in the provision and documentation of patient care.

Patient Safety

Ensures that all patients have the correct armband. Checks physician order with patients armband prior to medications treatments or procedures. Listens to the patient and follows up on concerns.

Transportation of Supplies and Patients

Checks at least two patient identifiers (preferably by asking patient to state name and date of birth and verifies the information by comparing two identifiers on patient ID armband) to match the correct patient with the correct procedure ordered prior to transporting the patient. Verifies patient by match of armband and chart. Seeks information from healthcare team important to the continued safe care of patient. (e.g. fall risk status infection control precautions code status etc.. This information is then accurately communicated to next provider(s) of care.

Duties and Responsibilities

Performs routine nursing care and treatment procedures in accordance with established policies and procedures. Assists the Patient Care Coordinator or Charge Nurse in implementing plan of nursing care while recognizing and responding to priorities in giving nursing care. Assists in admission transfer and discharge procedures including cleaning discharge units. Assists with post mortem care. Makes rounds anticipates patient needs and responds to patient call lights promptly. Reports any change in patients condition to Patient Care Coordinator / Charge Nurse in a timely manner. Adapts to change in workload or patient assignments. Assists in all areas when assigned to include ER ICU LDRP Nursery etc. Operates cleans and stores equipment properly. Recognizes limitations and seeks direction as necessary for performance of duties. Promotes open communication within the unit and with other units and departments. Respects patient right to privacy. Maintains a clean safe environment for patients and coworkers. Assists with orientation of new personnel. Performs appropriately in emergency / crisis situations. Is crosstrained to other areas/positions/departments to provide assistance when needed. Assists patients with bathing oral hygiene shaving makeup hair care and nail care. Provides back rubs assists with position changes and keeps skin clean and dry to prevent skin breakdown. Passes and sets meal trays feeds picks up meal trays observes and records appetite and oral intake encourages fluids and food as directed. Assists with bathroom using bed pan or urinal does perineal care measures and records bladder and bowel output. Utilizes bed rails appropriately and assures call light is within patient reach at all times. Provides timely and proper notification for absences and paid personal leave and finds a replacement when necessary. No unexcused absences or excessive tardiness. Settles differences with others in nonthreatening nonjudgmental fashion. Knows emergency procedures for fire internal / external disaster plans codes etc. and participates in drills. Verbally supportive of Winner Regional Health and the Sanford Health Network. Participates on committees and/or is involved in special projects of Winner Regional Health. Provides for patient resident employee and visitor safety through preventative measures. Identifies hazards and reports incidents. Utilizes and adheres to appropriate precautions/techniques with hazardous chemicals blood and body fluids medical waste and/or equipment. Satisfactory attendance at department meetings 50 attendance 1 75 attendance 2.

Patient Focus / Customer Service

Considers the impact on external or internal customers when taking action or carrying out ones own job tasks. Builds a relationship with the customer in order to anticipate and serve their needs. Continually seeks efficient ways of providing services by minimizing procedural requirements. Looks for creative approaches to providing or improving services that may increase efficiency or decrease costs. Takes personal responsibility for resolving service problems. Effectively and professionally works with upset patients and/or customers to resolve issues. Demonstrates a high level of compassion and sensitivity and follows through with actions for the resident and/or customer.

Innovation

Serves as a personal model of the change that one expects of others by demonstrating commitment to innovation and continuous improvement in organizational performance. Injects originality into daily work through research personal knowledge and networking relationships.

PART IV: COMPLIANCE

Compliance Must comply with the Corporate Compliance Policy and all laws rules regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

In a regular workday employee may:

• Sit 1/2
• Hours at a time; up to 11.5
• Hours during the day
• Stand 1 Hours at a time; up to 7 Hours during the day
• Walk 5 Hours at a time; up to 46
• Hours during the day

Motion

Employee is required: (In terms of a regular workday Occasionally equals 1 to 33 Frequently 34 to 66 Continuously greater than 67.

• Bend/Stoop Occasionally
• Kneel Duration 30 sec Occasionally
• Squat Occasionally
• Balance Occasionally
• Crawl Distance Occasionally Twist Occasionally
• Climb Height Occasionally
• Keyboarding/Mousing Occasionally
• Reach above shoulder level Occasionally

Physical Demand

Employees job requires he/she carry and lift loads from the floor from 12 inches from the floor to shoulder height and overhead. Employees job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Medium
• Occasionally 50 lbs.
• Frequently 25 lbs.
• Constantly 10 lbs.

Sensory Requirements:

Yes/No Explanation (if Yes)

• Speech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately loudly or quickly. Yes
• Must be able to interact with patients families and coworkers.
• Vision (VDT) Are there specific vision requirements for the job Yes
• Must be able to read instructions from doctors and nurses jot sheets and see changes in patients conditions.
• Hearing Ability to receive detailed information through oral communications and to make fine discriminations in sound; i.e. making fine adjustments on machine parts using a telephone taking blood pressures. Yes
• As stated.
• Smell Must be able to smell Yes To identify odors related to infections

Environmental Factors

Yes/No Explanation (if Yes)

• Working on unprotected heights No
• Being around moving machinery No
• Exposure to marked changes in temperature and humidity Yes Assists in transporting patients appointments and activities
• Driving automotive equipment No
• Wearing personal protective equipment Yes
• Exposure to blood/body substances & other chemicals
• Exposure to atmospheric conditions (i.e. fumes dust odors mists gases or poor ventilation) Yes Potential chemical exposure
• Exposure to extreme noise or vibration No
• Exposure to blood body fluids and waste Yes
• Exposure to blood/body substances & other chemicals
• Exposure to radiation No
• Exposure to other hazards (i.e. mechanical electrical burns or explosives) Yes Chemotherapy agents

Emotional/Psychological Factors

Yes/No Explanation (if Yes)

• Stress: Exposed to stressful situations Yes
• May be involved in critical situations involving patients families or others. Sudden changes in work load or priority task. Experiencing patient death.
• Concentration: Must be able to concentrate on work tasks amidst distractions. Yes
• As stated above.
• Must exert selfcontrol. Yes
• Must maintain calm at all times even when others can not. May deal with upset patient patients and families.

PART VI: JOB RELATIONSHIPS

Supervises

1 No supervisory responsibilities

0 Supervisory responsibility

# Direct Reports:

# Indirect Reports:

Age of Patient Populations Served 0 Neonates: 130 days

• 0 Infant: 30 days 1 yr
• 0 Children: 1 12 yrs
• 0 Adolescents: 13 18 yrs
• 0 Adults: 19 70 yrs
• 0 Geriatrics: 70 yrs
• 1 All
• 0 Not applicable

Internal Contacts

• 1 Patients
• 1 Providers: (i.e. Physicians Therapists Social Workers)
• 1 Staff: (i.e. clinical and administrative support staff)
• 1 Volunteers
• 0 Others:

External Contacts

• 1 Patients
• 1 Families/Significant Others
• 1 Providers
• 1 Vendors
• 1 Community and Health Agencies
• 1 Regulatory agencies
• 1 Other: Job Applicants