Nursing Assistant

  • Nebraska Methodist Health System
  • Jennie Edmundson Memorial Hosp Council Bluffs Iowa 51503 US
  • Posted: Feb 13, 2019
Other Nursing

Job Description

  • Purpose of Job
    • Helps patients by supporting personal hygiene and daily living needs; providing comfort, transportation, and vital sign monitoring.
  • Job Requirements
    • Education
      • High School diploma or General Educational Development (GED) required.
      • Student nurse must have completed first clinical rotation - preferred.
      • Requires successful completion of the 75-hour state approved course for the Nurse Assistant if hired in the assistant position.

    • Experience
      • Previous cleaning, food service and/or patient related experience preferred, but not required.
      • One to three months on the job experience to learn hospital. procedures and work routines preferred.
      • Orientation provided.

    • License/Certifications
      • Maintain current American Heart Association Basic Life Support (BLS) Certification required. 

    • Skills/Knowledge/Abilities
      • Require the ability to understand and carry out instructions, follow schedules, communicate information, read simple and clear instructions and complete reports.
      • Must be able to collect, record, and report patient needs to the appropriate caregiver.
      • Requires ability to demonstrate critical thinking skills commensurate with job description.
      • Participate in mandatory inservices and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Climbing
        • Crawling
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Repetitive Motions
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Hearing
        • Reaching
        • Seeing/Visual
        • Speaking/talking
        • Standing
        • Walking

    • Job Hazards
      • Not Related:
        • Electrical Shock/Static
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%):
        • Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
      • Occasionally (34%-66%):
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Hazardous Drugs (exposure risks, protective personal equipment required) 
      • Frequent (67%-100%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I
      • Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment, as outlined in the Age Specific Criteria.
        • Gives individualized customer service/patient care.
        • Completes age specific competency assessment.
      • Exhibits excellent interpersonal relations with patients, co-workers, physicians, and guests to ensure effective communications.
        • Responds to patient needs promptly and courteously.
        • Obtains feedback from patients and visitors regarding their hospital experience.
        • Communicates patient issues to the appropriate staff.
        • Maintains a positive attitude while responding to requests in a timely and accurate manner.
        • Communicates with other members of the health care team (food service, secretaries, housekeeping, etc.) as indicated.
        • Actively participates in report process.
      • Completes clinical activities identified in the patient's plan of care to meet patients' comfort/activity/sleep needs and other clinical patient needs as delegated by professional staff.
        • Reports patient comfort needs to nurse in a timely manner.
        • Assures that skin is clean and dry.
        • Reports any noticed skin changes.
        • Provides personal care and assists with ADL (activities of daily living).
        • Provides assistance with repositioning, turning and chair transfers.
        • Assists as necessary with ambulation.
        • Completes vital signs per patient's plan of care.
        • Weighs patients per patient's plan of care.
        • Reinforce patient education regarding; e.g., pulmonary hygiene.
        • Provides transportation assistance.
        • Reports any variation from patient's plan of care to professional staff.
        • Attends to patient amenities; e.g., newspaper, mail.
      • Maintains patient nutritional status by completing all intake/output activities in a timely and accurate manner to promote customer satisfaction.
        • Assists patients with menu selection within the designated timeframes and ensures menu balance.
        • Serves meal according to established guidelines.
        • Feeds patients as necessary.
        • Records liquid and solid intake.
        • Records intake accurately for calculation of calorie count.
        • Records output.
        • Monitors Nourishment Center supplies and maintains a sanitary environment.
      • Documents all data collected, in Cerner and/or on worksheets, accurately, completely, and in a timely manner to provide an accurate record of patient activities and response to activities.
        • Documentation is completed in an ongoing basis prior to end of shift.
        • Documentation reflects patient's responses to activities according to patient's plan of care.
        • Documentation reflects care delivered.
      • Provides housekeeping activities to contribute to a safe, efficient, effective and sanitary patient care environment.
        • Completes daily room cleaning according to established procedures for high dusting, vacuuming, mopping hard surface floors, disinfecting vertical surfaces, and spot cleaning vertical surfaces.
        • Keep rooms neat and tidy, free of clutter.
        • Removes trash and soiled linen from room each shift and as needed.
        • Maintains patient environment, such as spills and room temperature, or actively utilizes Integrated Services team to do so properly.
        • Distributes linens to servidors per par levels.
        • Straightens and restocks patient care areas per par levels.
        • Attends to patient amenities; e.g., newspapers, mail, watering plants.
      • Consistently recognizes and utilizes measures to provide for safe, efficient, patient care and work environment.
        • Answers Call Lights in a timely manner and response to the patient request and/or relays request to appropriate resource when necessary.
        • Performs other duties as delegated/under the direction of the professional staff.
        • Assures coverage of all duties when self or other staff are off the nursing unit.
        • Assists other team members when own work is complete.
        • Appropriately reports incidents.
        • Utilizes Standard Precautions and Transmission-based Precautions infection control techniques correctly and consistently.
      • Directly responsible to the staff nurse and assists in the care of the patient by performing delegated activities utilizing the reciprocal process of the 4 Rights of Delegation.
        • Right task (within the scope of practice, according to the job description, and based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
        • Right person (assess competency by certification/licensure, job description, skills checklist, demonstrated skill).
        • Right communication (clear, concise, correct, complete).
        • Right feedback: The Reciprocal Process (timely, specific, checkpoints).
      • 4H Job Expectations:
        • Participate in Daily Huddle at nurse's station at beginning of shift.
        • Hourly rounding in every patient room to check for the three P's (pain position and potty) on the even hours.
        • Rounding in the patient rooms at shift change for report in front of the patient.
        • At shift change the conference room, locker room, mini nurses stations, dirty/clean and break rooms are to be cleaned before staff leave for the day.
        • Every patient room is to be clean, fresh water, trash, linen picked up and changed as needed. Ice bags to be changed every 1-2 hours.
        • All patients to get a bath, teeth brush, men shaved, Foley care during the day and for HS cares this includes backrub, teeth brush, Foley care.
        • Monthly cleaning assignment performed and signed off on the cleaning log.
        • Any bath or HS cares on your team not completed is to be reported to your manager/charge nurse.
        • All surgical's to receive a Hibiclens bath before going to surgery.
        • All heels elevated up off the bed on a pillow (no pressure to heels).
        • Night shift to perform all daily weights before leaving for the day.
        • All charting is to be real time charting and all patient data and information should be charted as soon as it is performed such as vitals, turns etc.
        • All CNA's to model the hospitals Standards of Compassionate Service.
        • Able to speak to the unit's Performance Improvement projects/ Staff education on the unit.
        • Maintains safe and clean unit at all times.
        • Patient safety always a priority, bed/chair alarms on.
        • Chart all Quality Measures before leaving for the day.
        • Know PRC questions asked of patients and work to improve scores for the whole unit.
        • Know Joint Commissions National Patient Safety Goals(attached).
        • No cell phones/internet for personal use while on duty (keep cell phones in locker).
        • Bed linen change every Monday, Wednesday, Friday and PRN patient request.
        • Mandatory in-services annuallyâ€"required attendance.
        • Know Emergency Codes Quick Reference. These are now Plain Language Emergency Messaging (attached).
        • Attend floor meetings monthly.

    • Essential Functions II
      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
      • Follows and understands the mission, vision, core values, Employee Standards of Compassionate Service and company policies/procedures.
      • Other duties as assigned.