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Nursing Assistant - CNA - Ortho Neuro (Casual, Nights)

Company: Nebraska Methodist Health System
Location: Council Bluffs
Posted on: January 8, 2021

Job Description:

  • Purpose of JobHelps patients by supporting personal hygiene and daily living needs; providing comfort, transportation, and vital sign monitoring.
  • Job RequirementsEducation
    • 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 RequirementsWeight Demands
            • Medium Work - Exerting up to 50 pounds of forcePhysical 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
                    • WalkingJob 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 FunctionsEssential 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 annually-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.Location: Nebraska Methodist Health System -- Ortho NeuroSchedule: Casual, Night Shift, 7p-730am

Keywords: Nebraska Methodist Health System, Council Bluffs , Nursing Assistant - CNA - Ortho Neuro (Casual, Nights), Healthcare , Council Bluffs, Iowa

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