Certified Nursing Assistant

DHR Health - US:TX:Edinburg - Days- Varies

Summary:

POSITION SUMMARY:

Under the supervision and guidance of a Licensed Vocational Nurse, or a Registered Nurse, the CNA is responsible for assisting with direct patient care within the scope of their practice as well as other work on the unit which supports the patient environment. The CNA assists staff to ensure optimal patient care and assists the healthcare team to provide and maintain a clean, safe, and attractive environment for patients. Work will include components of direct patient care, nutrition, observation, documentation, transportation of patients and supplies, and general maintenance of the patient environment. The CNA is responsible for maintaining his/her own clinical and mandatory education requirements and for meeting the established standards of their profession as well as those accountable for his/her practice, assigned duties/patient care, and is an advocate for patients/families and their profession. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Demonstrates knowledge of age-specific patient populations and cultural diversity during the provision of patient care. Contributes to the provision of quality care through performance improvement techniques that demonstrate positive outcomes in patient care. Promotes an environment of care. Supports the organizational vision and mission

POSITION EDUCATION/ QUALIFICATIONS:
• Graduated from an accredited Certified Nurse Assistant program

Current Texas CNA license required. • Current BLS/CPR certification required. • Must be able to be sensitive to cultural and bilingual issues. • Good written and verbal communication skills required. • Ability to read, write and speak English • Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians • Prefer hospital experience JOB KNOWLEDGE/EXPERIENCE: • One (1) year continuous experience preferred. • Able to adjust and/or troubleshoot monitoring equipment, and computer equipment. • Must be sensitive to cultural and bilingual issues. • Exhibits tact, enthusiasm, and patience. • Must be sensitive to cultural and bilingual issues. • Must have proficient organizational skills and computer skills • Must have excellent customer service skills. • High degree of competency/experience in general.

Current Texas CNA license required.

Requires good communication and organizational skills.

Responsibilities:

POSITION RESPONSIBILITES:
• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practice
• Adhere to instructions issued by the department's leadership and perform duties in accordance with established DHR routines, methods and techniques, and in compliance with the recognized policies, procedures, standards and practices and within the state Regulatory Acts
• Follows Standard Precautions and OSHA Guidelines. Follows specific precautions (i.e. MRSA, contact, respiratory) as necessary
• Maintain an organized, neat, well stocked resident unit
• Prepare and maintain a record of observations and care given. Documents information clearly and completely utilizing correct forms and in a timely manner
• Assist with admissions to the unit, Orient family members/responsible parties to the unit; provide hospitality to residents' families/responsible parties
• Maintain a safe, secure, comfortable environment for every resident
• Participate in and receive report daily at start of shift. Plan and organize work assignment; prioritize the specific needs of residents
• Support nursing staff in a calm, efficient manner during acute, emergency situations
• Bathe residents by multiple methods: tub/whirlpool, shower, bed bath and perineal care.
• Dress and groom (brush hair, shave, oral hygiene, etc. ) residents
• Provide nail care
• Make occupied and unoccupied beds
• Measure and report vital signs: temperature, pulse, respirations and blood pressure
• Weigh residents monthly as ordered and record
• Measure and record intake and output
• Provide care to minimize the risk of skin breakdown by being attentive to the resident's hygiene, proper positioning and injury prevention. Observe and report the presence of skin breakdown to nursing staff.
• Properly and safely lift, move transfer and position residents in bed, wheelchairs and while using other equipment
• Safely feed residents as ordered, following prescribed feeding protocols. Record resident's intake and report any changes.
• Provide adequate care to ill/injured residents under the direction of the nursing staff.
• Apply adaptive devices and restraints as ordered. Monitor residents closely per DHR policies and procedures
• Accurately observe, recognize changes and report to nursing staff in a timely fashion. Communicate any changes from norm, of "unusual" observation to the nurse in a timely fashion. Report accidents, with of without injury, promptly to immediate supervisor.
• Comply with policies, procedures and specific protocols for resident's lifts and transfers as designated by the care plan. Willingly seek help and assist others in lifting activities
• Cooperate with other staff members to ensure maximum residents care and completeness of assignment. Assist peers with job task; offer to help peers as time permits. Work with others as a team to assure residents are out of bed , routine care is being provided and positioning is routinely being done. Bring patient care issues to the attention of the Charge nurse.
• Two (2) shifts (24 hours) a week or four (4) shifts (48 hours) per pay period
• One weekend a month (AM - Saturday & Sunday/PM - Friday & Saturday) Must work one major, one minor holiday plus two high-need days per year

Other information:

POSITION RESPONSIBILITES:
• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practice
• Adhere to instructions issued by the department's leadership and perform duties in accordance with established DHR routines, methods and techniques, and in compliance with the recognized policies, procedures, standards and practices and within the state Regulatory Acts
• Follows Standard Precautions and OSHA Guidelines. Follows specific precautions (i.e. MRSA, contact, respiratory) as necessary
• Maintain an organized, neat, well stocked resident unit
• Prepare and maintain a record of observations and care given. Documents information clearly and completely utilizing correct forms and in a timely manner
• Assist with admissions to the unit, Orient family members/responsible parties to the unit; provide hospitality to residents' families/responsible parties
• Maintain a safe, secure, comfortable environment for every resident
• Participate in and receive report daily at start of shift. Plan and organize work assignment; prioritize the specific needs of residents
• Support nursing staff in a calm, efficient manner during acute, emergency situations
• Bathe residents by multiple methods: tub/whirlpool, shower, bed bath and perineal care.
• Dress and groom (brush hair, shave, oral hygiene, etc. ) residents
• Provide nail care
• Make occupied and unoccupied beds
• Measure and report vital signs: temperature, pulse, respirations and blood pressure
• Weigh residents monthly as ordered and record
• Measure and record intake and output
• Provide care to minimize the risk of skin breakdown by being attentive to the resident's hygiene, proper positioning and injury prevention. Observe and report the presence of skin breakdown to nursing staff.
• Properly and safely lift, move transfer and position residents in bed, wheelchairs and while using other equipment
• Safely feed residents as ordered, following prescribed feeding protocols. Record resident's intake and report any changes.
• Provide adequate care to ill/injured residents under the direction of the nursing staff.
• Apply adaptive devices and restraints as ordered. Monitor residents closely per DHR policies and procedures
• Accurately observe, recognize changes and report to nursing staff in a timely fashion. Communicate any changes from norm, of "unusual" observation to the nurse in a timely fashion. Report accidents, with of without injury, promptly to immediate supervisor.
• Comply with policies, procedures and specific protocols for resident's lifts and transfers as designated by the care plan. Willingly seek help and assist others in lifting activities
• Cooperate with other staff members to ensure maximum residents care and completeness of assignment. Assist peers with job task; offer to help peers as time permits. Work with others as a team to assure residents are out of bed , routine care is being provided and positioning is routinely being done. Bring patient care issues to the attention of the Charge nurse.
• Two (2) shifts (24 hours) a week or four (4) shifts (48 hours) per pay period
• One weekend a month (AM - Saturday & Sunday/PM - Friday & Saturday)
• Must work one major, one minor holiday plus two high-need days per year

LINES OF REPSONSIBILITES:

(Chain-of-command)

1. Charge Nurse → 2. Department Director → 3. Vice President of Nursing

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:
• Light/moderate lifting up to 20 lbs, from the floor to shoulder height.
• Yes
• Kneeling
• Yes
• Must be able to assist other employees with lifting more than 20 lbs.
• Yes
• Walking
• Yes
• Light/moderate carrying up to 20 lbs.
• Yes
• Standing/Squatting
• Yes
• Straight pulling
• Yes
• Sitting
• Yes
• Pulling hand over hand
• Yes
• Pushing
• Yes
• Repeated bending
• Yes
• Stooping/Bending
• Yes
• Reaching above shoulder
• Yes
• Climbing Stairs
• Yes
• Simple grasping
• Yes
• Climbing Ladders
• No
• Dual simultaneous grasping
• Yes
• Depth Perceptions needed
• Yes
• Ability to see
• Yes
• Identify Colors
• Yes
• Operating office equipment
• Yes
• Twisting
• Yes
• Operating mechanical equipment
• Yes
• Crawling
• No
• Ability to read and write
• Yes
• Ability to Count
• Yes
• Ability to hear verbal communication without aid
• Yes
• Operating Personal Vehicle
• Yes
• Ability to comprehend written/verbal communication
• Yes
• Other: Ability to deal with stress
• Yes
• OSHA Category
• III
•
• B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: Date:

Transfer/Hire Date Effective: .

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