Certified/Licensed Nursing Assistant

Navajo Preference Employment Act :
In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.

Overview:

POSITION SUMMARY

Responsible for providing nursing care to patients involving standardized procedures requiring knowledge of specific patient conditions and treatments that includes personal care, collection and reporting of vital signs, assisting with procedures, patient charting, and patient teaching under the supervision of Registered Nurses and other medical staff. Assists with patient re-positioning, transporting, dressing/undressing and Activity of Daily Living in accordance with the Nursing Standards of Care and Unit policy. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.

NECESSARY QUALIFICATIONS

Education:

Must have a high school diploma or GED

Certification/Licensure:

The candidates may be CNA, RNA & or LNA

• Must have and maintain a current, active, and unrestricted Certification, License, or registration as a Nursing Assistant from the State of Arizona
• Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association

Experience:

Adult Care Unit (ACU): Nursing Assistant (NA) Clinical Courses

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Able to respond appropriately in stressful situations
• Able to provide direct patient care in a kind, patient, and compassionate manner
• Ability to communicate clearly and tactfully with patients and their family
• Complete Patient Sitter Competency Training (upon hire)
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity.

Mental:

Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players.

Environmental:

Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases.

ESSENTIAL FUNCTIONS:

1. Responsible for providing direct observation of patients as directed by the nursing plan of care and under supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment.
2. Explains treatments, observes patients, communicates observations or changes in patients condition to the appropriate healthcare team members and initiates emergency measures such as basic life.
3. Shares in the responsibility of the initiation and maintenance of clinical records by charting of vital signs, height and weight; intake and output, observations relative to patients condition and reaction to treatment and nursing care given.
4. Transports patients using a variety of equipment including wheelchair, stretchers, beds, or other mechanism and assist in patient ambulation.
5. Assists in preparing a patient for procedures that include draping patient for examinations and treatments and remains with patients. May include performing duties such as holding instruments and adjusting lights.
6. Handles multiple duties and tasks like changing bed linens, run errands, direct visitors, and answer telephone.
7. Takes and records temperature, blood pressure, height, weight, pulse and respiration rates, and as directed may collect or transport specimens.
8. Cleans, sterilizes stores, prepares, and issues dressing packs, treatment trays, and other supplies.
9. Follows stringent cleanliness regimes as to preclude the possibilities of infections and other diseases.
10. Practices hand-off communication to the next NA on shift or to the charge nurse
11. Ensure proper and safe care of patient valuables and clothing, follows the organizations policies and procedures.
12. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals and policies.
13. Assists in assembling and maintaining adequate supplies and shares in the responsibility for general upkeep of the department equipment and supplies.
14. Demonstrates appropriate uses of equipment, materials, and supplies during nursing care of patient.
15. Attends all mandatory in-services and department meetings as required and scheduled.
16. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
17. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
18. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
19. Performs other duties as assigned and float to other units.

Additional Duties for Inpatient Units:

1. Answers call lights or intercom system promptly to determine and assist with patients' needs; reports any abnormal findings or complaints to charge nurse.
2. Assists patients with meal by direct feeding or bring tray to them and set up.
3. Turns, repositions, or assist in bathroom/toileting of bedrest patients.
4. Understand and practice preventive measures of bedsores of all patients.
5. Initiates recreational activities, such as assisting with outdoor ambulation or deliver reading material to patients.
6. Responsible for electronic health records data entry pertinent to patient service role
7. Performs other duties as assigned and float to other units.