Certified/Licensed Nursing Assistant - Medical/Surgical Acute Care

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.

Qualifications

NECESSARY QUALIFICATIONS

CERTIFIED NURSING ASSISTANT (CNA)

Education:

• High school diploma or GED

Certification/Licensure:

• Must have and maintain a current, active, and unrestricted certification as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing
• Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association

Experience:

Completion of Certified Nursing Assistant (CNA) Clinical Courses

LICENSED NURSING ASSISTANT (LNA)

Education:

• High school diploma or GED
• Completion of Arizona recognized/approved Licensed Nursing Assistant program.

Certification/Licensure:

• Must have and maintain a current, active, and unrestricted license as a Nursing Assistant from the State of Arizona and must be in good standing with the Arizona Board of Nursing.
• Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association

Experience:

Completion of Licensed Nursing Assistant (LNA) 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 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:

This position is very active and requires prolonged standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weigh over 50 pounds. Must have ability to occasionally lift, push or pull up to 100lbs. May require long hours and frequent weekend work when working inpatient units. Must have ability of far vision, near vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages and frequent telephone use. Must have ability of simple and firm grasping and fine manipulation of both hands, and frequent use of keyboards.

Mental:

Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must communicate effectively and with tact in stressful situations. Must be able to continuously cope with high levels of stress, concentrate, handle high degrees of flexibility, handle multiple priorities in stressful situations, demonstrate high degrees of patience, adapt to shift work and work in areas that are close and crowded. Must be able to frequently make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, work alone and occasionally manage altercations.

Environmental:

May continually be exposed to infectious diseases, dust, fumes and gases, frequent loud noises and occasional exposure to chemical agents, extremes in temperature or humidity, and hazardous or moving equipment.

Responsibilities

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. Explain treatments, observe patients, communicate observations or changes in patient’s 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 wheelchairs, stretchers, beds, or other mechanisms and assist in patient ambulation.
5. Assists in preparing a patient for procedures that include draping patients 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, running errands, direct visitors, and answering telephones.
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 CNA on shift or to the charge nurse.
11. Ensure proper and safe care of patient valuables and clothing, follows the organization’s 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 responsibility for general upkeep of the department equipment and supplies.
14. Demonstrates appropriate uses of equipment, materials, and supplies during nursing care of patients.
15. Attends all mandatory in-services and department meetings as required and scheduled.
16. Answers call lights or intercom system promptly to determine and assist with patients' needs; reports any abnormal findings or complaints to charge nurses.
17. Assist patients with meals by direct feeding or bringing tray to them and setting up.
18. Turns, repositions, or assists in bathroom/toileting of bedrest patients.
19. Understand and practice preventive measures of bedsores of all patients.
20. Initiates recreational activities, such as assisting with outdoor ambulation or deliver reading material to patients.
21. Responsible for electronic health records data entry pertinent to patient service role.
22. Ensure proper PPE is always worn 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.
23. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
24. 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.
25. Performs other duties as assigned and float to other units.