Certified Nursing Assistant - Emergency Department

Join Decypher and make a direct impact on the health and readiness of America's service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.


Job Summary: Certified Nursing Assistants (CNAs) provide comprehensive inpatient psychiatric and medical support in accordance with military and civil service standards, delivering direct patient care, monitoring vital signs, assisting with procedures, maintaining safety and infection control, and supporting daily living activities. This position is at Brooke Army Medical Center in San Antonio, Texas


Required Qualifications:

• Education:
  • Certificate. Completion of a state-approved CNA program, successfully passed state exam, and registered in the Nursing Assistant Registry whose qualifications have been examined and certified by the Department of Health and Human Services (HHS) or equivalent.
• Certifications:
  • Basic Life Support (BLS) through American Heart Association or Red Cross.
• Licenses:
  • Must maintain a current, active, valid and unrestricted/unencumbered certification or authorizing document from any U.S. state, District of Columbia or U.S. territory or jurisdiction to work as a CNA.
• Experience:
  • Minimum of one (1) year experience in the last two years in the required specialty under supervision of a Physician, LVN and/or RN.

U.S. Citizenship is required


Key Responsibilities:

• CNAs shall perform essentially the same duties, as those required of any military or government civil service nursing assistant of similar experience and within the skill set of accepted practice to include inpatient psychiatry. This list of duties is not intended to establish either a maximum or minimum acceptable level of effort or be an inclusive listing of anticipated duties. Workload includes either scheduled or emergency requirements for care according to standards.
• Documentation and Record-Keeping:
  • Ensures accurate and timely medical documentation in compliance with BAMC policies.
  • Manually and/or electronically record all patient care activities and patient status.
  • Completes documentation within 72 hours in the patient's medical record.
• Patient Assessment and Monitoring:
  • Verifies patient identifiers for safety and accuracy.
  • Performs, monitors, and records vital signs.
  • Obtains and records patient height and weight.
  • Monitors and records intake and output (I&O).
  • Observes patients for distress or changes in condition and reports abnormalities to appropriate Physician, LVN and/or RN.
• Patient Care:
  • Assists in providing patients with basic and general information regarding self-care and therapy (i.e., activity level, diet and fluid intake, etc.) to ensure compliance with physician's orders.
  • Dispense ice water and meal trays to patients.
  • Perform a range of personal care tasks including bathing, feeding, lifting, turning, ambulating, and providing oral, hair, skin, and related hygiene care.
  • Checks IV infusion sites for complications.
  • Applies and monitors hot and cold packs as prescribed.
  • Performs daily quality control checks on glucose test monitor.
  • Collects or assists in the collection of specimens such as fecal occult blood and urine.
  • Assists health care provider in examinations/procedures such as physical exams, X-rays, lumbar punctures, biopsies, PAP/Pelvic examinations etc.
  • Assists in admitting, transferring, and discharging patients.
  • Transports patients within BAMC for tests, procedures, or appointments.
  • Provide general information to patients and visitors regarding hospital policies and directions.
  • Reinforces instructions provided by professional staff. Provides patients/visitors with general information regarding unit and hospital policies, directions to lab, X-ray, etc.
  • Cares for patients in isolation.
  • Assists in orientation/precepting of newly assigned personnel.
  • Assist with administrative tasks.
  • Sets up and stamps component parts of patients' records, files lab/X-ray slips and other documents in prescribed order. Records observations and other pertinent data on appropriate records (i.e., nursing notes, I&O records, etc.).
  • Assistsin the general maintenance of the unit and patient care equipment (cleans instruments, equipment, patient units and work areas; sort and stores supplies, linen, equipment; disposes of trash and soiled linen; restocks medical forms).
  • Equipment monitoring and assistance.
  • 100% Performs other duties as assigned within skill set.
• Communication and Reporting:
  • Reports potential/actual problems to physician, LVN, or RN for appropriate action.
  • Maintains clear and effective professional communication with the healthcare team, staff, patients, and visitors.
  • Work cooperatively with the multidisciplinary team.
• Safety and Infection Control:
  • Maintains a clean patient environment.
  • Exercises the universal precautions set forth by the Centers for Disease Control when providing direct patient care and/or indirect patient care involving possible exposure to contaminated items at BAMC.
  • Observe, correct, or report potential/actual safety hazards.
  • Recognize and initiate appropriate measures in emergency situations.
  • Exercise universal precautions for infection control.
  • Abide by BAMC safety and infection control policies and procedures.
• CNAs assigned to the inpatient units may rotate between performing as an Individual Care Provider (ICP) (one to one patient care), Remote Patient Safety Attendant (RPSA) (remote monitoring in Telemetry Room), or assigned to unit to assist nursing care teams.
• CNAs shall provide age-specific care based on Standard Operating Procedures (SOPs) of the inpatient wards and outpatient clinics; health care provider's orders; the physical, mental and emotional needs of the patient; and the policies and procedures of BAMC.
• Shall utilize comprehensive knowledge of workload requirements in conjunction with knowledge of the composition and capabilities of assigned staff, to distribute/redistribute personnel resources in response to unforeseen patient care needs.
• Attends and participates in patient nursing reports, patient care conferences, team/unit/clinic conferences, discharge planning, and staff conferences as deemed appropriate by administrative officials.

Work Environment & Schedule: Sunday to Saturday, 8, 10 or 12-hour shifts. No more than 40 hours week.


Compensation & Benefits: Up to$20.00 per hour + H&W


Physical requirements: May be required to lift 3550 pounds independently, with the ability to lift greater weights (up to 75100+ pounds) with assistance or mechanical lifting devices.


Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V)