Nebraska Methodist Health System Nursing Assistant in Council Bluffs, Iowa
Purpose of Job
Helps patients by supporting personal hygiene and daily living needs; providing comfort, transportation, and vital sign monitoring.
High School diploma or General Educational Development (GED) preferred.
Completion of first clinical rotation as Nursing Assistant preferred.
Successful completion of the 75-hour state approved course for Nurse Assistant required.
Will consider high school students 16 years or older who have completed the above requirements.
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.
Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
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.
Medium Work - Exerting up to 50 pounds of force
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
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
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
Explosives (pressurized gas)
Hazardous Drugs (exposure risks, protective personal equipment required)
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 Functions
Essential 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.
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.
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).
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.