Medical Surgical

Certified Nursing Assistant

Under the direction and supervision of the registered nurse and in accordance with hospital policies, procedures, protocols, and standards of practice, the Nursing Assistant (NA) participates in the delivery of patient care. The role encompasses the provision of direct clinical and support services to patients and families across the health care continuum functioning as an effective member of the health care team by contributing to the efficient operation of the patient care unit and accountability for fiscally sound quality patient/family clinical outcomes.

Position:
Certified Nursing Assistant

Department:
Med Surg Cardio Thoracic Unit

Location:

BMC Brighton

Schedule:

Full Time - 24 Hours Days with every other weekend and rotating holiday 7:00AM-7:00 PM

Clinical Practice:

• Under the direction of the registered nurse (RN) performs a variety of appropriately delegated patient care interventions for patients and their families within the scope of his/her role.
• Collaborates with the RN throughout the shift to determine the appropriate work assignment and priorities as well as communicates the status of delegated task completion and outcomes of patient data findings to the RN throughout the shift.
• Maintains timely ongoing verbal communication with RN throughout the shift regarding patient condition. Notifies RN immediately of any significant change in a patients condition and/or monitoring alarms (for example: change in vital signs change in patients mental status abnormal blood sugar patient fall patient concerns with care).
• Upon initial contact with patients visitors and staff identifies self as a NA and introduces self to patient by name. Wears appropriate name badge which identifies self as a NA.
• Accurately collects and records patient data (vital signs intake and output blood sugar weights restraint care/monitoring other) and complies with hospital documentation standards to ensure a complete and accurate patient record.
• Initiates a prompt response to all patient call lights and seeks assistance from co-workers as appropriate.
• Assists with admission discharge and transfer of patients as appropriate for the inpatient or ambulatory area patients. Completes section of the Functional Health Assessment upon admission. Prepares room for admission and ensures patients have appropriate identification bands upon admission and throughout their hospitalization.
• Transports patients and their belongings equipment and supplies as needed and as part of the transfer/discharge process.
• Makes routine patient room rounds to address patient needs.
• Provides and/or assists with basic hygiene including but not limited to: bathing dressing mouth care shaving whirlpool baths perineal and bowel care foley care application of condom catheters emptying urinals and ostomy bags and other associated hygiene tasks.
• Provides basic skin care including but not limited to: back rubs routine diabetic foot care application of non-medicated ointments application of elastic stockings ace wraps and venodynes turning and repositioning patients every two hours and other associated tasks.
• Sets up patients for meals and assists them with feeding and opening food containers maintaining calorie counts and recording intake/output measures (I and Os).
• When ambulating patients uses safe and proper technique applies safety devices using hydraulic lifts or bed scale as needed.
• Identifies emergency / crisis situations and initiates appropriate response actions within the scope of her/his role including immediate communication of such events to the registered nurse.
• Maintains competence in relation to a variety of other technical skills which may include (depending on unit assigned) but are not limited to:

Support Services:

• Under the direction of the RN works cooperatively with all health care team members to provide a variety of support services to meet patient family and staff needs within the scope of his/her role.

Work Rules Standards & Competency Compliance:

• Acts in a manner that supports a positive and collaborative work environment and that is congruent with established standards policies procedures and regulations within the scope of his/her role.
• Works cooperatively with all staff members and takes appropriate steps to resolve interpersonal conflicts. Seeks assistance from RN or off-Shift Nurse Manager as needed.
• Participates in staff meetings and appropriate in-services.
• Complies with established practice standards policies procedures protocols guidelines and regulations (for example: DPH JCAHO Boston fire codes OSHA). Reviews and is knowledgeable of appropriate policies procedures and work rules.
• Dresses appropriately according to dress code requirements including wearing uniform and visible hospital I.D. badge while on duty.
• Assists in the orientation of new staff serves as a resource to float staff.
• Adapts to changing patient and unit needs including but not limited to: offers assistance to other team members…