Certified Nursing Assistant -Emergency Department

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Under supervision, the incumbent is responsible for a variety of nursing assistant duties established by the Nurse Supervisor. Under supervision, he/she is responsible for following the plan of care established by the nurse assessing the patient. The Nursing Assistant assists in performing and providing nursing care, duties, and tasks for patients of all ages.

Recognizes and reports to the registered nurse or medical provider abnormal findings related to vital signs, clinical signs and symptoms, and laboratory findings.

Implements nursing care including, but not limited to:

• Takes and records vital signs and reports deviations to the registered nurse.
• Assists patients with daily living activities, i.e., bathing, oral hygiene, changing bed linen, feeding, etc.
• Collects specimens (urine, stool, and sputum).
• Monitors intake and output, including monitoring IVs.
• Documents vital signs and other medical data to the appropriate record.
• Initiates appropriate resuscitative measures in an emergency.
• Operates a variety of specialized medical equipment, such as suction pumps, oxygen equipment, automatic BP cuffs, and oxygen saturation units, etc. Recognizes malfunctioning and unsafe equipment and initiates corrective action.
• Initiates appropriate action when safety measures are required to protect patients.
• Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management and containment. Isolates infected patients. Cleans patient contact areas and equipment according to policies and OSHA regulations.
• Promotes patient advocacy and confidentiality.
• Directly observes and evaluates patient care.
• Participates in ongoing nursing quality assurance program.
• The Nursing Assistant will function in the nursing department under the supervision of the Director, Division of Nursing or his/her designee to insure patient care is provided in a safe and efficient quality manner.
• May be required to rotate between nursing departments including outpatient, inpatient, and between shifts. Demonstrates the ability to establish good interpersonal working relationships with patients and staff.
• Assists with and makes recommendations about supplies and equipment needs. Maintains clean, neat, and safe work environment.
• Demonstrates ability and willingness to adapt to special circumstances, such as, staffing shortages, patient emergencies, fluctuations in census, and disasters.
• Participates in cross training of services within the nursing department. The Administrator of Nursing or his/her designee will schedule cross training.
• The ER Nurse Manager, Team Leader or his/her designee makes assigned duties.
• The Nursing Assistant provides nursing care according to established procedures; under the supervision of the ER Nurse Manager or Team Leader. This is done under the supervision of the Director, Division of Nursing or his/her designee. The work is evaluated for technical soundness and adherence to professional standards.

• Knowledge and skill to perform basic clinical nursing care to acutely ill patients and assist patients in their daily living activities.
• Knowledge and skill to assist the care provider in treatment and examinations performed in the ER setting.
• A practical knowledge of performing prescribed treatment plans such as dressing changes or soaks.
• Knowledge of proper handling and collection of specimens, performing vital signs and recognizing abnormal values.
• Basic knowledge of diseases and illnesses and the ability to recognize and report changes in the patient's condition to the registered nurse.

• High school graduate or GED,
• Successfully completed an accredited program in Nursing Assistant,
• Certified as a Nursing Assistant (CNA),
• Current Basic Life Support (BLS), or Advanced Cardiac Life Support (ACLS) may be substituted, is required of the position. Can be acquired through the facility following appointment to position.
• Preference given to applicants who have specialized training in CNA.
• No experience required of position, will provide training.
• Proficiency rated at 6 weeks.

Contacts are with patients, families, hospital personnel, and community agencies. Contacts with patients and families are to provide and assist with care. With hospital personnel and community agencies, contacts are to exchange information for the purpose of coordinating patient care activities. The Nursing Assistant is assigned duties based upon the diagnosis of the patient, his/her condition, and special circumstances related to his/her needs.

The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical and personnel…