Certified/Licensed Nursing Assistant - Emergency Services

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 assisted care to patients involving standardized procedures requiring knowledge of specific patient conditions and treatments that include 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 Activities of Daily Living in accordance with the Nursing Standards of Care and Unit policies. 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
• Successful completion of an accredited nursing assistant program and has successfully passed certification for nursing assistant

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:

Three months to one year of CNA experience or currently enrolled in a registered nursing program.

 

 

LICENSED NURSING ASSISTANT (LNA)

Education:

• High school diploma or GED
• Successful completion of an accredited nursing assistant program and has successfully passed licensure for nursing assistant

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:

Three months to one year of LNA experience or currently enrolled in a registered nursing program.

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.

 

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 weighing 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 situation. Must be able to continuously cope with high levels of stress, concentrate, handle high degree of flexibility, handle multiple priorities in stressful situation, demonstrate high degree 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

**CERTIFIED NURSING ASSISTANT**

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 under the direction of the nursing staff, 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 maintenance of clinical records by charting of vital signs, height and weight; intake and output, pain scores, observations relative to patients’ condition and reaction to treatment, and assisted nursing care given.
4. Transports patients using a variety of equipment including wheelchairs, stretchers, beds, or other mechanisms and assist in patient ambulation.
5. Assisting with triage activities as directed by nursing staff and/or nursing supervisor.
6. Supports in trauma situations and code blues within scope of practice.
7. 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.
8. Handles multiple duties and tasks such as changing bed linens, performing activities of daily living, i.e. patient hygiene, bathing, repositioning, toileting, feeding, directing visitors, and answering the telephone.
9. As directed by nursing staff, may collect or transport specimens, which include collection and proper labeling of laboratory specimens.
10. Cleans, sterilizes, stores, prepares, and issues dressing packs, treatment trays, and other supplies.
11. Follows stringent cleanliness regimes as to preclude the possibilities of infections and other diseases.
12. Practices hand-off communication to the next CNA on shift, primary nurse, and/or to the charge nurse.
13. Ensure proper and safe care of patient valuables and clothing, follows the organization’s policies and procedures.
14. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals and policies.
15. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department equipment and supplies.
16. Demonstrates appropriate uses of equipment, materials, and supplies during assisted nursing care of patient.
17. Attends all mandatory in-services and department meetings as required and scheduled.
18. Performs other duties as assigned and float to other units.
19. Assists with providing comfort measures, providing emotional support, and being a patient advocate.
20. Performs 12-lead electrocardiograms (ECG’s) after competency is completed by department and kept on file.
21. Document treatments, tasks, procedures performed in the patient’s electronic medical record.
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. Assists with admission, discharge, and transfers of patients.
26. Maintain patient safety at all times including providing fall precautions and observations as necessary.
27. Must follow the Arizona State Board of Nursing Scope of Practice for the Certified Nursing Assistant.

 

**LICENSED NURSING ASSISTANT**

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 under the direction of the nursing staff, 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 maintenance of clinical records by charting of vital signs, height and weight; intake and output, pain scores, observations relative to patients’ condition and reaction to treatment and assisted 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 with triage activities as directed by nursing staff and/or nursing supervisor.
6. Supports in trauma situations and code blues within scope of practice.
7. 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.
8. Handles multiple duties and tasks such as changing bed linens, performing activities of daily living, i.e. patient hygiene, bathing, repositioning, toileting, feeding, directing visitors, and answering the telephone.
9. As directed by nursing staff, may collect or transport specimens, which includes collection and proper labeling of laboratory specimens.
10. Cleans, sterilizes stores, prepares, and issues dressing packs, treatment trays, and other supplies.
11. Follows stringent cleanliness regimes as to preclude the possibilities of infections and other diseases.
12. Practices hand-off communication to the next LNA on shift, primary nurse, and/or to the charge nurse.
13. Ensure proper and safe care of patient valuables and clothing, follows the organization’s policies and procedures.
14. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals and policies.
15. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department equipment and supplies.
16. Demonstrates appropriate uses of equipment, materials, and supplies during assisted nursing care of patients.
17. Attends all mandatory in-services and department meetings as required and scheduled.
18. Performs other duties as assigned and float to other units.
19. Assists with providing comfort measures, providing emotional support, and being a patient advocate.
20. Performs 12-lead electrocardiograms (ECG’s) after competency is completed by department and kept on file.
21. Document treatments, tasks, procedures performed in the patient’s electronic medical record.
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. Assists with admission, discharge, and transfers of patients.
26. Maintain patient safety at all times, including providing fall precautions and observations as necessary.
27. Must follow the Arizona State Board of Nursing Scope of Practice for the Licensed Nursing Assistant.