Certified/Licensed Nursing Assistant - Intensive Care Unit

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

**CERTIFIED NURSING ASSISTANT**

 

POSITION SUMMARY

The ICU Certified Nursing Assistant (CNA) provides direct, hands-on care to critically ill patients under the supervision and delegation of licensed nursing staff. Core functions include activities of daily living (ADLs), safe patient handling and proning/turning assistance, collection and accurate reporting of vital signs, line-aware positioning and transport, non-sterile dressing application, specimen collection, documentation in the electronic health record (EHR), and reinforcement of RN-led education. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.

 

 

**LICENSED NURSING ASSISTANT**

 

POSITION SUMMARY

The ICU Licensed Nursing Assistant (LNA) provides direct, hands-on care to critically ill patients under the supervision and delegation of licensed nursing staff. Core functions include activities of daily living (ADLs), safe patient handling and proning/turning assistance, collection and accurate reporting of vital signs, line-aware positioning and transport, non-sterile dressing application, specimen collection, documentation in the electronic health record (EHR), and reinforcement of RN-led education. LNAs practice within Arizona’s Nurse Practice Act and Board rules regarding nursing assistant scope, delegation, and professional conduct. Care is delivered in accordance with TCRHCC policies, infection‑control standards, and OSHA requirements

Qualifications

NECESSARY QUALIFICATIONS

 

      CERTIFIED NURSING ASSISTANT (CNA)

Education:

• Must have a high school diploma or GED
• Completion of a state-approved nursing assistant program

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:

• Must have one year of ICU experience or 1.5 years of inpatient acute care experience.

 

 

LICENSED NURSING ASSISTANT (LNA)

Education:

• Must have a high school diploma or GED
• Completion of a state-approved nursing assistant program

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:

• Must have one year of ICU experience or 1.5 years of inpatient acute care experience.

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 families
• 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
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC

 

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 periods of standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing throughout the day. The employee must frequently lift or move objects and patients weighing over 50 pounds. Must have the ability to occasionally lift, push, or pull up to 100lbs. May require long hours, frequent weekend work, and rotational holiday work. Must have the ability of far vision, near vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and frequent telephone use. Must have the ability to perform 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 situations. Must be able to continuously cope with high levels of stress, concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situations, demonstrate a 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 the anger/fear/hostility of others in a calm way, work alone, and occasionally manage altercations.

 

Environmental:

May be continually exposed to infectious diseases, dust, fumes, and gases, as well as frequent loud noises and occasional exposure to chemical agents, extremes in temperature or humidity, and hazardous or moving equipment.

Responsibilities

ESSENTIAL FUNCTIONS:

1. Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff in creating, maintaining, and providing a safe environment.
2. Explains treatments, observes patients, communicates observations or changes in patients’ condition to the appropriate healthcare team members, and initiates emergency measures such as basic life support.
3. Shares in the responsibility of the initiation and maintenance of clinical records by charting of vital signs, height, and weight; intake and output, observations relative to patients’ condition, and reaction to treatment and nursing care given.
4. Transports patients using a variety of equipment, including wheelchairs, stretchers, beds, or other mechanisms, and assists in patient ambulation as delegated by licensed nursing staff.
5. Assists in preparing a patient for procedures that include draping the patient for examinations or treatments and remaining with patients. May include performing duties such as holding instruments and adjusting lights.
6. Handles multiple duties and tasks like changing bed linens, running errands, directing visitors, and answering the telephone.
7. Takes and records temperature, blood pressure, height, weight, pulse, and respiration rates as directed, and may collect or transport specimens (e.g., urine)
8. Cleans bedside equipment, such as perfusion pumps, bedside tables, Philips monitors, and patient cables, etc., with hospital-approved disinfectant wipes and/or cleaning procedures.
9. Follows stringent cleanliness regimes to preclude the possibilities of infections and other diseases.
10. Practice hand-off communication to the next LNA/CNA on shift or to the charge nurse
11. Ensure proper and safe care of patient valuables and clothing, following the organization’s policies and procedures.
12. Maintains positive working relationships with staff and contributes to teamwork within the department. Adheres to TCRHCC mission, goals, and policies.
13. Assists in assembling and maintaining adequate supplies and shares responsibility for general upkeep of the department's equipment and supplies.
14. Demonstrates appropriate uses of equipment, materials, and supplies during nursing care of the patient.
15. Attends all mandatory in-services and department meetings as required and scheduled.
16. Performs other duties assigned and floats to other units.
17. Responsible for documenting treatments, tasks, and procedures they performed (e.g., turning, ADLS, blood sugars) in the patient’s electronic medical record (EHR).

Additional Duties for Inpatient Units:

1. Answers call lights or intercom system promptly to determine and assist with patients' needs; reports any abnormal findings or complaints to the charge nurse.
2. Assist patients with meals by direct feeding or bring a tray to them and set it up.
3. Turns, repositions, or assists in bathroom/toileting of bedrest patients.
4. Understand and practice preventive measures for bedsores in all patients.
5. Initiate recreational activities with direction of licensed nursing staff, such as assisting with outdoor ambulation or delivering reading material to patients.
6. Ensure proper PPE is always worn while on duty following isolation orders/procedures, 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.
7. Complete all donning and doffing tasks in a safe and acceptable method and discard used PPE accordingly. (see CDC website for the most current updates)
8. 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.