CNA / Unit Clerk - Emergency Department

STATEMENT OF PURPOSE

Provides nursing related tasks and functions under the direction and supervision of the Registered Nurse in charge of the team and/or unit. Assists patients with activities of daily living. Provides a safe, sanitary, orderly, and attractive environment for patients, hospital employees, and visitors.

Part-time un-benefited position working 20 hour per 2 weeks. Hours are variable in the evening with every third weekend. Weekend work is 12hr shifts and occasional holiday work.  

JOB FUNCTIONS

• Provides personal hygiene measures for patients of all ages that may include bed bath, oral hygiene, combing hair, back care, and dressing patient. Performance of nursing tasks shall consider the age and development of the patient.  
• Provides clean patient environment by changing bed linen, cleaning overbed table and bedside stand, straightening room, and other related tasks as needed.
• Provides general nursing care such as positioning patients; lifting and turning patients; applying/utilizing special equipment; assisting in use of bedpan, urinal or commode; ambulating the patient; pre operative and post operative care; and application of abdominal binders or anti embolism stockings.
• Takes and records temperature, pulse, respiration, weight, height, blood pressure and intake-output measurements.
• Prepares patients for meals, serves and removes food trays, and assists with feeding patients. Distributes drinking water and other nourishments to patients.
• Performs routine treatment procedures including enemas, application of appliances for heat and cold, and sitz baths.
• Answers patient call lights, anticipates patients' needs, and makes rounds to assigned patients.
• Assists patients with handling and care of clothing and other personal property (including dentures, glasses, contact lenses, hearing aids, and prosthetic devices) throughout their hospital stay.
• Performs general care activities for patients in isolation.
• Assists in preparation of units, patient rooms, and beds for receiving patient admissions, returning surgical patients, transfers, emergencies or discharges.
• Completes daily activities for swingbed patients as identified in the care plan and when requested by nursing.
• Provides post-mortem care and assists in transporting bodies to the morgue.
• Transports patients to and from various departments as requested.
• Collects and transports specimens to the appropriate departments.
• Collects linen and disposes of trash to designated areas.
• Establishes and maintains interpersonal relationships with patients, visitors and other hospital personnel, while assuring confidentiality of patient information.
• Attends in-service education programs, as assigned, to learn new treatments, procedures, developmental skills, etc.
• Provide activities for swingbed patients and completes patient interest surveys.
• Cleans and makes up units of discharged or transferred patient as needed.
• Cleans work area and equipment at the end of the shift.
• Performs other related duties as assigned or requested.

QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: (CNA/NA)

1. PREPARATION AND TRAINING Work requires a high school level of knowledge. Must be certified as a Nurse Aide or have completed course work in a nursing or vocational program to satisfy requirements for placement on the ND Department of Health Nurse Assistant Registry. Must be able to follow oral or written orders. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
2. WORK EXPERIENCE Previous work experience preferred but not required. Preference for a minimum of six months experience as a nursing aide in acute care or long-term care health facility.
3. ATTENDANCE Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
4. INDEPENDENT JUDGMENT Works in accordance with standard nursing practices; non-routine problems are referred to team leader or Unit Supervisor. Must use his/her judgment to plan and carry out their work in situations where methods and procedures are established.
5. ANALYTICA L ABILITY Analysis involves comparison between numbers, letters and includes making routine clinical observations.
6. CONTACT WITH OTHERS Very frequent contacts with patients and visitors. Exchanges information on a factual basis as directed, performing activities with courtesy and tact.
7. SUPERVISING THE WORK OF OTHERS Responsible for own work. Little or no responsibility for work of others.
8. RESPONSIBILITY FOR THE WELFARE OF OTHERS Has frequent contact with patients and other employees that may result in minor discomfort and delays to others. Carelessness could frequently result in moderate harm to patients, visitors, and co-workers.
9. MENTAL/VISUAL EFFORT Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons.
10. PHYSICAL AND SENSORY EFFORT Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling equipment and performing nursing related functions, including swingbed activities. Must be able to frequently lift 25 lbs. and occasionally lifts linen bags of 50 lbs. Must be able to assist in the evacuation of patients during disasters.
11. WORKING CONDITIONS I OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Contact with patients under a wide variety of circumstances. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary.  
12. PROMOTION No formal line of promotion.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required to personnel so classified.

PHYSICAL REQUIREMENT

These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for a reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates, and the proposed accommodation.

• Standing - Frequently
• Walking - Frequently
• Sitting - Rarely
• Hands and Finger Dexterity - Continuously 
• Reaching with Hands and Arms - Continuously 
• Climbing - Rarely
• Stooping/Kneeling/Crouching/Crawling - Continuously 
• Hearing/Listening - Continuously
• Tasting or Smelling - Rarely
• Working Inside - Frequently
• Working Outside - Frequently
• Working in Extreme Heat - Frequently
• Working in Extreme Cold - Frequently
• Working with Hazardous Materials - Rarely
• Noise - Occasionally
• Working in Dirt/Dust - Frequently

LIFTING / CARRYING / PUSHING / PULLING:

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Rarely
• Up to 50 pounds - Rarely
• Up to 75 pounds - Rarely
• Up to 100 pounds - Rarely
• Over 100 pounds - Rarely