Certified Nursing Assistant 2 (CNA2) - (Nursing Support Services)-62502 - Hillsboro Medical Center

Position Summary – 

The CNA II assists with the nursing care of patients.  Provides comfort services and assistance with activities of daily living.

KEY RESPONSIBILITIES – 

Performed majority of the time:

·         Assists with ambulation, lifting, and transferring patients from stretcher to bed, bed to wheelchair.

·         Carries out orders and treatments as directed by the RN or LPN:

o   Provides skin care to prevent skin breakdown.

o   Collects specimens

o   Measures intake and output and percent of food consumed.

o   Records vital signs, weight and ADL’s.

o   Applies binders, ace bandages, non-sterile compresses.

o   Applies vaginal pads.

o   Applies Aqua-K pads, ice bags, and collars.

o   Provides appropriate bowel care, including enema administration and ostomy care.

o   Provides post-mortem care.

o   Discharges and transfers patients, assists in admissions.

o   Provides catheter care and peri-care.

o   Assists with sterile dressing changes and application of cast.

o   Prepares patient for surgery.

o   Performs range of motion and patient positioning techniques, as directed.

o   Changes bed linens.

o   Assists patient with personal hygiene, grooming, dressing

·         Performs personal services such as operating TV, radio and recreational therapy projects.

·         Assists with transportation of patients, supplies, etc. as requested.

·         Performs BLS or other duties in an emergency situation as directed by licensed staff.

·         After appropriate training and competency verification, may be assigned these additional tasks as defined by OAR 851-060-0930 and specifically designated by the director of nursing to the unit to which the CNA is assigned.

o   Change simple, nonsterile dressings using aseptic technique when no wound debridement or packing is involved.

o   Suction oral pharynx.

o   Turn oxygen off and on at predetermined, established flow rate.

o   Administer douches.

o   Insert OTC suppositories for bowel care.

o   Insert OTC vaginal suppositories and vaginal cream.

o   Perform clean intermittent straight urinary catheterization for chronic conditions.

o   Collect clean-catch urine specimens.

o   Discontinue external urinary catheters.

o   Set up traction equipment.

o   Clean ostomy site and change dressings or appliances for established, nonacute ostomies.

o   Add fluid to established tube feedings and change established tube feeding bags.

o   Apply topical OTC creams and ointments for prophylactic treatment of skin conditions.

o   Attach and detach established pulse oximeter.

o   May perform bedside glucose testing when competency program completed and if desired by work area.

·         May be assigned to function as a “Nursing Technician” where the above duties would be assigned house wide rather than on a specific unit.

·         Documents on graphic record, fluid balance record and nursing record when appropriate.

·         Provides care appropriate to the age of patients served infant, pediatric, adolescent, adult patients based on principles of growth and development and life stages, and according to their culture, ethnicity, and belief systems, as directed by the RN, LPN, Supervisor, or Director of Nursing.

·         Reports changes and unexpected findings in patient condition to RN or LPN.

·         Participates in Quality Improvement process to help make decisions that focus on the customer and are best for the organization as a whole.

·         Motivates and assists patients to eat and take fluids.

·         Provides patients and family members with effective encouragement and support.

·         Assists, supports and acknowledges other team members.

Performed occasionally but critical to successful performance of the job:

·         Participates in staff development activities for the unit.

Decision making and budget responsibilities (e.g. impact limited to the employee, entire unit or organization-wide):

·         Impacted limited to the employee.

Assigned direct reports (not limited to the ones listed). 

·         N/A

JOB SPECIFICATIONS

Education:

Required

·         N/A

Preferred

·         N/A

Experience:

Required

·         N/A

Preferred

·         Six (6) months experience in skilled nursing facility or hospital.

Licenses, Certifications and/or Registrations:

Required

·         CNA Level 2 Acute Care certification required upon hire.

·        American Heart Association Healthcare Provider BLS preferred upon hire, and required within 90 days of hire. 

o   If not American Heart Association Healthcare Provider BLS certified upon hire, must have current BLS certification through another provider.

Preferred

·         N/A

Job Related Skills, Abilities and Behaviors:

Required

·         Able to develop skills in use of computerized hospital information/ordering system.

·         Demonstrates exceptional customer service skills.

·         Utilizes effective verbal communication skills.

·         Functions effectively in stressful situations.

·         Demonstrates skills in caring for neonatal, pediatric, adolescent, adult and geriatric patients in a knowledgeable, skillful and consistent manner.

·         Personal appearance makes a good first impression.

·         Demonstrates confidentiality regarding patient and co-worker information.

·         Respects and advocates for patients/significant others rights.

·         Prioritizes and completes multiple assigned tasks.

·         Requests assistance or additional explanation when needed.

·         Follows directions accurately and completely.

·         Formulates and uses effective working relationships with all health care team members, patients and significant others.

·         Utilizes appropriate problem solving methods to deal with conflict.

Preferred

·         Bilingual skills a plus.