Work in Iowa Healthcare Jobs

Job Information

Nebraska Methodist Health System Nursing Assistant in Council Bluffs, Iowa

  • Purpose of Job

  • Helps patients by supporting personal hygiene and daily living needs; providing comfort, transportation, and vital sign monitoring.

  • Job Requirements

  • Education

  • High School diploma or General Educational Development (GED) required.

  • Student nurse must have completed first clinical rotation - preferred.

  • Requires successful completion of the 75-hour state approved course for the Nurse Assistant if hired in the assistant position.

  • * Experience*

  • Previous cleaning, food service and/or patient related experience preferred, but not required.

  • One to three months on the job experience to learn hospital. procedures and work routines preferred.

  • Orientation provided.

  • * License/Certifications*

  • Maintain current American Heart Association Basic Life Support (BLS) Certification required.

  • * Skills/Knowledge/Abilities*

  • Require the ability to understand and carry out instructions, follow schedules, communicate information, read simple and clear instructions and complete reports.

  • Must be able to collect, record, and report patient needs to the appropriate caregiver.

  • Requires ability to demonstrate critical thinking skills commensurate with job description.

  • Participate in mandatory inservices and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.

  • Physical Requirements

  • Weight Demands

  • Medium Work - Exerting up to 50 pounds of force

- Physical Activity

  • Occasionally Performed (1%-33%):

  • Climbing

  • Crawling

  • Kneeling

  • Sitting

  • Frequently Performed (34%-66%):

  • Balancing

  • Carrying

  • Crouching

  • Distinguish colors

  • Keyboarding/typing

  • Lifting

  • Pulling/Pushing

  • Repetitive Motions

  • Stooping/bending

  • Twisting

  • Constantly Performed (67%-100%):

  • Fingering/Touching

  • Grasping

  • Hearing

  • Reaching

  • Seeing/Visual

  • Speaking/talking

  • Standing

  • Walking

  • * Job Hazards*

  • Not Related:

  • Electrical Shock/Static

  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

  • Rare (1-33%):

  • Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)

  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only

  • Occasionally (34%-66%):

  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)

  • Equipment/Machinery/Tools

  • Explosives (pressurized gas)

  • Hazardous Drugs (exposure risks, protective personal equipment required)

  • Frequent (67%-100%):

  • Chemical agents (Toxic, Corrosive, Flammable, Latex)

  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)

  • Mechanical moving parts/vibrations

  • Essential Job Functions

  • Essential Functions I

-


Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment, as outlined in the Age Specific Criteria. - Gives individualized customer service/patient care.

  • Completes age specific competency assessment.

-


Exhibits excellent interpersonal relations with patients, co-workers, physicians, and guests to ensure effective communications. - Responds to patient needs promptly and courteously.

  • Obtains feedback from patients and visitors regarding their hospital experience.

  • Communicates patient issues to the appropriate staff.

  • Maintains a positive attitude while responding to requests in a timely and accurate manner.

  • Communicates with other members of the health care team (food service, secretaries, housekeeping, etc.) as indicated.

  • Actively participates in report process.

-


Completes clinical activities identified in the patient's plan of care to meet patients' comfort/activity/sleep needs and other clinical patient needs as delegated by professional staff. - Reports patient comfort needs to nurse in a timely manner.

  • Assures that skin is clean and dry.

  • Reports any noticed skin changes.

  • Provides personal care and assists with ADL (activities of daily living).

  • Provides assistance with repositioning, turning and chair transfers.

  • Assists as necessary with ambulation.

  • Completes vital signs per patient's plan of care.

  • Weighs patients per patient's plan of care.

  • Reinforce patient education regarding; e.g., pulmonary hygiene.

  • Provides transportation assistance.

  • Reports any variation from patient's plan of care to professional staff.

  • Attends to patient amenities; e.g., newspaper, mail.

-


Maintains patient nutritional status by completing all intake/output activities in a timely and accurate manner to promote customer satisfaction. - Assists patients with menu selection within the designated timeframes and ensures menu balance.

  • Serves meal according to established guidelines.

  • Feeds patients as necessary.

  • Records liquid and solid intake.

  • Records intake accurately for calculation of calorie count.

  • Records output.

  • Monitors Nourishment Center supplies and maintains a sanitary environment.

-


Documents all data collected, in Cerner and/or on worksheets, accurately, completely, and in a timely manner to provide an accurate record of patient activities and response to activities. - Documentation is completed in an ongoing basis prior to end of shift.

  • Documentation reflects patient's responses to activities according to patient's plan of care.

  • Documentation reflects care delivered.

-


Provides housekeeping activities to contribute to a safe, efficient, effective and sanitary patient care environment. - Completes daily room cleaning according to established procedures for high dusting, vacuuming, mopping hard surface floors, disinfecting vertical surfaces, and spot cleaning vertical surfaces.

  • Keep rooms neat and tidy, free of clutter.

  • Removes trash and soiled linen from room each shift and as needed.

  • Maintains patient environment, such as spills and room temperature, or actively utilizes Integrated Services team to do so properly.

  • Distributes linens to servidors per par levels.

  • Straightens and restocks patient care areas per par levels.

  • Attends to patient amenities; e.g., newspapers, mail, watering plants.

-


Consistently recognizes and utilizes measures to provide for safe, efficient, patient care and work environment. - Answers Call Lights in a timely manner and response to the patient request and/or relays request to appropriate resource when necessary.

  • Performs other duties as delegated/under the direction of the professional staff.

  • Assures coverage of all duties when self or other staff are off the nursing unit.

  • Assists other team members when own work is complete.

  • Appropriately reports incidents.

  • Utilizes Standard Precautions and Transmission-based Precautions infection control techniques correctly and consistently.

-


Directly responsible to the staff nurse and assists in the care of the patient by performing delegated activities utilizing the reciprocal process of the 4 Rights of Delegation. - Right task (within the scope of practice, according to the job description, and based on the desired outcome, task routine, non-complex, low risk and predictable outcome).

  • Right person (assess competency by certification/licensure, job description, skills checklist, demonstrated skill).

  • Right communication (clear, concise, correct, complete).

  • Right feedback: The Reciprocal Process (timely, specific, checkpoints).

-


4H Job Expectations: - Participate in Daily Huddle at nurse's station at beginning of shift.

  • Hourly rounding in every patient room to check for the three P's (pain position and potty) on the even hours.

  • Rounding in the patient rooms at shift change for report in front of the patient.

  • At shift change the conference room, locker room, mini nurses stations, dirty/clean and break rooms are to be cleaned before staff leave for the day.

  • Every patient room is to be clean, fresh water, trash, linen picked up and changed as needed. Ice bags to be changed every 1-2 hours.

  • All patients to get a bath, teeth brush, men shaved, Foley care during the day and for HS cares this includes backrub, teeth brush, Foley care.

  • Monthly cleaning assignment performed and signed off on the cleaning log.

  • Any bath or HS cares on your team not completed is to be reported to your manager/charge nurse.

  • All surgical's to receive a Hibiclens bath before going to surgery.

  • All heels elevated up off the bed on a pillow (no pressure to heels).

  • Night shift to perform all daily weights before leaving for the day.

  • All charting is to be real time charting and all patient data and information should be charted as soon as it is performed such as vitals, turns etc.

  • All CNA's to model the hospitals Standards of Compassionate Service.

  • Able to speak to the unit's Performance Improvement projects/ Staff education on the unit.

  • Maintains safe and clean unit at all times.

  • Patient safety always a priority, bed/chair alarms on.

  • Chart all Quality Measures before leaving for the day.

  • Know PRC questions asked of patients and work to improve scores for the whole unit.

  • Know Joint Commissions National Patient Safety Goals(attached).

  • No cell phones/internet for personal use while on duty (keep cell phones in locker).

  • Bed linen change every Monday, Wednesday, Friday and PRN patient request.

  • Mandatory in-services annually?€"required attendance.

  • Know Emergency Codes Quick Reference. These are now Plain Language Emergency Messaging (attached).

  • Attend floor meetings monthly.

  • * Essential Functions II*

-


Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management. -


Follows and understands the mission, vision, core values, Employee Standards of Compassionate Service and company policies/procedures. -


Other duties as assigned.

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