Certified/Licensed Nursing Assistant - Pediatric Acute

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Preference in hiring and employment will be given to applicants who are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe; secondary preference to those legally married to enrolled members of these tribes and meeting residency requirements; and tertiary preference to enrolled members of other federally-recognized American Indian Tribes.

About the role

The Certified Nursing Assistant (CNA) in the Pediatric Care Unit provides developmentally appropriate, age-specific care to patients ranging from newborns (24 hours of life) through adolescents (17 years old) under the supervision of a Registered Nurse (RN). The CNA performs basic nursing care and supportive services within the CNA scope of practice, including safety considerations, comfort, pediatric growth and development stages, age-specific vital sign parameters, and family-centered care principles.

The Licensed Nursing Assistant (LNA) provides direct, age-appropriate nursing care to pediatric patients ranging from newborn (24 hours of age) through adolescence (less than 18 years old) under the supervision of a Registered Nurse (RN) and other medical staff. Practicing within the Arizona LNA scope of practice, the LNA performs delegated nursing assistant tasks and standardized procedures to support the plan of care, demonstrating advanced clinical support skills and heightened awareness of patient condition.

Responsibilities

Certified Nursing Assistant (CNA)

• Provides age-appropriate ADL care including bathing, feeding, toileting, dressing, and hygiene.
• Assists with repositioning, ambulation, and safe patient handling, including infants, toddlers, and children.
• Performs hourly rounding and ensures patient comfort and safety.
• Supports family-centered care, involving caregivers in appropriate activities.
• Obtains and documents vital signs (temperature, pulse, respirations, blood pressure, height, and weight).
• Recognizes normal vs abnormal pediatric values and reports changes promptly to Registered Nurse (RN).
• Observes and reports behavioral changes, discomfort associated with pain, intake and output, and responses to treatments.
• Assists with procedures: positioning, equipment setup, patient support, acquires needed supplies, and assists RN during procedure/treatments.
• Prepares patient rooms and equipment for admissions, ensuring readiness for a wide range of diagnoses and procedures.
• Assists with specimen collection and transport as directed.
• Maintains a safe pediatric environment, including crib/bed safety and fall prevention.
• Transports patients safely using appropriate methods.

Licensed Nursing Assistant (LNA)

• Performs delegated nursing assistant tasks and standardized procedures to support the plan of care.
• Assists with activities of daily living, collecting and reporting vital signs, supporting treatments and procedures.
• Participates in patient education and maintains accurate documentation.
• Demonstrates advanced clinical support skills and heightened awareness of patient condition.
• Recognizes early changes in pediatric status while delivering developmentally appropriate, family-centered care.
• Contributes to a safe, therapeutic environment through adherence to infection prevention, patient safety, and organizational standards.
• Functions as an integral member of the healthcare team to promote positive patient outcomes.

Requirements

Certified Nursing Assistant (CNA)

• High School diploma or GED.
• Current, active, unrestricted Certified Nursing Assistant (CNA) certification (State of Arizona).
• Current Basic Life Support (BLS) Certification (American Heart Association).
• Completion of required Patient Sitter/Observation Training (upon hire).
• Completion of CNA clinical coursework/training program.
• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references.
• Demonstrated success in:
  • Positive working relationships with others.
  • Reliable, dependable attendance: reports to work as scheduled without excessive absences or tardies.
  • Emotional resilience and calmness during high-stress situations.
  • Ability to provide compassionate, culturally sensitive care to pediatric and adult patients in a kind, patient, and compassionate manner.
  • Clear, respectful communication with pediatric and adult patients, families, and staff.
  • Strong clinical judgment and situational awareness within the CNA scope of practice.
• Successful completion of positive results from all background and reference checks, fingerprint clearance, and employment screenings.
• Possession of high ethical standards and no history of complaints.
• Completion of an above satisfactory score on all job interviews.
• Submission of all required employment-related documents free of false, misleading, or incomplete information.

Licensed Nursing Assistant (LNA)

• High School diploma or GED.
• Completion of a state-approved nursing assistant program.
• Current, active, unrestricted Licensed Nursing Assistant (LNA) license issued by the State of Arizona.
• Current Basic Life Support (BLS) Certification by the American Heart Association.
• Completion of required Patient Sitter/Observation Training (upon hire).
• Completion of state-approved LNA training program.
• Demonstrated clinical competency consistent with LNA licensure.
• Pediatric experience preferred.
• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references.
• Demonstrated success in:
  • Positive working relationships with others.
  • Reliable, dependable attendance: reports to work as scheduled without excessive absences or tardies.
  • Ability to provide culturally sensitive care to pediatric and adult patients in a kind, patient, and compassionate manner.
  • Strong clinical judgment and situational awareness within the LNA scope of practice.
  • Ability to recognize and promptly report early signs of pediatric distress (e.g., changes in breathing, behavior, feeding tolerance, level of consciousness, and output).
  • Proficiency in basic and advanced support tasks, including specimen collection, equipment setup, and accurate clinical observations.
  • Effective, respectful communication skills with all patients, families, and staff.
  • Demonstrated reliability, accountability, and professionalism in a clinical environment.
• Successful completion of positive results from all background and reference checks, fingerprint clearance, and employment screenings.
• Possession of high ethical standards and no history of complaints.
• Completion of an above satisfactory score on all job interviews.
• Submission of all required employment-related documents free of false, misleading, or incomplete information.
• Ability to work efficiently in high-stress, fast-paced settings while maintaining patient safety and quality care.

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

• Prolonged periods of standing, walking, bending, kneeling, stooping, crouching, and occasionally climbing throughout the shift.
• Frequently lift, reposition, and transfer patients and objects weighing up to 50 pounds; occasionally lift, push, or pull up to 100 pounds with assistance and equipment.
• Extended work hours, including weekends, in an inpatient setting.
• Adequate visual and auditory acuity, including near and far vision, depth perception, and the ability to see fine details, hear normal conversation, overhead pages, and use telephones effectively.
• Manual dexterity of both hands for gross and fine motor tasks, including grasping, handling equipment, and frequent use of computer keyboards.

Mental

• Prioritize tasks, exercise sound judgment, and manage multiple responsibilities in a fast-paced pediatric environment with frequent interruptions.
• Strong communication skills to interact professionally and tactfully in stressful situations.
• Maintain concentration, adapt to changing priorities, and demonstrate flexibility, patience, and emotional resilience.
• Work closely in sometimes crowded environments, adapt to shift work, and function effectively under pressure.
• Respond calmly to challenging situations, including managing patient or family distress and de-escalating conflict.
• Work both independently and collaboratively as part of a healthcare team while maintaining a safe, positive, and supportive environment.

Environmental

• Frequent exposure to infectious diseases, pediatric emergencies, and high-activity, fast-paced environments.
• Exposure to dust, fumes, gases, loud noises, chemical agents, variations in temperature and humidity, and hazardous or moving equipment.
• Consistent adherence to safety protocols, infection prevention standards, and proper use of personal protective equipment (PPE).