Nursing Care Assistant I (CNA) General Medicine Stepdown

About Duke Regional Hospital

With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Unit Overview

The General Medicine Step-down is a 40-bed general medicine unit. Acuity is a mix of intermediate and progressive care/step-down. There is a lot of opportunity to practice a variety of skills amongst a wide range of patient types which, in addition to general medicine, includes some surgery, neurology, palliative care, and inpatient hospice. This unit is consistently recognized as a high-performing team by leadership and work culture scores indicate a healthy, team-supported environment.

Shift Information

Full-time; 36 hours per week. Three (3) 12-hour shifts. Day shift 7a-7p.

Responsibilities

• Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required.
• Obtain and record patient data for medical records noting and informing RN/LPN of information collected.
• Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients.
• Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed.
• Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients.
• Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition.
• Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water.
• Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN.
• Assist with admission, discharge, and transportation of patients.
• Follow standard precautions and use personal protective equipment as required.
• Collect, deliver and conduct routine tests on patient specimens.
• Clean assigned area; stock and replenish supplies and equipment as required.
• Participate in own professional development by maintaining required skills validation and attending educational offerings.
• Support the development of other staff and formal learners.
• May also perform clean dressing change for wounds over 48 hours old.
• Perform other related duties incidental to work described herein.

Qualifications

• Currently listed as a Nursing Assistant I (NA I) with the N.C. Department of Health and Human Services, Division of Health Service Regulation with no substantiated findings of abuse, fraud, neglect or misappropriation of property.
• BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment.

Knowledge, Skills, and Abilities

• Working knowledge of procedures and techniques involved in administering routine and special treatments to patients.
• Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.
• Working knowledge of the organization and physical layout of the hospital.
• Working knowledge of infection control procedures and safety precautions.
• Ability to withstand prolonged standing and walking. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment.
• Ability to understand and follow oral and written instructions.
• Ability to document and communicate pertinent information using computer and/or paper documentation tools.
• Ability to establish and maintain effective working relationships with patients and hospital staff.
• Working knowledge of principles and practices of providing non-professional bedside patient care.