Nursing Care Assistant I (CNA) General Medicine Stepdown

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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. Come be part of the magic in an area that welcomes new and experienced nurses. Great Unit to set a good nursing foundation. We are eager to add like-minded motivated nurses to our staff. We truly believe we offer Opportunities for a Lifetime at Duke Health! Shift Information Full-time; 36 hours per week. Three (3) 12-hour shifts. Night shift 7p-7a Occ Summary

• The Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN.
• The NA provides direct care to patients and assists with non-direct patient care unit coordination.
• The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area.
• In addition, theNA is expected to assist the RN/LPN in the care of acutely ill patients.
• This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care.
• They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations.
• They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision.
• The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record.

• Work Performed 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.

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. Workingknowledge 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 writteninstructions. 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. Pre-employment Physical Capacity Testing may be required. Level Characteristics N/A

Minimum Qualifications

Education N/A Experience N/A Degrees, Licensures, Certifications 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.

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Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.