Certified Nursing Assistant - Per Diem
Magee Rehabilitation Hospital opened in 1958 as the first free-standing rehabilitation hospital in Philadelphia. The Hospital has over 600 employees and is nationally recognized for outstanding programs in physical and cognitive rehabilitation, with comprehensive services for spinal cord injury, brain injury, stroke, orthopedic replacement, amputation, pain management and work injury. Magee serves as the federally designated Regional Spinal Cord Injury Center of Delaware Valley. Only 14 such centers exist in the country. Magee is a founding member of The Christopher Reeve Foundation NeuroRecovery Network, which provides state of the art rehabilitation therapy.
The Magee Certified Nursing Assistant provides patient care and treatment under the direction of professional staff. The Nursing Assistant is responsible for working as a team player, on both the nursing unit and in other areas of the hospital assisting the patient, family and professional staff in achieving the patient’s goals.
- Demonstrates commitment to patient care and the patient care team.
- Understands the philosophy of the Department of Nursing, Department of Rehab Services and understands the philosophy of the hospital along with Hospital Policies and the Mission Statement.
- Has the ability to communicate effectively and appropriately to supervisors, staff and patients.
- Is able to identify resources available to meet the needs of the patients.
- Practices patient confidentiality and respect for patient rights utilizing HIPAA standards and the current organizations Patient Bill of Rights.
- Assists in unit based Quality Assessment activities.
- Must be able to exert 50 pounds of force while pulling, pushing or lifting patients and/or devices.
- Practices Standard Precautions.
- Practices safety at all times while performing job responsibilities and reports unsafe conditions when identified.
- Responds to fire, emergencies and disease situations according to protocol.
- Answers telephones using good customer service technique.
- Rearranges equipment or furniture in the patient rooms.
- stated above.
- Assists in orienting Nursing Assistants to the nursing unit.
- Transports patients to and from different areas according to patient schedules.
- Transports specimens internally and externally as directed.
- Delivers supplies and belongings to patient rooms.
- Accompanies patients on outside medical appointments while providing care supervision, and a safe environment for the patient while outside of the Hospital.
- Provides direct patient care to an assigned group of patients, which is supervised by a practicing rehabilitation licensed professional. The care can include, but is not limited to: grooming, dressing, feeding, bathing, lifting, transfers, mobility, locomotion, turning, assisting with elimination, vital signs, and assisting with other functional tasks.
- Assists in providing patient care and treatment under the direction of a licensed/certified/registered health care professional from nursing, occupational therapy, physical therapy, speech and language pathology, recreational therapy, horticulture therapy or other professional team members.
- Applies knowledge of human growth and development while under the direction of professional staff.
- Orients the patient and their visitors to the hospital and treatment areas.
- Reports observations of changes in the patient’s condition or behavior to professional staff.
- Assists with the patient admission and discharge process. Packs and unpacks belongings including the belongings of patients sent out emergently. Creates a list of items packed for storage in Purchasing: one copy down to purchasing, another copy filed in the patient belonging book on unit.
- Obtains and records: vital signs, weights, intake and output and calorie counts.
- Collects patient specimens, under the direction and supervision of licensed professional.
- Refills and delivers water pitchers to the patient’s bedside.
- Prepares the environment for group activity.
Care of the Environment:
- Cleans and maintains patient rooms and treatment areas utilizing appropriate cleaning procedures.
- Maintains public areas in assigned work area in a clean and orderly manner. This includes but is not limited to: Nursing Stations, Nursing Conference rooms, Utility rooms and storage rooms.
- Makes patient beds and transports soiled linen to the dirty utility room.
- Maintains appliances and equipment in a clean, functioning order. Informs supervisor of any broken or dysfunctional equipment and follows the procedure for reporting and removing the equipment from the patient care areas.
- Empties overflowing or foul smelling trash cans.
- Reports all leaks, faulty equipment or damage to Plant Operations.
- Cleans and restocks the linen and supply carts.
- Returns all equipment to designated storage areas after proper cleaning.
- Maintains hallways clear of unnecessary equipment.
- Assists in Environment of Care Rounds.
Patient Meal Assistance:
- Assists patients in the dining rooms by working with them to meet their nutritional needs.
- Supervises patients and works with the appropriate team members during mealtime to ensure patient safety while eating.
- Assists patients with menu selection according to their prescribed diet.
- Picks-up and delivers the tray carts and individual patient trays.
- Assists patients with meal set-up and use of adaptive equipment.
- Delivers nourishment and assists with patient feeding.
- Retrieves diet information from on-line Clinical Data System.
- Monitors the safe condition of supplies and equipment.
- Reports any unsafe equipment or condition to the appropriate supervisor.
Customer Service and Team Work:
- Responses quickly and pleasantly to patient and visitor requests for assistance. If they are unable to meet a need of a patient or visitor, they discuss the need immediately with the supervisor.
- Communicates to the supervisor if they are unable to complete a task and does not leave a task for another team member that can be completed.
- Practices patient confidentiality and respect for patient rights.
Primary Customers or Key Working Relationships:
The Key Working Relationships that the Nursing Assistant has are:
- Primary Care Giver
- Rehab Team Members
- Certified Nursing Assistant
- CPR Certification.
- High School education or equivalent.
- Graduate of Nursing Assistant training program.
- One year as a Nursing Assistant, preferred.
DEPARTMENT SPECIFIC COMPETENCY:
- Patient mobility: performs safe transfers to/from the bed/wheelchair/chair/ prone cart, shower trolley, commode chair, etc.
- Knowledge of the use of restraints and application per Hospital Policy.
- Knowledge of pain and who to report pain issues to.
- Has knowledge of cultural factors that may influence the patient’s response to the situation that they are in.
AGE SPECIFIC COMPETENCIES:
- Demonstrates knowledge of age specific factors necessary to perform patient care responsibilities. Ages of the patients served: adolescent (14-18 years old), Adult (18-65 years old), Geriatric (65+). Recognizes patient’s psychological development and modifies approaches for specific age groups.
- Demonstrates knowledge of specific factors necessary to perform patient care responsibilities (i.e. SCI, TBI, Stoke, etc.).
- Patient interview and communication techniques are age appropriate.
- Recognizes psychological development and modifies approach to specific age groups.
- Prolonged standing and walking.
- Exposure to cleaning solutions, equipment, regulated medical waste and isolation areas.
- Physical demands of frequent lifting and carrying heavy weights, pushing, pulling, bending, and climbing using proper body mechanics with 50 lbs .
This list entails equipment commonly used, this list is continually updated and competence for equipment is kept in HR file. Wheelchairs, commode chairs, shower chairs, shower trolleys, scales, mechanical lifts, electric vital sign system, intercom system, computer, cell phone system, overhead page and continuous passive motion machine (CPM).
Takes proper precautions as outlined in the Hospital Safety Manual, Infection Control procedures and the Hospital Safety plan.