Certified Nursing Assistant, Pediatric Float Pool (40 Hours, Day/Night Rotation)
Company: Boston Medical Center
Posted on: June 12, 2021
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Position: Certified Nursing Assistant II
Department: Pediatric Float Pool
Schedule: 40 Hours, Day/Night rotation
Under the direction and supervision of the registered nurse and
in accordance with hospital policies, procedures, protocols, and
standards of practice, the Certified Nursing Assistant (CNA)
participates in the delivery of patient care. The role encompasses
the provision of direct clinical and supports services to patients
and families across the healthcare continuum, functioning as an
effective member of the health care team by contributing to the
efficient operation of the patient care unit, and accountability
for fiscally sound, quality patient/family clinical outcomes.
ESSENTIAL RESPONSIBILITIES / DUTIES:
Clinical Practice: Under the direction of the registered nurse
(RN), performs a variety of appropriately delegated patient care
interventions for patients and their families within the scope of
- Collaborates with the RN throughout the shift to determine the
appropriate work assignment and priorities as well as communicates
the status of delegated task completion and outcomes of patient
data findings to the RN throughout the shift.
- Maintains timely ongoing verbal communication with RN
throughout the shift regarding patient condition. Notifies RN
immediately of any significant change in a patient's condition
and/or monitoring alarms (for example: change in vital signs,
change in patient's mental status, abnormal blood sugar, patient
fall, patient concerns with care).
- Upon initial contact with patients, visitors, and staff,
identifies self as a CNA and introduces self to the patient by
name. Wears appropriate name badge which identifies self as a
- Accurately collects and records patient data (vital signs,
intake, and output, blood sugar, weights, restraint
care/monitoring, other) and complies with hospital documentation
standards to ensure a complete and accurate patient record.
- Accurately interprets & utilizes medical abbreviations and
terminology in accordance with hospital policy.
- Initiates a prompt response to all patient call lights and
seeks assistance from co-workers as appropriate.
- Assists with admission, discharge, and transfer of patients as
appropriate for the inpatient or ambulatory area patients.
Completes section of the Functional Health Assessment upon
admission. Prepares room for admission and ensures patients have
appropriate identification bands upon admission and throughout
their hospitalization. Transports patients and their belongings,
equipment, and supplies, as needed and as part of the
- Makes routine patient room rounds to address patient
- Provides and/or assists with basic hygiene including but not
limited to: bathing, dressing, mouth care, shaving, whirlpool
baths, perineal and bowel care, foley care, application of condom
catheters, emptying urinals and ostomy bags, and other associated
- Provides basic skincare including but not limited to: back
rubs, routine diabetic foot care, application of non-medicated
ointments, application of elastic stockings, ace wraps, and
venodynes, turning and repositioning patients every two hours, and
other associated tasks.
- Sets up patients for meals and assists them with feeding and
opening food containers; maintaining calorie counts and recording
intake/output measures (I and Os).
- Performs basic oral suctioning.
- Performs post mortem care.
- Assists nurse/health team members during simple and complex
treatments or procedures.
- Provides basic preoperative care and readies the patient for
the OR in conjunction with the RN.
- Collects, labels, and sends/transports specimens with the
appropriate lab slips/requisitions.
- When ambulating patients use safe and proper technique, apply
safety devices using hydraulic lifts or bed scale as needed.
- When providing one-on-one (1:1) or one-on-two (1:2) patient
care, performs the duties of the certified nursing assistant for
the patient assigned.
- Identifies emergency/crisis situations and initiates
appropriate response actions within the scope of her/his role,
including immediate communication of such events to the registered
- Performs EKGs and phlebotomy services as directed.
- Performs basic patient testing, including but not limited to:
tests for guaiac, sugar and acetone, urine pH, glucose finger
stick, O2 saturation, leg/girth measurements, visual acuity tests,
peak flow tests, etc.
Maintains competence in relation to a variety of other technical
skills which may include, (depending on unit assigned) but are not
- PD cycler set up
- Cast / splint care
- Application of external monitors
- GU irrigation set up
- Chest tube set up
- Arterial line set up
- Basic ostomy care.
- Quad coughing
Support Services: Under the direction of the RN, works
cooperatively with all health care team members to provide a
variety of support services to meet patient, family, and staff
needs within the scope of his/her role.
Addresses patient comfort and information needs by providing
informative, non-clinical information to patients and families,
orienting patients/visitors to the hospital, unit, patient room
services, distributing patient mail/flowers, arranging the room to
ensure necessary personal care items are available & accessible
(includes call lights), distributes nourishments, changes linens &
clothing, refill ice packs, run patient errands or other duties as
assigned by the RN. Answers the telephone identifying unit, self &
role; responds to caller's need within the scope of the role, or
takes and delivers messages in a timely manner. In conjunction with
the RN, responsible for initiating patient belongings tracking form
and for properly securing patient belongings in accordance with
hospital policy. Consults with RN if the patient refuses to secure
their belongings or has their belongings sent home with a family
member or friend.
Work Rules, Standards, & Competency Compliance:
- Acts in a manner that supports a positive and collaborative
work environment and that are congruent with established standards,
policies, procedures, and regulations within the scope of their
- Works cooperatively with all staff members and takes
appropriate steps to resolve interpersonal conflicts. Seeks
assistance from RN or off-Shift Nurse Manager as needed.
- Participates in staff meetings and appropriate in-services.
Responsible for reading and reviewing minutes and clinical updates
on the unit. Maintains accurate education records in Healthstream.
Maintains competencies required to perform the role.
- Complies with established practice standards, policies,
procedures, protocols, guidelines, and regulations, (for example
DPH, JCAHO, Boston fire codes, OSHA).
- Reviews and is knowledgeable of appropriate policies,
procedures, and work rules.
- Dresses appropriately according to dress code requirements,
including wearing uniform and visible hospital I.D. badge while on
- Assists in the orientation of new staff; serves as a resource
to float staff.
- Adapts to changing patient and unit needs including but not
limited to: offers assistance to other team members, floating,
adjusting assignments, etc.
- Communicates with the charge nurse/supervisor to coordinate
break periods with unit activities. Maintains visibility on the
unit and does not leave the work area without appropriate
notification to the RN.
- Delivers care in a non-judgmental, non-discriminatory manner
that is sensitive to and demonstrates respect for patient
- Acts in a manner that protects the confidentiality of patient,
employee, and hospital information at all times.
Care of Unit Environment, Equipment, Materials, and
- Performs a variety of environmental and inventory activities to
ensure a safe, clean, and appropriately equipped environment for
patients, visitors, and staff within the scope of their role.
- Initiates and performs spot and spill cleaning as needed,
including biological spills. Assists with locating and transporting
equipment for periodic sonic cleaning.
- Makes routine room rounds to unclutter, clean, and organize
patient rooms/areas when needed.
- Checks inventories and restocks/replaces/assembles patient
equipment and supplies.
- Appropriately disposes of trash, soiled linens, and medical
waste & disposable items.
- Performs regular checks per policies to ensure that equipment
is operating properly and has current safety inspections/expiration
dates before patient use. Identifies broken/expired
equipment/supplies; removes from service, and notifies RN. Provides
equipment delivery to appropriate repair sites as requested.
- Maintains appropriate equipment logs and records.
- Performs initial cleaning/decontamination of
equipment/materials, e.g., removing reusable equipment from
isolation rooms, and arranges for terminal cleaning as
- Provides basic patient equipment care including but not limited
to: changing hearing aid batteries, cleaning/preparing breast
- Interprets/translates for patients/family/visitors when
conversant in her/his native language.
- Utilizes the hospital's values as the basis for decision making
and to facilitate the division's hospital mission.
- Follows established hospital infection control and safety
- Performs all other duties as assigned.
High school diploma or GED certificate required.
Requires a minimum of one of the following:
- One year of previous experience as a nursing assistant in an
acute hospital setting, or
- Current enrollment in a nursing program and has completed two
cycles of clinical rotation or
- Successful completion of an approved certified nursing
assistant training or
- Successful completion of an approved certified Medical
Assistant Training program.
KNOWLEDGE AND SKILLS:
- Ability to effectively speak, read, and write using the English
language. Multilingual skills (beyond that of English) in languages
appropriate to the patient populations served by the Medical Center
is a plus.
- Ability to perform basic math and quantitative measurements,
e.g., obtain height and weight, abdominal girths, measure urine
output, calorie counts, etc.
- Ability to accurately interpret and utilize basic medical
terminology and abbreviations.
- Ability to enter and retrieve computerized information/data.
Ability to use Microsoft Outlook.
- Ability to pass clinical competency testing and basic math and
- Physical ability to push, transfer and pull heavy loads (e.g.
independently transport average-sized patients via wheelchair and
stretcher, etc.) throughout the assigned shift.
- Physical ability to meet core job requirements in accordance
with practice setting demands for the patient populations regularly
- Effective interpersonal skills to interact appropriately with
nursing staff, patients, families/visitors, physicians, and other
- Organizational skills to set priorities and efficiently
complete assigned work.
- Ability to manage stress related to patient care issues, and
changing organizational climate and personnel issues.
Keywords: Boston Medical Center, Boston , Certified Nursing Assistant, Pediatric Float Pool (40 Hours, Day/Night Rotation), Other , Boston, Massachusetts
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