Under the supervision of the Unit Manager, Supervisor or delegate in charge of the team/unit, the Rehab Assistant I / NA assists patients with activities of daily living, provides basic nursing care to non-acutely ill patients, and assists in maintenance of a safe and clean environment.  

The Rehab Assistant I / NA must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her unit — adolescent through geriatric. The Certified Nurse Aide must demonstrate knowledge of the principles of growth and development over the life span to provide the care needed as described in the Nursing Department's policies and procedures.

Type of supervision exercised: none. Jobs reporting to this position: none.

EDUCATION:

High school diploma or equivalent preferred.

WORK EXPERIENCE:

Experience as a Nursing Assistant preferred

SPECIAL EMPLOYMENT REQUIREMENTS:

Must be sixteen years of age or older.

Must be CPR certified or willing to become CPR certified.

Good written and verbal communication skills and interpersonal skills required for effective interpersonal relationships with patients, visitors or other hospital personnel.

Must maintain confidentiality of patient information.

Must successfully pass Certified Rehabilitation Nursing Assistant test within orientation period.

Required to float between units and locations.

PHYSICAL DEMANDS:

Medium Work: duties require exerting 25 to 50 lbs. of force occasionally (approx 10-33% of shift), and/or 10-25 lbs. of force frequently (approx 33-66% of the time), and/or greater than negligible amount up to 10 lbs. of force constantly to lift, carry, push, pull, and move objects.

Position involves bending, reaching, stooping and lifting (occasionally in strained position) throughout shift.

Position requires ability to transport self throughout facility, including satellite units (ASRH only), frequently, while pushing a wheelchair.

ACCIDENT OR HEALTH HAZARDS:

Occasional exposure to blood and body substances.

Exposure to needle sticks possible.

WORKING CONDITIONS:

Works in a well-lit nursing unit, which includes: nurses station, patient's rooms, treatment areas, etc.

Required Skills

+--------------------------------------------------------------------------+ | CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB: | | | | E = Essential Element                       NE = Nonessential Element | +--------------------------------------------------------------------------+ | 15%      Provides morning and evening care, which may include showers, | | oral hygiene, combing hair, back care, nail care, dressing patient, | | straightening room and labeling patient’s personal care items, as | | needed. (E) | +--------------------------------------------------------------------------+ | 15%      Provides assistance with ambulation and mobility as well as | | positioning, lifting, turning, and transferring patients. At JHIRM, | | employees will follow Safe Handing & Movement of Patients Program (E) | +--------------------------------------------------------------------------+ | 10%      Makes patient care rounds at least hourly. Reports (and when | | appropriate, records) observations of patient behavior and uses adequate | | judgement to notify the RN of any changes in clinical or functional | | status. (E) | +--------------------------------------------------------------------------+ | 10%      In conjunction with the nurse (RN/LPN) answers patient call | | lights promptly and whenever possible anticipates patient needs. (E) | +--------------------------------------------------------------------------+ | 8%       Provides for exceptional customer service, utilizing | | interpersonal communication skills and behavior management skills, | | including positive reinforcement.   (E) | +--------------------------------------------------------------------------+ | 8%       Assists patients with bowel and bladder needs, such as | | assisting patient to the bathroom, assisting the patient in the use of | | bedpan, urinal or commode.   Monitors and documents intake and output. | | Applies external catheters. Maintains and cleans urinary drainage bags. | | (E) | +--------------------------------------------------------------------------+ | 5%       Obtains and documents vital signs including temperature, pulse, | | respirations, and blood pressure. Uses good judgement and notifies the | | RN of any changes or findings beyond normal limits.   (E) | +--------------------------------------------------------------------------+ | 3%       Knowledgeable in FIM documentation and scoring and under the | | supervision of the RN/LPN is capable of assisting in assessing the | | patient’s functional abilities and accurate documentation of same as | | related to the nursing department. | +--------------------------------------------------------------------------+ | 3%       Assists in monitoring environment for potential safety risks to | | patient, visitor, and staff. As appropriate, assists RN in reporting, | | assessment, intervention, and investigating, and follow up on patient | | safety issues.   (E) | +--------------------------------------------------------------------------+ | 3%       Demonstrates an adherence to and knowledge of infection control | | policies as evidenced by in-services attendance records and employee | | practices. (E) | +--------------------------------------------------------------------------+ | 3%       Assists in and accompanies patients on the | | admission/transfer/discharge process and assists in preparing patient | | for discharge and emergency transfers. (E) | +--------------------------------------------------------------------------+ | 3%       Prepares patients for meals and assists with feeding patients | | and with nutritional intake. Must be able to demonstrate the ability to | | follow dietary restrictions including thickened liquids. (E) | +--------------------------------------------------------------------------+ | 3%       Assists in preparation of units, patient rooms and beds for | | receiving patient admission and transfers. (E) | +--------------------------------------------------------------------------+ | 2%       Assists with applying and utilizing special equipment such as | | abdominal binders, anti-embolism stockings, passive range of motion | | (CPM), donning/doffing orthotics and prosthetics. (E) | +--------------------------------------------------------------------------+ | 2%       Provides for the proper utilization of patient care supplies | | and follows the established charge procedure for patient charge items. | | (E) | +--------------------------------------------------------------------------+ | 2%       Assists with handling and care of clothing and other personal | | supplies.   (E) | +--------------------------------------------------------------------------+ | 1%       Assists in the collection of urine and stool specimens (E) | +--------------------------------------------------------------------------+ | 2%       Transports and accompanies patient to therapies, and outside | | agency appointments as assigned. (NE) | +--------------------------------------------------------------------------+ | 1%       Attends in-service education programs independently and as | | assigned, to learn new techniques and procedures, and to maintain | | current skills. (NE) | +--------------------------------------------------------------------------+ | 1%       Assists in orientation of new personnel. (NE) | +--------------------------------------------------------------------------+

Required Experience

+--------------------------------------------------------------------------+ | CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB: | | | | E = Essential Element                       NE = Nonessential Element | +--------------------------------------------------------------------------+ | 15%      Provides morning and evening care, which may include showers, | | oral hygiene, combing hair, back care, nail care, dressing patient, | | straightening room and labeling patient’s personal care items, as | | needed. (E) | +--------------------------------------------------------------------------+ | 15%      Provides assistance with ambulation and mobility as well as | | positioning, lifting, turning, and transferring patients. At JHIRM, | | employees will follow Safe Handing & Movement of Patients Program (E) | +--------------------------------------------------------------------------+ | 10%      Makes patient care rounds at least hourly. Reports (and when | | appropriate, records) observations of patient behavior and uses adequate | | judgement to notify the RN of any changes in clinical or functional | | status. (E) | +--------------------------------------------------------------------------+ | 10%      In conjunction with the nurse (RN/LPN) answers patient call | | lights promptly and whenever possible anticipates patient needs. (E) | +--------------------------------------------------------------------------+ | 8%       Provides for exceptional customer service, utilizing | | interpersonal communication skills and behavior management skills, | | including positive reinforcement.   (E) | +--------------------------------------------------------------------------+ | 8%       Assists patients with bowel and bladder needs, such as | | assisting patient to the bathroom, assisting the patient in the use of | | bedpan, urinal or commode.   Monitors and documents intake and output. | | Applies external catheters. Maintains and cleans urinary drainage bags. | | (E) | +--------------------------------------------------------------------------+ | 5%       Obtains and documents vital signs including temperature, pulse, | | respirations, and blood pressure. Uses good judgement and notifies the | | RN of any changes or findings beyond normal limits.   (E) | +--------------------------------------------------------------------------+ | 3%       Knowledgeable in FIM documentation and scoring and under the | | supervision of the RN/LPN is capable of assisting in assessing the | | patient’s functional abilities and accurate documentation of same as | | related to the nursing department. | +--------------------------------------------------------------------------+ | 3%       Assists in monitoring environment for potential safety risks to | | patient, visitor, and staff. As appropriate, assists RN in reporting, | | assessment, intervention, and investigating, and follow up on patient | | safety issues.   (E) | +--------------------------------------------------------------------------+ | 3%       Demonstrates an adherence to and knowledge of infection control | | policies as evidenced by in-services attendance records and employee | | practices. (E) | +--------------------------------------------------------------------------+ | 3%       Assists in and accompanies patients on the | | admission/transfer/discharge process and assists in preparing patient | | for discharge and emergency transfers. (E) | +--------------------------------------------------------------------------+ | 3%       Prepares patients for meals and assists with feeding patients | | and with nutritional intake. Must be able to demonstrate the ability to | | follow dietary restrictions including thickened liquids. (E) | +--------------------------------------------------------------------------+ | 3%       Assists in preparation of units, patient rooms and beds for | | receiving patient admission and transfers. (E) | +--------------------------------------------------------------------------+ | 2%       Assists with applying and utilizing special equipment such as | | abdominal binders, anti-embolism stockings, passive range of motion | | (CPM), donning/doffing orthotics and prosthetics. (E) | +--------------------------------------------------------------------------+ | 2%       Provides for the proper utilization of patient care supplies | | and follows the established charge procedure for patient charge items. | | (E) | +--------------------------------------------------------------------------+ | 2%       Assists with handling and care of clothing and other personal | | supplies.   (E) | +--------------------------------------------------------------------------+ | 1%       Assists in the collection of urine and stool specimens (E) | +--------------------------------------------------------------------------+ | 2%       Transports and accompanies patient to therapies, and outside | | agency appointments as assigned. (NE) | +--------------------------------------------------------------------------+ | 1%       Attends in-service education programs independently and as | | assigned, to learn new techniques and procedures, and to maintain | | current skills. (NE) | +--------------------------------------------------------------------------+ | 1%       Assists in orientation of new personnel. (NE) | +--------------------------------------------------------------------------+