Outpatient Clinic CNA (Full-time or Part-time)

Description

Lexington Regional Health Center

Title: Certified Nursing Assistant

Effective date: October 24, 2021

Supervisor: Chief Nursing Officer

Department: Lexington Health Clinic

FLSA Status: Non-exempt

Principle duties and responsibilities 

1. Assists in the organization, preparation and operation of clinics for visiting specialists in the outpatient setting.  Provides supervisor with input on clinic logistics for the coordination of Specialty Clinic schedules in order to assure adequate facilities and staffing to accommodate visiting specialty physicians in the clinic setting. 
2. Communicates directly with the scheduling staff, the Pre-op Teaching Nurse, the Surgery Department and the Nursing Supervisor to provide coordination of services to ensure excellent care for the outpatient client. 
3. Participates in general patient care providing ADLs, vital sign monitoring as ordered by provider, and other duties as delegated by licensed nursing staff. 
4. Communicates with nurses in regard to patient needs and assigned duties within scope of practice. 
5. Maintains medical record documentation. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.  
6. Ensures patient care areas are adequately stocked with supplies. 
7. Performs principle duties and responsibilities of phlebotomist, including:  a. Collects blood samples from infants, children, adults, and geriatrics, deciphering the best method of collection depending on specific patient; b. Practices proper patient identification of all samples; c. Instructs patients in the correct way to collect a clean catch urine sample; d. Packages a specimen for transport to the laboratory; e. Performs waived testing as ordered by care provider; f. Charts waived test results, or any other charting, as required per care provider or nurse. 
8. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)   
9. Responsible for safe bagging and disposal of biohazardous waste.  
10. Responsible for ensuring the patient care environment meets appropriate governing body standards. 
11. Responsible for proper collection, storage and labeling of biological specimens. 
12. Ensure patients and visitors follow current infection control guidelines. 
13. Responsible for following safe-injection practices.   
14. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.) 
15. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care. 
16. Participates in shared governance committee. 
17. Communicates with multidisciplinary team to ensure patient centered holistic care. 
18. Regular attendance at the assigned work location is required. 
19. Performs all other duties as assigned. 

Minimum knowledge, skills, and abilities 

1. Requires basic ability to use the computer and office equipment to carry out duties as assigned. This is typically acquired through the completion of 10th grade in high school or individual turning 16 years old. 
2. Current Basic Life Support certification via American Heart Association required. 
3. Ability to maintain strict confidentiality with regard to protected and sensitive information. 
4. Ability to complete reports and correspondence at a professional level. 
5. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies. 
6. Ability to effectively communicate with individuals from diverse backgrounds. 
7. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.  

Working conditions 

1. Works in a normal patient care environment with little exposure to excessive noise, dust, temperature, etc. 
2. Worker may spend up to 75% of shift completing patient care activities, requiring ambulating and an appropriate body position to complete a task such as squatting or kneeling to help assist patient with dressing. Rest of shift may be spent completing paperwork or computer work for documentation. Transferring patients occasionally to frequently, depending on case load, requires lift of 35 pounds to assist in transfers. A hoyer lift, sit-to-stand lift, or extra assistance may be needed on patients that require extra assist in transfers above the 35 pounds. Wheelchairs require up to 40 horizontal force pounds to transport patients up to 300 feet. Shelves are required to be stocked from 4 inches off floor to 77 inches high and a step stool may be required to reach the highest shelves. IV bags weighing 7 pounds are lifted up to variable heights over head to be attached to IV poles. Crash cart requires 20 horizontal force pounds to transport up to 150 feet in emergency situations. Auto CPR device weighs 25 pounds and is used in emergency situations to be transported up to 200 feet from ER to patient room. In emergency situations, nurse may be required to get onto floor to perform CPR or other emergent patient care. 
3. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.  
    
4. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities 

1. None 

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.