Nursing Assistant II - Cardiac Stepdown

JOB SUMMARY

This paragraph summarizes the general nature, level and purpose of the job.

Under the direction and supervision of a Registered Nurse, and in accordance with Hospital policies and procedures, the Nursing Assistant (NA) provides basic direct and indirect care as a member of the patient care team. The direct patient care activities are related to the following: measuring, recording and reporting patient information, provision of or assistance with activities of daily living, and simple treatments and procedures. The NA recognizes and addresses age appropriate and cultural needs when caring for patients. In addition, the NA assists in maintaining the patient and unit environment in a clean, orderly condition. The NA communicates changes on the status of the patient to the RN or in the RN's absence the resource nurse.

ESSENTIAL FUNCTIONS

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

• Accurately observes, records and reports patient information.
• Adheres to the standards of nursing care and the policies and procedures of the Hospital and Department of Patient Care Services.
• Assesses and documents vital signs on stable patients requiring vital signs. Stable is defined as patients that require vital signs no more often than every 4 hours. The initial set of admission vital signs has been completed by the RN.
• Assists patient with and/or provides efficient care related to activities of daily living as assigned.
• Carries out responsibilities following safety guidelines for self, patient, visitors and employees.
• Completes orientation program and participates in learning activities to maintain and improve knowledge skills.
• Considers age-specific needs when interacting with patients and families. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
• Contributes in a positive manner to the unit, department and hospital goals.
• Demonstrates effective communication skills, especially in stressful situations. Communicates in a compassionate manner, is patient and courteous utilizing active listening skills as well as helping to maintain a quiet patient care environment.
• Dresses appropriately and wears name badge.
• Ensures patient identification and an allergy band is on patient at all times.
• Follows unit and departmental guidelines relate to staffing and scheduling.
• Helps ensure that areas and halls are child-proof (LPCH only).
• Maintains a clean orderly and safe environment. Orders and maintains equipment and supplies for the desk area and unit, maintains clean work areas and halls.
• May provide break relief or assistance to the unit clerk as needed and if applicable.
• On certain units, after cross-training in the area of rehabilitation activities, assists patients with and/or provides efficient care related to rehabilitative activities as delegated and supervised by a Physical, Occupational, or Speech Therapist.
• Orients patient and family to environment.
• Performs routine patient care (hygiene, nutrition, elimination, measuring I/O's) utilizing universal precautions under the direction and supervision of a RN as assigned. Note: On selected units, with Patient Care Manager approval, may perform specific skills after documented instruction.
• Provides sitter duties when needed for a patient.
• Recognizes and provides age-appropriate care based on the needs of the patient and family.
• Responds appropriately in actual or potential emergency events. Notifies appropriate personnel, communicates with other personnel to ensure delivery of immediate care needs and intervenes as necessary with families and staff by working with appropriate interdisciplinary team members.
• Responds to alarms appropriately and reports to RN when alarms are outside of parameters.
• Responds to customer / staff needs in a prompt attentive manner. Handles messages appropriately using communication etiquette, notifies Resource Nurse and others of patient flow (admissions, transfers, discharges).
• Stocks room with supplies and other items as needed.
• Supports family centered care in their everyday work. (LPCH only).
• Transfers patients to off unit procedures according to transport policy.
• Uses the computerized electronic health record in accordance with job requirements and hospital policies and procedures.

MINIMUM QUALIFICATIONS

Education: None required.

Experience: None required.

License/Certification

• RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA)

KNOWLEDGE

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.

• Ability to accurately, completely, and independently perform the reading, writing, and arithmetic required by the job.
• Ability to be patient and courteous and use active listening skills.
• Ability to communicate effectively with staff, patients, and families, both verbally and in writing.
• Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations.
• Ability to learn standard nursing procedures used in patient care; elicit information related to patient symptoms.
• Ability to maintain confidentiality of sensitive information.
• Ability to provide appropriate care based on the needs of the specific individuals, including age.
• Ability to solve problems effectively using appropriate resources; is productive in workflow, skills, and organization.
• Ability to speak, read, write, and understand English effectively at a level appropriate for the job.
• Ability to take and record patients' vital signs.
• Ability to transport patients as needed for admission, discharge, procedures, etc.
• Knowledge of basic principles, methods, medical terminology, and procedures of nursing aide work as applied to patient care.
• Knowledge of computer systems and software used in functional area.
• Knowledge of standard asepsis, hygiene, and infection control procedures.
• Knowledge of standard charting procedures.
• Knowledge of standard instruments and equipment used in routine patient examinations and treatment.

PHYSICAL REQUIREMENTS

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $36.01 to $40.38

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.