CNA

Consistent with Mercy Medical Center (MMC) policy and procedure, renders basic nursing care to assigned patient populations under the direction of a Registered Nurse. Collects data that allows the Registered Nurse to assess patients for nursing needs, and establish and implement a problem oriented plan of nursing care. Implements the plan of nursing care, performs basic nursing procedures and provides direct nursing care. Patient age populations served and the specific competencies that comprise this job title may vary among nursing units. These specifics are found in the "Department/Unit Orientation & Initial Assessment of Competency" checklists for this unit/position and by reference form a part of this job description. If employee is required to float to another department, he/she will not be asked to perform task(s) not qualified to perform.

As a Certified Nurse Assistant (CNA), you will be a cornerstone of patient care, directly contributing to comfort, safety, and recovery by providing essential support under RN direction.

Every day, you will deliver compassionate basic care, assist with patient transport, and actively contribute to the patient's plan of care as a vital member of our interdisciplinary team, upholding the highest standards of conduct and patient well-being.

To be successful in this role, you will possess a dedicated spirit of service, strong communication skills, a meticulous approach to patient support, and an unwavering commitment to our mission of dignified, high-quality healthcare.

• Patient Rights - Demonstrates an understanding and respect of patient rights and responsibilities. Provides care in a manner that is cognizant of, and respectful towards the religious, cultural, linguistic and ethnic belief systems of the patient and their identified family structure. Obtains translation services for oral communication in the patient's primary language as needed; documents services utilized in the patient records. STANDARDS 1. Competency and appropriate care regarding religious, cultural, linguistic and ethnic belief systems of the patient/family is assessed by one or more of the following:
  direct observation, listening and auditing of documentation for the use of interpreters services. 2. There are no serious occurrences of valid patient or family complaints regarding privacy or confidentiality. 3. There are no breaches of the facilities policy and procedures regarding patient rights.
• Patient Assessment - Data Collection Data collection is done in accordance with and within timeframes specified in MMC polices. Recognizes normal and expected findings appropriate to the developmental age (infant, toddler, preschooler, school age, adolescent, early adult, middle adult and geriatric) of the patient. Recognizes significant abnormalities and intervenes in a developmentally age appropriate (infant, toddler, preschooler, school age, adolescent, early adult, middle adult and geriatric) manner and reports them to the RN. Collects information to contribute to database to identify patient's high risk for falls and/or skin breakdown. Utilizes appropriate developmental age (infant, toddler, preschooler, school age, adolescent, early adult, middle adult and geriatric) tools and criteria in the assessment of pain. Performs care within the scope of the CNA as directed by the nurse. Provides for patient safety and comfort, practices infection and environmental control. Prioritizes tasks based on patient needs. Participates in patient safety goals & quality initiatives. Understands and can apply criteria to detect possible victims of abuse. STANDARDS 1. Developmental age competency is assessed by one or more of the following methods: direct observation, listening and auditing of documentation. 2. Competency and appropriate care regarding religious, cultural, linguistic and ethnic belief systems of the patient is assessed by one or more of the following: direct observation, listening and auditing of documentation for the use of interpreters services. 3. Data is documented properly 95% of the time based on random sample review of charts. 4. There are no occurrences of valid serious complaints or incident reports of failure to notify the nurse of changes in patient's condition in a timely manner or failure to communicate and utilize technical skills.
  
  
• Patient and Family Education - Reports to the RN/LVN any perceived significant learning needs, barriers to learning, learning and language preferences. Educates the patient and family regarding rounding, plan for the day or ADL's. Educates the patient and family to room, visitation policy and nursing routine upon admission. STANDARDS 1. Educates patient and their family regarding visitor policy. 2. Developmental age competency is assessed by one or more of the following methods: direct observation, listening and auditing of documentation. 3. Cultural & Linguistic competency is assessed by one or more of the following: direct observation, listening and auditing of documentation for the use of interpreters services.
  
  
• Continuum of Care - Transmits patient specific data and/or information among and between members of the healthcare team in an accurate & timely manner to promote continuity of care within and between levels of care. Understands and utilizes the chain of command effectively as needed. Documentation is accurate and completed in a timely fashion. Participates in the Dignity Health Care Management Initiatives and completes the required tasks and documentation (i.e. Nursing Bundle, patient care rounds). STANDARDS 1. Ensures accurate documentation of information transmitted among and between health care team members 95% of the time based on random chart review. 2. There are no occurrences of valid serious complaints or incident reports of failure to contribute or to collaborate with the other health care team members.
  
  
• Teamwork Behavior Maintains team structure by respecting the established leader and cultivating the team climate in a positive way. Resolves conflict by addressing the team or team members in a professional manner any concerns. Participates in the planning and problem-solving situation. Applies the Two-Challenge Rule when necessary. Provides situational updates, thus maintaining communication. Manage work load by integrating individualized assessments of patients needs Manage workload by re-prioritizing patient's response to overall caseload. Offers assistance for task overload and constructively uses periods of low workload. Engage in formal and/or informal team improvement strategies. STANDARDS 1. Participates in educational forums addressing teamwork. 2. Engage in situational learning and teaching with the team. 3. Acknowledges and contributes to team performance. 4. Communicates essential team information. 5. Engage in performance improvement strategies.
  
  
• Competencies - Department Specific Equipment Competencies a. Blood pressure equipment (electronic & manual) b. Lift equipment c. Telemetry Boxes & EKG Leads d. Beds and scales e. Sequential Compression Devices (apply, remove & care) f. Thermometers (automatic and manual) g. Restraints (apply & remove) STANDARDS 1. There is no evidence of lack of knowledge based upon a random sample review of charts, event reports and valid complaints. 2. There are no refusals or failure to use equipment as indicated.Care of the patient with: a. Bassinet/cribs b. Nasogastric tube c. Tube feeding d. Continuous Bladder Irrigation (CBI) e. Chest tube f. Orthopedic autologous blood transfusion (ConstaVac) g. Wound Care h. Traction i. Phototherapy bed STANDARDS 1. There is no evidence of lack of knowledge based upon a random sample review of charts, event reports and valid complaints.Department Specifics Procedure Competencies a. Pre-op Care of the patient assisting b. Post-op Care of the patient assisting c. Trach care assisting d. Wound Care assisting e. Repositioning f. Intake and Output (I&O) g. Isolation Management h. Harris flush i. Sitz bath j. Range of Motion k. Hold & cold compress l. Clip prep STANDARDS 1. There is no evidence of lack of knowledge based upon a random sample review of charts, event reports and valid complaints.

Required:

• Certified Nursing Assistant: CA, upon hire and
• American Heart Association Basic Life Support - CPR, upon hire

• Must be able to take call, float to other areas, and work on weekends and holidays as required.

Preferred:

• Minimum of six months experience in acute care or skilled facility.

Founded in 1873, Dignity Health - Mercy Medical Center is a 186-bed, acute care, nonprofit hospital located in Merced, California. Serving over 150,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, the Mercy Cancer Center, and a family birth center. Additionally, Merced Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation and is a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California