Certified Nursing Assistant (CNA) - Float

Decypher•Fort Sam Houston, TX

About The Position

Decypher is hiring a Certified Nursing Assistant (CNA) to provide inpatient psychiatric and medical support in accordance with military and civil service standards. The role delivers direct patient care, monitors vital signs, assists with procedures, maintains patient safety and infection control, and supports activities of daily living. CNAs provide age-specific care according to inpatient ward and outpatient clinic procedures, provider orders, patient needs, and BAMC policies. Inpatient CNAs may rotate among one-to-one Individual Care Provider (ICP) assignments, Remote Patient Safety Attendant (RPSA) remote monitoring in the Telemetry Room, and assignments supporting nursing care teams. The schedule is four days per week: three 12-hour days and one 4-hour day, Sunday through Saturday, for no more than 40 hours per week. The position may require lifting 35–50 pounds independently and heavier weights, up to 75–100+ pounds, with assistance or mechanical lifting devices.

Requirements

  • Completion of a state-approved CNA program and successful completion of the state examination.
  • Registration in the Nursing Assistant Registry, with qualifications examined and certified by the Department of Health and Human Services (HHS) or equivalent.
  • Current Basic Life Support (BLS) certification through the American Heart Association or Red Cross.
  • Current, active, valid, unrestricted/unencumbered CNA certification or authorizing document from a U.S. state, the District of Columbia, or a U.S. territory or jurisdiction.
  • At least one year of experience in the required specialty within the last two years, under the supervision of a physician, LVN, and/or RN.
  • U.S. citizenship.
  • Ability to lift 35–50 pounds independently; heavier lifting up to 75–100+ pounds may be performed with assistance or mechanical lifting devices.

Responsibilities

  • Provide patient care consistent with the duties of a military or government civil service nursing assistant of similar experience and accepted practice, including inpatient psychiatry.
  • Manually and/or electronically record patient care activities and status accurately and complete medical record documentation within 72 hours in compliance with BAMC policies.
  • Verify patient identifiers; perform, monitor, and record vital signs, height, weight, and intake and output; observe patients for distress or changes in condition and report abnormalities.
  • Provide basic information about self-care and therapy, including activity level, diet, and fluid intake, and reinforce instructions provided by professional staff.
  • Dispense ice water and meal trays; assist with bathing, feeding, lifting, turning, ambulating, and oral, hair, skin, and other hygiene care.
  • Check IV infusion sites for complications; apply and monitor prescribed hot and cold packs; perform daily quality control checks on glucose test monitors; and collect or assist with collecting specimens.
  • Assist healthcare providers with examinations and procedures, including physical exams, X-rays, lumbar punctures, biopsies, and PAP/pelvic examinations.
  • Assist with patient admission, transfer, and discharge, and transport patients within BAMC for tests, procedures, or appointments.
  • Provide general information to patients and visitors about hospital and unit policies and directions.
  • Care for patients in isolation and assist with orientation or precepting of newly assigned personnel.
  • Assist with administrative tasks, including setting up and stamping patient record components and filing laboratory, X-ray, and other documents in the prescribed order.
  • Record observations and other pertinent data on appropriate records, including nursing notes and intake and output records.
  • Help maintain the unit and patient-care equipment by cleaning instruments, equipment, patient units, and work areas; sorting and storing supplies, linen, and equipment; disposing of trash and soiled linen; and restocking medical forms.
  • Report potential or actual problems to a physician, LVN, or RN; communicate professionally with the healthcare team, staff, patients, and visitors; and cooperate with the multidisciplinary team.
  • Maintain a clean patient environment, follow universal precautions and BAMC infection-control and safety policies, identify and address or report hazards, and initiate appropriate measures in emergencies.
  • Use knowledge of workload requirements and assigned staff capabilities to distribute or redistribute personnel resources in response to unforeseen patient-care needs.
  • Attend and participate in patient nursing reports, patient-care conferences, team, unit, or clinic conferences, discharge planning, and staff conferences as deemed appropriate by administrative officials.
  • Perform other duties within the CNA skill set as assigned.
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