About The Position

Duke University Hospital in Durham, North Carolina, is seeking a Nursing Care Assistant II/Health Unit Coordinator for its Perianesthesia department. This role supports the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) by providing direct patient care and assisting with non-direct patient care unit coordination. The position requires knowledge of basic care and comfort standards, as well as the specific needs of the patient population in the assigned work area. The Nursing Assistant (NA) is expected to assist the RN in the care of acutely ill patients, practice medical asepsis, respect patient dignity and privacy, and be aware of cultural differences. Adherence to basic policies and procedures, and appropriate response during emergencies are also expected. Responsibilities include maintaining the patient/family environment, general unit upkeep, ordering and maintaining unit equipment, and ordering supplies as needed. Accurate verbal and written communication, and appropriate documentation in the electronic health record are essential. This role involves performing tasks within the scope of a Nursing Care Assistant I and II as defined by the NC Board of Nursing, and a variety of clerical duties related to patient data and records, including operating patient care information systems. Individuals in this role are typically scheduled for NCA II shifts at minimum 75% of the time.

Requirements

  • Completion of Level I Nurse Aide education program approved by the North Carolina Board of Nursing or successful completion of the NC - approved Nurse Aide I competency test and completion of Level II Nurse Aide education programs approved by the North Carolina Board of Nursing.
  • High School diploma or equivalent required.
  • Listed as NA I with the Division of Facility Services with no substantiated findings of abuse, fraud, neglect or misappropriation of property.
  • Listed as NA II with the North Carolina Board of Nursing.
  • BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment.
  • Working knowledge of sterile techniques and special procedures that are applicable to work performed.
  • Working knowledge of procedures and techniques involved in administering routine and special treatments to patients.
  • Working knowledge of principles and practices of providing nonprofessional bedside patient care.
  • Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.
  • Working knowledge of infection control procedures and safety precautions.
  • Ability to withstand prolonged standing and walking.
  • This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day.
  • The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment.
  • Ability to understand and follow oral and written instructions.
  • Ability to document and communicate pertinent information using computer and/or paper documentation tools.
  • Ability to establish and maintain effective working relationships with patients and hospital staff.
  • Working knowledge of the organization and physical layout of the hospital.
  • Pre-employment Physical Capacity Testing may be required.

Responsibilities

  • Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required.
  • Obtain and record patient data for medical records noting and informing RN/LPN of information collected.
  • Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients.
  • Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed.
  • Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients.
  • Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition.
  • Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water.
  • Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN.
  • Assist with admission, discharge, and transportation of patients.
  • Follow standard precautions and use personal protective equipment as required.
  • Collect, deliver and conduct routine tests on patient specimens.
  • Clean assigned area; stock and replenish supplies and equipment as required.
  • Participate in own professional development by maintaining required skills validation and attending educational offerings.
  • Support the development of other staff and formal learners.
  • May also perform clean dressing change for wounds over 48 hours old.
  • Perform a variety of clerical tasks involved in operating the organization's patient care information system.
  • Acknowledge orders on EMR task list, verify printout and input verified orders to request diets, treatments, nursing services, equipment and diagnostic and laboratory tests and procedures.
  • Assemble and maintain patient charts from admission through discharge.
  • Prepare and upload paper documents into the electronic medical record (EMR).
  • Navigate electronic medical record, access patient information, generate reports, schedule appointments and manage task list.
  • Assign nursing staff to communication systems.
  • Perform other related duties incidental to the work described herein.
  • In addition to the NCA I duties outlined, the following duties may be performed: sterile dressing change for wounds over 48 hours old and wound irrigation; IV fluid assistance activities; oral/nasogastric feeding; urinary catheterization and irrigation; oxygen therapy, including room set-up and monitoring flow-rate; break up and removal of fecal impaction; oropharyngeal and nasopharyngeal suctioning; tracheotomy care; ostomy care and irrigation. These additional skills will require competency validation on hire as well as annual competency validation.

Benefits

  • Relocation Assistance (based on eligibility)
  • $5,000 Commitment Bonus paid in 2 equal installments
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