Certified/Licensed Nursing Assistant - DECN, Echo Cliffs

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

This position is responsible for providing annual diabetes foot, JVN screening exam and nutrition care support to patients using standardized procedures requiring knowledge of specific patient conditions that includes collection and reporting of vital signs, completing foot exams and diabetic eye screening, patient charting, and patient education and training under the supervision of registered dietitians. Provides unscheduled services at the convenience of patients and families. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards

Qualifications

NECESSARY QUALIFICATIONS

Education:

• High school diploma or GED

Certification/Licensure:

• Must have and maintain a current, active, and unrestricted Nursing Assistant certification/license in any state, province or territory of the United States
• Must have and maintain a current Basic Life Support (BLS) certification throughout employment by the American Heart Association or obtain within six (6) months of date of hire.

Experience:

One (1) year of Certified/Licensed Nursing Assistant (CNA/LNA) or other direct patient care experience

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.  All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Able to respond appropriately in stressful situations
• Ability to work under conditions of frequent interruptions and handle confidential information
• Must be proficient with typing and accurate spelling and grammar; detail-oriented and organized
• Able to provide direct patient care in a kind, patient, and compassionate manner
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job.
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job.
• Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Incumbent must be able to sit at a desk using a computer terminal and keyboard using fine hand manipulation, firm and simple grasping, stand, walk, bend, crouch, twist, maintain balance, and reach frequently (1/2 workday) throughout the workday. Incumbent also has the ability to frequently us far/near/color vision with depth perception and seeing fine details. Incumbent must be able to hear and talk over the telephone and in person with others. As well as hear overhead pages for prolonged periods of time (3/4 of workday). Incumbent must be able to drive, climb, and kneel, and lift/push/pull up to 24 lbs. on occasion (1/4 of workday).

Mental:

Must be able to prioritize and use good judgment.  Must be able to coordinate a variety of issues while being frequently interrupted.  Must be able to assess data such as lab values and weights.

Incumbent must have the ability to concentrate, handle a high degree of flexibility and demonstrate high degree of patient frequently (1/2 of the workday). Incumbent must have the ability to cope with high level of stress, make decision under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle multiple priorities in a stress situation, work alone, adapt to shift work, work in areas that are close, crowded and accepts flexible schedule to meet the unit needs occasionally (less than ¼ of workday).

Environmental:

Incumbent may be exposed occasionally (less than ¼ of workday) to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, as well as hazardous or moving equipment.

Responsibilities

ESSENTIAL FUNCTIONS

1. Welcomes & greets patients and families in person and/or the telephone; answers or refers inquiries; directs patients/visitors. Tactfully communicates with patients and families during times of emotional and physical stress.
2. Explains care, observes patients, communicates observations on patient’s condition to the appropriate healthcare team members and initiates emergency measures such as basic life.
3. Understands diabetes and nutrition care for patients with and at-risk for diabetes. Provides direct patient teaching to an individual or group under the supervision of a professional instructor. Counsels to reinforce education provided by professional and patient goals, and to promote positive behavior change. Schedules coordinated follow-up care.
4. Screens patients for appointments with dietitians and educators. Completes blood pressure and point-of-care glucose and HbA1c screening. Measures weight and height and calculates body mass index (BMI).
5. Trains patients and families on safe use of glucometers and self-monitoring of blood glucose (SMBG).
6. Assists in the secure downloading of patient glucometers for provider use to support medication adjustments.
7. Evaluates educational needs based on patient’s history and diabetes control. Reviews patient records to ascertain whether the standards of care are met.
8. Provides comprehensive foot exam and a retinal camera eye exam for patients with diabetes in close collaboration with primary care clinics. (Training will be provided).
9. Follows stringent cleanliness regimens to prevent the possibility of infections and other diseases.
10. Use customer service principles to resolve complaints or conflicts. Promote harmonious interpersonal relationships with patients, families, and other health care team personnel. Adheres to TCRHCC mission, goals and policies.
11. Tracks patient care encounters. Documents patient care to maximize reimbursement to facility by third party payers.
12. Initiates referrals to other health care providers for the purpose of getting the patient the health care services they require, e.g. eye clinic, podiatry, dental, primary care, diabetes educator, dietitian, mental health, etc.
13. Participates in community-based screenings and assists with community diabetes awareness and prevention activities.
14. Assists in assembling and maintaining adequate supplies and shares in responsibility for general upkeep of the department equipment and supplies.
15. Ensure Proper PPE is used at all times while on duty. Face surgical masks are to be worn in all hospital areas. Proper handwashing is required. If water is not available, use hand sanitizer. Social distancing will be practiced by department.
16. Proper PPE is used inside assigned Clinics or Units. NIOSH- approved N95 Masks filtering face piece respirator or higher, if available, this includes eye or face shields, gloves, and isolation gowns.
17. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Complete provided training. Ensure that staff members are following appropriate donning and doffing techniques and have access to necessary PPE for role.
18. Performs other duties as assigned.