POSITION DESCRIPTION / PERFORMANCE …

1 1 POSITION DESCRIPTION / PERFORMANCE evaluation Job Title: Nursing Assistant Supervised by: Director of Nursing Prepared by: _____ Approved by: _____ Date: _____ Date: _____ Job Summary: The nursing assistant is responsible for performing tasks which involve direct services for patients delegated by a registered nurse and performed under the supervision of a registered nurse or licensed practical nurse. Obtains and transmits urine, blood and other specimens for lab analysis. DUTIES AND RESPONSIBILITIES: E = Excellent PERFORMANCE is clearly outstanding; PERFORMANCE is superior it far exceeds standards or expectations; PERFORMANCE is exceptional on a continuous basis. G = Good PERFORMANCE generally meets or exceeds standards or expectations;Attains all or nearly all of POSITION objectives.

2 S = Satisfactory PERFORMANCE is adequate it meets standards or expectations, and is developing within the POSITION . NI = Needs Improvement Fails to meet one or more job expectations. U = Unacceptable PERFORMANCE is below accepted levels;Fails to meet most job expectations. Demonstrates Competency in the Following Areas: E G S NI U Assists licensed staff with patient care following directions and precise manner. Performs assigned treatment or procedures accurately and with good technique. 5 4 3 2 1 Makes observations of common changes in patients condition. 5 4 3 2 1 Reports observation to appropriate person. 5 4 3 2 1 Documents observation accurately. 5 4 3 2 1 Collects basic patient data as assigned such as vital signs, oral intake, and output, etc.

3 5 4 3 2 1 Assists and accompanies patient in admission, transfer and discharge process. 5 4 3 2 1 Performs direct patient care as assigned to provide for the physical comfort of the patient, in accordance with the nursing care plan. 5 4 3 2 1 Familiar with duties and performs them accurately, recognizing their importance and relationship to patient care. 5 4 3 2 1 Responsible for completion of assignments without interference to quality of work. 5 4 3 2 1 Assists licensed staff in formation of nursing care plan. Contributes to the revision of the care plan by making suggestions. 5 4 3 2 1 Contributes to the evaluation of the response of the patient to his/her plan. 5 4 3 2 1 Contributes to the revision of the patient care plan according to changing needs of the patient. 5 4 3 2 1 2 Demonstrates Competency in the Following Areas: E G S NI U Helps assure a clean, safe environment with well-stocked supplies and functioning equipment.

4 Reports malfunctioning equipment and safety hazards to appropriate person. 5 4 3 2 1 Assists in keeping stocked supplies clean and up to date. 5 4 3 2 1 Has current knowledge of proper equipment usage. 5 4 3 2 1 Show initiative and sound judgment in routine situations as well as during emergencies. Able to perform in an accurate and precise manner in crises and emergency situations when time is of the essence. 5 4 3 2 1 Able to adapt to change in workload or patient assignments. 5 4 3 2 1 Recognizes and performs duties which need to be performed although not directly assigned. 5 4 3 2 1 Seeks guidance and direction as necessary for PERFORMANCE of duties. 5 4 3 2 1 Recognizes and responds to priorities in patient care process. 5 4 3 2 1 Maintains CPR skills. 5 4 3 2 1 Prompt reliable and regular in attendance.

5 Reports to work on time. 5 4 3 2 1 Provides proper notification for absence or tardiness. 5 4 3 2 1 Takes corrective action to prevent recurring absences. 5 4 3 2 1 Appearance and attitude conducive to good working relationship. 5 4 3 2 1 Observes hospital uniform code or dress guidelines and wears ID badge. 5 4 3 2 1 Establishes good rapport with patient, families, and visitors respecting patients rights to privacy and confidentiality of information. 5 4 3 2 1 Provides direction to patients, families and visitors in a courteous, precise manner with a positive tone. 5 4 3 2 1 Establishes good rapport and working relationships with co-workers, other nursing personnel, physicians, and supervisory staff. 5 4 3 2 1 Keeps working knowledge current and changes when the need arises. Attends staff meetings on regular basis (at least 8 per year).

6 5 4 3 2 1 Attends inservice offerings when appropriate. 5 4 3 2 1 Demonstrates understanding of emergency procedures, fire drills, evacuation procedures and internal/external disaster plans and procedures. 5 4 3 2 1 Special Training (OB, ER) has been trained and performs to expectations. 5 4 3 2 1 3 Professional Requirements: E G S NI U Adheres to dress code, appearance is neat and clean. 5 4 3 2 1 Completes annual education requirements. 5 4 3 2 1 Maintains regulatory requirements, including all state and federal regulations. 5 4 3 2 1 Adheres to the Group I level of HIPAA Minimum Necessary Standard when using, disclosing or requesting Protected Health Information (PHI). 5 4 3 2 1 Reports to work on time and as scheduled. 5 4 3 2 1 Wears identification while on duty. 5 4 3 2 1 Attends annual review and performs departmental inservices.

7 5 4 3 2 1 Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. 5 4 3 2 1 Represents the organization in a positive and professional manner. 5 4 3 2 1 Attends committee, CQI and management meetings, as appropriate. 5 4 3 2 1 Resolves personnel concerns at the departmental level, utilizing the grievance process as required. 5 4 3 2 1 Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control. 5 4 3 2 1 Effectively and consistently communicates administrative directive to personnel and encourages interactive departmental meetings and discussions. 5 4 3 2 1 Complies with all organizational policies regarding ethical business practices. 5 4 3 2 1 Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.

8 5 4 3 2 1 Total Points ___ ___ ___ ___ ___ 4 Education/Experience Requirements: Able to communicate effectively in English, both verbally and in writing. Self motivated and willingness to learn & be trained. Current CPR, ACLS, & PALS required within 1 year. Ability to work cooperatively with medical staff, patients and families. Physical Demands: Able to lift up to but not limited to 40 lbs. For physical demands of POSITION , including vision, hearing, repetitive motion and environment, see following DESCRIPTION . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the POSITION without compromising patient care. ======================================== ======================================== ======= I have received, read and understand the POSITION DESCRIPTION / PERFORMANCE evaluation above.

9 Name/Signature Date Signed 5 DESCRIPTION OFDESCRIPTION OFDESCRIPTION OFDESCRIPTION OF PHYSICAL DEMANDSPHYSICAL DEMANDSPHYSICAL DEMANDSPHYSICAL DEMANDS JOB TITLE: Nursing Assistant DEPARTMENT: Nursing NAME: # HOURS/WORKDAY: 8 DEVELOPED BY: DATE DEVELOPED: 1/7/05 MANAGER SIGNATURE: DATE: CHECK APPROPRIATE BOX FOR EACH OF THE FOLLOWING ITEMS TO BEST DESCRIBE THE EXTENT OF THE SPECIFIC ACTIVITY PERFORMED BY THE STAFF MEMBERS IN THIS POSITION PHYSICAL DEMANDS On-the-job time is spent in the following physical activities Show the amount of time by checking the appropriate boxes below. Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more Stand: X Walk: X Sit: X Talk or hear: X Use hands to finger, handle or feel: X Push/Pull: X Stoop, kneel, crouch or crawl: X Reach with hands and arms: X Taste or smell: X This job requires that weight be lifted or force be exerted.

10 Show how much and how often by checking the appropriate boxes below. Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more Up to 10 pounds: X Up to 25 pounds: X Up to 50 pounds: X Up to 100 pounds: X More than 100 pounds: This job has special vision requirements. Check all that apply. x Close Vision (clear vision at 20 inches or less) x Distance Vision (clear vision at 20 feet or more) x Color Vision (ability to identify and distinguish colors) x Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point) x Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships) x Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus) No Special Vision Requirements Specific demands not listed: _____ _____ _____ _____ _____ _____ Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this POSITION .