Advanced Certified Nursing Assistant

San Antonio, TX, United States

Medical Technician V (Advanced Certified Nursing Assistant) performs advanced (senior-level) patient care work in a 75 bed inpatient hospital and driver duties. Works under limited supervision, with moderate latitude for the use of initiative and independent judgment. Primary role is transporting patients to and from various departments in a state vehicle or other departments. Reports delays, accidents, or other traffic and transportation situations to dispatchers; drives state owned vehicles to transport patients, passengers, and/or supplies. Conducts visual inspections of vehicles before and after transports and ensures they are clean and in good repair. May be assigned inpatient assignments and involves monitoring patient conditions and providing assistance to medical staff in planning and administering therapeutic programs. Provides age appropriate patient care to assist a patient toward self-care in a safe environment including but not limited to bath/hand and face washing, oral hygiene, feeding, combing hair/shaving; takes and records vital signs; obtains specimens, makes beds, answers call lights and other general care; cleans unit equipment to include but not limited to IV poles, wheelchairs, refrigerator; transports patients to and from various departments; assists in preparation of patient rooms and beds for receiving patient admissions/transfers; participates with patients in divisional activities, indoors or outdoors either on campus or off campus. Obtains and deliver specimens. Assists with patient rehabilitative care needs when necessary. Adheres to the policies and procedures of Department of Health and State Services (DSHS), Texas Center for Infectious Disease (TCID) and the Department of Nursing. Essential Job Functions:

1. Transportation of Patients: Safe Transport: Safely transport patients to and from medical appointments, tests, and procedures within the healthcare facility, ensuring their comfort and security during transit. Assistant with vehicle maintenance by regularly inspecting and maintaining the cleanliness and functionality of the vehicle used for patient transportation. Assist patients in entering and exiting the vehicle, ensuring their safety and comfort throughout the transportation process. Adhere to schedules and ensure timely arrival at destinations, taking into consideration potential delays and adjusting routes as necessary. Drives state owned vehicles to transport patients, passengers, or supplies. Transport patients to and from scheduled appointments. Adjusts work schedule to carry out long distance driving, these duties may require traveling long distance throughout the state to transport patients. which includes working extra hours after shift normally ends. Determines the most practical route to be traveled while considering the safety of the patient. Adjusts transportation schedule as needed to have patients arrive at scheduled appointments in a timely manner, adapts schedule to meet patient special needs (age related or medical need). Properly identifies patient to be transported and safeguards the medical record. (30%)

2. Vehicle Maintenance: Conducts visual inspections of vehicles before and after transports and ensures they are clean and in good repair. Keeps a daily record of all transports and trips. Computes mileage of each trip and records on vehicle cards. Determines the amount of gasoline consumed by each vehicle and computes its cost. Report any mechanical issues promptly to the appropriate department. Ensures that emergency equipment is present in the vehicle and in workable condition. (5%)

3. Patient-Centric Care: Tailor care activities to suit the specific age and needs of each patient. Administer personal care tasks such as bathing, bed baths, shaving, and hygiene maintenance. Aid patients in mobility and positioning, providing assistance during ambulation and transfers. Assist patients with essential tasks including lifting, feeding, and using commodes and bedpans. Maintain clear and respectful communication with patients and their caregivers during transportation, addressing any concerns or questions they may have. Engage with patients in diversional activities, both indoors and outdoors. Actively encourage patient participation in recreational pursuits. Accompany patients on field trips outside the facility. (15%)

4. Patient Room Preparation and Vital Signs: Ready patient rooms for new admissions with fresh linens, sanitized surfaces, and personal essentials. Take patients' vital signs and accurately record the results.

Collect and transport lab specimens as necessary. Utilize glucometers to measure and monitor blood glucose levels for diabetic patients. Respond to patient call lights promptly and make regular patient rounds. Assists in preparation of units, patient rooms and beds for receiving patient admissions, transfers, emergencies, or discharges. Makes regular rounds to patients. (10%)

5. Equipment Maintenance: Thoroughly clean and sanitize patient care equipment, including IV pumps, wheelchairs, and bedside commodes. Facilitate patient transportation to different departments, ensuring a safe and comfortable experience. Assists in maintaining a safe and clean environment. Cleans patient care equipment. (5%)

6. Rehabilitation Assistance: Prepare and organize materials and equipment required for therapeutic activities. Operate therapeutic equipment as needed and provide guidance during rehabilitative therapies.

Collaborate with patients to support and encourage their participation in rehabilitative exercises. (10%)

7. Van Driver Trainer: Develop and implement comprehensive training programs for new and existing van drivers, covering aspects such as safe driving techniques, vehicle operation, defensive driving, customer service, and company policies. Conduct course for new employees and current employees in the nursing department. (5%)

8. Infection Control and Safety Measures: Emphasize respiratory precautions and unit rules during patient education sessions. Strictly adhere to infection control policies to create a safe healthcare environment.

Maintain hand hygiene and follow proper personal protective equipment (PPE) usage. Reinforce respiratory precautions and unit rules during patient teaching sessions. Thoroughly sanitize and maintain patient care equipment, including IV pumps, wheelchairs, and bedside commodes. Adhere to infection control policies to maintain a safe environment. Environmental conditions that apply to this job: Human blood, body fluids, tissue or wastes, biomedical waste, and biological agents. (5%)

9. Educational Requirements: Maintain up-to-date certifications related to the job role, renewing them as required. Regularly review and refresh knowledge acquired during training to ensure continued competence. Adhere to company policies and industry standards as learned during training sessions. Ensure facility trainings and certifications are not delinquent. Attend nurse staff meetings. (5%)

10. Regulatory Compliance: Ensure strict adherence to guidelines set by The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other relevant regulatory bodies. Conduct regular internal audits to identify potential areas of non-compliance and work proactively to address any discrepancies. Prepare for and participate in external audits and surveys by regulatory agencies, providing accurate documentation and responses as needed. Foster a proactive approach to regulatory compliance, encouraging all team members to actively participate in maintaining a compliant environment. (5%)

11. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. (5%) Knowledge Skills Abilities:

1. Knowledge of motor vehicle operations, passenger, equipment, and supply loading and unloading methods, traffic regulations and the maintenance of motor vehicles.

2. Knowledge of hospital policies and objectives.

3. Knowledge and ability to perform basic supportive patient care in an age-appropriate manner and assist nursing and medical personnel with prescribed treatments.

4. Knowledge of physical, emotional, and age-related needs of patient.

5. Knowledge required to provide age-appropriate care to young adults, adults, and geriatric individuals.

6. Knowledge of human development.

7. Skill in the use of equipment used in patient care.

8. Skill in providing age-appropriate nursing care to young adults, adults and geriatric patients.

9. Ability to transport and transfer patients using assistive devices.

10. Ability to perform patient care procedures in preparation, loading and unloading patients for transport.

11. Ability to communicate both orally and in writing, also carry out written and verbal instructions. Aptitude for working with people.

12. Ability to work cooperatively with staff members and establish positive therapeutic relationships with patients.

13. Ability to complete prescribed training program to gain work related competencies in the techniques, and methods of treatment to include Cardiopulmonary Resuscitation (CPR) and other related training.

14. Ability to read, write and speak English .

15. Knowledge of Joint Commission, CMS and state and federal regulations pertaining to health care and accreditation standards. Skill in teaching these requirements to others.

16.Knowledge of Department of State Health Services (DSHS) and Texas Center for Infectious Disease (TCID) policies and procedures.

In addition to the above knowledge, skills and abilities must be able to meet the following physical tasks:

Repeated bending, simple grasping, finger/manual dexterity, vision, hearing, reach above shoulder, simultaneous grasping, twist upper body, and can move approximately 150 lbs with or without assistance. Registration or Licensure Requirements:

1. Texas Nurse's Aide Certificate or ability to obtain in 5 months of hire date.

2. Must possess valid Texas driver's license or obtain it no later than 90 days after hire date. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Selection Criteria:

1. Graduation from a standard senior high school or equivalent is generally preferred.

2. Certification as a Nurse Aide (CNA) required.

3. Experience in health care or patient care work preferably in hospital setting.

4. Preferred experience in the operation of motor vehicles on a commercial basis.

5. Current CPR. Additional Information:

This position is eligible for the automatic 5% salary increase that will take effect on September 1, 2024, per the 88th Legislative session.

Employees must comply with all DSHS policies including immunizations, skin testing, and personal protective equipment.

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks.

Employees will be fitted with and must perform assigned duties while wearing the required respiratory protective equipment.

The Texas Center for Infectious Disease is a Tobacco Free Campus.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. MOS Code:

MOS Code: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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