POSITION DESCRIPTION / PERFORMANCE EVALUATION Job Title: Nursing Assistant Prepared by: Date: Supervised by: Director of Nursing Approved by: 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: Performance is clearly outstanding;performance is superior it far exceeds standards E = Excellent or expectations;performance is exceptional on a continuous basis. G = Good S = Satisfactory NI = Needs Improvement Performance generally meets or exceeds standards or expectations;attains all or nearly all of position objectives. Performance is adequate it meets standards or expectations, and is developing within the position. 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. Makes observations of common changes in patients condition. Reports observation to appropriate person. Documents observation accurately. Collects basic patient data as assigned such as vital signs, oral intake, and output, etc. Assists and accompanies patient in admission, transfer and discharge process. Performs direct patient care as assigned to provide for the physical comfort of the patient, in accordance with the nursing care plan. Familiar with duties and performs them accurately, recognizing their importance and relationship to patient care. Responsible for completion of assignments without interference to quality of work. Assists licensed staff in formation of nursing care plan. Contributes to the revision of the care plan by making suggestions. Contributes to the evaluation of the response of the patient to his/her plan. Contributes to the revision of the patient care plan according to changing needs of the patient. 1
Demonstrates Competency in the Following Areas: E G S NI U Helps assure a clean, safe environment with well-stocked supplies and functioning equipment. Reports malfunctioning equipment and safety hazards to appropriate person. Assists in keeping stocked supplies clean and up to date. Has current knowledge of proper equipment usage. 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. Able to adapt to change in workload or patient assignments. Recognizes and performs duties which need to be performed although not directly assigned. Seeks guidance and direction as necessary for performance of duties. Recognizes and responds to priorities in patient care process. Maintains CPR skills. Prompt reliable and regular in attendance. Reports to work on time. Provides proper notification for absence or tardiness. Takes corrective action to prevent recurring absences. Appearance and attitude conducive to good working relationship. Observes hospital uniform code or dress guidelines and wears ID badge. Establishes good rapport with patient, families, and visitors respecting patients rights to privacy and confidentiality of information. Provides direction to patients, families and visitors in a courteous, precise manner with a positive tone. Establishes good rapport and working relationships with co-workers, other nursing personnel, physicians, and supervisory staff. Keeps working knowledge current and changes when the need arises. Attends staff meetings on regular basis (at least 8 per year). Attends inservice offerings when appropriate. Demonstrates understanding of emergency procedures, fire drills, evacuation procedures and internal/external disaster plans and procedures. Special Training (OB, ER) has been trained and performs to expectations. 2
Professional Requirements: E G S NI U Adheres to dress code, appearance is neat and clean. Completes annual education requirements. Maintains regulatory requirements, including all state and federal regulations. Adheres to the Group I level of HIPAA Minimum Necessary Standard when using, disclosing or requesting Protected Health Information (PHI). Reports to work on time and as scheduled. Wears identification while on duty. Attends annual review and performs departmental inservices. Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. Represents the organization in a positive and professional manner. Attends committee, CQI and management meetings, as appropriate. Resolves personnel concerns at the departmental level, utilizing the grievance process as required. Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control. Effectively and consistently communicates administrative directive to personnel and encourages interactive departmental meetings and discussions. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department. Total Points 3
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. Name/Signature Date Signed 4
JOB TITLE: Nursing Assistant DEPARTMENT: Nursing NAME: # HOURS/WORKDAY: 8 DEVELOPED BY: DATE DEVELOPED: 1/7/05 MANAGER SIGNATURE: DATE: DESCRIPTION OF PHYSICAL DEMANDS CHECK APPROPRIATE BO FOR EACH OF THE FOLLOWING ITEMS TO BEST DESCRIBE THE ETENT 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. Stand: Walk: Sit: Talk or hear: Use hands to finger, handle or feel: Push/Pull: Stoop, kneel, crouch or crawl: Reach with hands and arms: Taste or smell: Amount of Time 1/3 to 1/2 None up to 1/3 2/3 and more This job requires that weight be lifted or force be exerted. Show how much and how often by checking the appropriate boxes below. Up to 10 pounds: Up to 25 pounds: Up to 50 pounds: Up to 100 pounds: More than 100 pounds: Amount of Time None up to 1/3 1/3 to 1/2 2/3 and more 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. This job requires exposure to the following environmental conditions. Show the amount of time by checking the appropriate boxes below. Wet, humid conditions (non-weather): Work near moving mechanical parts: Fumes or airborne particles: Toxic or caustic chemicals: Outdoor weather conditions: Extreme cold (non-weather): Extreme heat (non-weather): Risk of electrical shock: Work with explosives: Risk of radiation: Vibration: The typical noise level for the work environment is: Check all that apply. Very Quiet Loud Noise Quiet Very Loud Noise x Moderate Noise Amount of Time None Up to 1/3 1/3 to 1/2 2/3 and more Hearing: x Ability to hear alarms on equipment x Ability to hear patient call x Ability to hear instructions from physician/department staff REPETITIVE MOTION ACTIONS Number of Hours Repetitive use of foot control 0 1-2 3-4 5-6 7+ C. Both Repetitive use of hands C. Both Grasping: simple/light C. Both Grasping: firm/heavy C. Both Fine Dexterity C. Both WORK ENVIRONMENT 5
PERFORMANCE EVALUATION CONTINUATION PAGE Staff Member: Job Title: Performance Evaluation Score: # of total points achieved Supervisors Comments: 240 152 points = Excellent 151 144 = Good 143 96 = Satisfactory 95 48 = Needs Improvement 47 0 = Unacceptable 100% merit increase 100% merit increase 75% merit increase 50% merit increase 25% merit increase Recommended Goals/Actions: Staff Member Comments: Actions Recommended by Supervisor: Current Wage: New Wage: Performance Review Only Next Performance Review on: Acknowledgement of Job Description Cost of Living Increase: Salary Increase: Total Increase: Salary Increase Denied Staff Member Signature Date Supervisor Signature Date Administrative Signature Date 6
PERSONNEL MEMBER ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION As a member of the Okeene Municipal Hospital s personnel team, your comments and input are important to both our continuing development and quality provision of patient care and services. Your continued professional growth and job satisfaction are primary goals of the hospital. The administrative team and your department supervisor are interested in your comments regarding the following: 1-5 (1 = poor, 5 = excellent) 1. How would you rate your current job satisfaction level? 2. How would you rate your current job performance? 3. How would you rate the organization s provision of personnel benefits? 4. How would you rate the organization s provisions for personnel continuing education? 5. How would you rate the organization s physical working environment? 6. How would you rate the organization s emotional working environment? 7. List your professional goals: 8. List any departmental goals that may differ from professional goals (include educational and performance goals): 9. Is there anything the organization can do to help you achieve any of these goals? 10. If so, please describe: 11. Comments you feel may assist the organization with improving personnel satisfaction levels: Note: This organization pledges to utilize information provided for the sole purpose of improving personnel satisfaction and assisting the author with achievement of advanced personal and/or professional growth. 7