Nursing Care Assistant II - Duke University Hospital-Adult General Medicine-Rotating or Night Shift

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.\n\nAbout Duke University Hospital\n\nPursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency / trauma center, an endo-surgery center, and more.\n\nDuke Nursing Highlights : \n

• Duke University Health System is designated as a Magnet organization\n
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.\n
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.\n
• Duke University Health System has 6000 + registered nurses\n
• Quality of Life : Living in the Triangle!\n
• Relocation Assistance (based on eligibility)\n\nGeneral Description of the Job Class\n\n8100 is a 31 bed Step-down / Intermediate General Medicine unit operating 24 hours per day, seven day per week. All 31 intermediate beds are flexible Step-down beds for non-ventilated (MICU) Step-down patients. Care is provided to adult patients, including geriatrics (65 years and older). Care is delivered by a multidisciplinary team that includes numerous General Medicine teams, Registered Nurses, Case Management, Patient Resource Managers, Nutritionists, Physical Therapists, Occupational Therapists, Respiratory Therapist, Pastoral Services, support and consultative services\n\nThe Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and / or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient / family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Perform tasks within the scope of a Nursing Care Assistant I and II as defined by the NC Board of Nursing.\n\nDuties and Responsibilities of this Level\n\nPrepare patients, equipment and supplies for specific procedures and provide manual assistance as required.\n\nObtain and record patient data for medical records noting and informing RN / LPN of information collected.\n\nAdminister 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.\n\nParticipate in teaching activities by reinforcing teaching instructed by RN and / or providers as needed.\n\nAssist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients.\n\nTake 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.\n\nPerform fingersticks for blood glucose testing, with appropriate training, document and notify RN / LPN.\n\nAssist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required.\n\nCollect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required.\n\nParticipate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners.\n\nMay also perform clean dressing change for wounds over 48 hours old.\n\nPerform other related duties incidental to work described herein.\n\nIn 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.\n\nRequired Qualifications at this Level\n\nEducation\n\nCompletion 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.\n\nHigh School diploma or equivalent required.\n\nExperience\n\nN / A\n\nDegrees, Licensure, and / or Certification\n\nListed 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.\n\nBCLS certification must be maintained / completed by the end of new hire orientation, which typically takes place during the first week of employment.\n\nKnowledge, Skills, and Abilities\n\nWorking knowledge of sterile techniques and special procedures that are applicable to work performed.\n\nWorking knowledge of procedures and techniques involved in administering routine and special treatments to patients.\n\nWorking knowledge of principles and practices of providing nonprofessional bedside patient care.\n\nWorking knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.\n\nWorking knowledge of infection control procedures and safety precautions.\n\nAbility to withstand prolonged standing and walking.\n\nThis 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.\n\nAbility to understand and follow oral and written instructions.\n\nAbility to document and communicate pertinent information using computer and / or paper documentation tools.\n\nAbility to establish and maintain effective working relationships with patients and hospital staff.\n\nWorking knowledge of the organization and physical layout of the hospital.\n\nPre-employment Physical Capacity Testing may be required.\n\nDuke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.\n\nDuke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.\n\nEssential Physical Job Functions : Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and / or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.