Intermediate Care Unit (IMCU)

30-bed Intermediate Care Unit providing care for the following patients Post Interventional Electrophysiology pre- post procedures i.e. ablations, pacemakers Respiratory Failure High acuity patients with a strong focus on cardiac care Functions as a step-down intermediate care unit meeting the acute care patient needs. EKG Class, ACLS and residency classes are provided. Individualized, comprehensive, 16-week orientation program with a primary preceptor. A floating charge nurse for support on every shift 7 days a week

Position Function: The Certified Nurse Aide (CNA) functions as an integral part of the patient care team by performing selected patient/resident care treatments and tasks as delegated by licensed nurses and is accountable for his/her own action in performing duties as assigned and for which he/she is trained. Included is recognition and understanding of the physical, cognitive and psychosocial changes unique to the age group served on the unit.

Essential Functions and Responsibilities
Unit Based Essential Functions and Responsibilities

Core Values: Service, Integrity, Compassion
1. Demonstrates service excellence and patient and family centered care by showing respect, honesty, fairness and a positive attitude toward all customers.
2. Maintains confidentiality.
3. Demonstrates dependability, to include attendance and punctuality.
4. Is accountable - takes initiative and ownership of issues.
5. Displays a professional demeanor. Represents hospital in a positive way. Has a compassionate working relationship with patients and families.
6. Assumes personal responsibility for 2-way communication. Communicates and listens effectively with patients, families, coworkers, other departments, physicians/providers and community.
7. Supports coworkers, initiatives and a patient and family centered philosophy; pitches in; does own part and helps others.
8. Works to continuously improve work environment/processes (Performance Improvement). Demonstrates a patient and family centered focus when considering/developing improvement solutions.
9. Represents willingness/enthusiasm to create, embrace and facilitate change.
10. Develops self and others; supports a learning environment; leads by example. Encourages patients and families to give feedback and suggestions for improvement.
11. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers and community.
12. Encourages others by providing recognition and support.

Technical Excellence
1. Thinks critically; utilizes sound judgment; promptly reports potential risks.
2. Maintains state of art knowledge of area of specialty, healthcare trends and practice, and populations served.
3. Maintains a level of computer literacy appropriate to their role.
4. Meets and maintains current all unit specific and organizational skills/competencies, certifications/licensures, as required.
5. Completes hospital-required reviews, e.g. HIPAA, safety, health screening,
care concerns, and others as assigned.
6. Adheres to National Patient Safety Goals.

Job Class Specifics
1. Consistently communicates pertinent information to the primary nurse and/or follows chain of command to ensure patient and safety concerns are addressed.
2. Seeks guidance and direction, as necessary, for performance of duties and completion of assignment.
3. Assists and maintains a neat, clean and safe environment for patients, families, employees, volunteers and providers.
4. Demonstrates competence with all CNA standard work and performs independently, accurately, efficiently, promptly, recognizing importance to positive outcomes.
5. Receives instructions and follows directions accurately and in a cooperative manner; thinks critically and clarifies questions and concerns prior to acting.
6. Observes changes in patient condition & promptly reports to primary nurse and/or follows chain of command to ensure patient and safety concerns are addressed.
7. Documents according to standard work elements in electronic medical record in addition to informing primary nurse and other caregivers.
8. Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients according to standard work elements.
9. Assists in maintaining equipment assigned to patient care and reports malfunctioning of equipment to appropriate personnel.
10. Supports orientation of new personnel to the unit by welcoming and encouraging them. Serves as a preceptor or "buddy" to new team members.
11. Recognizes and responds to shifting priorities in the patient care process. Readily adapts to changes in workload and responds efficiently and effectively.
12. Responds appropriately to emergency situations.
13. Anticipates patient, family, team member, and unit needs and is proactive rather than waiting to be told.
14. Answers/responds to patient call lights, telephone and voice communications/pages promptly.
15. Follows standard work in post mortem care and transport.
16. Follows standard work in responding to Code Blue.
17. Maintains current knowledge through reading journals, attending meetings, and continuing education. Maintains certification.
18. Transports medications within the hospital as requested and needed according to Hospital policy.

General Requirements

The following requirements are expected of all employees:

Core Values: Integrity, Compassion, Excellence, Service
Annual Health Screening with Infection Control and Blood Borne Pathogens Education
Safety Awareness: Hospital Fire, Safety, and Disaster Procedures
Confidentiality: Maintains Employee and Patient Confidentiality.
Attendance: Regular attendance is an essential function of the position
Leadership Standards:
Character: Attitude, Integrity, Role Modeling
Job Performance: Results Orientation, Customer Focus, Decision Making, Awareness
Interpersonal Skills: Communication, Relationship-building, Team Player, Celebration
Innovation: Breakthrough Thinking, Knowledge-Building/Sharing, Coaching/Empowering, System Vision & Management

Physical and Mental Requirements: Classified as medium work by Dictionary of Occupational Titles: May exert 20-50 pounds of force occasionally, and/or 10-20 pounds of force frequently/and/or greater than negligible (up to 10 pounds) force constantly in order to move objects.
- Stands frequently during a normal shift.
- Walks frequently within the department.
- Sits occasionally.
- Lifts up to 50 pounds laterally to and from waist level.
- Pulls/pushes up to 125 pounds.
- Carries up to 15 pounds.
- Frequent bending, kneeling and squatting from an upright position to lower levels.
- Reaches to heights of up to 2 feet.
- Occasional twisting from upper torso.
- Ability to move rapidly in response to unpredictable emergencies/patient behaviors.
- Ability to physically restrain average person (weighing 155 pounds) by assisting in a 2-person lift.
- Near-visual acuity with color perception in order to view computer screen, decipher fine print and colors of medications and solutions; also must be able to observe specific actions and from a distance. Assessment of patients including the ability to perform the following: Recognition of body color changes including but not limited to pallor, flushing, cyanosis, and jaundice; evaluation of skin rashes, erythema, and wounds, including color and quality of wound bed and exudate if present; and detection of visible blood or bile in urine, stool, sputum, and vomit. Use of area-specific monitoring equipment, potentially including color-coded information.
- Auditory acuity; able to hear phone conversation, overhead pagers, alarms and call bells, heart and lung and bowel sounds (differentiating the quality of each), normal voice tones when not facing the individual, and able to hear as well as see blood pressure reading with accuracy.
- Ability to occasionally operate hand/arm and foot/leg controls on beds, stretchers, bed scales, wheelchairs and lifts.
- Manual dexterity, digital sensitivity, and flexibility (i.e. ability to program equipment, start IV's, give injections, check pulses and temperatures of patient, adjust flow rates, open medications and utilize a keyboard).
- Good hand/eye coordination.
Mental Requirements: Must possess good general mental health; ability to work under pressure; ability to communicate effectively in both written and verbal form. Must establish priorities among essential functions of the job and coordinate these functions with others; ability to speak, read, and write the English language.

Working Environment: Work is performed in a clean, well-ventilated, indoor area; possible exposure to patients with infectious diseases or to bodily fluids which may contain infectious agents. Some risk of harm through dealing with patients who may pose a danger to self, others or property. Interfaces with a diversity of customers.

Reporting Structure:
A. Formal Reporting and Chain of Command -- Reports to the Clinical Manager of the assigned unit or their designee. In his/her absence, reports to Nurse Manager, Administrative Resource Coordinator, Director of Patient Services and/or Vice President of Patient Services.
B. Informal Reporting and Relationships--Establishes and maintains harmonious, productive relationships with all levels of nursing personnel, other hospital personnel, management, physicians, patients, and the general public.
Disclaimer: These essential job functions are requirements of the position, which must be performed either with or without reasonable accommodation. The essential job function list is intended to be a guide rather than a limitation. The Chambersburg Hospital possesses the right to add new responsibilities to the list as business demands dictate. Some of the essential job functions may exclude individuals who pose a direct threat/significant risk to the health and safety of themselves or others.
By identifying essential job functions, we are in no way stating or implying that these required tasks are the only activities that are to be performed by the employee occupying this position. In addition, employees will also be expected to follow any other job-related instructions and to perform any other job-related duties that are included in the job description. The preceding requirements represent only the minimum acceptable levels of knowledge, skills, and/or abilities that a job incumbent must possess; in order to perform the job successfully, the incumbent will possess additional aptitudes so as to perform the other duties that the job description entails.

Qualifications and Standards

Education: Formal Education and Training - High school graduate or the equivalent preferred. Must have successfully completed a certified nurse aide course or licensed practical nursing course.
Informal or Continuing Education - Evidence of participation in educational programs to update and maintain knowledge and clinical skills.

Experience: Experience applying customer service behaviors and communication skills required. Previous experience as a CNA or LPN preferred. Proficient communication skills including reading comprehension and listening skills. Required to demonstrate proficiency in CNA knowledge and basic arithmetic.

Certifications/Licensure: CPR certification required. Pennsylvania State Nurse Aide Certification or Pennsylvania LPN license is required.

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