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100400
NURSING ASSISTANT 2
MS505     $25,480 - $45,864
Creation Date: 06/29/1987
Change Date: 10/01/2022

FUNCTION OF WORK:
To perform advanced sub professional nursing duties in the care and comfort of patients.

LEVEL OF WORK:
Advanced

SUPERVISION RECEIVED:
General from a Registered Nurse, Practical Nurse--Licensed, Surgical Technician, or other higher level personnel.

SUPERVISION EXERCISED:
May act as lead worker over lower level nursing assistants or aides.

LOCATION OF WORK:
May be used by all state agencies.

JOB DISTINCTIONS:
Differs from Nursing Assistant 1 by the presence of responsibility for more advanced sub professional nursing support procedures and/or by the presence of lead worker responsibilities.

Differs from Medical Assistant by the absence of a combination of clerical and sub professional nursing duties.

Differs from Medical Specialist by the absence of responsibility for performance of specialized procedures in the care of orthopedic, urology, ophthalmology and/or speech pathology/audiology patients.

CORE COMPETENCIES:
CORE COMPETENCIES HAVE NOT BEEN IDENTIFIED BY STATE CIVIL SERVICE FOR THIS JOB TITLE. MORE INFORMATION ON THE SCS COMPETENCY MODEL CAN BE FOUND HERE.

EXAMPLES OF WORK:
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

GENERAL DUTIES:
Measures temperature, pulse, respiration, blood pressure, head circumference, height and weight; records in patients medical record as allowed by institutional policy.

Observes patients physical and mental conditions and reports any changes to charge nurse.

Prepares and/or inspects ward rooms, equipment, supplies and area for cleanliness; reports deficiencies or maintenance problems.

Performs all duties that may be performed by the unit aide and Nursing Assistant 1.

May be required to perform restorative therapy activities.

Accompanies residents to physician visits, clinic appointments and other outside facility activities.

Performs lab work such as High/Hct and urine dipstick and documents results on client records and lab logs.

Successfully completes training programs such as CPR, First Aid, infection control, infectious disease, and/or programs that maintain hospital standards such as; quality control, safety issues, and JCAHO requirements.

Maintains any necessary certifications.

Work may involve shift work.

Monitors patients food intake and elimination.

May assist with admission, transfer and discharge.

May perform emergency housekeeping and cleaning duties such as mopping up minor spills and emptying trash.

Maintains par levels and performs inventory.

ADVANCED DUTIES:
Assists physicians and nurses with various examinations and treatments, such as preparing female patients for gynecological exams, positioning patients for lumbar spinal taps, or assisting in specialized procedures such as endoscopic gastroduodenoscopy, esophageal motility, ano-rectal manometry, polypectomy, bipolar coagulation, esophageal dilatation, colonoscopy, flexible sigmoidoscopy, and endoscopy laser therapy.

May assist in performing specific treatments/procedures under direction of a professional nurse such as changing dressings, irrigating colostomies, tube feeding, and nasopharyngeal suctioning as allowed by institution policy.

Changes bandages and reinforces sterile dressings under professional direction.

May assist with the removal and application of casts and splints.

May assist with body cavity catheterization or irrigations.

May perform duties specific to area of responsibility such as performing visual acuity, muscle balance and color-vision performance, hearing and CLIA-waived lab tests, taking other measurements, and keeping records.

Instructs and trains lower level staff in patient care techniques; may serve as a lead worker over nursing unit aides and nursing assistants.

May inventory, order, and distribute supplies.

May assist with the fitting of contact lenses and the teaching of patients in the proper procedures for insertion, removal and cleansing of lenses.

May assist in providing medical treatment and personal care to patients in nursing home and/or private home settings.

Prepares (preps) patients for surgery.

Cleans medical equipment as needed following required specifications, including fragile equipment and accessories such as fiber optic endoscopes, biopsy forceps, polypectomy snares, cytology brushes, etc.

May work with a health care multi-disciplinary team.

QUALIFICATION REQUIREMENTS:
MINIMUM QUALIFICATIONS:
Two years of experience in patient care. One year of experience must have been in a hospital, clinic, or 24-hour patient care facility setting.

SUBSTITUTIONS:
Graduation from an accredited registered or practical nursing program will substitute for all of the required experience.

Possession of a Certified Nursing Assistant certificate will substitute for six months of the required general experience.

Completion of a medical assistant training program will substitute for the required experience on a month for month basis.

Graduation from an accredited Emergency Medical Technician Program will substitute for six months of the required general experience.

NECESSARY SPECIAL REQUIREMENT:
Positions at facilities receiving certain Medicaid or Medicare funds require that applicants possess a valid Certified Nursing Assistant certificate as required by federal mandate implemented in 1987.
NOTE: Any college hours or degree must be from an accredited college or university.