LNA/HUC- Same-Day Surgery- 36-Hours

Wentworth-Douglass Hospital, a subsidiary of Massachusetts General Hospital, is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.
1. Assists with patient assessment and care provision under the direction of the Registered Nurse
o Measures / records patient information (hgt, wgt, v/s)
o Specimen Management - Obtains, prepares and preserves a specimen for a laboratory test
o Observes/reports or records patient response to care given
o Identifies and reports deviation in v/s or patient observations & patient needs to RN
o Bedside lab testing - Performs laboratory tests at the bedside or POC.
2. Prepares treatment rooms for each patient.
o Feeding, provides nutritional intake for patient who is unable to feed self
o Passes, collects and checks food trays
o Assists patients with bedpans/urinals/commode
o Tube Care - Assists with management of a patient with an external device exiting the body
3. Patient Care
. Transports - moves a patient from one location to another
o Self-Care Assistance: Transfer - assists a person to change body location; assists with the use of assistive devices as indicated
o Exercise Therapy: Ambulation - promotes and assists with walking to maintain or restore autonomic and voluntary body functions during treatment and recovery from illness or injury
o Assists with dressing and undressing
4. Assists in promoting patient safety & environmental cleanliness/order
o Uses side rails appropriately
o Environmental Management - Manipulates the patient's surroundings for therapeutic benefit, sensory appeal, and psychological well-being
o Makes beds
o Cleans and cares for equipment
o Carries out transmission based precautions
o Observes oxygen precautions
o Emergency Care - Provides life-saving measures in life-threatening situations
o Maintains known precautions- latex allergy, MRSA, seizure, etc.
o Maintains understanding and use of adaptic equipment per the ADA.
5. Essential Functions
o Patient Rights Protection - Protects health care rights of a patient, especially a minor, incapacitated or incompetent patient unable to make decisions. Protects patient privacy.
o Anxiety Reduction - Minimizes apprehension, dread, foreboding, or uneasiness related to an unidentified source of anticipated danger
o Visitation Facilitation - Promotes beneficial visits by family and friends
o Answers call bells promptly reporting patient's need as indicated
o Provides orientation to room/unit
o Assists patients with communications (I.e: nursing call system, phone, etc.)
o Provides diversional activities
o Provides comfort measures (I.e.: back rubs, music, reading material)
o Assists with newborn web pictures
o Assists with newborn care and transport
6. Acquires and maintains current knowledge and competency in LNA practice
o Acquires and maintains clinical knowledge and skills appropriate to the assigned area and practice setting
o Maintains personal documentation of in-service attendance
7. Communications: Uses available resources to communicate with members of the multidisciplinary care team.
o Greets patients, physicians, visitors and staff who arrive on unit.
o Uses transport call system to coordinate transport services.
o Calls stat orders to ancillary depts
o Transfers calls to appropriate parties.
o Answers phone by giving unit, name, and title.
o Upon discharge makes follow up appointments and arranges for tests and procedures.
o Uses Nurse locater/unit paging system appropriately
o Maintains patient census tool
o Maintains computer census (i.e. ADT functions).
8. Demonstrates competency in performance of procedures and skills under the direction of the RN
o Glucometer
o Pulse oximetry
o Automatic blood pressure device
o Simple dressing change
o IV Removal
o Sequential Compression Device Operation
o Foley removal
o Application of heat and cold
o Restraints
9. Physician Order Entry
o Enters physician orders via computer according to priority ( stat, routine, pre-formatted).
o Processes and schedules daily labs, diagnostic tests and procedures.
o Checks charts for new orders that need to be transcribed
o Signs off orders (e.g., signature, title, date & time)
o Follows computer down-time procedures.
o Processes patient charges for supplies and procedures.
10. Unit Operations: Utilizes clerical and organizational skills to assure smooth functioning of department operations.
o Maintains stock of patient care supplies and equipment.
o Maintains a supply of chart forms or is able to access / print computerized forms
o Maintains stock of clerical / desk supplies.
o Documents equipment repair / maintenance needs.
o Participates in response to emergency situations (I.e., pages codes, calls physicians, etc).
o Checks/refills paper supply, toner in printers and copiers.
o Sends and receives documents via fax machine.
o Duplicates documents using copy machine
o Orients new staff members to the unit.
11. Essential Functions
o Files forms and reports appropriately in patients chart.
o Restricts access to patient information (i.e. charts & computer)
o Accurately labels forms with patient identification.
o Assembles patient charts upon admission.
o Assembles necessary forms for patients being transferred to an external facility.
o Prepares patient charts for transfer to other units.
o Puts chart in appropriate order, and sends to medical records. 

Experience Minimum Required
• 3 months clerical; 3 months as LNA
Experience Preferred/Desired
• Over one year clerical and transcription of orders; LNA experience in an acute care setting
Education Minimum Required
• High School graduate with office practice courses; graduate of an LNA program
Licensure and/or Certifications Required
• BLS, CPR, LNA