Occ. Code 5530100

 

NURSING ASSISTANT 1, GRADE 6

5530100

NURSING ASSISTANT 2, GRADE 8

5530200

NURSING ASSISTANT (CERTIFIED), GRADE 8

5530210

 

New York State Department of Civil Service

 

Classification Standard

 

BRIEF DESCRIPTION OF CLASS SERIES

 

            Nursing Assistants provide care to individuals in hospitals and nursing homes operated by the State of New York.  Such care ranges from attending to individuals personal hygienic needs in order to assure the persons comfort to performing a limited number of simple treatments and therapy.  Nursing Assistant 1s provide direct hands-on care by assisting individuals with bathing, dressing, perineal care, mobility, eating, and other activities of daily living.

 

Nursing Assistants are classified in the health care facilities of the Department of Correctional Services and the Health Science Centers of the State University of New York.  Nursing Assistants (Certified) are classified in New York State Veterans Homes found in the Department of Health and the State University of New York at Stony Brook.

 

DISTINGUISHING CHARACTERISTICS

 

NURSING ASSISTANT 1:  non-competitive entry level class; incumbents receive in-service training in a limited number of observation and treatment procedures, leading to eligibility to qualify for appointment as Nursing Assistant 2.  Appointees in the NYS Veterans Homes participate in a formal training program leading to eligibility to sit for the examination to become certified as a nurse aide for appointment to Nursing Assistant (Certified).  Under the continuing supervision of a physician and/or a Nurse, and usually in the presence of such staff, positions in this class perform observation and treatment duties, and may assist Nursing    Assistants 2, physicians and nurses in the performance of treatment procedures.

 

NURSING ASSISTANT 2:  non-competitive class; using detailed guidelines, standards, and procedures, and under the supervision of professional health care staff, observe individuals in care; perform prescribed simple treatment procedures; attend to the individuals personal hygienic needs; and perform limited cleaning and housekeeping duties directly related to the care of patients or residents.  Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the treatment facility.


NURSING ASSISTANT (CERTIFIED):  non-competitive class; performs duties similar to Nursing Assistant 2; however, appointment requires certification as a NYS Nurse Aide to work in a long-term care facility in New York State.  The NYS Health Department regulates the Nurse Aide certification process.

 

RELATED CLASSES

 

Rehabilitation Hospital Nursing Assistants 1 and 2, Grade 6 and 8 perform the same duties as Nursing Assistants 1 and 2 at Helen Hayes Hospital of the Department of Health.

 

Mental Health Therapy Aides, Grade 9 work in a broad range of settings and perform a wide variety of tasks related to the care, nurturing, treatment, education, socialization, habilitation, recovery/healing and support of adults diagnosed with a mental illness and children and adolescents with serious emotional disturbances. These tasks focus on supporting, instructing and assisting recipients of mental health services to develop the skills needed to attain personal goals, live, be educated, work, and socialize successfully in the community environments of their choice.  Mental Health Therapy Aides also advocate for patients and support families or other caregivers in their efforts to assist these individuals.

 

Developmental Aides, Grade 9 perform a wide variety of routine tasks and activities in support of the full range of habilitative services provided to developmentally disabled individuals. The tasks and activities performed depend upon the specific abilities of the individuals being served and the nature of the setting where the work is performed. These tasks involve encouraging, guiding and training individuals in developing daily living skills and habits, taking care of their personal needs, assuring community integration, ensuring the health and safety of individuals, and maintaining the service environment.

 

Licensed Practical Nurses, Grade 10 work in hospital or clinical settings where, using detailed standard procedures and as directed by physicians or registered nurses, they treat patients for a variety of physical maladies in order to assist in maintaining patient health, preventing and curing illness and injury and alleviating suffering.  They observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; attend to patients personal needs; and perform limited housekeeping duties.  Properly classified positions of Licensed Practical Nurse must be assigned patient observation and treatment duties relating to physical care of patients for at least 70% of their working time.

 

ILLUSTRATIVE DUTIES

 

Nursing Assistants 1, under direct clinical supervision, perform a limited number of prescribed simple observation and treatment procedures using detailed standard
procedures and guidelines in order to assist and maintain the health of individuals in care, including:

 

·        Change simple dressings as directed, give enemas, douches, and irrigations as directed.

 

·        Apply abdominal T binders as directed.

 

·        Apply hot water bottles, aqua K pads, ice bags, and coolers, and hot and cold compresses as directed.

 

·        Chart and document care and/or behaviors as required.

 

·        Request individuals to provide and assist the person in collecting urine and stool specimens.

 

·        Observe and record individuals quantitative intake of food and output of wastes.

 

·        Take temperatures, pulse rates, blood pressure and respiration rate.

 

·        Give therapeutic baths such as sitz baths and fever sponge baths.

 

·        Measure and record height and weight.

 

·        Inspect functioning oxygen therapy apparatus including tents, masks, and cannulae to assure that all are working properly.

 

·        Apply splints, braces, slings and other self-help devices.

 

·        Operate a variety of specialized monitoring and treatment devices.

 

·        Attend to daily living activities, personal, hygienic, and simple human needs in order to maintain in the clinical facility an atmosphere conducive to treatment and comfortable for persons in care.

 

·        Collect and carry laundry and dry cleaning of persons in care and deliver to appropriate place in the health care facility.

 

·        Receive valuables and other belongings of persons in care and convey them to safe storage, keeping appropriate records.

 

·        Feed persons requiring assistance in order to assure that such individuals receive appropriate nourishment.

 

·        Bathe and dress, brush teeth and trim fingernails and toenails of persons in care.

 

·        As directed by professional staff, moves, positions, lifts and transports persons in care using a variety of lifts and other aids in order to make them more comfortable, to prepare them for treatment and to deliver them to appropriate treatment facilities.

 

·        Bring bedpans and urinals to disabled persons.

 

·        Attend to incontinent persons in care.

 

·        Talk and listen to persons in care and respond by encouraging them to cooperate and participate in treatment activities in order to help them achieve attitudes conducive to treatment and rehabilitation.

 

·        Transport persons and supplies on occasion.

 

·        Maintain persons in care rights, dignity, and confidentiality.  

 

On occasion and in conjunction with providing care, may perform a variety of housekeeping and cleaning duties as related to direct care in order to assure that the clinical facility is clean, sanitary, orderly, and properly supplied.

 

Nursing Assistants 2 under general and occasional clinical supervision, perform duties similar to a Nursing Assistant 1 using detailed standard procedures and guidelines in order to assist and maintain health of persons in care.

 

Nursing Assistants (Certified) perform duties similar to those of a Nursing Assistant 2; however, because they are certified NYS Nurse Aides, they are permitted to perform additional duties including:

 

·        Measure and record fluid and food intake.

 

·        Care for ostomies, including but not limited to colostomy and ileostomy.

 

·        Maintain individualized range of motion to prevent contractures.

 

·        Recognize and report abnormal signs and symptoms of common diseases and conditions.

 

·        Pain management.

 

·        Provide for mental health and social service needs.


 

·        Participate in required quarterly in-service education to maintain certification and  meet all necessary requirements to be re-certified every two years.

 

COMMUNICATION

 

            Nursing Assistants 1 have frequent face-to-face communication with persons in care and their visitors for the purpose of conveying information on treatment procedures and visitors hours.  They also attempt to encourage and support those persons who may be despondent or apprehensive.  Nursing Assistant 2 and Nursing Assistants (Certified), in addition to the above, regularly confer with professional staff at the treatment unit in order to convey information on the physical conditions of those in care and their responses to treatment.  This information includes such items as observable physical behavioral changes, level of fatigue and general behavior and may include responses to routine treatments such as foot soaks.

 

MINIMUM QUALIFICATIONS

 

            NURSING ASSISTANT 1

 

            Possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period.

 

            NURSING ASSISTANT 2

 

            One year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision.

 

            NURSING ASSISTANT (CERTIFIED)

 

            Must hold a current NYS Nurse Aide Certification.

 

 

Date:  9/05

 

 

NOTE:  Classification Standards illustrate the nature, extent and scope of duties and responsibilities of the classes they describe.  Standards cannot and do not include all of the work that might be appropriately performed by a class.  The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written.  Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.