Occ. Code 5530400

 

REHABILITATION HOSPITAL NURSING ASSISTANT 1, GRADE 6

5530400

REHABILITATION HOSPITAL NURSING ASSISTANT 2, GRADE 8

5530420

 

New York State Department of Civil Service

 

Classification Standard

 

BRIEF DESCRIPTION OF CLASS SERIES

 

            Rehabilitation Hospital Nursing Assistants provide care to patients at the Helen Hayes Hospital operated by the State of New York.  Such care ranges from attending to patients personal hygienic needs in order to assure patients comfort to performing a limited number of simple treatments and therapy.  Incumbents provide direct hands-on care to patients through assisting with bathing, dressing, perineal care, mobility, eating, and other activities of daily living.

 

Rehabilitation Hospital Nursing Assistants are classified only at the Helen Hayes Hospital of the Department of Health.

 

DISTINGUISHING CHARACTERISTICS

 

REHABILITATION HOSPITAL NURSING ASSISTANT 1:  non-competitive entry level class; incumbents receive in-service training in a limited number of patient observation and treatment procedures, leading to eligibility to qualify for appointment as Rehabilitation Hospital Nursing Assistant 2.  Under the continuing supervision of a physician and/or a Nurse, and usually in the presence of such staff, positions in this class perform patient observation and treatment duties; and may assist Rehabilitation Hospital Nursing Assistants 2, physicians and nurses in the performance of treatment procedures.

 

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

 

RELATED CLASSES

 

Nursing Assistants 1 and 2, Grades 6 and 8, respectively, perform the same duties as Hospital Clinical Assistant 1 and 2.  Positions in these titles are classified at the Health Science Centers of the State University of New York and in the Department of Correctional Services.

 

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

 

Rehabilitation Hospital 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 patients health, including:

 

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

 

·        Apply abdominal T binders to patients as directed.

 

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

 

·        Request patients to provide and assist patients in collecting urine and stool specimens.

 

·        Observe and record patients 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 patient monitoring and treatment devices.

 

·        Attend to patients 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 patients.

 

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

 

·        Receive patients valuables and other belongings and convey them to safe storage, keeping appropriate records.

 

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

 

·        Bathe and dress patients, brush teeth and trim fingernails and toenails.

 

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

 

·        Bring bedpans and urinals to disabled patients.

 

·        Attend to incontinent patients.


 

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

 

·        Transport patients and supplies on occasion.

 

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

 

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

 

COMMUNICATION

 

            Rehabilitation Hospital Nursing Assistants 1 have frequent face-to-face communication with patients and their visitors for the purpose of conveying information on treatment procedures and visitors hours.  They also attempt to encourage and support patients who may be despondent or apprehensive.  Rehabilitation Hospital Nursing Assistants 2, in addition to the above, regularly confer with professional staff at the treatment unit in order to convey information on the physical conditions of patients 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

 

            REHABILITATION HOSPITAL NURSING ASSISTANT 1

 

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

 

            REHABILITATION HOSPITAL NURSING ASSISTANT 2

 

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

 

 

 

Date:  1/06

 

 

 

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.