City and County of San Francisco

Nursing Assistant (#2302)

$34.64-$42.09 Hourly / $6,004.00-$7,295.00 Monthly / $72,046.00-$87,542.00 Yearly

Definition

Under immediate supervision, assists with patient care by maintaining patients’ personal hygiene and comfort; assists in minor treatments; moves patients; maintains a safe and clean environment; reinforces instruction and counseling to patients; performs post-mortem duties; accompanies patients to recreational or diversional activities; prepares simple related records; and performs related duties as required.

Distinguishing Features

As a member of the health care team, the 2302 Nursing Assistant performs direct patient care, observes and reports physiological/psychosocial changes in the patient and records these observations on the patient’s chart and provides a safe and clean patient environment. This classification differs from that of the 2312 Licensed Vocational Nurse in that the 2302 Nursing Assistant does not administer medications and injections and must acquire assistance when determining patient priorities. Also, 2312 Licensed Vocational Nurses analyze and interpret information when assessing patients and develop nursing care plans for common problems whereas the 2302 Nursing Assistant is limited to gathering and providing information. The 2302 Nursing Assistant is further distinguished from classification 2736 Porter in that the 2302 Nursing Assistant cleans equipment used by the patient while occupying the hospital room whereas the 2736 Porter is responsible only for cleaning of the floors and walls and terminal cleaning once the patient is discharged.

Examples of Important and Essential Duties

“The class specification shall be descriptive of the class and shall not be considered as a restriction on the assignment of duties not specifically listed.” (CSC Rule 7)

1. Assists with direct patient care by maintaining patients’ personal hygiene and comfort, such as bathing, dressing, shaving and may occasionally trim hair; providing treatments such as cleaning patients and carrying out range of motion and ambulating patients; may assist in carrying out rehabilitation program on the unit; may change and/or apply non-sterile dressings.

2. Answers signal lights and call bells; observes patients and reports any unusual condition or behavior to appropriate supervisory personnel.

3. Performs other duties related to patient care such as preparing patients for various treatments; taking and recording patient’s vital signs, such as temperature, pulse, blood pressure, respiration rates; and transporting patients between hospital departments and wards. May apply, maintain or remove braces, artificial limbs and other prosthetic devices.

4. Maintains a clean patient environment, which may include patient clothing and equipment, such as beds, bedside tables, lights, bedpans, urinals, tubs and basins.

5. Instructs and counsels patients relative to physical self-care and emotional needs and by explaining test and specimen collection.

6. Attends deceased patients by bathing bodies, covering with shrouds, attaching identification tags and assisting with removal from hospital bed to morgue.

7. Records in chart patient care activities provided. May prepare other simple records.

8. When assigned to the San Francisco Unified School District, assists in providing personal care to wheelchair bound, disabled and incontinent students such as assisting with transporting, toileting, feeding and changing soiled clothing; may assist physical therapist in administering to physically handicapped children; assists in applying or removing prosthetic devices.

Knowledge, Skills and Abilities

Knowledge of basic methods and procedures of nursing aide work as applied to patient care.

Ability to: Relate effectively with staff, patients and visitors; communicate effectively both verbally and in writing; physically move and transfer patients; work in situations with patients having various emotional and psychological conditions; cope with and adjust to changes in other than routine situations; prevent losses in the use of various materials, supplies and equipment.

License or Certificate

Certification: Some positions may require a current Nursing Assistant certificate issued by the California Department of Health Services.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.
CLASS: 2302; EST: 1/1/1900; REV: 1/1/1900;