Certified Nursing Assistant II Butner, Nc

Description

Position Summary

Since our opening in 1987, New Hope Treatment Centers has been a welcoming place for young people in moments of crisis. Our programs have played a role in countless success stories through our relational approach to behavioral healthcare. The Certified Nursing Assistant II (CNA II / NA II) provides direct patient care and enhanced nursing support to adolescents receiving services in the PIVOT Program, a secure, high-acuity behavioral health program in collaboration with the North Carolina Division of Juvenile Justice and Delinquency Prevention (DJJ). Working under the supervision and delegation of the Lead Registered Nurse and nursing staff, the CNA II promotes the physical health, safety, dignity, and recovery of youth while supporting trauma-informed, least restrictive care. The CNA II performs Nurse Aide II activities only when the activity is within the individual's authorized scope, competency has been validated, and the task has been appropriately delegated by licensed nursing staff.

Essential Duties and Responsibilities

The essential functions include, but are not limited to, the following:

· Provides direct personal care, hygiene assistance, nutrition support, mobility assistance, and activities of daily living as needed.

· Obtains and documents vital signs, height, weight, intake/output, and other delegated clinical observations.

· Observes youth for changes in physical condition, mental status, level of consciousness, or behavior and promptly reports concerns to nursing staff.

· Supports implementation of individualized nursing care plans, behavioral health interventions, and interdisciplinary treatment plans.

· Provides continuous observation of youth assigned to suicide precautions or other enhanced supervision protocols, accurately documents required observations, and immediately reports changes in mental status, behavior, or safety concerns to the supervising nurse and clinical team.

· Performs Nurse Aide II nursing activities that are within the employee's authorized scope, validated competency, agency policy, and appropriate delegation by a licensed nurse.

· May perform appropriately delegated NA II activities such as oxygen-related assistive activities, suctioning, tracheostomy care, urinary catheterization, qualifying sterile wound care, ostomy care, permitted enteral nutrition activities, and permitted peripheral IV assistive activities when applicable and authorized.

· Recognizes that nursing assessment, diagnosis, clinical judgment, development of nursing plans of care, and independent decisions regarding treatment or suicide precautions remain the responsibility of appropriately licensed or credentialed staff.

· Maintains responsibility for youth safety while utilizing trauma-informed communication, therapeutic engagement, and approved de-escalation techniques.

· Assists with admissions, transfers, and discharges as directed.

· Maintains accurate and timely documentation in the electronic health record.

· Maintains confidentiality in accordance with HIPAA, organizational policies, and applicable DJJ requirements.

· Participates in treatment team meetings and communicates effectively with nursing, clinical, behavioral health, and DJJ staff.

· Maintains flexibility to work evenings, weekends, holidays, and emergency staffing assignments.

· Performs other duties as assigned consistent with the scope of the CNA II / NA II role.

Competencies·

Trauma-Informed Care: Provides compassionate, developmentally appropriate care using trauma-responsive principles.

· Behavioral Observation: Recognizes and reports changes in medical or psychiatric status.

· Crisis Response: Responds appropriately during behavioral or medical emergencies using approved de-escalation techniques.

· Communication & Collaboration: Works effectively within a multidisciplinary treatment team.

· Documentation & Compliance: Completes accurate documentation and complies with regulatory requirements.

· Safety Awareness: Maintains a safe, therapeutic environment while following infection control and safety procedures.

Qualifications

Minimum Qualifications

· High school diploma or equivalent.

· Current North Carolina Nurse Aide I Registry listing in good standing and current Nurse Aide II listing/eligibility as required for the role.

· Current CPR/First Aid certification or ability to obtain upon hire.

· Ability to pass required background checks, drug screening, and state-mandated employment clearances.

· Ability to successfully complete New Hope and DJJ required orientation and training.

Preferred Qualifications

· One year of experience in behavioral health, psychiatric care, residential treatment, juvenile justice, hospital, or crisis services.

· Experience working with adolescents with significant mental health or behavioral challenges.

· Knowledge of trauma-informed care, crisis intervention, adolescent behavioral health, and delegated nursing practice.

Required Knowledge, Skills, and Abilities

· Strong interpersonal and communication skills.

· Ability to remain calm in high-stress situations.

· Ability to work independently and as part of a multidisciplinary team.

· Professional judgment, discretion, and ethical conduct.

· Proficiency with electronic health records and standard office technology.

Physical and Work Environment Requirements

· Work is performed in a secure behavioral health environment serving emotionally distressed adolescents.

· Ability to sit, stand, walk, bend, lift, and respond quickly during emergencies.

· May be exposed to verbal aggression and behavioral crises.

· Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.