BASIC FUNCTIONThe Certified Nursing Assistant (CNA) provides nursing and nursing related services to residents consistent with each resident's comprehensive assessment and plan of care. The CNA maintains a homelike environment for residents, protects and promotes resident rights, and assists each resident to maintain independence and control to the greatest extent possible. EDUCATION, QUALIFICATIONS, CREDENTIALSSuccessful completion of a state-approved Nursing Assistant training and competency evaluation program or acceptable verification of this from State Nurse Assistant Registry. Has no finding in the Registry concerning abuse, neglect, or misappropriation of resident property. Prior experience giving personal care to impaired individuals in a healthcare setting is preferred. RESPONSIBLE TO: Charge Nurses/Nursing Managers; Director of Nursing. ESSENTIAL FUNCTIONS: The employee must be able to perform each essential function effectively to be successful in this position.Delivers quality care in a compassionate manner with kindness and respect for resident dignity and individuality. Receives and completes all patient care assignments and other activities assigned by the charge nurse or unit manager.Provides direct care to improve or maintain a resident's abilities according to the resident's plan of care.Provides care in a manner that protects and promotes resident rights, dignity, privacy, confidentiality, self-determination and active participation.Responds to call lights/buzzers promptly (within 5 minutes of first ring), courteously treating each as an emergency until answered.Keeps resident units assigned clean and orderly, changing linens, making beds, cleaning bedside tables after meals, positioning call light cords, providing fresh water, etc. Records accurate, legible information about resident care, conditions, and observations in the appropriate locations in the clinical record. Observes and immediately reports to the Charge Nurse significant changes in a resident's physical or behavioral condition, patterns of decreased social interaction, angry or sad behaviors, and refusals of treatment.Attends all mandatory inservice training meetings as posted.Participates and listens to shift reports between shifts. Promotes residents' rights to dignity, privacy, and comfort at all times for example, refers to residents by proper names unless a resident requests otherwise and avoids pet names and prevents undue exposure of a resident's body when providing personal care and services. Follows infection control procedures at all times, for example, washes hands before and after taking care of every resident, and keeps clean and soiled items separated (linens, clothing, etc.) to prevent cross-contamination. Assists with the planning, implementation, and evaluation of plans of care for assigned residents and reports information about conditions, responses to interventions, and suggestions for alternative approaches to the Charge Nurse. Regularly communicates throughout the shift with the Charge Nurse about assigned residents.Assists residents with activities of daily living (ADLs) including bathing, grooming, dressing, mobility, transferring, and feeding of assigned residents by providing set-up assistance, verbal prompts, physical support, or more extensive assistance as more fully described below: Bathing - Assists transporting resident to tub or shower, adjusts water temperature, washes/rinses resident, and dries body thoroughly with clean towels while maintaining privacy for resident at all times. Gives complete baths at frequency stated in the Nursing Care Policies. Cleans resident when bed linen and/or clothing is wet or soiled. Provides proper skin cleansing after each occurrence of incontinence.Dressing - Locates, selects, and obtains clothing for resident. Assists residents with snaps, zippers, and buttons during dressing and undressing. Assures resident is dressed in clothing appropriate to season. Reports clothing in need of repair or replacement to the Charge Nurse or Social Services.Grooming - Shampoos and combs hair of residents as instructed. Shaves male residents daily and women with facial hair as needed. Cleans and soaks fingernails and toenails before trimming, and trims when needed or assigned. Assists residents with oral hygiene as instructed. Elimination/Toileting - Promptly assists residents to bathroom according to toileting schedule or promptly brings clean bedpan or urinal. Opens, removes clothing in preparation, cleans resident afterward if resident unable to clean self, adjusts clothing, and cleans resident hands and own hands. Measures and records output when required by plan of care. Provides catheter care according to facility procedures and infection control policies. Mobility - Provides weight-bearing assistance or physical support for ambulating. Assists with or performs range of motion exercises to all joints. Monitors resident progress toward mobility goals and reports responses to Charge Nurse. Maintains safe environment for mobile residents by removing obstacles, inspecting equipment, and reporting defects to the Charge Nurse. Transfer - Positions resident properly for transfer and explains procedure. Uses correct body mechanics, transfer techniques, and safety devices or equipment according to the resident's care plan and in compliance with the facility's lifting policies. Eating - Prepares resident for meals - washes face and hands, positions at the table, and applies bib as instructed. Provides set-up assistance for meal tray - opens, pours, unwraps, and cuts food if resident is unable to help self. Feeds those who require total assistance according to their plan of care. If indicated, actively cues and encourages residents to eat, chew, and swallow. Socializes with residents during mealtimes. Documents and reports fluid intake and output accurately when ordered. Reports any change in a resident's appetite and carefully watches food intake of diabetics. Serves between meal nourishments and bedtime snacks as required. Related Clinical Duties - Offers drink of water during care and meals to promote good hydration, unless contraindicated. Records intake and output when required. Accurately takes and records residents' weights when scheduled. Encourages resident to actively participate in ADLs such as grooming, dressing, and eating. Communicates with each resident according to individual functional abilities and needs, for example,Uses communication board or communication book.Uses effective language skills and auditory comprehension skills with residents with dysfunction in these areas.Uses behavior management skills to approach and care for residents with problem behaviors. Provides preventive and restorative care as care planned or ordered, for example, Changes residents at least every two (2) hours to maintain body alignment and relieve pressure on skin areas; and checks chair-bound residents hourly for alignment, release, or exercise.Keeps residents' skin clean and dry and assures pressure relieving devices are in place when ordered. Reports any redness, rash, irritation, bruising, or abrasions of a resident's skin to the Charge Nurse.Assures that devices ordered to prevent contractures are in place such as hand rolls, braces, splints, slings, etc. Performs range of motion exercises during a.m. and p.m. care and as instructed. When restraint is ordered, provides appropriate care and release; and implements alternatives when directed. Protects resident safety at all times, for example, Places call light cords within easy reach of residents and notifies nurse if cords need attention.Promptly checks exit(s) in assigned areas when door alarms or personal safety devices are activated.Properly positions bed rails after care and before and after meals. Uses lifting equipment and proper body mechanics to perform resident lifts and transfers.Participates in the preparation for state inspections and interacts appropriately with state surveyors as instructed. Participates in fire/disaster drills and carries out assigned duties in emergencies to assure resident care and safety.Refers questions about resident care to the Charge Nurse.Keeps all resident information confidential.The preceding list of essential functions is not all-inclusive and may be supplemented.
All Shifts Welcome to Apply!!!
KNOWLEDGE, SKILLS, AND ABILITIESAbility to read and understand simple instructions, short correspondence, and memos. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to coordinate numerous activities at any given time and make sound decisions quickly, often under pressure. Ability to add and subtract two digit numbers and to multiply and divide with 10s, and 100s. Ability to perform these operations using American units of weight measurement, volume, and distance. Ability to recognize changes in resident's conditions evidenced by physical symptoms, verbal expression, or observation of change in mental or psychosocial status. SPECIAL REQUIREMENTSIs able to work overtime when needed. Must maintain good attendance and attend all mandatory inservice training meetings. WORKING CONDITIONSThe following is a description of the work environment normally encountered. Reasonable accommodations may be available if needed. Works in a climate-controlled and well-lighted environment with a smoke-free policy. Is continuously subject to interruptions, noise, and odors on a daily basis. Is exposed to infections daily but is trained in handwashing practices, Universal Precautions, and the use of personal protective equipment to reduce risk. Is required to lift and transfer residents repeatedly during shift, but receives lifting training and has access to safety devices and equipment to reduce the risk of injury. PHYSICAL DEMANDSThe physical demands below are typical of those that must be met by the employee to successfully perform the essential functions of the position. Reasonable accommodations may be available for individuals with disabilities.Lifting/Carrying 1-10 lbs.Continuously - (61-100%)Lifting/Carrying 11-25 lbs.Continuously - (61-100%)Lifting/Carrying 26-50 lbs.Continuously - (61-100%)Pushing/Pulling 20-50 lbs.Continuously - (61-100%)Pushing/Pulling Over 50 lbs.Continuously - (61-100%)Climbing/BalancingFrequently - (31-60%) Stooping/BendingContinuously - (61-100%)Standing/SittingContinuously - (61-100%)WalkingContinuously - (61-100%) All Shifts Welcome to Apply!!!