CERTIFIED NURSING ASSISTANT

Position Description

SUMMARY OF POSITION FUNCTIONS

The Certified Nursing Assistant provides nursing related services to residents under the direct supervision of licensed nurses, and consistent with each resident's comprehensive assessment and plan of care. The Certified Nursing Assistant maintains a homelike environment for the residents, protects and promotes resident rights, and assists the person to maintain independence and control to the greatest extent possible.

ESSENTIAL POSITION FUNCTIONS

• Provides direct care to residents to improve or maintain the resident's abilities according to the resident's plan of care. Seeks assistance of charge nurse when unsure of assignment, procedure, or situation.
• Receives and completes all patient care assignments and other activities as assigned by charge nurse.
• Provides delivery of care in a compassionate, quality manner with kindness, respect, and dignity.
• Participates in improving quality of environment by positively contributing to the elimination of odors and pressure wounds and maintenance of a clean and homelike environment.
• Assists in 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. Gives bath as necessary to each patient when bed linen and/or clothing is wet or soiled. Provides extra care to the skin of incontinent and bedfast patients, and those who have been sitting in chairs for periods of time. Dressing - Locates, selects and obtains clothing for resident. Assists residents with snaps, zippers, and buttons after donning clothes or removing them. Recognizes clothing in need of repair and communicates clothing needs to resident and to Unit Charge Nurse. Elimination/Toileting - Promptly assists resident to bathroom according to toileting schedule or promptly brings clean bedpan or urinal. Opens, removes clothing in preparation, cleans resident if resident is unable to clean self, adjusts clothing, cleans resident's and own hands. Measures and records output as directed by Unit Charge Nurse and plan of care. Provides catheter care according to facility procedure and infection control policies. Mobility - Assists resident or provides range of motion exercises to all joints. Provides weight-bearing assistance or physical support for ambulating. Pushes wheel chair or Geri-chair if needed. Maintains safe environment for mobile resident by removing obstacles, inspecting equipment, and reporting defects to Unit Charge Nurse. Monitors resident progress toward treatment goals and reports responses to Unit Charge Nurse. Transfer - Positions resident for transfer. Uses correct body mechanics and transfer technique and equipment according to plan of care, resident ability and self-ability. Obtains assistance of another staff member if needed before starting to transfer a resident. Eating - Provides set-up assistance 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 encourages residents to chew, eat, and swallow. Socializes with resident during mealtimes. Assists or cleans resident after meals. Serves nourishment and snacks as ordered. Documents and reports fluid intake and output accurately. Prepares resident for meals including washing face and hands, repositioning, and applying a bib as instructed. Reports any change in resident's appetite to supervisor and watches all diabetics carefully. Grooming - Shaves, trims, shampoos, and combs hair of residents as instructed. Cleans and soaks finger and toenails (as instructed) before trimming. Assists residents with oral hygiene as instructed.

• Provides care in a manner that protects and promotes resident rights, dignity, privacy, confidentiality, self-determination and active participation. Offers and respects resident choices in matters of daily routine. Refers to residents by proper names unless resident requests otherwise. Avoids use of all pet names. Handles all resident property with respect.
• Observes and immediately reports to Unit Charge Nurse, unusual occurrences, significant changes in resident's physical or behavioral condition, patters of decreased social interaction, angry or sad behaviors, and refusals of treatment.
• 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 Unit Charge Nurse.
• Assists with preparation for State inspections as directed. Attends survey training and interacts with State surveyors as directed by Charge Nurse or nursing management.
• Uses personal protective equipment properly whenever indicated.
• Records accurate, legible information about resident care, conditions, and observations made in appropriate sections of resident records.
• Regularly communicates throughout shift with Unit Charge Nurse about assigned residents.
• Monitors physical environment for safety or fire hazards, malfunctioning equipment including call lights, and corrects or reports potential problems to housekeeping and maintenance immediately and to Unit Charge Nurse. Cleans up all spills immediately.
• Immediately reports injury to resident or self to Unit Charge Nurse.
• Attends 12 hours of annual, mandated in-service education provided by the facility and applies information to job tasks.
• Participates in fire and disaster drills. In the event of an emergency, carries out assigned duties to assure resident safety.
• Reports to Charge Nurse at the beginning and end of each shift and before and after meal and rest breaks.
• Performs all nursing procedures in the way in which he/she has been trained, directed and approved by instructor/supervisor.
• Reports any resident who lacks proper identification to Charge Nurse.
• Washes hands before and after taking care of every resident.
• Changes positions of bedfast patients at least every two (2) hours, using good body alignment and anti-contracture devices as instructed.
• Cleans and stores equipment and personal care items. When caring for a resident, responsible for keeping the whole unit clean and in good order (includes making beds and cleaning mattresses).
• Passes clean water pitchers, glasses, and ice water as scheduled providing each resident with an individual pitcher with a lid.
• Responds to every signal light and buzzer promptly (within 5 minutes of first ring) and courteously considers each light as an emergency until answered.
• Takes weights and heights as scheduled.
• Properly applies, releases, and documents restraints as instructed.
• Performs range of motion to residents as instructed during a.m. and p.m. care.
• Positions all residents' tubing and bags as instructed.

Note:

The Essential functions of this job may be revised or updated as facility needs dictate.

NON-ESSENTIAL POSITION FUNCTIONS

• Other duties as assigned.

SUPERVISORY RESPONSIBILITIES

• Ability to work overtime.

EDUCATION AND QUALIFICATIONS

To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Successful completion of a State approved or a Nursing Assistant training and competency evaluation program, or a C.N.A. competency evaluation program approved by the State.
• Prior experience giving personal care to impaired individuals in a health care setting preferred.
• Possess current C.

N.A. Certificate.

KNOWLEDGE, SKILLS, AND ABILITIES

• Ability to recognize changes in resident's conditions evidenced by physical symptoms, verbal expression, or observation of change in mental or psychosocial status.
• Ability to coordinate numerous activities at any given time and make rational, sound judgments and judicious decisions quickly, often under pressure.
• Ability to prioritize tasks and use good time management.
• Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.

Ability to deal with problems involving several concrete variables in standardized situations.

CERTIFICATES, LICENSES, REGISTRATIONS

Acceptable verification of training and competency evaluation from State Nurse Assistant Registry and no finding in the Registry concerning abuse, neglect, mistreatment of residents or misappropriation of residents' property.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Types:

Full-time, Part-time Pay:

$16.00 - $22.00 per hour

Benefits:

401(k) Dental insurance Disability insurance Flexible schedule Health insurance Life insurance Paid time off Paid training Vision insurance

Work Location:

In person