The primary purpose a C.N.A at The Wesley Community is to provide your assigned residents with needed routine daily nursing care in accordance with our established nursing care procedures, and as directed by your supervisors. A CNA performs non-professional nursing duties related to the personal care and comfort of the residents. A CNA also performs services necessary for the cleanliness and care of the resident's environment, personal items, and equipment.
The Certified Nursing Assistant ordinarily performs duties under the supervision of the Team Leader/Charge Nurse according to Wesley Health Care Center Policies and Procedures.
A. Educational Requirements
1. High School Diploma or GED
1. Must possess a Nursing Assistant Certification or have the ability to complete the training and pass the certification tests.
2. One year's experience in nursing assistant situation preferred.
3. Experience in giving personal care preferred.
MAJOR DUTIES AND RESPONSIBILITIES
A. Administrative Functions
1. Record all necessary documentation of care on flow sheets, notes, charts, etc, in an informative and descriptive manner.
2. Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc..
3. Report all accidents and incidents you observe immediately.
4. Use only authorized abbreviations established by this facility when recording information.
5. Report all changes in resident's condition to the Team Leader/Charge Nurse as soon as practical.
6. Other duties/responsibilities within the scope of training as may be assigned to promote a high level of competent care, rehabilitation and quality of life.
B. Admission, Transfer, and Discharge Functions
1. Ensure that the resident's room is ready for receiving the resident (i.e., bed made, equipment in bedside stand.)
2. Greet and escort the resident to his/her room.
B. Admission, Transfer, and Discharge Functions (Cont.)
3. Introduce residents to his/her roommate, if any, and other residents and personnel as appropriate.
4. Make resident comfortable.
5. Inventory and mark the resident's personal possessions as instructed; send clothing to Leisure Services where labels will be permanently affixed.
6. Store resident's clothing.
7. Assist residents in the care of their personal belongings as necessary.
C. Personnel Functions
1. Follow work assignments, and/or work schedules in completing and performing your assigned work tasks.
2. Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
3. Must be on time and avoid excessive absenteeism and notify the Nursing Supervisor in the event of absenteeism.
4. Report all complaints and grievances made by the resident.
5. Cooperate with personnel from other departments.
6. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.
D. Personal Nursing Care Functions
1. Participate in and receive the nursing report upon reporting for duty.
2. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.)
3. Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed.
4. Provide comfort measures (i.e., backrubs, etc.).
5. Assist residents with dressing/undressing as necessary.
6. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.)
7. Assist residents with nail care and foot care (i.e., clipping, trimming, and cleaning the fingernails/toenails.). (NOTE: This does not include diabetic residents.)
8. Shave male residents.
9. Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc., as instructed.).
10. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled.)
11. Make beds (occupied and unoccupied).
12. Position bedfast residents in correct and comfortable position.
13. Change bed linens. Keep linens smooth to avoid wrinkles from forming under the resident.
14. Put extra covers on beds as requested.
15. Assist the resident with bowel and bladder functions (i.e., take to the bathroom, offer bedpan/urinal, portable commode, etc.)
16. Maintain intake and output records as instructed.
17. Keep incontinent residents clean and dry.
18. Check and report bowel movements and character of stools as instructed.
19. Collect specimens as instructed. (i.e., urine, sputum, stools, etc.).
20. Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).
21. Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
22. Follow established procedures concerning exposure to blood/body fluids.
23. Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary.
24. Assist in lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.; follow lifting policy and procedures as established.
25. Answer resident calls promptly.
26. Assist residents to walk with or without assistive devices as instructed.
27. Perform restorative and rehabilitative procedures as instructed to promote maximum independence.
28. Change dressings, bandages, binders, etc., as instructed.
29. Provide eye and ear care (i.e., cleaning eyeglasses/hearing aides, etc.) as instructed.
30. Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
31. Weigh and measure residents as directed.
32. Assist in preparing the resident for a physical examination.
33. Assist with the application of nonsterile (moist and dry) warm/cold dressings.
34. Assist with the care of the dying resident.
35. Provide post-mortem care as instructed.
36. Check residents routinely to assure that their personal care needs are being met.
E. Special Nursing Care Functions
1. Observe and report the presence of any changes in the skin to prevent breakdown / pressure ulcers.
2. Provide indwelling catheter care as directed.
3. Provide daily perineal care.
4. Assist with the application of slings, elastic bandages, binders, etc.
5. Give tepid sponge baths.
6. Provide daily range of motion exercises. Record data as instructed.
7. Perform diabetic urine testing (i.e., clinitest, acetest, etc.).
8. Turn bedfast residents at least every two (2) hours.
9. Perform special treatments as instructed.
10. Observe disoriented and comatose residents. Record and report data as instructed.
11. Watch for and report any change in room temperature, ventilation, lighting, etc..
12. Turn all medications found in the resident's room/possession over to the Unit Coordinator/Charge Nurse, unless resident is self medicating.
13. Contribute to resident health teaching when appropriate and as indicated.
14. Assist residents with the activities of daily living and other rehabilitative measures as indicated to maintain highest functioning level.
F. Food Service Functions
1. Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position at tables, place bibs, take to/from dining room, etc.).
2. Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assisting in dining room supervision, etc.).
3. Assist residents in identifying food arrangements (i.e., informing residents with sight problems of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).
4. Record the residents food/fluid intake as necessary. Report changes in resident's eating habits.
5. Serve between meal and bedtime snacks.
6. Perform after meal care (i.e., remove trays, clean resident's hands, face clothing, take to bathroom, brush teeth, clean dentures, etc.).
7. Check rooms for food (i.e., food in proper containers, unauthorized food items, etc.).
G. Staff Development
1. Attend and participate in scheduled training and educational classes including six hours every six months of mandatory inservices.
2. Attend and participate in scheduled orientation programs and activities.
H. Safety and Sanitation
1. Follow established universal precautions and procedures.
2. Wash hands before and after performing any service for the resident.
3. Report any communicable or infectious disease that you contact to the Unit Coordinator and/or to the QA/Infection Control Nurse.
4. Follow established isolation precautions and procedures.
5. Wash hands before entering and leaving an isolation room/area.
6. Use gowns and gloves as needed.
7. Notify the Unit Coordinator/Charge Nurse of any resident leaving/missing from the facility.
8. Keep floors dry. Report spills immediately.
9. Keep excess supplies and equipment off the floor. Store in designated areas.
10. Keep residents' personal possessions off the floor and properly stored.
11. Follow established smoking regulations. Report all violations.
12. Keep the nurses' call system within easy reach of the resident.
13. Report all hazardous conditions and equipment to the Team Leader/Charge Nurse immediately.
14. Follow established safety precautions in the performance of all duties.
15. Report all safety violations.
16. Keep bedside rails up when the resident is in bed unless otherwise ordered.
17. Keep bed in low position unless administering direct resident care.
18. Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies.
19. Assure wheelchairs, walkers, resident care equipment, etc., are cleaned as needed.
20. Participate in all fire safety and disaster preparedness drills in a safe and professional manner.
21. Know your responsibility in the event of fire or disaster.
22. Physically restrain resident only under the direction of a licensed nurse.
23. Check restrained residents at least every thirty (30) minutes.
24. Release restraints at least every two (2) hours for range of motion exercises, taking to bathroom, repositioning, etc.
25. Maintain a record of restrained residents, the times restraints were released, and how long the restraints were released.