I. TITLE OF POSITION
Certified Nursing Assistant
II. PURPOSE OF YOUR JOB POSITION
The primary purpose of your job position 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.
IV. JOB FUNCTIONS
Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.
V. 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.).
D. Personal Nursing Care Functions (Cont.)
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.
H. Safety and Sanitation (Cont.)
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.
I. Equipment and Supply Functions
1. Use only the equipment you have been trained to use.
2. Operate all equipment according to instruction.
3. Use only the equipment and supplies necessary to do the job. Do not be wasteful.
4. Report defective equipment to the Unit Coordinator/Charge Nurse.
5. Inform the Unit Coordinator of your equipment and supply needs.
6. Follow established preventive maintenance procedures for maintaining your equipment and supplies in a safe and operable manner.
J. Care Plan Functions
1. Inform the Team Leader/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan.
2. Ensure that your documentation reflect that the care plan is being followed.
K. Resident Rights
1. Maintain the confidentiality of all resident care information.
2. Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
3. Ensure that all nursing care is provided in privacy.
4. Knock and announce yourself before entering the residents' room.
5. Report all grievances and complaints made by the resident to the Team Leader/Charge Nurse.
L. Working Conditions
1. Works throughout the nursing service area (i.e., nurses' stations, residents' rooms, etc.).
2. Sits, stands, bends, lifts, and moves intermittently during working hours.
3. Is subject to frequent interruptions.
4. Is involved with residents, personnel, visitors, government agencies/personnel, etc. under a variety conditions and circumstances.
5. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
6. Communicates with the medical staff, nursing personnel, and other department personnel.
7. Normal working hours are 7A-3P, 6A-2P, 7A-7P, 6A-6P, 3P-11P, 2P-10P, 7P-7A, 6P-6A,
10P-6A, 11P-7A. The nursing assistant is expected to arrive on their unit ready to take
report on the hour appointed to start work.
8. Works beyond normal working hours, on weekends and holidays, and in other positions
temporarily, when necessary.
9. Attends and participates in continuing educational programs.
10. Is subject to falls, burns from equipment, odors, etc. throughout the work day.
11. Is subject to exposure to infectious waste, diseases, conditions, etc. including the AIDS and Hepatitis B viruses.
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.
C. Specific Requirements
1. Must be able to read, write, speak, and understand the English language.
2. Must possess the ability to make independent decisions when circumstances warrant such action.
3. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
4. Must possess the ability and willingness to work harmoniously with professional and non-professional personnel.
5. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
6. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
7. Must be able to relate, to appropriate personnel, information concerning a resident's condition.
8. Must be able to understand and follow directions, work under supervision, and follow all policies and procedures including the dress code.
D. Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
1. Must be able to move intermittently throughout the work day.
2. Must be able to speak and write the English language in an understandable manner.
3. Must be able to cope with the mental and emotional stress of the position.
4. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.
5. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
6. Must be in good general health and demonstrate emotional stability.
7. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
8. Must be able to lift, push, pull, and move a minimum of 50 pounds.
9. Must be able to assist in the evacuation of residents.