CNA 2nd shift
PURPOSE OF YOUR JOB POSITION
The primary purpose of your job position is to provide residents with routine daily nursing care delivered in a compassionate attitude and in accordance with our established nursing care procedures and philosophies as may be directed by your supervisors.
DELEGATION OF AUTHORITY
As a Certified Nursing Assistant you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these be 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.
A criteria-based performance evaluation will be done using components of this job description and documentation of your daily activities.
MAJOR DUTIES AND RESPONSIBILITIES
- ADMINISTRATIVE FUNCTIONS
1.1 Record all appropriate entries on flow sheets, notes, charge, etc.
1.2 Report all accidents and incidents you observe on the shift as they occur.
1.3 Report all changes in the resident's condition to the charge nurse as soon as practical.
1.4 Uses resident's charge system accurately.
- ADMISSION, TRANSFER, AND DISCHARGE FUNCTIONS
2.1 Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, etc.).
2.2 Greet and escort residents to their room.
2.3 Introduce residents to his/her roommate, if any, and other residents and personnel as appropriate.
2.4 Make resident comfortable (i.e., put to bed, get water, etc.).
2.5 Inventory and mark the resident's personal possessions as instructed.
2.6 Store resident's clothing.
2.7 Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.
2.8 Transport residents to new rooms or to the receiving area.
2.9 Assist residents with loading/unloading as necessary.
- EMPLOYEE FUNCTIONS
3.1 Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
3.2 Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
3.3 Notify the facility when you will be late or absent from work.
3.4 Report all complaints and grievances made by the resident.
3.5 Cooperate with inter-departmental personnel, as well as other facility personnel to assure that nursing services can be adequately maintained to meet the needs of the residents.
3.6 Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
3.7 Meet with your shift's nursing personnel on a regular basis to assist in identifying and correcting problem areas and/or the improvement of services.
- PERSONAL NURSING CARE FUNCTIONS
4.1 Participate in and receive the nursing report upon reporting for duty.
4.2 Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
4.3 Assist residents with bath functions (i.e., bed-bath, tub or shower bath, etc.) as directed.
4.4 Give back-rubs as instructed.
4.5 Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
4.6 Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails.). (Note: Does not include diabetic residents.)
4.7 Shave residents.
4.8 Keep residents clean and dry (i.e., change gown, clothing, linens, etc., when it becomes wet or soiled.).
4.9 Make beds (occupied and unoccupied).
4.10 Position bedfast and wheelchair or Specialty chair residents in correct and comfortable positions.
4.11 Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
4.12 Put extra covers on beds as requested.
4.13 Assist resident with bowel and bladder functions as instructed (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.).
4.14 Maintain intake and output records as instructed.
4.15 Keep incontinent residents clean and dry.
4.16 Check and report bowel movements and character of stools as instructed.
4.17 Prepare and give enemas. Report results as instructed.
4.18 Assist residents in preparing for activity, social and wellness programs (i.e., church services, parties, visitors, etc.).
4.19 Follow established policies concerning exposure to blood/body fluids.
4.20 Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary.
4.21 Assist with lifting, turning, moving, positioning, and transporting residents in and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. using proper body mechanics and appropriate number of personnel for resident condition.
4.22 Answer resident call-bells promptly.
4.23 Assist residents to walk with or without self-help devices as instructed.
4.24 Perform restorative and rehabilitative procedures as instructed.
4.25 Measure and record temperatures, pulse, respirations and pain (TPRs), as instructed.
4.26 Weigh and measure residents as instructed.
4.27 Assist with the care of the dying resident.
4.28 Provide postmortem care as instructed.
4.29 Check residents routinely to assure that they're personal care needs are being met.
4.30 Assist Residents for transport to and from the Wellness Center, including change into and out of swimsuits.
- SPECIAL NURSING CARE FUNCTIONS
5.1 Observe and report the presence of pressure areas, skin breakdowns and any reddened area to prevent decubitus ulcers (bedsores).
5.2 Provide daily indwelling catheter care on every shift.
5.3 Provide daily Range of Motion Exercises. Record data as instructed.
5.4 Turn bedfast residents at least once every two (2) hours.
5.5 Perform special treatments as instructed.
5.6 Watch for and report any change in room temperature, ventilation, lighting, etc.
5.7 Turn all medications found in the resident's room/possession over to the Charge Nurse.
- FOOD SERVICE FUNCTIONS
6.1 Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bavettes, take to/from dining room, etc.).
6.2 Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).
6.3 Assist residents with 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.).
6.4 Record the resident’s food/fluid intake. Report changes in the resident's eating habits.
6.5 Keep residents water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.
6.6 Serve between meal and bedtime snacks when appropriate.
6.7 Perform after meal care (i.e., remove trays, clean residents hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).
6.8 Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).
- STAFF DEVELOPMENT
7.1 Attend and participate in scheduled training and educational classes.
7.2 Attend and participate in scheduled orientation programs and activities.
7.3 Maintain current licensure.
- SAFETY AND SANITATION
8.1 Restrain residents in chair/bed only as instructed.
8.2 Check restrained residents at least every thirty (30) minutes.
8.3 Release restraints at least every two (2) hours for range of motion exercises, taking to bathroom, etc.
8.4 Maintain a record of restrained residents, the times restraints were released, and how long the restraints were released.
8.5 Notify the Charge Nurse of any resident leaving/missing from the facility.
8.6 Keep floors dry. Report spills immediately.
8.7 Keep excess supplies and equipment off the floor and stored in designated areas.
8.8 Keep residents’ personal possessions off the floor and properly sorted.
8.9 Follow established smoking regulations. Report all violations.
8.10 Keep the nurses' call system within easy reach of the resident.
8.11 Report all hazardous conditions and equipment to the Staff Nurse immediately.
8.12 Follow established safety precautions in the performance of all duties.
8.13 Report all safety violations
8.14 Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies.
8.15 Wash hands before and after performing any service for the resident.
8.16 Wash wheelchairs, walkers, etc., as instructed.
8.17 Clean and return all resident care equipment to its designated storage area after each use.
8.18 Perform routine housekeeping duties (i.e., clean bed-rails, over-bed table, night stand, medicine chest, closets, etc.) that relate to nursing care procedures.
8.19 Wash hands before entering and leaving an isolation room/area.
8.20 Report any communicable or infectious disease that you contact, to the Director of Nursing Services and/or to the Infection Control Coordinator.
8.21 Follow established isolation precautions and procedures.
- EQUIPMENT AND SUPPLY FUNCTIONS
9.1 Use only the equipment you have been trained to use.
9.2 Operate all equipment in a safe manner.
9.3 Use only the equipment and supplies necessary to do the job. Do not be wasteful.
9.4 Report defective equipment to the Charge Nurse.
9.5 Inform the Charge Nurse of your equipment and supply needs.
- CARE PLAN FUNCTIONS
10.1 Review Nurse Assistant instruction sheets daily to determine if changes in the resident's daily care routine have been made on the care plan.
10.2 Inform the Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan.
- RESIDENT RIGHTS
11.1 Maintain the confidentiality of all resident care information.
11.2 Ensure that you treat all residents fairly and with kindness, dignity and respect.
11.3 Ensure that all nursing care is provided in privacy.
11.4 Knock before entering the resident's room.
11.5 Report all grievances and complaints made by the resident to the Charge Nurse.
Works throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.).
Sits, stands, bends, lifts and moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with nursing personnel and other department personnel.
Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary.
Attends and participates in continuing education programs.
Is subject to falls, burns from equipment, odors, etc., throughout the work day.
Is subject to exposure to infectious waste, diseases, conditions, etc., including the AIDS and Hepatitis B viruses.
Must be able to work the required hours for the position.
Must be able to adhere to all policies of St. Simeon's including absenteeism or tardiness as well as all approved policies.
Must possess, as a minimum, an 8th grade education.
Must be a certified nurse aide in accordance with laws of this state or be willing to undergo certification.
Must maintain current certification in accordance with the laws of this state.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must meet age requirements for the position.
Must possess the ability and willingness to work harmoniously with professional and non-professional personnel.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must be able to relate information concerning a resident's condition.
PHYSICAL AND SENSORY REQUIREMENTS
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the work day.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
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.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must be in good general health and demonstrate emotional stability.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to lift or assist in moving more than own body weight.
Must be able to bend, walk, stand, lift, carry, push and handle equipment, supplies or patients exceeding 50 pounds.
Must be willing to perform tasks that may involve exposure to the resident's blood/body fluids.
Must be able to assist in the evacuation of residents.