EDUCATION/EXPERIENCE:

Must possess, as a minimum, a GED and Certified Nursing Assistant Course (120 hours)
Must be a licensed Certified Nursing Assistant in accordance with the laws of this state
Must be able to understand and carry out oral and written instructions
Must be able to read, write, speak, understand, and communicate effectively in English
Must be able to handle stressful situations and be flexible and adaptable
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
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
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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ROLE RESPONSIBILITIES – ADMINISTRATIVE & PERSONNEL:

Uses the wristband or photo card file to identify residents before performing procedures, serving meals, etc., as necessary
Records all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner
Uses only authorized abbreviations established by this facility when recording information
Reports all changes in resident’s condition to the Nurse Supervisor/Charge Nurse as soon as practical
Performs all assigned tasks in accordance with our established policies and procedures, and as instructed by supervisors
Follows work assignments, and/or work schedules in completing and performing your assigned tasks
Notifies the facility when you will be late or absent from work in accordance with policies
Meets 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

ROLE RESPONSIBILITIES – ADMISSION TRANSFER, AND DISCHARGE:

Ensures that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.)
Introduces resident to his/her roommate, if any, and other residents and personnel as appropriate
Makes resident comfortable (i.e., put to bed, get water, etc.)
Inventories and marks residents personal possessions as instructed
Stores resident’s clothing
Assists residents with packing their personal possessions when they are being transferred to a new room, or when being discharged
Transports residents to new rooms or to the receiving area

ROLE RESPONSIBILITIES – PERSONAL NURSING CARE:

Participates in and receives the nursing report upon reporting for duty
Assists residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.)
Assists residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed
Assists residents with dressing/undressing as necessary
Assists residents with hair care functions (i.e., combing, brushing, shampooing, etc.)
Assists residents with nail care (i.e. , clipping, trimming, and cleaning the finger/toenails, not including diabetic residents)
Shaves residents as needed
Keeps residents dry (i.e., change gowns, clothing, linen, etc., when it becomes wet/soiled
Makes beds (occupied and unoccupied)
Position bedfast residents in correct and comfortable position
Assists residents with bowel and bladder functions (ie., take to bathroom, offer bedpan/urinal, portable commode, etc.)
Maintains intake and output records as instructed
Keeps incontinent residents clean and dry
Checks and reports bowel movements and character of stools as instructed
Collects specimens as instructed (i.e., urine, sputum, stools, etc.)
Assists residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.)
Assists residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.
Assists in transporting residents to/from appointments, activity and social programs, etc., as necessary
Assists with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
Assists residents to walk with or without self-help devices as instructed
Performs restorative and rehabilitative procedures as instructed
Provides eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aids, etc.) as instructed
Assists in preparing the resident for a physical examination
Weighs and measures residents as instructed
Measures and records temperatures, pulse, and respirations (TPRs), as instructed
Answers resident calls promptly
Ensures that residents who are unable to call for help are checked frequently
Checks each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes
Assists with the care of the dying resident 30. Provides post-mortem care as instructed

ROLE RESPONSIBILITIES – SPECIAL NURSING CARE:

Observes and reports the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores)
Reports injuries of an unknown source, including skin tears
Provides daily indwelling catheter care
Provides daily perineal care
Assists with the application of slings, elastic bandages, binders, etc.
Gives tepid sponge baths
Provides daily range of motion exercises and records data as instructed
Turns bedfast residents at least every two (2) hours
Performs special treatments as instructed
Observes disoriented and comatose residents; records and reports data as instructed
Turns in all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse
Provides residents with reality orientation as instructed
Watches for and reports any change in room temperature, ventilation, lighting, etc.

ROLE RESPONSIBILITIES – FOOD SERVICE:

Prepares residents for meals (i.e., takes to bathroom, washes hands, combs hair, raise beds, positions tables, places bibs, takes to/from dining room, etc.)
Serves food trays and assists with feed as indicated (i.e., cutting foods, feeding, assists in dining room supervision, etc.)
Assists residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.)
Records the resident’s food/fluid intake and reports changes in the resident’s eating habits
Keeps residents’ water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident
Serves between meal and bedtime snacks
Performs after meal care (i.e., remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean denture, etc.)
Checks rooms for food articles (i.e., food in proper container, unauthorized food items, etc.)

ROLE RESPONSIBILITIES – STAFF DEVELOPMENT:

Attends and participates in scheduled training and educational classes to maintain current certification as a Nursing Assistant
Attends and participates in scheduled orientation programs and activities
Attends and participates in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard
Attends and participates in advance directive in-service training programs as scheduled
Attends and participates in outside training programs

ROLE RESPONSIBILITIES - INTERPERSONAL SKILLS:

Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances
Cooperates and communicates with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents
Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a clam environment throughout the unit and shift

ROLE RESPONSIBILITIES - SAFETY:

Restrains residents in chair/bed only as ordered
Checks restrained residents at least every thirty (30) minutes
Releases restraints at least every two (2) hours for range of motion exercises, taking to bathroom, etc.
Keeps the nurses’ call system within easy reach of the resident
Notifies the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility
Follows established safety precautions in the performance of all duties
Keeps residents’ personal possessions off the floor and properly stored
Keeps floors dry and reports spills immediately
Keeps excess supplies and equipment off the floor and stores in designated areas
Stores all tools, equipment, and supplies before leaving work area for breaks or at the end of the work day
Reports all accidents/incidents, safety violations, hazardous conditions, or defective equipment to the charge nurse immediately
Follows established smoking regulations and reports all violations
Follows established fire, disaster, and evacuation policies and procedures
Uses only supplies/equipment trained to use
Wears and/or uses safety equipment and supplies when lifting or moving residents (back brace, mechanical lifts, etc.)
Operates all equipment and use all supplies in a safe manner and according to established procedures
Notifies supervisor of equipment and supply needs
Reports missing/illegible labels and MSDSs to supervisor

ROLE RESPONSIBILITIES – INFECTION CONTROL & SANITATION:

Washes hands before and after performing any service for the resident
Participates in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids
Washes wheelchairs, walkers, etc., as instructed
Cleans, disinfects, and returns all resident care equipment to its designated storage area after each use
Reports any communicable or infectious disease to the DON and/or Infection Control Coordinator
Follows established isolation precautions and procedures
Follows established procedures in the use and disposal of personal protective equipment
Follows established policies concerning exposure to blood/body fluids
Washes hands before entering and after leaving an isolation room/area
Demonstrates proper hand-washing techniques and disposes of waste properly
Ensures that established infection control and standard precaution practices are maintained when performing nursing procedures

ROLE RESPONSIBILITIES – CARE PLAN:

Reviews care plans daily to determine if changes in the resident’s daily care routine have been made on the care plan
Informs the Nurse Supervisor/Charge Nurse of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan
Ensures that your notes reflect that the care plan is being followed

ROLE RESPONSIBILITIES – RESIDENT CARE/DIGNITY:

Maintains the confidentiality of all resident care information
Ensures that you treat all residents fairly, with kindness, dignity, and respect
Ensures that all nursing care is provided in privacy
Ensures understanding of and compliance with all rules regarding residents’ rights
Knocks on resident’s rooms before entering
Reports all grievances and complaints made by residents to the Nurse Supervisor/Charge Nurse.
Reports all allegations of resident abuse and/or misappropriation of resident property
Honors the resident’s refusal of treatment request. Report such requests to your supervisor