Geriatric CMA Medication Administration & Resident Care

This position, under the supervision and direction of a licensed nurse, is responsible for preparing, administering, and recording specific oral, nasal, transdermal, rectal, inhalant and ophthalmic scheduled and PRN medications to the residents of Lakeland Health Care Center (LHCC). SCHEDULE Days: Varies Work Hours: 2:30 p.m. - 11:00 p.m. Hours Per Shift: 8 Shifts Per Pay Period: 10 Position FTE: 1.0 This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Maintain in-depth knowledge of medication actions, medication effects on body systems and side effects from medication in relation to geriatric residents. Administer and document scheduled medications prescribed for routine administration according to established LHCC medication administration policies and procedures. Understand and effectively carry out verbal and/or written instructions. Recognize changes in residents’ conditions and effectively communicate those changes to the Unit RN or LPN. Take and record resident’s blood pressure and pulse as scheduled and in conjunction with prescribed medication therapy and subsequently report any significant changes compared to the prior reading to the Unit RN or LPN. Report changes in resident's physical and/or mental status to the Unit RN or LPN immediately. Provide personal hygiene including oral care, bathing, hair shampooing, shaving, skin care, nail care, and hand washing as well as assisting with toileting including bowel and bladder retraining and perineal care. Assist/perform resident mobility transfers, ambulation, position changes and range of motion. Serve resident meals and assist resident during meals. Interpret modified diet menus and prepare accordingly. Clean and sanitize food preparation utensils, dishes, equipment and resident serving/dining areas. Monitor refrigerators for proper labeling, dating, storing, rotating and use of foods. Order food supplies from the main kitchen. Employ appropriate assistive equipment such as gait belts, mechanical lifts and correct body mechanics when lifting, positioning and/or transferring residents and/or their belongings. Document cares given such as temperature, pulse, respiration, weight, intake/output and ambulation on flow sheets, target behavior forms, nutritional intake sheets, and required electronic charting. Assist residents in maintaining the cleanliness and neatness of resident's rooms including making beds and disposing of soiled linens and clothing. Review Certified Nursing Assistant (CNA) Summary Cards for assigned residents daily and discuss suggested changes with Nurse Manager as needed as well as assist with pre-staffing information collection. Help to establish/update plans of care (Kardex) for residents by communicating with the Unit Manager and members of the interdisciplinary team. Use standard precautions for infection control as well as using isolation techniques, including the use of a particulate mask. Perform simple treatments as assigned by the Unit RN or LPN within the limits of ability, training and guidelines of the Wisconsin Administrative Code Chapter HFS129. Participate in at least twelve (12) hours each year of inservice education programs to increase knowledge and skills as requested to maintain certification on the Wisconsin State Registry as well as attend mandatory in-services. Obtain four (4) hours of Certified Medication Assistant (CMA) in-service instruction per year. Deliver care in compliance with the Resident Bill of Rights by maintaining confidential resident care information and respecting residents’ rights and privacy. Assist with orientation of new CNAs on the unit as necessary. Assist with CNA student clinical experience. Communicate problems or concerns with team members to assure issues affecting resident care outcomes or general operations of the facility are handled efficiently. Respond to emergency situations per LHCC Emergency Response Plan. Respond to resident emergencies such as bleeding, falls, seizures and choking per policies and procedures. Assist with post mortem care. Assist with the admission of new residents. Label residents’ personal items. Participate in Quality Improvement activities. Assist residents to get ready for medical appointments. Assist residents to safely board the transportation vans. Monitor positioning and safety of residents during transport. Assist residents at the appointment site. Upon return to the facility, assist resident back to their room and help with ADL’s, as needed. Demonstrate a commitment to county safety and risk management efforts. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience High school diploma or equivalent competencies, and two to three years of relevant prior experience. Knowledge of medical terminology and basic arithmetic skills is required. Knowledge, Skills & Abilities Ability to perform manual tasks associated with personal care of elderly. Knowledge and understanding of Resident Bill of Rights. Ability to work independently and as part of a team. Good oral and written communication skills. Certificates, Licenses, Registrations and Other Special Requirements Wisconsin Nursing Assistant Certification, and on State Registry for Nursing Attendants. State of Wisconsin Medication Administration Certification. Criminal background check free of convictions of abuse of individuals or misappropriation of property while in a formal caretaking setting. All staff of Lakeland Health Care Center may be called upon to respond to emergency situations assisting residents in their physical positioning. All employees may be required to work overtime as determined by the department head. Interactions & Communication Responds to requests and initiates contacts to exchange basic or general information with others. Decision Making This position has authority to make decisions that are within detailed procedures and protocols and under close supervision. These decisions directly impact performance in the job and/or work unit within the department and information is provided to others for their decision-making. Thinking & Problem Solving In relation to established procedures, protocols and policies of the County, challenges of this position tend to be routine and primarily related to procedure and process issues. Tools and Equipment Used Telephone Scales Various Medical-Related Devices WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly exposed to moving mechanical parts and fumes or airborne particles. The employee is frequently exposed to toxic or caustic chemicals. The employee is occasionally exposed to wet and/or humid conditions, risk of electrical shock, and risk of radiation. The noise level in the work environment is usually moderate. PHYSICAL DEMANDS Ability to constantly use bilateral upper extremities, above/below waist and above/below shoulder height. Ability to constantly walk and stand Ability to constantly use hands and fingers to manipulate objects or to tend to resident needs. Ability to constantly lift and move up to 25 pounds. Ability to frequently lift and move up to 75 pounds with aid of provided equipment, or a second person assist. Ability to frequently lift, push or pull 50 pounds unassisted with bending and twisting of trunk. Ability to communicate to residents using talking and hearing. Ability to identify resident care needs through hearing and seeing. Constant means at least 2/3's of the shift. Frequent means at least 1/3 of the shift. A final candidate for this position may request consideration for additional Scheduled Time Off (STO) based on five years or more of continuous related experience per Ord. Sec. 15-515 (e). #J-18808-Ljbffr