Certified Nursing Assistant

Description GENERAL PURPOSE Perform direct resident care duties in accordance with the resident’s assessment and care-plan. Assist with promoting a compassionate, physical and psychosocial environment, as directed and under supervision by your supervisors. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB, and the AIDS and Hepatitis B viruses. ESSENTIAL JOB FUNCTIONS General Skills Observe and practice safety according to facility policy and procedure. Able to explain and demonstrate fire/emergency procedures. Properly use and maintain facility equipment. Show respect for facility property. Demonstrate and be able to explain infection control and isolation procedures. Demonstrate and able to explain proper body mechanics. Ensure residents are clean and comfortable. Ensure residents are given correct diet. Use proper feeding techniques while respecting personal dignity and meeting the resident’s need for socialization. Make beds correctly and wrinkle free. Maintain resident rooms in neat, orderly and clutter-free manner. Support resident participation in activity programs. Maintain ability to present a professional appearance and attitude. Must be able to perform the tasks of the job without any restrictions. Customer Service Skills Promote and maintain positive relationships with Service Skills coworkers, residents, visitors, volunteers, and regulators. Directly respond, within your scope of practice, to needs and concerns of residents and family members. Work with the care-giving team to identify and resolve resident and family issues. Promptly respond to call lights and other resident needs. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit and shift. Report complaints and grievances immediately. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Resident Rights Treat residents with compassion and dignity. Establish Rights effective communication/interaction with residents and families. Ensure residents right to privacy (visual and auditory). Maintain confidentiality of resident and facility records/information. Show respect for residents’ personal property. Ensure residents are dressed appropriately, consistent with weather conditions, and according to their wishes. Recognize a resident’s ability to make choices and support these within the constraints of the care-giving environment. Communicate with members of the care-giving team about residents personal choices. Communicate and is sensitive and appropriately responsive to residents end of life concerns and wishes to the Charge Nurse. Ensure you treat all residents fairly, and with kindness, dignity, and respect. Always knock prior to entering a room. Report any allegations of resident abuse and/or misappropriation of resident property immediately. Honor resident’s refusal of treatment and report such requests to your supervisor. Nursing Care Implementation Perform the following according to policy and procedure: Take and record temperature, pulse, respiration and blood pressure. Ambulate residents. Apply proper lifting and transferring techniques. Provide proper positioning and use of postural supports. Maintain residents positioning as needed. Weigh residents on schedule and record weights accurately. Provide restorative and rehabilitative nursing. Provide active and passive range of motion. Implement bowel and bladder program. Collect certain specimens for cultures pursuant to facility policy and within your scope of practice. Check and report/record bowel movements and character of stools as instructed. Ensure residents comfort while assisting them in achieving their highest practicable level of functioning as follows: Assist residents with their activities of daily living. Provide oral care and hygiene pursuant to the plan of care. Provide nail care pursuant to the plan of care. Assist residents with dressing and grooming according to their needs, wishes and desires. Bathe residents with attention to privacy, respecting dignity, and providing a safe and relaxing experience. Making beds appropriately using the proper linens. Always identify your resident prior to performing any task or procedure. Performs work safely by consistently using gait belts, back supports and lifts. Check residents routinely to assure their personal care needs are met. Check residents skin every shift and report any abnormalities immediately. Provide indwelling catheter care every shift. Provide perineal care after each incontinent episode. Prepare residents for meals, assist with feeding as indicated, provide after meal care, serve between meal and bedtime snacks as ordered. Nursing Care Evaluation Report the following to the Charge Nurse and the care-giving team as appropriate and/or document according to policy and procedure: A significant change in a residents condition, a change in a residents vital signs or weight, any accidents or injuries, any changes in a residents skin integrity, behavioral changes, signs of resident depression or anxiety, changes in a residents ambulation status, the level of the residents food consumption, and the residents intake of food and liquids as well as the residents output when indicated. Nursing Care Planning Participate in collecting data needed for the accurate completion of the MDS and the Plan of Care. Show understanding of information that is provided by the ADL flow sheets. Provide input to the Nurses for development or change of the plan of care. Provide information gathered from care- giving activities to the Charge Nurse. Ensure your documentation reflects that the care plan is being followed. Continuing Education Assist in the orientation and training of other staff. Attend orientation, mandatory in-service and education programs and staff meetings to maintain current certification as a Nursing Assistant. Safety Comply with all Company policies related to safety and infection control procedures, including the proper use of mechanical lifts, gait belts and personal protective back supports. Report all accidents and incidents immediately. Report exposure to blood, body fluids, infectious materials, and hazardous materials immediately to your supervisor. Make sure locks on beds and wheel chairs are locked prior to transferring residents. Answer call lights promptly. Clean up spills immediately. Store equipment properly. Use restraints only as instructed by your supervisor. Check at least every 30 minutes and release every two (2) hours. Immediately notify your supervisor if any resident is missing from the building. Report any safety violations. Follow established smoking regulations. Use your personal protective equipment appropriately. Use only the equipment you have been trained to use, and in a safe manner. Report defective equipment. Operate all equipment in a safe manner. Must not pose a threat to the health and safety of other individuals. Follow all safety policies to assure resident safety. Resident Understand, comply with and promote all rules and regulations regarding resident’s rights, promote positive relationships with residents, visitors, and regulators, to include presenting a professional appearance. OTHER JOB FUNCTIONS Corporate Compliance Must adhere to Medical Management Concepts Code of Conduct and Business Ethics Policy, including documentation and reporting responsibilities. Staff Development Attend and participate in educational activities, in-service training and staff meetings: assist in orientation and training of other staff. Quality Improvement Participate in Quality Improvement activities as assigned. Other Duties Other duties as assigned or needed. This includes residents that you are not familiar with. Requirements PHYSICAL AND SENSORY REQUIREMENTS Walking/mobility, stoop, kneel, crouch, crawl, sit, climb, balance, reaching, bending, grasping, pushing, lifting, transferring and repositioning residents, pulling, fine hand coordination, finger, handle, feel, ability to read and write, ability to understand and follow written and oral instructions, ability to verbally communicate with residents and others, ability to distinguish smells and temperatures, ability to hear and respond to pages, ability to understand and apply training and in-service education, ability to instruct personnel during training, education and staff meetings, and ability to remain calm in emergency situations and when handling multiple tasks. Must be able to lift and carry 50 pounds using proper body mechanics. Must be able to cope with the mental and emotional stress of the position. Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, personnel, and support agencies. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. While performing the duties of this job, the employee is frequently exposed to vibration, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, outside weather conditions, and risk of electrical shock. The noise level in the work environment is usually moderate. GENERAL INFORMATION Is subject to frequent interruptions, hostile and emotionally upset residents, family members, personnel and visitors. Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (severe weather, evacuation, post-disaster, etc.). Is subject to injury from falls. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB, and the AIDS and Hepatitis B viruses. Must have the ability to read a limited number of three-syllable words and recognize the similarities and differences between words. Have the ability to add and subtract three digit numbers and multiply and divide with 10’s and 100’s. QUALIFICATIONS Must be a Certified Nursing Assistant in good standing with the state, or must within four (4) months of employment successfully complete a state-required training and competency evaluation program. Must maintain a current certification in the state throughout employment. Must achieve 12 hours on in-service education annually as required by federal regulation (as well as meet state requirements). Must have the ability to read and write in the English language, and follow oral and written directions at a level necessary to accomplish your job. Must be at least 18 years of age and possess a High School Diploma or equivalent. Must be able to relate positively and favorably to residents and families and to work cooperatively with coworkers and supervisors. Must be willing to assist others, including co-workers. Must maintain regular attendance. Must be in good health and demonstrate emotional stability. Must meet all local health regulations, pass post-employment physical exam if required. This requirement also includes drug screening, criminal background investigation and reference inquiry. Must be capable of performing the essential functions of this job. Benefits: 401(k) Dental insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance Work Location: In person #J-18808-Ljbffr