CERTIFIED NURSING ASSISTANT

Overview

Job Location: Sacramento, CA 95823. Education Level: High School. Salary Range: $22.00 hourly. Travel Percentage: None. FLSA Status: Non‑Exempt.

Reporting

This position reports to the Charge Nurse and Director of Staff Development.

Essential Job Functions

• Provide direct care to residents to improve or maintain the resident’s abilities according to the resident’s plan of care.
• Activities of Daily Living (ADLs):
  • Bathing – Assist with transport to tub, adjust water temperature, wash and rinse resident, dry thoroughly, maintain privacy.
  • Dressing – Locate, select, and obtain clothing for resident, assist with snaps, zippers, buttons, communicate clothing needs.
  • Restorative Care – Assist resident to maintain functioning at highest independent level; perform ambulation, range‑of‑motion exercises, use assistive devices, maintain body alignment.
  • Elimination/Toileting – Assist residents to bathroom according to schedule; provide clean bedpan or urinal, clean residents when unable to self‑clean, measure and record output, provide catheter care per procedure.
  • Mobility – Assist residents or provide range‑of‑motion exercises, provide weight‑bearing assistance or physical support for ambulating, push wheelchair or geri‑chair, maintain safe environment.
  • Transfer – Position residents for transfer; use correct transfer technique and equipment; obtain assistance when needed.
  • Eating – Provide set‑up assistance for meal tray, open, pour, unwrap, and cut food; feed individuals requiring total assistance; encourage chewing; clean after meals; serve nourishment and snacks; document and report intake.
• Protect and promote resident rights, dignity, self‑determination; offer and respect resident choices; refer to residents by proper names; handle property with respect; avoid use of pet names.
• Observe and report patterns of decreased social interaction, angry or sad behaviors and refusals of treatment to Unit Charge Nurse.
• Assist with planning, implementation and evaluation of plans of care for assigned residents; report information about conditions, responses to interventions, suggestions for alternative approaches.
• Assist with preparation for state inspections; attend survey training and interact with state surveyors as directed by immediate supervisor.
• Follow all facility policies and procedures including infection control; use personal protective equipment properly.
• Record accurate, legible information about resident care and condition in appropriate sections of resident record.
• Communicate with Charge Nurse about assigned residents regularly throughout shift.
• Demonstrate competence in proper body mechanics; use equipment such as back belts, gait belts, mechanical lifting equipment.
• Monitor physical environment for safety or fire hazards; report potential problems immediately.
• Report injury to resident or self to Charge Nurse immediately.
• Attend 12 hours of in‑service education annually; apply information to job tasks.
• Participate in fire and disaster drills; carry out assigned duties in emergencies.

Job Functions

• Demonstrate knowledge of, and respect for, rights, dignity, and individuality of each resident.
• Appreciate importance of maintaining confidentiality.
• Demonstrate honesty and integrity at all times.
• Able to understand and follow written and verbal directions; communicate effectively with staff and residents.
• Interact effectively with individuals who are cognitively and/or physically impaired.
• Knowledge of emergency and disaster procedures; locate nearest exit.
• Sufficient mobility and strength to move through building, assure resident safety; assist, transfer or otherwise move residents in danger.
• Respect for co‑workers; respond to needs of residents; comply with policies on attendance, punctuality, dress code.
• Comply with workplace safety including infection control, PPE, hazardous materials.
• Prioritize tasks; complete duties within allotted time.
• Respond to change productively; handle additional tasks as assigned.
• Able to carry out essential functions with or without reasonable accommodation.
• Provide nursing services to individuals with cognitive impairments.
• Recognize changes in resident conditions through physical symptoms or observations.
• Other duties as assigned.

Physical Capacities

• Must be able to see and hear or use prosthetics to function adequately.
• Must meet general health requirements (annual TB screening, physical exam).
• Must lift a minimum of 25 pounds; lift up to more than 100 pounds with assistance as appropriate.
• Must move intermittently during working hours.
• Must stand and walk for extended periods.
• Must bend, squat, push, stoop, pull as needed.
• Must cope with mental and emotional stress.

Environmental Conditions

Inside work: normal temperatures, some noise, occasional fumes/odors, chemical exposure, potential exposure to bloodborne pathogens.

This job cannot be performed without exposure to stresses associated with an intimate, 24‑hour skilled care environment that delivers care primarily to disabled and cognitively impaired residents. Examples include emergency health or safety response, weekend/holiday duty, unusual behavior by residents, family reactions, death and dying, oversight of state surveyors, etc.

Qualifications / Requirements

• Education: Sufficient literacy (functional literacy).
• License: Current CNA certification issued by local Department of Health Services or proof of successful completion of approved OBRA certification program from another state, with no findings in the State Nurse Aide Registry.
• Work Experience: Prior experience giving personal care to impaired individuals preferred.
• Language Skills: Read, analyze and interpret common scientific and technical information; communicate verbally in English.
• Mathematical Skills: Add, subtract, multiply, divide in all units of measure; perform operations using weight and volume units.
• Communication Skills: Exceptional customer service, empathetic; effective communication with patients, families, staff, outside resources and agencies.