CNA Long Term Care

Job Description Summary
Performs age and developmentally appropriate nursing related tasks and services delegated by a licensed nurse to adult and geriatric patient/resident populations. After appropriate delegation by the supervising nurse, the nursing assistant shall utilize knowledge of resident rights, legal/ethical concepts, communication skills, safety and infection control while performing the following: basic nursing skills, personal care skills, basic restorative skills, mental health and psychosocial skills, communication skills and nursing team member skills. Delivers resident patient care according to the Scope of Service for the Living Center. Fosters a culture of patient/resident safety on the unit. Practices within the scope of an CNA and compiles with standards of practice for long term care facilities.

Essential Functions

Quality Resident Care

1. Provides age and developmentally appropriate personal care to residents (eg. peri care, oral care, linen changes, dressing), encouraging resident choices and independence within resident's abilities.
2. Provides interventions to reduce loneliness, helplessness and boredom and to improve resident's quality of life and self worth. Listens and communicates respectfully with residents and families. Encourages residents to communicate opinions, needs, and choices. Consistently treats residents with respect and provides interventions to maintain resident dignity.
3. Follows plan of care as noted on daily mini-care-plan sheet and gives input to nurses on any changes that should be made to further individualize plan of care. Prepares residents for meals, offering choices, distributing food and assisting residents as needed. Provides a meaningful dining experience for residents by engaging them in conversation and creating a positive dining environment. Knows resident diet and offers snacks and appropriate hydration to residents. Consistently documents meal and fluid intake.

Resident Safety

1. Makes rounds to anticipate resident needs. Promptly responds to call lights and all other alarms. Assures for resident safety including: fall alarm in place and working; call light within reach; staying with resident as required; using gait belt.
2. Completes resident positioning, lifting, turning, and ambulating according to standards of care and resident's plan of care using proper equipment and tools to facilitate safe care for both the resident and employee. Collaborates in the implementation of rehab goals such as ROJM, ambulation, positioning, and turning.
3. Consistently follows appropriate infection control practices including hand washing, linen handling, glove use, catheter care, and isolation procedures.
4. Assists in maintaining a safe and clean environment for residents by reporting malfunctioning equipment, environmental hazards, cleans equipment, keeps hallways clear, and equipment in good working order. Implements fire and disaster plan correctly.
5. Keeps residents' rooms neat, safe, and clean. Handles resident's personal belongings properly including prosthetic devices, hearing aides, dentures, glasses, and clothes.
6. Checks oxygen for correct flow and makes certain that oxygen is available to meet resident needs.

Collaborative Communication and Teamwork

1. Communicates to nursing staff any changes in resident condition including but not limited to mental status, mobility, positioning needs, skin condition, dietary intake, participation in care.
2. Consistently communicates effectively with team members to effectively address resident needs and implement the plan of care. This includes communication with members of the interdisciplinary team on all shifts.
3. Consistently and accurately completes required documentation for dietary intake, I and O, and aide duties.

Other Duties

1. Actively participates in culture change and implementation of the Eden philosophy of care.
2. Prepares residents for participation in activities and participates with the resident in the LC activity program.
3. Performs fundamentals of customer service such as answering phones, paging, and relaying messages.
4. Assists in performance improvement activities in order to improve resident care and professional practice including completing audits and problem solving to improve clinical processes.
5. Keeps certifications, reorientation and continuing education current. Maintains, develops and updates skills to implement quality care and service to residents and families.

Job Requirements
Minimum Education
Required: Must have completed an accredited CNA course and have current WY CNA license.

Minimum Work Experience
Required: Effective and professional communication skills. Good customer service skills.

Required Licenses: WY CNA required at time of hire and upon expiration of the credentials. BLS required at time of hire.

Functional Demands
Working conditions

Long-term care clinical setting. Occasional stressful situations, irregular hours. Care of patient/residents with complicated medical/psychosocial conditions. Employee may be required to take call shifts and must possess the ability to do shift work. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

Physical Requirements

Employee must be physically active including heavy lifting and moving of residents. Must possess sight/hearing abilities to perform job requirements. Must possess the ability to push, pull, bend and move patients/residents, equipment, and supplies. Able to lift up to 50 lbs. 75% of shift spent standing and walking. Intermittent sitting and computer use.

Reports to: Director of Nursing LC

Internal and External Contacts:
All hospital departments, residents, physicians, families and/or friends of residents, community agencies, visitors, and volunteers.

Leadership Capabilities

Composure
• Remains calm when times are tough
• Maintains balance when the unexpected happens

Interpersonal Skills
• Relates well to all kinds of people, up, down and sideways, inside and outside the organization
• Builds appropriate rapport
• Uses diplomacy and tact

Priority Setting
• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical few and puts the trivial many aside

Problem Solving
• Uses logic and methods to solve problems with effective solutions
• Can see hidden problems
• Looks beyond the obvious and doesn't stop at the first answers

Time Management
• Uses his/her time effectively and efficiently
• Concentrates his/her efforts on the more important priorities
• Gets more done in less time than others