CNA/Medication Aide - LTC

Certified Nursing Aide/Medication Aide - LTC At WRH

The Certified Nursing Aide/Medication Aide - LTC at WRH assists in the provision of nursing care of the patients as directed by the a NURSE/LPN. Care skills include but are not limited to: comfort and safety measures, personal hygiene, assisting with activities of daily living, and simple nursing procedures. The MA is allowed to administer oral medications and perform treatments under the supervision of a RN/LPN.

Education/Experience: High school diploma or equivalent desired.

Required Credentials (Licensure, Certification, or Registration): Certification from a state approved program for nursing assistant, or completion of in house certification program by the end of four months of employment. Medication Aide Certification.

Employment Variables: Scheduled work hours may vary. Required to rotate weekends and holidays. Occasionally may need to work beyond normal working hours. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills: Ability to read, write, speak and understand the English language. Excellent oral and written communication skills. Ability to deal with residents, the public and other staff in a professional manner.

Direct Supervisor: Director of Clinic Operations

Function Explanation

Honesty We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions

Expertise We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available.

Approachability We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect We will be understanding and sensitive to others' feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others' feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another's name.

Teamwork We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.

Essential Functions

Duties and Responsibilities

Provides timely and proper notification for absences and paid personal leave. Finds a replacement when necessary. No unexcused absences or excessive tardiness. Knows emergency procedures for fire, internal/external disaster plans, codes, etc. and participates in drills. Verbally supportive of Winner Regional Health and the Sanford Health Network. Participates on committees and/or is involved in special projects of Winner Regional Health. Provides for patient, resident, employee, and visitor safety through preventative measures. Identifies hazards and reports incidents. Utilizes and adheres to appropriate precautions/techniques with hazardous chemicals, blood and body fluids, medical waste and/or equipment. Satisfactory attendance at department meetings (50% attendance meets expectations). Is cross-trained to other areas/positions/departments to provide assistance when needed.

Clinical Competency

Demonstrates operating knowledge of equipment and supplies necessary to perform assigned duties. Demonstrates appropriate aseptic and hygiene techniques to prevent the spread of infection to patient, self and others. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care. Assists nurses and Physicians with assessments, examinations and treatments.

Patient Care Functions

Assists in development and implementation of patient plan of care including personal hygiene, nutrition, and elimination. Observes patients for reactions to treatments or any unusual conditions and records or reports adverse conditions to the nurse.

Ancillary Activities

Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Monitors supplies and equipment.

Resident & Work Safety

Demonstrates appropriate lifting, repositioning, proper use of restraints, and moving of patients and equipment. Maintains good hand washing practices before and after patient care. Reports patient concerns, c/o pain and abnormal vital signs to the nurse. Promotes a safe and hazard free resident care environment.

Working With Delegation

Willingly accepts from nurses the delegation of tasks that are within the job description and own competence level. Consistently seeks clarity and/or direction from nurse when tasks or assignments are unclear, outside job description, or outside the competency level. Seeks appropriate assistance when needed form healthcare team members to ensure the safe administration of patient. Consistently provides nurse with feedback regarding outcomes from delegated tasks (i.e., VS, pain assessment, and activity). Demonstrates appropriate independence/interdependence in the provision and documentation of patient care.

Medication

Accurately prepares and administers prescribed oral medications according to the Winner Regional Health policy. Monitors patient condition, response to medications and appropriately documents. This includes but is not limited to: PRN medications, patient self-administration records, and psychoactive medications SE monitoring. Has knowledge of medications and treatments that are not to be administered by MA. Is aware of the pain management protocol and reporting responsibilities. Is accountable for the medication cart keys and keeps the cart locked when not in use. Is aware of documentation requirements, to include medication errors. Notifies Nurse of the need for physician orders or patient complications.

Compliance

Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer.

Physical and Mental Requirements

General Activity

• Sit 1/2 Hours at a time; up to 1-1.5 Hours during the day
• Stand 1/2 Hours at a time; up to 3-4.5 Hours during the day
• Walk 2 Hours at a time; up to 4-6 Hours during the day

Motion

• Bend/Stoop Occasionally
• Kneel, Duration 30 sec Occasionally
• Squat Occasionally
• Balance Occasionally
• Crawl, Distance Occasionally Twist Occasionally
• Climb, Height Occasionally
• Keyboarding/Mousing Occasionally
• Reach above shoulder level Occasionally

Physical Demand

Employee's job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee's job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Medium
• Occasionally 50 lbs.
• Frequently 25 lbs.
• Constantly 10 lbs.

Sensory Requirements:

• Speech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes Must be able to interact with residents, families and co-workers.
• Vision (VDT) Are there specific vision requirements for the job? Yes Must be able to read meal cards, jot sheets, etc.
• Hearing Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes As stated.
• Smell Must be able to smell Yes To identify odors related to infections

Environmental Factors

• Working on unprotected heights No
• Being around moving machinery No
• Exposure to marked changes in temperature and humidity Yes Assists in transporting residents appointments and actives
• Driving automotive equipment No
• Wearing personal protective equipment Yes
• Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) No
• Exposure to extreme noise or vibration No