CNA's Needed-Rehabilitation and Nursing Care

Theprimary purpose of the Certified Nursing Assistant position is to provide each assignedresident with excellent daily nursing care and services in accordance with theresident's assessment and plan of care, and as may be directed by yoursupervisor.
Identify residents before administering treatments, serving meals, etc. Use only authorized abbreviations established by this facility when recording information.
Report all changes in the resident's condition to the RN Team Leader as soon as possible.
Report and provide statement for all events, accidents and incidents you observe on the shift as they occur.
Ensure that the resident's room is ready for receiving the resident (i.e., Greet residents and escort them to their room.
Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.
Make resident comfortable (i.e., put to bed, get water, etc.)
Inventory and mark the resident's personal possessions as instructed.
Store resident's clothing.
Assist residents with packing their personal belongings when they are being transferred or discharged.
Transport residents to new rooms or to the receiving area.
Assist with loading/unloading residents from vehicles as necessary.
Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisor.
Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and the shift.
Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services and participate in Team Conference.
Report all complaints and grievances made by the resident.
Notify the facility when you will be late or absent from work.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.
PersonalNursing Care Functions

Participate in and receive the nursing report upon reporting for duty.
Follow established policies concerning exposure to blood/body fluids.
Assist residents with hygiene needs to include:

• Dailydental and mouth care (i.e. brushing teeth/dentures, oral hygiene, specialmouth care, etc.)
• Nailcare (i.e. clipping, trimming and cleaning the finger/toe nails)
• Shavingmale residents
• Controllinghair growth on female residents (i.e. facial hair, under arms, on legs, etc.)Keep linens tight to avoid wrinkles from forming under the resident.

Position bedfast residents in correct and comfortable position, utilizing positioning devices as indicated.
Assist resident with bowel and bladder functions (i.e., Keep incontinent residents clean and dry.
Assist residents in preparing for medical tests and appointments (i.e., lab work, x-ray, therapy, dental, physician dialysis, etc.)
Assist residents in preparing for activity and social programs (i.e. church, parties, visitors, physician, dialysis).
Assist in transporting residents to/from appointments, activity and social programs, etc. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
Assist residents to walk with or without self-help devices as instructed.
Provide eye and ear care (i.e., warm/cold compresses, removing wax and hair, cleaning eyeglasses/hearing aids, dentures, etc.) Assist in preparing the resident for a physical examination.
Answer resident calls promptly.
Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
Assist with the care of the dying resident as directed.
Provide post-mortem care as instructed.
SpecialNursing Care Functions
Provide daily indwelling catheter care.
Provide daily perineal care.
Assist with the application of slings, elastic bandages, binders, etc.
Provide daily range of motion exercises and record data as instructed.
Turn bedfast residents at least every two (2) hours.
Perform diabetic urine testing, as directed.
Observe disoriented and comatose residents. Record and report data as instructed.
Turn all medications found in the resident's room over to the Medication Administration Manager.
Prepare residents for meals (i.e., Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.)
Assist residents with identifying food arrangements (i.e. informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.)
Record the resident's food intake. Report changes in the resident's eating habits.
Keep residents' water pitchers clean and filled with fresh water and within easy reach of the resident.
Serve between meal and bedtime snacks.
Perform after meal care (i.e. remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.)
Check rooms for food articles (i.e. food in proper container, unauthorized food items, etc.)
Safetyand Sanitation

• Applyrestraining device to residents in chair/bed as ordered.
• Maintaina record of residents with a restraining device, the time devices werereleased, and how long the restraining device was released.
• Participatein appropriate in-service training programs prior to performing tasks thatinvolve potential exposure to blood/body fluids.
• Washhands before and after performing any service for the resident.
• Keepthe nurses' call system within easy reach of the resident.
• Immediatelynotify the RN Team Leader of any resident leaving/missing from the facility.
• Followestablished safety precautions in the performance of all duties.
• Keepresidents' personal possessions off the floor and properly stored.
• Report spills immediately.
• Keepexcess supplies and equipment off the floor. Clean,disinfect, and return all resident care equipment to its designated storagearea after each use.
• Reportall hazardous conditions and equipment to the RN Team Leader immediately.
• Reportany communicable or infectious disease to the DONand/or the Infection Control Coordinator.
• Followestablished procedures in the use and disposal of personal protectiveequipment.
• Wearand/or use safety equipment and supplies (i.e. back brace, mechanical lifts,etc.) when lifting or moving residents.
• Useonly the equipment you have been trained to use.
• Operateall equipment in a safe manner.
• Reportdefective equipment to the RN Team Leader.
• Informthe RN Team Leader of your equipment and supply needs.

ReviewCNA care cards daily to determine if changes in the resident's daily careroutine have been made on the care plan.

• Informthe RN Team Leader of any changes in the resident's condition so thatappropriate information can be entered on the resident's care plan.
• Ensurethat your notes/documentation reflect that the care plan is being followed.

Maintainthe confidentially of all resident care information.

• Ensurethat you treat all residents fairly, and with kindness, dignity, and respect.
• Ensurethat all nursing care is provided in privacy.
• Knockbefore entering the resident's room.
• Reportall complaints made by the resident and/or family member to the RN Team Leader.
• Reportall allegations of resident abuse and/or misappropriation of resident propertyimmediately.
• Honorthe resident's refusal of treatment request. Worksthroughout the nursing service areas.
• Isinvolved with residents, personnel, visitors, government agency personnel, etc.Issubject to hostile and emotionally upset residents, family members, personneland visitors.
• Communicateswith nursing personnel and other department personnel.
• Worksbeyond normal working hours, on weekends and holidays, and in other positions,temporarily, when necessary.
• Issubject to callback during emergency conditions.
• Issubject to injury from falls, burns from equipment, odors, etc., throughout theworkday, as well as to reactions from dust, plastics, synthetics,disinfectants, tobacco smoke, and other potential contaminants.
• Issubject to exposure to infectious waste, disease, conditions, etc. Maybe subject to the handling of and exposure to hazardous chemicals.

Attend and participate in scheduled training and educational classes to improve nursing skills and maintain current certification as a Nursing Assistant.
Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standards.
Attend and participate in advance directive in-service training programs as scheduled.
Must possess a high school diploma or GED.
Must be a Certified Nursing Assistant in accordance with the laws of this state.
Possess some computer skills and understanding of documentation software program preferred.
Must be able to read, write, speak, and understand the English language.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agency personnel, and the general public.
Must have patience, tact, a positive attitude and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must be able to relate information concerning a resident's condition.
Must not pose a direct threat to the health and safety of other individuals in the workplace.
Physical andSensory Requirements (with or without the aid of mechanical devices)
Must be able to move continuously throughout the workday.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, families, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility, which may include a medical and physical examination.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility.
May be necessary to assist in the evacuation of residents during emergency situations.
Sitting: 1-2 hour per 8-hour shift. Standing: 4-5 hours per 8-hour shift. Walking: 2-3 hours per 8 hour shift. EqualEmployment Opportunity/Affirmative Action Employer and do not discriminate onthe basis of race, color, age, sex, religion, veteran's status, nationalorigin, disability, marital status, or any other characteristic protected bylaw.