CNA II (59791)

Position Summary
The CNA II is responsible to provide each of your assigned residents with routine daily nursing care and services in accordance with the residents assessment and care plan, and as may be directed by your supervisors. As a Certified Nursing Assistant you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties

CNA II: ESSENTIAL DUTIES AND RESPONSIBILITIES (*CF indicates Critical Function)

Administrative Functions:

• Uses the wristband and photo to identify residents before administering treatments, serving meals, etc., as necessary (*CF)
• Documents all cares provided in EMR (*CF)
• Ensures that extensive nursing care documentation is complete in CNA cardex to demonstrate completion of additional tasks (*CF)
• Reports all changes in the residents condition to the Charge Nurse (*CF)
• Agrees not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator
• Agrees not to disclose residents protected health information and promptly report suspected or known violations of such disclosure to the Administrator
• Reports any known or suspected unauthorized attempt to access facilitys information system

Personnel:

• Performs all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors (*CF)
• Cooperates 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 (*CF)
• Creates and maintains an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift
• Meets with nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services
• Reports all complaints and grievances made by the resident (*CF)
• Reports occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor
• Reports known or suspected incidents of fraud to the Administrator/Corporate Compliance Officer
• Ensures that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines

Personal Nursing Care Functions:

• Participates in and receive the nursing report upon reporting for duty (*CF)
• High frequency of admission and discharges-ensures all care related to these processes are completed to include:
  • Obtaining frequent vital signs-at least once each shift
  • Obtaining frequent weights-daily, initially (*CF)
• Assists resident with all grooming tasks each shift, including but not limited to, oral/dental care, bathing, dressing, hair care, shaving, nail care (*CF)
• Frequent skin monitoring due to anticoagulant therapies and/or special brace/sling use and report to nurse any irregularity observed (*CF)
• Performs necessary treatments (i.e. OTC creams, barrier creams, etc.) (*CF)
• Assists nurses with frequent treatments and assessments, as directed (*CF)
• Assists resident with bowel and bladder functions and any incontinence care, ensuring residents are dry (*CF)
• Tracks and documents all daily intake and participates in tracking/reporting of daily fluid goals not met (*CF)
• Performs foley catheter care and documents/reports output each shift (*CF)
• Assists in transporting residents to/from appointments, activity and social programs, etc., as necessary
• Provides care for residents with overall higher acuity, providing total assist for turning and positioning, dressing, personal hygiene, more frequent toileting schedules, higher prevalence of max to total assist with all ADLs as per care plan, using proper body mechanics and mechanical lifts as warranted (*CF)
• Frequent use of different types of mechanical lifts due to high incidence of total dependence in transfer (*CF)
• Assists residents to walk with or without self-help devices as instructed
• Follows Spinal, Sternal, and Hip precautions for all ordered residents regarding fresh post-op critical care (*CF)
• Answers resident calls as promptly as feasible, ensuring that residents who are unable to call for help are checked frequently (*CF)
• Assists with the care of the dying resident and provide post-mortem care as instructed (*CF)

Food Service Functions:

• Prepares residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place clothing protectors or napkins, take to/from dining room, etc.) (*CF)
• Monitors and adheres to high prevalence of mechanically altered diets, thickened liquids and adaptive equipment use for meals (*CF)
• Serves food trays. Provides total assistance with feeding (i.e., cutting foods, feeding, assist in dining room supervision, etc.) (*CF)
• Assists 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.)
• Records the residents food/fluid intake. Reports changes in the residents eating habits (*CF)
• Keeps residents water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident (*CF)
• Serves between meal and bedtime snacks. Documents such in the intake book (*CF)
• Performs after meal care (i.e., remove trays, clean residents hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.)
• Checks rooms for food articles (i.e., food in proper container, unauthorized food items, etc.)

Staff Development:

• Attends and participates in scheduled training and educational classes to maintain current certification as a Nursing Assistant (*CF)
• Attends and participates in scheduled orientation programs and activities
• Attends and participates in facility in-service training programs as instructed

Safety and Sanitation:

• Washes hands before and after performing any service for the resident
• Keeps the nurses call system within easy reach of the resident (*CF)
• Resonds to and checks each shift for placement and function of alarms (i.e, bed, chair, tab, floor pad, etc.) (*CF)
• Monitor bed rails and bed height to ensure they are as care planned to ensure resident safety (*CF)
• Immediately notifies the Charge Nurse of any resident leaving/missing from the facility (*CF)
• Follows established safety precautions in the performance of all duties
• Reports any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator
• Follows established isolation precautions and procedures (*CF)
• Wears and/or uses safety equipment and supplies (i.e., gait belt, mechanical lifts, etc.) when lifting or moving residents
• Monitors and/or applies as ordered all specialty braces/slings as per care plan, such as TLSO, Miam-J collars, etc (*CF)
• Monitors restraints, if ordered. Ensures they are released every 2 hours and for all meals and care provided (*CF)
• Reports missing/illegible labels and SDSs to your supervisor

Equipment and Supply Functions:

• Uses only the equipment you have been trained to use in a safe manner
• Reports defective equipment to the Charge Nurse
• Informs the Charge Nurse of your equipment and supply needs

Resident Rights:

• Maintains the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information (*CF)
• Ensures that you treat all residents fairly, and with kindness, dignity, and respect, knocking before entering room, ensuring privacy for all care provided (*CF)
• Reports all allegations of resident abuse and/or misappropriation of resident property (*CF)
• Honors the residents refusal of treatment request. Reports such requests to the nursing supervisor

III. Working Conditions:

• Adherence to a strict regulatory environment (*CF)
• Adherence to highly detailed, consistently changing, individualized care planned nursing instructions (*CF)
• Works throughout the nursing service area (i.e. nurses stations, resident rooms, etc.), intermittently moving due to frequent interruptions
• Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances
• Is subject to 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 (e.g., severe weather, evacuation, post-disaster, etc.)
• Completes all required training and in-services
• All other duties as assigned

GENERAL SKILLS AND ABILITIES

• Maintains high standards for work areas, attitude and appearance
• Understands that honesty and ethics are essential in the performance of duties
• Willing to learn and grow
• Demonstrates maturity in judgment and behaviors
• Must be a supportive team member, contribute to and be an example of team work and team concept
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public
• Must not pose a direct threat to the health and safety of other individuals in the workplace
• Accepts and responds to constructive criticism
• Able to work a flexible schedule 
• Maintains predictable and reliable attendance

Qualifications

1. High school diploma or HSE
2. Holds a current Nursing Assistant certification in New York State
3. Valid CPR certification
4. Proficiency with computers and standard office software
5. Must be able to read, write, speak, and understand the English language
6. Demonstrated knowledge and skills necessary to provide care primarily to the geriatric population