Certified Nursing Assistant

EMBASSY HEALTHCARE

 

JOB DESCRIPTION

 

POSITION TITLE:  State Tested Nursing Assistant EFFECTIVE DATE:

 

DEPARTMENT:  Nursing SHIFT:

 

REPORTS TO:  Director of Nursing STATUS:  Hourly

 

DEPARTMENT HEAD APPROVAL___________________________ DATE________

 

HUMAN RESOURCE APPROVAL____________________________ DATE________

 

 

 

PURPOSE OF YOUR JOB POSITION:

 

The primary purpose of your job position is to treat and document care for residents with impaired ability to perform at an independent level due to disease process, under the supervision of a licensed nurse.

 

ESSENTIAL JOB FUNCTIONS SATEMENT:

 

Every effort has been made to identify the essential functions of this position.  However, it in no way states or implies that these are the only duties you will be required to perform.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

 

 

SAFETY FACTORS:

Risk Potential to Blood/Body Fluids:

*Category I:  Tasks in this category involve exposure to blood, body fluids, or tissues, and require the use of personal protective equipment.

Category II:  Tasks in this category involve no exposure to blood, body fluids, and/or tissues, but employment may require performing unplanned category I tasks.

Category III:  These tasks require no exposure to blood, body fluids, and/or tissues, and category I tasks are not a condition of employment.

 

 

ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES

 

Administrative Functions

• Follow physicians’ orders for resident care, and follow directions of the physical therapist.
• Provide appropriate treatment to help residents maintain or attain the highest level of function possible with the confines of his/her physical abilities.
• Use only authorized abbreviations established by this facility when recording information.
• Report all changes in the resident’s condition to the Nurse Supervisor/Charge Nurse as soon as practical.
• Report all accidents and incidents you observe on the shift that they occur.

 

 

Admission, Transfer, and Discharge Functions

• Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).
• 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 possessions when they are being transferred to a new room, or when being discharged.
• Transport residents to new rooms or to the receiving area.

 

 

Personal Functions

• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
• Cooperate with inter-department 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 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.
• 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.

 

 

Personal Nursing 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 daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.)
• Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed.
• Assist residents with dressing/undressing as necessary.
• Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.)
• Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenail).  (Note: Does not include diabetic residents.)
• Shave residents as needed.
• Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
• Make beds (occupied and unoccupied).
• Position bedfast residents in correct and comfortable position.
• Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.)
• Maintain intake and output records as instructed.
• Keep incontinent residents clean and dry.
• Check and report bowel movements and character of stools as instructed.
• Collect specimens as instructed (i.e., urine, sputum, stools, etc.)
• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.)
• Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
• Assist in transporting residents’ to/from appointments, activity and social programs, etc., as necessary.
• 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.
• Perform restorative and rehabilitative procedures as instructed.
• Change dressings, bandages, binders, etc., as instructed.
• Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed.
• Assist in preparing the resident for physical examination.
• Weigh and measure residents as instructed.
• Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
• Answer resident calls promptly.
• Ensure that residents who are unable to call for help are checked frequently.
• 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.
• Provide post-mortem care as instructed.

 

 

Special Nursing Care Functions

• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
• Report injuries of an unknown source, including skin tears.
• Provide daily indwelling catheter care.
• Provide daily perineal care.
• Assist with the application of slings, elastic bandages, binders, etc.
• Give tepid sponge baths.
• Provide daily Range of Motion Exercises.  Record data as instructed.
• Turn bedfast residents at least every two (2) hours.
• Perform special treatments as instructed.
• Observe disoriented and comatose residents.  Record and report data as instructed.
• Turn all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse.
• Provide residents with Reality Orientation as instructed.
• Watch for and report any change in room temperature, ventilation, lighting, etc.

 

 

Food Service Functions

• Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.).
• 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/fluid intake.  Report changes in the resident’s eating habits.
• Keep residents’ water pitchers clean and filled with fresh water (on each shift), 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.).

 

 

Staff Development

• Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant.
• Attend and participate in scheduled orientation programs and activities.
• Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standard.
• Attend and participate in advance directive in-service training programs as scheduled.

 

 

Safety and Sanitation

• Participate in appropriate in –service training programs prior to performing tasks that involve potential exposure to blood/body fluids.
• Wash hands before and after performing any service for the resident.
• Keep the nurses’ call system within easy reach of the resident.
• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.
• Follow established safety precautions in the performance of all duties.
• Keep residents’ personal possessions off the floor and properly stored.
• Keep floors dry report spills immediately.
• Keep excess supplies and equipment off the floor.  Store in designated areas.
• Wash wheelchairs, walkers, etc., as instructed.
• Clean, disinfect, and return all resident care equipment to its designated storage area after each use.
• Before leaving work area for breaks, or at the end of the workday, store all tools, equipment, and supplies.
• Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.
• Report all safety violations.
• Follow established smoking regulations. Report all violations.
• Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.
• Follow established isolation precautions and procedures.
• Wash hands before entering and after leaving an isolation room/area.
• Follow established procedures in the use and disposal of personal protective equipment.
• Wear and /or use safety equipment and supplies (e.g. back brace, mechanical lifts, etc.) when lifting or moving residents.
• Report missing/illegible labels and MSDSs to your supervisor.