Certified Nursing Assistant (CNA) – AM Shift

Interpersonal, Teamwork & Misc.

• Communicates unresolved work-related issues productively & effectively solves problems
• Handles confidential information appropriately and is HIPAA compliant
• Friendly and courteous to residents, co-workers etc, and takes ownership in solving problems (taking initiative where appropriate)
• Works well in a team, owning personally assigned work and assisting wherever needed to get the job done
• Follows established policies and guidelines
• Reliable and predictable attendance
• Other Duties as assigned

Administrative Functions

• Use the wristband or photo card file to identify residents before providing care, serving meals, etc., as necessary.
• Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.
• 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 immediately on the shift as soon as they occur.
• Agree 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.
• Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
• Report any known or suspected unauthorized attempt to access facility’s information system.

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.).
• 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 possessions when they are being transferred to a new room, or when being discharged.
• Transport residents to new rooms or to the receiving area.
• Assist with loading/unloading residents from vehicles, as necessary.

Personnel 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-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 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.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screensaver activates within established facility policy guidelines.

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., bed bath, 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/toenails). (Note: Does not include diabetic residents.)
• Shave male residents.
• Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.
• Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
• Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
• Make beds (occupied and unoccupied).
• Put extra covers on beds as requested.
• 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.
• 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.
• Assist in preparing the resident for a physical examination.
• Weigh and measure residents as instructed and per policy
• Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
• Answer resident calls as promptly as feasible.
• 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

Restorative Nursing Assistant Functions

• Directs and assists in transfer and ambulation techniques and range of motion exercise activities
• Directs and assists in the use of walkers or other assistive devices
• Coordinates self-help training
• Coordinates or assists with other restorative functions
• Evaluates progress documents daily, weekly, monthly and as needed
• Participates in care planning

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 facility in-service training programs as instructed.
• Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

Safety and Sanitation

• 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 as assigned
• Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures).
• 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.

Equipment and Supply Functions

• Use only the equipment you have been trained to use. Operate all equipment in a safe manner.
• Use only the equipment and supplies necessary to do the job. Do not be wasteful.
• Report defective equipment to the Nurse Supervisor/Charge Nurse.
  Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.

Care Plan and Assessment Functions

• Follow the care plan to deliver care plan in accordance with patient needs
• Provide resident care according to care plan/KARDEX review (review care plan/KARDEX and get prior shift report prior to delivering care)
• Inform the Nurse Supervisor/Charge Nurse of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.
• Ensure that your notes reflect that the care plan is being followed.

Budget and Planning Functions

• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Resident Rights

• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
• Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
• Ensure that all nursing care is provided in privacy.
• Knock before entering the resident’s room.
• Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
• Report all allegations of resident abuse and/or misappropriation of resident property.
• Honor the resident’s refusal of treatment request. Report such requests to your supervisor.

Physical Capabilities

• 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 meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination.
• Must be able to lift a minimum of 25 pounds.
• Must be able to lift up and over 100 pounds with assistance according to resident’s abilities.
• Must be able to move intermittently during working hours.
• Must be able to stand and walk for extended periods of time.
• Must be able to bend, squat, push, stoop and pull as needed especially in fulfilling resident care activities. Must be able to cope with the mental and emotional stress of the position.

Environment Conditions

• Inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure, and potential exposure to bloodborne pathogens.
• This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour skilled care environment
  that delivers care and services primarily to disabled and cognitively impaired residents in an aging population.
• Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.
• HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).

ACKNOWLEDGEMENT:

Every effort has been made to identify the essential functions of this position. However, this 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 this position.

I hereby accept the position and agree to perform this position in a safe manner and in accordance with the facility’s established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, burn, infectious diseases, air contaminants (including tobacco smoke), hazardous chemicals, and to the Hepatitis B virus, and that I will be responsible for following company policies and procedures when in contact with any of the situations described above.

I understand that my employment is at will. My employment is for no definite or determinable period and may be terminated at any time with or without prior notice at the option of either myself or the company. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the facility Administrator.

Employee Signature: _______________________________________________   Date: ____________________________________