Careers

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Basic Function

Under supervision, assists the nursing staff by performing specific tasks. Specific responsibilities include daily hygienic care of the residents and care of the environment of the resident.

Qualification Requirements

• Certified Nursing Assistant certification.
• Previous experience preferred.
• Ability to communicate effectively in English.

Position Responsibilites

• Responsible to the charge nurse.
• Takes vital signs and identifies changes to the charge nurse.
• Demonstrates skills in eating/feeding techniques.
• Knowledgeable of nutrition/hydration principles.
• Demonstrates skills in dressing/undressing, bathing, toileting, incontinence care, and ambulating residents.
• Demonstrates proper transfers to/from bed, chair and lifts.
• Demonstrates knowledge of the risk factors for falls.
• Demonstrates knowledge of the risk factors for pressure ulcers.
• Demonstrates proper positioning techniques to prevent pressure ulcers.
• Demonstrates proper application and release of restraints and the correct use of safety alarms.
• Demonstrates proper operation of lifts and specialty beds.
• Is aware of cognitive impairment/difficult behaviors.
• Demonstrates an understanding of the care needed at the end of life.
• Demonstrates proper catheter care and peri-care and colostomy care.
• Understands and documents intake and output as required.
• Able to identify changes in resident condition and report to charge nurse.
  E.g. chest pain, change in speech, refusal to eat, unresponsive, complaints of dizziness, falls, bleeding, unusual behaviors, skin breakdown.
• Follows established safety precautions when performing tasks and when using equipment.
• Demonstrates good hand washing techniques.
• Shows understanding and use of Universal Precautions at all times and Contact Precautions as ordered.
• Completes documentation of food percentages, fluid intake, bowel and bladder sheets and activities of daily living, in a timely manner.
• Able to verbalize steps to be taken in emergency situations, e.g. fire, bomb threat, hurricane, and evacuation.
• Reports complaints and requests of residents, physicians, and visitors to the charge nurse.
• Participates and contributes to the team conference on resident care.
• Gives partial or complete baths with particular attention to mouth, denture, hair, nail, and foot care.
• Answers resident’s signals providing necessary assistance when requests are within the range of his/her delegated tasks, notifies the appropriate nurse when the situation so indicates.
• Feeds residents who are unable to feed themselves.
• Assists residents on admission, discharge and transfers.
• Maintains a clean, safe environment. Resident rooms are to be kept neat, tidy and hazard free.
• Adheres to the instructions issued by the charge nurse and to the established nursing department policies and procedures, and handles and serves residents in a manner conducive to safety and comfort.
• Assumes responsibility for personal growth and required in-services by participating in staff development programs.
• Provides orientation for new employees.
• Participates in nursing rounds and report at beginning and end of shift with outgoing and oncoming nursing staff.
• Performs all other duties that may be assigned.

Other Job Demands

Working Conditions
Work is inside, with little temperature changes.

Physical Effort
Work is of heavy demand: lifting 50 lbs. maximum with frequent lifting and transferring individuals; standing and working most of time on duty; pushing and pulling of residents and wheelchairs; handling, reaching, and feeling when distributing supplies, equipment and checking residents; manual dexterity is required to move and use hands easily and skillfully while aiding residents and providing treatment.

Physical Environment
Extreme risk of accident occurs in lifting and transferring residents; proper safety procedures and equipment must be used at all times; must be adept in working with ill people while carrying out job duties.

Sensory Attention
Talking and hearing to converse with residents and staff is required; near-visual acuity for accurate reading of gages and thermometers and for recording in the clinical record is a must; handling and teaching of residents does occur while performing daily care.

Mental Stress
Moderate mental discomfort exists due to working with ill and/or elderly individuals. You are faced with behavior problems that take considerable time and patience. Pressure of caring for more than one resident at a time does exist. Resident’s demands and verbal abuse can occur frequently.

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