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Certified Nursing Assistant

Post Date:
Service Area:
The HSC Pediatric Center
Status:
Full-time
Shift(s):
Nights

Job Requirements

Shift: 11:30p-7:30a

JOB SUMMARY   

The certified nursing assistant is responsible for providing residents with routine daily nursing care in accordance with established nursing care procedures, scope of practice, regulatory guidelines, residents’ person-centered care plan, and other tasks as directed by your supervisor.       

JOB FUNCTIONS  

Essential job duties:      

1. Administrative Functions: • Document in the computerized medical records system the activities of daily living (ADLs). • Use the arm-band before providing care and services. • Report all accidents and incidents you observe on the shift as they occur to charge nurse/supervisor. • Report allegations of abuse/neglect to charge nurse/supervisor/DON • Report changes in the resident’s condition to the charge nurse/supervisor. • Participates in Quality Assurance Performance Improvement activities as assigned.      

2. Admission, Transfer, and discharge functions: • Ensure resident’s room is ready for receiving the resident (1.e. bed made, admission kit available, call bell in place and functioning, fresh water at the bedside and etc.) • Greet resident by name and escort resident to his/her room. • Introduce resident to his/her roommate and other staff such as the charge nurse. • Make resident comfortable (i.e. put to bed, change clothing, orient to room nursing unit, the call light system and TV. • Inventory and mark the personal possession according to procedure. Obtain signatures from family member. • Store resident’s clothing neatly in closet and drawers. • Assist resident with packing their personal possession when they are being transferred to a new room, or when discharged. • Transport resident to new room or to receiving area and introduce to nursing staff. • Assist resident with loading or unloading and settling into new room.     

3. Personal Nursing Functions: • Participate and receive report upon start of the shift. • Assess each resident at the start of the shift. • Assist other staff with providing necessary care to residents such as changing, toileting or transferring as needed. • Assist resident with bath functions, (i.e. bed bath or shower etc.) according to schedule and resident’s preference and need. • Assess skin condition daily during provision of care. • Assist resident with daily dental and mouth care (i.e. brushing teeth, oral hygiene, and special mouth care). • Assist resident with dressing and undressing. • Assist resident with hair care functions. • Assist resident with nail care (i.e. clipping, trimming, and cleaning the finger). • Keep resident dry by changing clothing or linen when it becomes wet or soiled. • Make bed occupied or unoccupied. • Position bedfast resident in correct and comfortable position in accordance with need and schedule. • Change bed linens. Keep linens tight to avoid wrinkles forming under the residents • Put extra covers on bed as requested and needed. • Assist resident with bowel and bladder functions (i.e. take to the bathroom, offer bed pan/ urinal, commode). • Document meal percentages. • Document bowel movements and character of stools. • Assist nurse in caring for ventilator dependent residents. • Assist resident in preparing for activity, and social programs • Assist residents in preparing for medical test (i.e. x-ray, therapy, Cat scan, etc.) • Follow established Infection Control and OSHA policies concerning exposure to infection and blood/body fluids. • Report any incident of falling, bruising, lacerations and other skin integrity alterations to charge nurse/supervisor. • Assist in transporting residents to/from appointments, activity and social programs. • Assist with lifting, turning, moving, positioning and transporting resident in and out of bed, chair, and wheelchair. Use proper body mechanics, durable equipment, and staff support. • Answer resident’s call lights promptly. • Assist resident to walk with or without self-help devices as instructed by therapists or charge nurse. • Perform restorative and rehabilitative procedures as instructed (e.g. room ambulation, put on other devices, therapeutic exercises). • Inform charge nurse/supervisor of any changes in the resident’s condition. • Measure and record temperature, pulse, respiration, blood pressure, weight, height and pain as instructed and in accordance with policy guidelines. • Assist in preparing the resident for a physical examination. • Provide comfort care to a dying resident. • Provide A.M. and P. M. care which minimally consist of washing hands and face, mouth care including brushing teeth, combing hair and perineal care. • Check resident routinely to assume that his/her personal care needs are met. • Perform assigned cleaning duties such as pantry, utility storage areas, and refrigerators according to schedule. • Prepare residents for meals (i.e. take to bathroom, wash hands, comb hair, raise bed, position tables, take to/from dining room, etc.) • Serve food trays. Assist with feeding as indicated (i.e. cutting food, preparing breads, opening, cartons, and condiment packages, assist dining room supervision.     

4. Special Nursing Care Functions: • Observe and report the presence of areas and skin breakdown to prevent pressure ulcers to charge nurses/supervisor. • Turn bedfast residents at least every two hours. • Perform active/passive ROM to specified joints. • Provide physical and respiratory therapies as instructed e.g. maintenance ambulation, cough and deep breathing exercises. • Observe disoriented, comatose, agitated residents. Record and report observations as instructed e.g. Neuro Checks, vital signs. • Watch for and report all changes in room temperature, ventilation, lighting noise levels. • Turn in medications found in the resident room or possession to the charge nurse. • Ensure that the ADL documentation is completed. • Participate in resident’s care plan meetings in accordance with policy and regulatory requirements.     

5. Personnel Function: • Follow work assignments, and, or work schedules in completing and performing your assigned tasks. • Perform all assigned tasks in accordance with established policies and procedures, and as instructed by the charge nurse and supervisors. • Notify the facility when you will be late or absent from work in accordance with facility policy. • Swipe in and out of the time clock system in accordance with facility policy. • Report all complaints and grievances by the resident to the charge nurse/supervisor. • Cooperate with personnel from other departments to meet the resident’s needs. • Work cooperatively with charge nurses/nursing supervisors and other care providers to maintain the health, safety, and well-being of the residents and families. • Participate in rehabilitative and restorative therapy. • Create and maintain an atmosphere of warmth and calm environment. • Attend scheduled nursing/management meetings on a regular basis to assist in identifying and correcting problem areas, and/or the improvement of services. • Attend and participate in scheduled training, educational classes, orientation programs and activities.     

6. Resident Rights: • Maintain the confidentiality of all resident care information. • Ensure that all nursing care is provided in privacy. • Knock before entering the resident room at all times. • Report all grievances and complaints made by the resident/family to the charge nurse/nursing supervisor. • Address each resident by preferred name. • Acknowledge the resident right to be free of verbal, mental, sexual or physical abuse and involuntary seclusion. • Explain to the resident each activity to be undertaken prior to the activity. • Be an advocate for the resident. Greet friends and family, direct their concerns to charge nurse/supervisor. • Encourage resident participation in care activities and making choices. • Dress each resident to enhance individual’s self-esteem their preference, age, and life style. • Encourage resident participation in care and selection of clothing activities. • Resident/family has the right to report problems with staff without retaliation. • Answer all call lights promptly and assist resident as needed and requested by family or other staff members. • Resident has the right to keep his/her personal belongings. When a resident expresses concern that he/she is missing personal property, report it to the charge nurse/nursing supervisor. • The resident will be treated in a manner which maintains and enhances his/her dignity.         

Other job duties:     

1. May perform other duties in addition to those outlined in this job description.     

QUALIFICATIONS   

Required Experience:   

1 year of experience (preferred) working with children with special needs and young adults (preferred).      

License/Certifications:   

CPR certification     

Must have a DC CNA certification       

Required Education:   

High School Diploma or GED certificate 

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