Fahrney-Keedy Memorial Home

Job Description

 

Job Title: Certified Nursing Assistant

Department: At Your Service! (In-Home)

Reports To: Director of At Your Service!

FLSA Status: nonexempt

Prepared By: Nursing Administration Team

Revised Date: August 7, 2003

Approved By: 

Approved Date: August 7, 2003

 

Hours of Work: PRN (as needed)

 

SUMMARY

Provide practical established nursing assistant skills to residents, following policies and procedures of this facility. Assist nurses and supervisory staff in the resident care on the unit. Providing quality care by checking resident and room to insure the care required is safe and done in a timely manner. Units must be kept neat and tidy. The nursing assistant must possess good communication skills with all levels of staff, as well as, visitors, family members and consultants. The nursing assistant will respect the resident confidentiality and support resident Bill of Rights. Attending in-service educational classes is a part of your regular assignment of duty and record of attendance will be kept.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

 

1. Attend and participate in change of shift report and make walking rounds with off/on

coming shift.

2. Answer signal lights and bells on a timely basis to determine the resident's need.
3. Assist resident with bath functions (bed bath, tub or shower) as directed by the resident's

preference and care plan.

4. Assist resident with daily dental and mouth care (brushing teeth, dentures, oral hygiene, and

special mouth care).

5. Assist resident with dressing and undressing.
6. Assist resident with nail care (clipping, trimming, and cleaning fingernails).
7. Shave male residents.
8. Keep hair on female resident's clean (facial, underarms, and legs) as desired by the

resident.

9. Assist residents with hair care (combing, brushing, shampooing, styling) when not provided

by the beautician.

10. Keep residents dry (change gown, clothing, linens) when wet or soiled; following correct

procedures for the use of disposable incontinence products.

11. Change bed linens per facility schedule and policy. Make beds - occupied and

unoccupied. Make sure air mattresses are inflated.

12. Turn and position bedfast residents every 2 hours or as otherwise indicated, maintaining

proper body alignment and using correct positioning devices.

13. Assist resident with bowel and bladder functions (taking to the bathroom, offering urinal,

or bedpan).

14. Maintain Intake and Output records as directed.

ESSENTIAL DUTIES AND RESPONSIBILITIES (continued)

15. Keep water pitchers clean and filled with ice water, straws and within easy reach when

ordered.

16. Check and report bowel movements and character of stool as instructed

 

17. Assist residents in preparing for activity and social programs. Check daily calendar of

events and ensure that the resident is ready to participate when indicated. Transport

residents to and from activities in the facility.

18. Assist with lifting, turning, positioning, transferring residents into and out of bed, chairs,

bathtubs, wheelchairs, lift, etc.

19. Assist residents to walk using devices (canes, walkers, chairs, gait belts, etc.) as ordered.

20. Weigh and record weights as assigned, measure and record temperature, pulse, blood

pressure and respiration (TPR)

21. Assist residents with eyeglasses and hearing aides.

22. Answer call lights promptly and keep call bells within resident's reach.

23. Assist with the care of the dying resident.

24. Knock before entering the resident's room to ensure privacy of resident.

25. Treat all residents fairly with kindness, dignity and respect and ensure all nursing care is

provided respecting the privacy of the resident.

26. Report all allegations of resident abuse and/or misappropriation of resident's property.

27. Honor the resident's refusal of treatment request and report such requests to the

Nurse/Patient Care Coordinator.

28. CNA's may only work in the areas of assisted and independent living.

 

SPECIAL RESIDENT CARE FUNCTION

1. Observe and report the presence of pressure areas and skin breakdown.
2. Provide preventative skin care by the application of skin barrier products to residents at

risk.

3. Report injuries of an unknown source, including skin tears.
4. Provide daily indwelling catheter care.
5. Assist with the application of hand cones, splints, binders, slings and other devices.
6. Provide daily Range of Motion Exercises.
7. Report changes in resident's condition and behavior.
8. Apply protective devices correctly and as ordered. Release protective devices and

reposition resident every 2 hours.

9. Use positioning and other devices, designed to assist, to assure proper position such as pillows, cushions

and wedges to prevent skin breakdown and contractures.

10. Prepare residents for meals - take to the bathroom, wash hands, position in bed, take to

the dining room, place bibs, etc. ALL NURSING ASSISTANTS MUST

PARTICIPATE IN DISTRIBUTION OF TRAYS IN A TIMELY MANNER.

11. Trays are served to all residents at the same table before moving to the next table.

12. Trays are color coded for feeding level and ensure the resident is being served proper diet

as ordered.

13. Assist with feeding - cutting foods, encouraging, prompting, and pouring beverages,

seasoning.

14. Spoon-feed residents, sitting at the resident's level.

15. Assist resident with identifying food on tray, offer substitutes and inform kitchen when they

are needed.

16. Record food and fluid intake and meal percentage on the flow sheets, reporting any

changes in eating abilities to the Nurse.

17. Follow dysphasia protocols as indicated for residents with difficulty swallowing.

18. Perform after meal care - remove trays, clean residents with difficulty swallowing.

19. Assist resident in consuming snacks and other nourishment.

 

 

INFECTION PREVENTION/SAFETY

1. Use proper hand washing technique and infection control measures.
2. Follow established isolation precautions and procedures.
3. Follow established procedures in the use of personal protective equipment.
4. Maintain a safe, clutter free environment.
5. Keep all poisons (medications, creams, lotions, cleaning solutions) locked and out of reach

of the residents.

6. Keep resident's personal items out of the bath and tub rooms.
7. Keep floors dry, clean up spills immediately.
8. Before leaving work area store all equipment and supplies.
9. Follow established safety precautions in the performance of all duties.

10. Report all hazardous conditions and equipment to the Nurse/Patient Care Coordinator

immediately.

11. Participate in fire and disaster drills.

12. Follow established smoking regulations and report all violations.

13. Report any communicable or infectious diseases to the Nurse/Patient Care Coordinator.

14. Operate equipment in a safe manner and report defective equipment to the Ward

Clerk/Nurse.

 

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

 

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Attends and participates in continuing education programs.

 

LANGUAGE SKILLS

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other Associates of the organization. Must possess the ability to deal tactfully with personnel, residents family members, visitors, government agencies/personnel, and the general public. Must be able to relate information concerning a resident's condition.

 

COMPUTER SKILLS

Enter, adjust and retrieve data using a microcomputer or personal computer and keyboard.

 

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

 

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Must possess the ability to make independent decisions when circumstances warrant such action.

 

CERTIFICATES, LICENSES, REGISTRATIONS

Listed in good standing on the Maryland CNA Registry.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this job, the Associate is regularly required to stand. The associate frequently is required to walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The associate must occasionally lift and/or move up to 50 pounds independently or move up to 100 pounds, to a minimum height of 4 feet, and be able to push, pull, move and/or carry such a weight a minimum distance of 100 feet with assistance from another or mechanical lift. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and depth perception.

 

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

 

1. Work throughout the nursing unit.

2. Is subject to frequent interruptions.
3. Is subject to hostile and emotionally upset residents, family members, personnel and visitors.
4. Works beyond normal working hours and on weekends and holidays when necessary and in other positions when necessary.
5. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post disaster, etc.)
6. Is subject to the handling of and exposure to hazardous chemicals.
7. Is subject to exposure to infectious waste diseases, conditions, etc. including TB, and the HIV and Hepatitis B viruses.

 

AT WILL EMPLOYMENT STATUS

My employment with Fahrney-Keedy Memorial Home, Inc. is "at-will". I understand that either I or Fahrney-Keedy Memorial Home, Inc. may terminate the employment relationship for any reason or for no reason, at any time with or without notice, regardless of the length of my employment or the granting of benefits of any kind, including but not limited to benefits which provide for vesting based on length of service.

 

CONFIDENTIALITY

The associate recognizes that the Employer has and will have information regarding financial, personal and medical affairs and other vital information (collectively, "Information") which are valuable, special and unique assets of the Employer. The Associate agrees that he/she will not at any time or in any manner solicit, collect or divulge any information to any third party without the prior written consent of the Employer. This Information is Company property, which may not be disclosed outside of the facility unless properly released for publication. The associate will protect the Information and treat it as strictly confidential. Associates should not discuss Fahrney-Keedy Home affairs with others unless the information has been subject to full public disclosure or unless the subject matter is within the associate's assignment and then only within the particular transaction. A violation by the associate of this paragraph shall be a material violation and will justify legal and/or termination of employment.

 

I, , HAVE READ THE ABOVE JOB DESCRIPTION, AND FULLY UNDERSTAND THE CONTENTS AND CONDITIONS SET FORTH THEREIN, AND AS THE CERTIFIED NURSING ASSISTANT, I SHALL PERFORM THESE DUTIES TO THE BEST OF MY ABILITY.

 

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DATE SIGNATURE OF ASSOCIATE

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DATE SIGNATURE OF ALU DIRECTOR