Certified Nursing Assistant
Company: West Shore Health Center
Location: Warwick
Posted on: April 25, 2024
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Job Description:
Purpose of Your Job Position
The primary purpose of your job position is to provide each of your
assigned residents with routine daily nursing care and services in
accordance with the resident's assessment and care plan, and as may
be directed by your supervisors.
Delegation of Authority
As a Certified Nursing Assistant you are delegated the
administrative authority, responsibility, and accountability
necessary for carrying out your assigned duties.
Job Functions
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.
Miscellaneous Information
Information explaining the Essential Functions, Safety Factors, and
the Competency Evaluation columns, as well as the Risk Exposure
Category legend is provided in the "Job Position Analysis
Information" section located on the lastpage of this job
description. (Note: The number assigned to each individual column
corresponds to that same number in the "Analysis" section.)
Duties and Responsibilities
Administrative Functions
Use the wristband or photo card file to identify residents before
administering treatments, 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 on the shift that
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
screen-saver activates within established facility policy
guidelines.
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.
Give backrubs as instructed.
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.
Prepare and give enemas. Report results 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 with the application of nonsterile (moist and dry) warm/cold
compresses.
Assist in preparing the resident for a physical examination.
Weigh and measure residents as instructed.
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
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.
Perform nonsterile (clean) vaginal irrigation/douches.
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 diabetic urine testing as instructed.
Provide physical and respiratory therapy as instructed.
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 facility in-service training programs as
instructed.
Safety and Sanitation
Restrain residents in chair/bed only as instructed by your
supervisor. Inform supervisor if resident refuses to be
restrained.
Check restrained residents at least every thirty (30) minutes.
Release restraints at least every two (2) hours for range of motion
exercises, taking to bathroom, etc.
Maintain a record of restrained residents, the times restraints
were released, and how long the restraints were released.
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.
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 Functions
Review care plans daily to determine if changes in the resident's
daily care routine have been made on the care plan.
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.
Working Conditions
Works throughout the nursing service area (i.e., drug rooms,
nurses' stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government
agencies/personnel, etc., under all conditions and
circumstances.
Is subject to hostile and emotionally upset residents, family
members, personnel, and visitors.
Communicates with nursing personnel and other department
personnel.
Works beyond normal working hours, on weekends and holidays, and in
other positions temporarily, when necessary.
Is subject to call back during emergency conditions (e.g., severe
weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc.,
throughout the workday, as well as to reactions from dust,
disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions,
etc., including TB and the AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous
chemicals.
Education
Must possess, as a minimum, a 10th grade education.
Experience
Must be a licensed Certified Nursing Assistant in accordance with
laws of this state.
Specific Requirements
Must be able to read, write, speak, and understand the English
language.
Must demonstrate the knowledge and skills necessary to provide care
appropriate to the age-related needs of the residents served.
Must be a supportive team member, contribute to and be an example
of team work and team concept.
Must possess the ability to make independent decisions when
circumstances warrant such action.
Must possess the ability to deal tactfully with personnel,
residents, family members, visitors, government agencies/personnel,
and the general public.
Must possess the ability and willingness to work harmoniously with
other personnel.
Must have patience, tact, a cheerful disposition and enthusiasm, as
well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be
willing to incorporate them into existing nursing practices.
Must be able to relate information concerning a resident's
condition.
Must not pose a direct threat to the health and safety of other
individuals in the workplace.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an
understandable manner.
Must be able to cope with the mental and emotional stress of the
position.
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 function independently and have flexibility, personal
integrity, and the ability to work effectively with residents,
personnel, and support agencies.
Must meet the general health requirements set forth by the policies
of this facility, which include a medical and physical
examination.
Must be able to relate to and work with the ill, disabled, elderly,
emotionally upset, and, at times, hostile people within the
facility.
Must be able to push, pull, move, and/or lift a minimum of 25
pounds to a minimum height of 5 feet and be able to push, pull,
move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during
emergency situations.
Keywords: West Shore Health Center, East Providence , Certified Nursing Assistant, Healthcare , Warwick, Rhode Island
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