CNA, Full Time, PMs

Randolph Health Services in Randolph, WI


Type

Full-time

Contact Information

Contact: Randolph Health Services Administrator
Phone: 920-326-3171
Fax: 920-326-3239
Email: SWestra@nshorehc.com
Website: www.randolphhs.com

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%u2019s 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 %u201CJob Position Analysis Information%u201D section located on the last page of this job description. (Note: The number assigned to each individual column corresponds to that same number in the %u201CAnalysis%u201D section.) Risk Exposure Potential to Blood and/or Body Fluids Essential Function (%uF0D6%uF020=NO) Safety Factors Competency Evaluation

Function Requires Repetitive Motion (%uF0D6%uF020= YES) MINIMUM Weight Lifting Requirements Apply to Task (%uF0D6%uF020= YES) Function Requires Prolonged Sitting, Standing, Bending, etc. (%uF0D6%uF020= YES) Performs Function Satisfactorily (%uF0D6%uF020= NO) Needs In-Service Training

(%uF0D6%uF020= YES)

Duties and Responsibilities

Administrative Functions (1) (2) (3) (4) (5) (6) (7)

Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary. 2 %uF020 %uF0D6 %uF0D6 %uF0D6

Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner. 3 %uF0D6 %uF0D6

Use only authorized abbreviations established by this facility when recording information. 3 %uF0D6 %uF0D6

Report all changes in the resident%u2019s condition to the Nurse Supervisor/Charge Nurse as soon as practical. 3

Report all accidents and incidents you observe on the shift that they occur. 2 %uF0D6 %uF0D6

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. 3

Agree not to disclose resident%u2019s protected health information and promptly report suspected or known violations of such disclosure to the Administrator. 3

Report any known or suspected unauthorized attempt to access facility%u2019s information system. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Admission, Transfer, and Discharge Functions

(1) (2) (3) (4) (5) (6) (7)

Ensure that the resident%u2019s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.). 3 %uF0D6 %uF0D6 %uF0D6

Greet residents and escort them to their room. 2 %uF0D6 %uF0D6 %uF0D6

Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate. 2

Make resident comfortable (i.e., put to bed, get water, etc.). 2 %uF0D6 %uF0D6 %uF0D6

Inventory and mark the resident%u2019s personal possessions as instructed. 3 %uF0D6 %uF0D6 %uF0D6

Store resident%u2019s clothing. 3 %uF0D6 %uF0D6 %uF0D6

Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged. 2 %uF0D6 %uF0D6 %uF0D6

Transport residents to new rooms or to the receiving area. 2 %uF0D6 %uF0D6 %uF0D6

Assist with loading/unloading residents from vehicles as necessary. 2 %uF0D6 %uF0D6 %uF0D6

Personnel Functions

Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors. 2 %uF0D6 %uF0D6 %uF0D6

Follow work assignments, and/or work schedules in completing and performing your assigned tasks. 3 %uF0D6 %uF0D6 %uF0D6

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. 3

Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. 3

Meet with your shift%u2019s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services. 3

Report all complaints and grievances made by the resident. 3

Notify the facility when you will be late or absent from work. 3

Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor. 3

Report known or suspected incidents of fraud to the Administrator. 3

Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Personal Nursing Care Functions

(1) (2) (3) (4) (5) (6) (7)

Participate in and receive the nursing report upon reporting for duty. 3 %uF0D6

Follow established policies concerning exposure to blood/body fluids. 2

Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.). 1 %uF0D6 %uF0D6 %uF0D6

Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed. 2 %uF0D6 %uF0D6 %uF0D6

Give backrubs as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Assist residents with dressing/undressing as necessary. 2 %uF0D6 %uF0D6 %uF0D6

Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.). 2 %uF0D6 %uF0D6 %uF0D6

Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.) 2 %uF0D6 %uF0D6 %uF0D6

Shave male residents. 2 %uF0D6 %uF0D6 %uF0D6

Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled). 1 %uF0D6 %uF0D6 %uF0D6

Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident. 2 %uF0D6 %uF0D6 %uF0D6

Make beds (occupied and unoccupied). 2 %uF0D6 %uF0D6 %uF0D6

Put extra covers on beds as requested. 2 %uF0D6 %uF0D6 %uF0D6

Position bedfast residents in correct and comfortable position. 2 %uF0D6 %uF0D6 %uF0D6

Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.). 1 %uF0D6 %uF0D6 %uF0D6

Maintain intake and output records as instructed. 3 %uF0D6 %uF0D6

Keep incontinent residents clean and dry. 1 %uF0D6 %uF0D6 %uF0D6

Check and report bowel movements and character of stools as instructed. 1

Prepare and give enemas. Report results as instructed. 1 %uF0D6 %uF0D6 %uF0D6

Collect specimens as instructed (i.e., urine, sputum, stools, etc.). 1 %uF0D6 %uF0D6 %uF0D6

Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.). 2 %uF0D6 %uF0D6 %uF0D6

Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.). 2 %uF0D6 %uF0D6 %uF0D6

Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary. 2 %uF0D6 %uF0D6 %uF0D6

Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. 2 %uF0D6 %uF0D6 %uF0D6

Assist residents to walk with or without self-help devices as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Perform restorative and rehabilitative procedures as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Change dressings, bandages, binders, etc., as instructed. 1 %uF0D6 %uF0D6 %uF0D6

Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed. 1 %uF0D6 %uF0D6

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Personal Nursing Care Functions (continued)

(1) (2) (3) (4) (5) (6) (7)

Assist with the application of nonsterile (moist and dry) warm/cold compresses. 2 %uF0D6 %uF0D6 %uF0D6

Assist in preparing the resident for a physical examination. 2 %uF0D6 %uF0D6 %uF0D6

Weigh and measure residents as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Measure and record temperatures, pulse, and respirations (TPRs), as instructed. 1 %uF0D6 %uF0D6 %uF0D6

Answer resident calls as promptly as feasible. 3 %uF0D6 %uF0D6 %uF0D6

Ensure that residents who are unable to call for help are checked frequently. 3 %uF0D6 %uF0D6 %uF0D6

Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes. 2 %uF0D6 %uF0D6 %uF0D6

Assist with the care of the dying resident. 2 %uF0D6 %uF0D6 %uF0D6

Provide post-mortem care as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Special Nursing Care Functions

Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores). 2 %uF0D6

Report injuries of an unknown source, including skin tears. 3 %uF0D6 %uF0D6 %uF0D6

Provide daily indwelling catheter care. 1 %uF0D6 %uF0D6 %uF0D6

Provide daily perineal care. 1 %uF0D6 %uF0D6 %uF0D6

Perform nonsterile (clean) vaginal irrigation/douches. 1 %uF0D6 %uF0D6 %uF0D6

Assist with the application of slings, elastic bandages, binders, etc. 2 %uF0D6 %uF0D6 %uF0D6

Give tepid sponge baths. 1 %uF0D6 %uF0D6 %uF0D6

Provide daily Range of Motion Exercises. Record data as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Turn bedfast residents at least every two (2) hours. 2 %uF0D6 %uF0D6 %uF0D6

Perform diabetic urine testing as instructed. 1 %uF0D6 %uF0D6 %uF0D6

Provide physical and respiratory therapy as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Perform special treatments as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Observe disoriented and comatose residents. Record and report data as instructed. 2 %uF0D6

Turn all medications found in the resident%u2019s room/possession over to the Nurse Supervisor/Charge Nurse. 2

Provide residents with Reality Orientation as instructed. 2

Watch for and report any change in room temperature, ventilation, lighting, etc. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Food Service Functions

(1) (2) (6) (7)

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.). 2 %uF0D6 %uF0D6 %uF0D6

Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.). 2 %uF0D6 %uF0D6 %uF0D6

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.). 2 %uF0D6 %uF0D6

Record the resident%u2019s food/fluid intake. Report changes in the resident%u2019s eating habits. 3 %uF0D6 %uF0D6

Keep residents%u2019 water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident. 2 %uF0D6 %uF0D6 %uF0D6

Serve between meal and bedtime snacks. 2 %uF0D6 %uF0D6 %uF0D6

Perform after meal care (i.e., remove trays, clean resident%u2019s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.). 2 %uF0D6 %uF0D6 %uF0D6

Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.). 3 %uF0D6 %uF0D6 %uF0D6

Staff Development

Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant. 3 %uF0D6 %uF0D6

Attend and participate in scheduled orientation programs and activities. 3 %uF0D6 %uF0D6

Attend and participate in facility in-service training programs as instructed. 3 %uF0D6 %uF0D6

Safety and Sanitation

Restrain residents in chair/bed only as instructed by your supervisor. Inform supervisor if resident refuses to be restrained. 2 %uF0D6 %uF0D6 %uF0D6

Check restrained residents at least every thirty (30) minutes. 2 %uF0D6 %uF0D6 %uF0D6

Release restraints at least every two (2) hours for range of motion exercises, taking to bathroom, etc. 2 %uF0D6 %uF0D6 %uF0D6

Maintain a record of restrained residents, the times restraints were released, and how long the restraints were released. 3 %uF0D6 %uF0D6

Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids. 3 %uF0D6 %uF0D6

Wash hands before and after performing any service for the resident. 3 %uF0D6 %uF0D6

Keep the nurses%u2019 call system within easy reach of the resident. 3 %uF0D6 %uF0D6

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Safety and Sanitation (continued)

(1) (2) (6) (7)

Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility. 3 %uF0D6 %uF0D6

Follow established safety precautions in the performance of all duties. 3 %uF0D6 %uF0D6 %uF0D6

Keep residents%u2019 personal possessions off the floor and properly stored. 3 %uF0D6 %uF0D6 %uF0D6

Keep floors dry. Report spills immediately. 2 %uF0D6 %uF0D6 %uF0D6

Keep excess supplies and equipment off the floor. Store in designated areas 3 %uF0D6 %uF0D6 %uF0D6

Wash wheelchairs, walkers, etc., as instructed. 2 %uF0D6 %uF0D6 %uF0D6

Clean, disinfect, and return all resident care equipment to its designated storage area after each use. 2 %uF0D6 %uF0D6 %uF0D6

Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures). 2 %uF0D6 %uF0D6 %uF0D6

Before leaving work area for breaks, or at the end of the workday, store all tools, equipment, and supplies. 3 %uF0D6 %uF0D6 %uF0D6

Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately. 3 %uF0D6 %uF0D6

Report all safety violations. 3 %uF0D6 %uF0D6

Follow established smoking regulations. Report all violations. 3 %uF0D6 %uF0D6

Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator. 3 %uF0D6 %uF0D6

Follow established isolation precautions and procedures. 3 %uF0D6 %uF0D6 %uF0D6

Wash hands before entering and after leaving an isolation room/area. 3 %uF0D6 %uF0D6

Follow established procedures in the use and disposal of personal protective equipment. 2 %uF0D6 %uF0D6 %uF0D6

Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. 2 %uF0D6 %uF0D6 %uF0D6

Report missing/illegible labels and MSDSs to your supervisor. 3 %uF0D6 %uF0D6 %uF0D6

Equipment and Supply Functions

Use only the equipment you have been trained to use. 3 %uF0D6 %uF0D6 %uF0D6

Operate all equipment in a safe manner. 3

Use only the equipment and supplies necessary to do the job. Do not be wasteful. 3 %uF0D6 %uF0D6 %uF0D6

Report defective equipment to the Nurse Supervisor/Charge Nurse. 3 %uF0D6 %uF0D6

Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs. 3 %uF0D6 %uF0D6

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Care Plan Functions

(1) (2) (6) (7)

Review care plans daily to determine if changes in the resident%u2019s daily care routine have been made on the care plan. 3 %uF0D6 %uF0D6

Inform the Nurse Supervisor/Charge Nurse of any changes in the resident%u2019s condition so that appropriate information can be entered on the resident%u2019s care plan. 3 %uF0D6 %uF0D6

Ensure that your notes reflect that the care plan is being followed. 3 %uF0D6 %uF0D6

Budget and Planning Functions

Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. 3 %uF0D6 %uF0D6

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. 3 %uF0D6 %uF0D6

Ensure that you treat all residents fairly, and with kindness, dignity, and respect. 2 %uF0D6 %uF0D6

Ensure that all nursing care is provided in privacy. 2 %uF0D6 %uF0D6

Knock before entering the resident%u2019s room. 3 %uF0D6 %uF0D6

Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse. 3 %uF0D6 %uF0D6

Report all allegations of resident abuse and/or misappropriation of resident property. 2 %uF0D6 %uF0D6

Honor the resident%u2019s refusal of treatment request. Report such requests to your supervisor. 3 %uF0D6 %uF0D6

Working Conditions

Works throughout the nursing service area (i.e., drug rooms, nurses%u2019 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%u2019s 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.