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CNA - PRN - Pocatello

4 months ago

Pocatello, United States Heritage Home Health and Hospice Full time
Job DescriptionJob DescriptionSalary:

Reports To: RN Nurse Manager/Therapist/Aide Supervisor 

Position Summary 

Under the supervision and guidance of a licensed nurse or Physical Therapist, the CNA is responsible for assisting with direct patient care within the scope of their practice as well as other work which supports the patient environment. The CNA assists staff to ensure optimal patient care and assists the healthcare team to provide and maintain a clean, safe, and attractive environment for patients. Work will include components of direct patient care, nutrition, observation, documentation, and general maintenance of the patient environment. The CNA is responsible for maintaining his/her own clinical and mandatory education requirements and for meeting the established standards of their profession as well as those accountable for his/her practice, assigned duties/patient care, and is an advocate for patients/families and their profession. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Demonstrates knowledge of age-specific patient populations and cultural diversity during the provision of patient care. Contributes to the provision of quality care through performance improvement techniques that demonstrate positive outcomes in patient care. Promotes an environment of care. Supports the organizational vision and mission. 

Qualifications 

Successful completion of a formal certification training program and/or written skills test and competency evaluation. Be at least eighteen (18) years of age. Licensed as acquired by the state of Idaho. Demonstrates good written and verbal communication skills and interpersonal skills with the ability to read. Licensed driver with automobile insured in accordance with state/Agency requirements. Good driving record and reliable transportation. Current CPR certification. 

ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY 

6 

  1. 1. Performs simple procedures as an extension of therapy services under the direction and supervision of the
  2. a. Range of motion exercises. 
  3. b. Assistance in ambulation or exercises. 2. Performs personal care activities, including but not limited to: 
  4. a. Bathing b. Shampooing C. Skin care/nail care d. Oral hygiene e. Shaving 
  5. f. Dressing 3. Performs household services essential to health care at home, including but not limited to: 
  6. a. Meal preparation/feeding b. Laundry 
  7. C. Light housekeeping Assists in the administration of medications that are ordinarily self-administered under the direction and supervision of 

the Registered Nurse (per state nurse practice laws and Agency policy). 

  1. 5. Reports any observed or reported changes in the client's condition and/or needs to the supervising RN or

Follows reporting guidelines in the Care Plan. 6. Documents care provided and completes the forms required for the client's records. Completes the appropriate records 

to document care given and pertinent observations. Submits documentation per Agency requirements-at least every 72 

hours. 7. Promotes personal safety and a safe environment for clients by observing infection control practices, following Agency 

guidelines, and reporting unsafe situations to the Nurse/Case Manager. 8. Demonstrates safe practice in the use of equipment. Does not use equipment until orientation about its operation has 

been provided. Notifies supervisor of educational needs. 9. Communicates effectively with all members of the interdisciplinary team through verbal reports, participation in staff 

meetings, and team conferences, as requested. 10. Maintains confidentiality in all aspects of the job. 11. Attends in-service programs to meet compliance requirements of 12 in-service hours annually. Identifies learning needs 

to Agency supervisor. 12. Able to maintain strict confidentiality with regard to protected and sensitive information. 13. Able to establish and maintain confidence of owners and employees. 14. Must be able to solve problems independently and confidently by applying analytical and logical thinking. 15. Able to use standard office equipment and software proficiently. 16. Performs their duties and responsibilities as deemed necessary. 

TYPICAL PHYSICAL DEMANDS 

Requires a full range of body motion including the handling and lifting of patients. Manual and finger dexterity and eye-hand coordination required. Occasionally will lift and carry items weighing up to 50 pounds or greater. Requires corrected vision and hearing to normal range. May require working under stressful conditions or working irregular hours. Involves exposure to communicable diseases. Requires a current driver's license and the ability to drive and access a patient's home without assistive device. 

TYPICAL WORKING CONDITIONS 

Majority of work is performed in providing patient care services in the patients' home or place of residence. Exposure to 

communicable diseases is common. 

PERFORMANCE REQUIREMENTS 

Knowledge of organizational policies, regulations and procedures to administer patient care. Knowledge of common safety hazards and precautions to establish a safe work environment. Skilled in applying and modifying the principles, methods and techniques to provide on-going patient care. Skilled in identifying problems and recommending solutions. Skilled in preparing and maintaining records, writing reports, and responding to correspondence. Skilled in developing and maintaining department quality assurance. Skilled in establishing and maintaining effective working relationships with patients, medical staff and the public. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt and apply guidelines and procedures. Ability to communicate clearly. Maintain a positive and respectful attitude and demeanor. 



______________________________________________


  1. 1. Commit to the Heritage culture. Be committed to providing excellent patient care while creating a culture of team 

work and compliance. Take ownership for your actions. Trust your home health team and always defend your team in a professional manor. Be positive and offer constructive suggestions when appropriate. 

Be proactive and take responsibility for your part in making the team run smoothly. This responding to texts in a timely manner; communicating with case manager, office staff and other disciplines regarding changes in patient status. 

  1. 3. Understand the continued focus of the following areas of compliance: 
  2. a. Safety b. Infection Control C. Scope of Practice d. Following Plan of Care e. Communication 
  3. 4. Always be communicating to team members, case managers, administrators, and families. Check in with administrators 

at facilities each visit so they see you. Let them know when supplies were delivered. Report concerns related to patient care to the aide supervisor, home health or hospice clinical director, compliance officer or human resource director. Report compliance issues to the Compliance Officer. 

  1. 5. Understand the admission process. Once assigned to provide cares to the patient, receive report from nurse case 

manager, call and set up appointment with the patient when requested by the case manager and follow the aide care plan that was developed. If no care plan, call case manager and ask them to complete it ASAP on home health or hospice. If not done timely notify the home health or hospice clinical director. See the aide supervisor for questions related to documentation. Arrive with needed supplies for patient. 

  1. All documentation needs to be complete no later than 3 days of visit. Same day charting is preferred. 
  2. 7. Notify case manager with any new patient concerns. There is no such thing as over communication. 
  3. 8. Notify the case manager of any decline or change in patient condition you observe while providing care especially any 

nutritional or functional decline and report all falls to case managers immediately. 

  1. 9. Make sure your patient understands our team approach in helping them meet their needs, actively listen to learn what 

those needs may be. Our goal is to provide continued comfort/support. O 

  1. Have all notes in by end of the month for billing purposes. Make sure time and dates are correct. 
  2. Understand the Hospice Aide policies/procedures and code of conduct, where to find them and follow them. 
  3. 12. Remind case managers to update aide care plan when needed. For example, if they place a foley catheter, they need 

to change aide care plan to include foley catheter care. If foley catheter is discontinued, case manager also needs to update aide care plan. Ongoing communication is important. 

  1. Must attend 80% of all staff meetings. If unable to attend notify the aide supervisor or hospice clinical director of 

reason for missing. 

  1. If patient has been ambulatory and becomes bedbound and unable to shower, remind case manager to change aide care 

plan. 

  1. 15. Update aide supervisor if your case manager has changed frequency of aide visits so assignments always match orders. 
  2. Know your scope of practice and provide care within that scope. Anything an aide does has to be approved by the 

supervising RN. 

  1. 17. After a death, follow policy and procedure on post mortem cares. 
  2. If you are unable to make scheduled appointments, you will be responsible to find coverage for those visits and notify 

the aide supervisor or home health or hospice clinical directors that coverage. If unable to find coverage, notify aide supervisor first to help find coverage. For scheduled time off, fill out time request off form and leave on Hospice Clinical Director's desk. Aide supervisor will help find coverage for you while you are gone. 

  1. Missed visits should always be reported to the aide supervisor or Hospice Clinical Director. Make every effort to see 

your patient when scheduled. 

  1. 20. IDG's are important. If you are able to attend any part of IDG you are welcome to do
  2. On call is a requirement. You will be required to be on call one weekend per month and 3-4 weekdays per month. 
  3. 22. If you provide care to patients in a facility please sign in at each facility in the Heritage sign in book. If the facility has a 

form to fill out with each visit, please do so. 

  1. 23. Remember that getting paid by the visit should not result in rushing through pt. care. 
  2. All employees are to maintain a current Human Resources file in order to remain an active employee. Reminders are 

provided by compliance and human resources staff. It is expected that the required information and update be provided in an accurate and timely manner. 

  1. 25. Be a positive force for good. Encourage, support and provide recognition for your team. Provide positive feedback and 

input at staff meetings.