Certified Nursing Assistant
2 weeks ago
Basic Purpose
The basic purpose of the Certified Nursing Assistant is to provide personal care to residents; assist with activities and meals; perform any reasonable duties to provide comfort to residents and families in order to fulfill the mission of the community.
Major Duties & Responsibilities
I. Indirect Resident Care:
- Greets and directs visitors.
- Answers telephone calls.
- Assumes responsibility for the cleanliness and neatness of resident rooms (including armoires, closets, nightstands and dresser drawers), storage rooms, and kitchen.
- Assists in keeping linen closet clean and orderly.
- Assists in maintaining an environment for the residents which is clean, orderly and attractive.
- Provides necessary equipment at the residents bedside to meet his/her individual needs i.e. bedside commode.
- Refers visitors to the charge nurse for information regarding a residents condition.
- Assists in the maintenance and storage of supplies on the unit.
A. Assessment/Observation/Reporting
- Notes any unusual physical or behavioral changes in the residents such as bruises, abrasions, rashes or reddened areas on the residents skin; or increased agitation, confusion, lethargy or other unusual behavior and reports these observations to the charge nurse in a timely manner.
- Obtains vital signs (temperature, pulse, respirations and blood pressure) as requested by the charge nurse and reports/records as appropriate.
- Measures intake and output accurately and records in the EMR.
- Obtains accurate weights of residents as required. Notifies nurse if weight results are questionable.
- Reports any changes or unusual observations of the residents mouth/oral cavity to the licensed nurse.
- Assists with or performs personal hygiene for the resident, including washing the face, hands and all personal areas.
- Assists with or performs proper grooming for the resident such as combing and styling hair and helping resident to choose clean, appealing, and coordinating clothes, if necessary.
- Assists the resident with a shower or total bed bath as instructed by the licensed nurse per bathing schedule. Baths offered when resident returns from hospital stay even if not on scheduled day.
- Shaves the male resident on a daily basis if he is unable to shave himself.
- Assists the resident to wash his/her face and hands before and after meals when necessary.
- Assists or performs oral care for residents including brushing the teeth or dentures, properly labeling and storing dentures, using mouthwash or special procedures as instructed by the licensed nurse.
- Answers call lights/pages for all residents in an expeditious manner.
- Assists designated residents to ambulate as instructed by the licensed nurse.
- Transports residents by wheelchair or other means to locations within the Lambeth House community.
- Assists residents to transfer from bed to chair, etc. using approved methods. One person total lift transfers are not approved.
- Repositions residents at least every two hours if resident cannot change position independently.
- Repositions residents who are in bed at least every two hours.
- Repositions residents who are up in the chair at least every two hours, e.g. assist to lie down or ambulate as instructed by the licensed nurse.
- Assist residents to maintain proper body alignment.
- Always performs lifting using approved methods with safety in mind to prevent injury to resident and/or self.
- Matches the resident with the proper diet before serving the meal.
- Assists the resident at each meal to ensure an adequate nutritional intake, e.g. set up the meal & cut food into small pieces if necessary.
- Feeds the resident who is unable to feed him/herself.
- Records/reports the percent of each meal consumed.
- Reports to the charge nurse when poor appetite and/or fluid intake are noted.
- Ensures that fresh water is always available for the resident, unless otherwise instructed; passes ice and water on each shift.
- Always helps to create a pleasant and comfortable atmosphere at mealtime. Engages resident in conversation and does not chat with other staff.
- Changes bed linens at pre-determined intervals and/or when linens are soiled.
- Disposes of soiled linens and clothes promptly and properly to reduce unwanted odors.
- Knows and follows policies and procedures related to infection control.
- Immediately disposes of the contents of bedpans, urinals and/or commodes and rinses receptacles with an approved disinfectant prior to reuse.
- Keeps resident room neat and clean at all times; keeps bedside stand neat and items properly stored inside.
- Clearly marks and properly stores personal belongings.
- Properly marks and promptly forwards clothes to be laundered when soiled; hangs clothes neatly in the residents closet. Does not dress resident in clothes that are torn, has missing buttons or hem is out.
- Always fastens the residents call light within reach of the resident.
- Knows and is able to carry out approved emergency procedures.
- Reports all unusual occurrences, breakage and damage to equipment immediately and removes broken items from area of use as necessary.
- Assists residents to the toilet or commode per assignment and as requested. Toilets residents upon arising in AM, prior to and after meals, and at night.
- Changes incontinent residents after every episode; performs adequate perineal hygiene for residents incapable of self-care.
- Records/reports bowel and bladder function every shift.
- Assists in the proper orientation of new CNA staff as assigned.
- Completes documentation using EMR.
- Attends required in-service meetings.
- Utilizes time management to complete tasks routinely.
- May be required to perform other related duties for which the individual is qualified.
- High school graduate or equivalent. Certification by the State of Louisiana to practice as a Certified Nursing Assistant.
- An interest in working with older residents.
- Good physical and mental health that allow the individual to perform required duties.
- Must be competent in area of practice.
- Willingness to work, patience and tact in working with residents who are ill, and the ability to work under close supervision.
- Neatness in appearance. Adheres to dress code including hairstyle and length of fingernails.
- Freedom from communicable disease.
- Must be able to lift/push/pull 35 pounds without assistance.
- Must be able to use lifting equipment correctly.
- Must be able to use time-clock correctly.
- Must be able to understand written communications.
- Must be able to write legibly using appropriate spelling and punctuation.
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