Restorative Nursing Assistant

3 days ago

Westfield, Indiana, United States CarDon & Associates Full time
Job Title: Restorative Nursing Assistant

We are seeking a skilled and compassionate Restorative Nursing Assistant to join our team at CarDon & Associates. As a Restorative Nursing Assistant, you will play a vital role in providing high-quality care to our residents, promoting their independence and well-being.

Job Summary:

The Restorative Nursing Assistant will provide nursing and nursing-related services to residents, consistent with each resident's comprehensive assessment and plan of care. This includes restorative care and services to help residents maintain or attain the highest practicable level of functioning and independence.

Responsibilities:
  • Deliver quality care in a compassionate manner, with kindness and respect for resident dignity and individuality.
  • Receive and complete all patient care assignments and other activities assigned by the charge nurse or unit manager.
  • Provide direct care to improve or maintain a resident's abilities according to the resident's plan of care.
  • Provide care in a manner that protects and promotes resident rights, dignity, privacy, confidentiality, self-determination, and active participation.
  • Respond to call lights/buzzers promptly, treating each as an emergency until answered.
  • Keep resident units assigned clean and orderly, changing linens, making beds, cleaning bedside tables after meals, positioning call light cords, providing fresh water, etc.
  • Record accurate, legible information about resident care, conditions, and observations in the appropriate locations in the clinical record.
  • Observe and immediately report to the Charge Nurse significant changes in a resident's psychosocial behaviors, such as patterns of decreased social interaction, angry or sad behaviors, and refusals of care or treatment.
  • Observe and immediately report to the Charge Nurse changes in physical symptoms, as evidenced by discolored or odorous urine, constipation, or signs or verbal expressions of pain or discomfort.
  • Attend all mandatory inservice training meetings as posted.
  • Participate and listen to shift reports between shifts.
  • Promote residents' rights to dignity, privacy, and comfort at all times, for example, refer to residents by proper names unless a resident requests otherwise.
  • Prevent undue exposure of a resident's body when providing personal care and services.
  • Follow infection control procedures at all times, for example, wash hands before and after taking care of every resident, and keep clean and soiled items separated (linens, clothing, etc.) to prevent cross-contamination.
  • Assist with the planning, implementation, and evaluation of care plans for assigned residents, report resident's responses to interventions, and suggest alternative approaches to the Restorative Care Nurse.
  • Follow and implement written restorative plans for residents on restorative nursing caseload. Document restorative services performed in a timely and accurate manner.
  • Regularly communicate with the Restorative Care Nurse about assigned residents throughout the shift.
  • Assist residents with activities of daily living (ADLs), providing set-up assistance, verbal prompts, physical support, or more extensive assistance as more fully described below:
  • Bathing - Assist transporting resident to tub or shower, adjusts water temperature, washes/rinses resident, and dries body thoroughly with clean towels while maintaining privacy for resident at all times. Gives complete baths at frequency stated in the Nursing Care Policies. Cleanses resident when bed linen and/or clothing is wet or soiled. Provides proper skin cleansing after each occurrence of incontinence.
  • Dressing - Locate, select, and obtain clothing for resident. Assist residents with snaps, zippers, and buttons during dressing and undressing. Assure resident is dressed in clothing appropriate to season.
  • Grooming - Shampoo and comb hair of residents as instructed. Shave male residents daily and women with facial hair as needed. Clean and soak fingernails and toenails before trimming, and trim when needed or assigned. Assist residents with oral hygiene as instructed.
  • Elimination/Toileting - Promptly assist resident to bathroom according to toileting schedule or promptly bring clean bedpan or urinal. Open, remove clothing in preparation, clean resident afterward if resident unable to clean self, adjust clothing, and clean resident hands and own hands. Measure and record output when required by plan of care. Provide catheter care according to facility procedures and infection control policies.
  • Mobility - Provide weight-bearing assistance or physical support for ambulating. Assist with or perform range of motion exercises to all joints or as care planned. Monitor resident progress toward mobility goals and report responses to Charge Nurse.
  • Transfer - Position resident properly for transfer and explain procedure. Use correct body mechanics, transfer techniques, and safety devices or equipment according to the resident's care plan and in compliance with the facility's lifting policies.
  • Eating - Prepare resident for meals - wash face and hands, position at the table, and apply bib as instructed. Provide set-up assistance for meal tray - open, pour, unwrap, and cut food if resident is unable to help self. Feed those who require total assistance according to their plan of care. If indicated, actively cue and encourage residents to eat, chew, and swallow. Socialize with residents during mealtimes. Document and report fluid intake and output accurately when ordered. Report any change in a resident's appetite and carefully watch food intake of diabetics. Serve between meal nourishments ordered and offer bedtime snacks.
  • Related Clinical Duties - Offer drink of water during care and meals to promote good hydration, unless contraindicated. Record intake and output when required. Accurately take and record residents' weights when scheduled. Encourage residents to actively participate in ADLs such as grooming, dressing, and eating.
  • Communicate with each resident according to individual functional abilities and needs, for example,
  • Use communication board or communication book when available.
  • Use effective language skills and auditory comprehension skills for residents who have dysfunction in these areas.
  • Use behavior management skills to approach and care for residents with behavioral problems.
  • Provide preventive and restorative care, for example,
  • Change position of bedfast residents at least every two (2) hours to maintain body alignment and relieve pressure on skin areas; and check chair-bound residents hourly for alignment, release, or exercise.
  • Keep residents' skin clean and dry and assure pressure relieving devices are in place when ordered.
  • Report any redness, rash, irritation, bruising or abrasions of a resident's skin to the Charge Nurse.
  • Assure that devices ordered to prevent contractures are in place such as hand rolls, braces, splints, slings, etc.
  • Perform range of motion exercises during a.m. and p.m. care and as instructed.
  • When restraint is ordered, provide appropriate care and release; and implement alternatives when directed.
  • Protect resident safety at all times, for example,
  • Place call light cords within easy reach of residents and notify nurse if cords need attention.
  • Promptly check exit(s) in assigned areas when door alarms or personal safety devices are activated.
  • Properly position bed rails after care and before and after meals.
  • Use lifting equipment and proper body mechanics to perform resident lifts and transfers.
  • Participate in the preparation for state inspections and interact appropriately with state surveyors as instructed.
  • Participate in fire/disaster drills, and carry out assigned duties in emergencies to assure resident care and safety.

Requirements:

  • Successful completion of a state-approved Nursing Assistant training and competency evaluation program or acceptable verification of this from State Nurse Assistant Registry.
  • No finding in the Registry concerning abuse, neglect, or misappropriation of resident property.
  • Prior experience giving personal care to impaired individuals in a healthcare setting is preferred.

Essential Functions:

The employee must be able to perform each essential function effectively to be successful in this position.

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