CNA – Certified Nursing Assistant

Job Category: CNA
Job Type: Full Time
Job Location: CA Sacramento

CNA – Job Duties and Responsibilities

Essential Functions

Interpersonal, Teamwork & Misc.

– Communicates unresolved work-related issues productively & effectively solves problems

– Handles confidential information appropriately and is HIPAA compliant

– Friendly and courteous to residents, co-workers etc, and takes ownership in solving problems (taking initiative where appropriate)

– Works well in a team, owning personally assigned work and assisting wherever needed to get the job done

– Follows established policies and guidelines

– Reliable and predictable attendance

– Other Duties as assigned

Administrative Functions

– Use the wristband or photo card file to identify residents before providing care, 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 immediately on the shift as soon as 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 screensaver activates within established facility policy guidelines.

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., bed bath, tub or shower bath, etc.) as directed.

– 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.

– 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.

– Assist in preparing the resident for a physical examination.

– Weigh and measure residents as instructed and per policy

– 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.

– Assist with the application of slings, elastic bandages, binders, etc. as assigned (Restorative Aid function)

– Provide Bed Bath per resident needs/wishes

– Provide daily Range of Motion Exercises. Record data as instructed.

– Reposition residents at least every 2 hours or more frequently according to individual plan of care

– Turn all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse.

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

Restorative Nursing Assistant Functions

– Directs and assists in transfer and ambulation techniques and range of motion exercise activities

– Directs and assists in the use of walkers or other assistive devices

– Coordinates self-help training

– Coordinates or assists with other restorative functions

– Evaluates progress documents daily, weekly, monthly and as needed

– Participates in care planning

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

– 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 as assigned

– 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 and Assessment Functions

– Follow the care plan to deliver care plan in accordance with patient needs

– Provide resident care according to care plan/KARDEX review (review care plan/KARDEX and get prior shift report prior to delivering care)

– 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.

Physical Capabilities

– 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 meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination.

– Must be able to lift a minimum of 25 pounds.

– Must be able to lift up and over 100 pounds with assistance according to resident’s abilities.

– Must be able to move intermittently during working hours.

– Must be able to stand and walk for extended periods of time.

– Must be able to bend, squat, push, stoop and pull as needed especially in fulfilling resident care activities.

– Must be able to cope with the mental and emotional stress of the position.

Environment Conditions

– Inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure, and potential exposure to bloodborne pathogens.

– This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population.

– Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.

– HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).

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