Certified Nursing Assistant at Rice Care Center Part-time evenings, including every other weekend.
RICE MEMORIAL HOSPITAL
JOB DESCRIPTION AUDIT
I. JOB TITLE: NURSING ASSISTANT - NIGHTS
II. DEPARTMENT: Nursing
III. PERSON(S) CURRENTLY OCCUPYING THE POSITION:
IV. JOB SUMMARY: Under the supervision and/or direction of a charge nurse or staff nurse, the Nursing Assistant provides all personal cares for the residents in accordance with established methods and procedures of Rice Care Center.
V. JOB RELATIONSHIPS:
A. REPORTS TO: LPN's, Charge RN, and DON
B. SUPERVISES: No one
C. INTERRELATIONSHIPS WITH: Residents and family members.
VI. HOURS OF WORK: 10:30p.m. - 7:00a.m. or 12:00 midnight - 6:30 a.m., Various shifts scheduled each week, rotating. Every other weekend and every other holiday.
VII. DRESS CODE: Name badge, uniform top & slacks. (See policy).
VIII. ESSENTIAL REQUIREMENTS OF WORK (Minimum qualifications necessary to function at full productivity).
A. EDUCATION AND TRAINING: Must be a state registered Nursing Assistant able to read, write and effectively communicate.
B. EXPERIENCE: Previous experience as a Nursing Assistant preferred, or has satisfactorily completed the training program. Must enjoy working with the geriatric population.
C. JOB KNOWLEDGE (Specific): Working knowledge of personal care activities and transfer techniques. Must be able to demonstrate proper use of required equipment. Must have an understanding of the cognitive, physical and emotional changes the aging present.
IX. BUDGET: None
X. CLIENTELE DIRECTLY AFFECTED BY JOB: Residents, families & co-workers.
XI. PHYSICAL DEMANDS OF THE JOB: Pushing, walking, lifting, bending, twisting and standing. Considerable physical effort with continuous activity.
XII. PHYSICAL ENVIRONMENT OF THE JOB: Fair working conditions with frequent exposure to disagreeable elements and danger.
XIII. EQUIPMENT OR MACHINES USED ON THE JOB: Lifts, transfer belt, wheel chairs and walkers, commodes, restraints and communicators.
XIV. MENTAL DEMANDS OF THE JOB:
A. JUDGEMENT AND INITIATIVE: Works under direction of RN/LPN, but must be able to organize efficiently while providing individualized resident care.
B. INDEPENDENT ACTION: Work involves a variety of duties that are performed according to procedure, but requires alertness to identify needed changes.
C. EFFECT OF ERROR: Potential resident care related error could cause harm to resident. Error unacceptable.
D. CONTACT WITH OTHERS: Contact with nursing personnel, residents, famillies, and all other departments in facility.
XV. PRINCIPAL JOB RESPONSIBILITIES, TASKS, AND AUTHORITIES:
A. RESPONSIBILITY: Resident Care Activities
PRIORITY: A % OME: 80% DETION: A
1. Make rounds at least every two (2) hours.
a.) Toileting; take residents to toilet at least every 2 hours and as needed. Participate in completion of bowel and bladder assessment forms for first three (3) days of resident's admission. Give to RN when completed.
b.) Assist residents in bowel and bladder retraining program. Provide input to Licensed nursing staff regarding progress of individual residents.
c.) Change incontinence products as necessary. Report skin condition of resident to Licensed nursing staff. *Note resident's at High-risk for skin break down.
d.) Turn and reposition residents every two (2) hours at a minimum. Review individual care plan for more frequent turning schedule.
e.) Empty and rinse urinals, catheter bags, and colostomy bags.
2. Provide personal cares to residents.
a.) Provide personal cares as needed.
b.) Bathing, grooming, dressing.
c.) Provide back rubs, lotion bony prominences (heels, coccyx, elbows, etc.)
3. Feeding Residents.
a.) May be asked to assist with feeding residents at times.
b.) Pass fresh water to residents.
4. Transferring/Ambulation of Residents
a.) Transfer residents as needed.
b.) Assist co-workers with lifting residents. *When using E-Z stand lift RCC procedure states: two (2) staff must perform this function.
c.) Transfer residents from bed to chair as needed.
d.) Assist with ambulation of residents.
e.) Transfer belt is to be worn by all staff and should always be used when transferring and ambulating residents.
5. Answering call lights.
a.) Anticipates resident needs and answers/responds to call lights or pagings.
b.) Properly place resident call light at all times within their reach.
c.) Uses communicator/paging device while on duty.
6. Privacy and dignity; shows respect for and ensures resident's privacy and dignity at all times.
7. Assist with post mortem care of residents.
AUTHORITY LEVEL: D
B. RESPONSIBILITY: Other Activities Related to Resident Care
PRIORITY: A % OME: 20% DETION: A
1. Handles and cares for resident's clothing and other personal property (including prosthetic devices, hearing aids, dentures, glasses, contact lenses, etc.).
2. Listens to taped nursing report.
a.) Reports observations to LPN and Charge Nurse relating to resident condition and condition changes.
b.) Utilizes care plan when reporting off to LPN/RN.
c.) Demonstrates an understanding of case-mix and how it relates to resident care.
d.) Updates Nursing Assistant worksheets as needed and provides signature when complete.
e.) Completes required documentation per Rice Care Center policy.
f.) Maintains a positive cheerful attitude towards residents and co- workers.
3. Reports (and where appropriate, records) any changes observed in condition or behavior of resident. Communicates any resident complaints of pain to resident nurse, charge nurse. Participates in resident care conferences as requested.
4. Demonstrates a working knowledge of restraints and Geri chairs.
a.) Releases restraints and repositions residents every two(2) hours per protocol.
b.) Demonstrates understanding in regards to use of scales, lifts, E-Z stand, Parker tub and any necessary equipment.
5. Provides reality orientation to residents as indicated.
6. Demonstrates an understanding of “Universal Precautions” and follows protocol accordingly.
7. Demonstrates understanding of emergency procedures and evacuation procedure.
8. Change linens on beds according to established procedure.
9. Collect specimens as assigned, such as urine, stool and sputum.
10. Do routine cleaning of nursing station, utility rooms, equipment room, resident rooms and other assigned duties on nurses station.
11. Attends behavior rounds and provides input to staff relating to resident's behavior.
12. Work closely with other departments in planning and providing total resident care.
13. Seek out opportunities to learn for personal growth, attend inservice programs, and attend nursing team meetings.
14. Pass incontinence products.
15. Do charting on individual residents; BM book, East, West, I & O, etc.
16. Pass “New” linens and towels. Remove soiled linens from rooms.
17. Re-stock gloves in resident rooms.
AUTHORITY LEVEL: D
C. RESPONSIBILITY: Continuous Quality Improvement
1. Demonstrates understanding of the CQI philosophy
2. Participates in CQI training activities or CQI teams if appropriate
3. Demonstrates sensitivity to customers and their needs.
4. Interacts appropriately with internal customers, i.e. coworkers within department, staff across departments. 5. Interacts appropriately with external customers, i.e. residents, families, medical staff, vendors.
6. Role models positive behaviors.
D. RESPONSIBILITY: Resident Rights
1. Acts as an advocate for Resident Bill of Rights
2. Assures that all residents, families and staff are aware of resident rights
3. Assists in the identification of vulnerable adult issues
4. Respects resident property
5. Maintains dignity and privacy of residents by knocking before entering resident room, addressing them in a respectful manner, discussing their status in a private manner, treating them in a courteous and polite manner.
F. RESPONSIBILITY: Service Excellence
Demonstrates an ongoing commitment to the Service Excellence philosophy by adhering to behaviors outlined in Rice's “Standards of Excellence.”
G. RESPONSIBILITY: Safety - Maintain and promote a safe environment for all patients, visitors and staff.
1. Consistently follow all policies, practices and work rules.
2. Do not use shortcuts or work-arounds that may reduce safety or increase risk.
3. Stay alert, act responsibly and use common sense to reduce risks.
4. Report actual events and good catches as soon as possible.
5. Create a safe environment by eliminating hazards and identifying and reporting unsafe systems.
6. Complete all mandatory safety education, attend safety sessions, review and understand the Safety Program (available on RiceNet). Seek answers to questions you have about the Safety Program.
Revised: 2-22-95, 7/96, 5/97, 3/98, 11/98,8/00, 7/01,9/01,11/04, 05/06
301 SW Becker Ave
Willmar MN 56201