Certified Nursing Assistant

QUALIFICATIONS, KNOWLEDGE, SKILLS, ABILITIES

Qualifications:

1. Must be at least 18 years old and have a High School Diploma or GED.
2. Must have at least 3 months of experience as a Certified Nursing Assistant in a hospital, skilled nursing facility, assisted living, home health agency or other healthcare related work/volunteer experience. Work experience in a geriatric or rehabilitation setting is preferred.
3. CBRF Certification, including Medication Administration is preferred (Assisted Living, Towers).
4. Possesses a valid driver’s license (Tower RAs only).
5. Must be able to read, speak and write English.
6. Must be current and maintain eligibility to work in a federally certified facility with the State Registry as a Nursing Assistant.

Knowledge:

1. Must demonstrate the ability to comprehend and follow established policies and procedures.

Skills:

1. Possesses basic computer skills with some proficiency in data entry.
2. Must be able to communicate verbally with residents, families, the public, and other members of the organization.
3. Able to document observations in writing.

      Abilities:

1. Demonstrates dependability and reliability in adhering to an established work schedule.  Able to work flexible hours to meet scheduling requirements. 
2. Demonstrates performance efficiency in managing workload with little overtime.  Able to adapt to changing organizational needs.
3. Exhibits a warm, cheerful, caring manner when interacting with residents, families, co-workers, and other guests at Saint John’s.
4. Must be professional in actions, dress appropriate to the position, have excellent customer service skills, and desire to work with and serve older adults.
5. Able to multi-task and work independently while performing various duties without close supervision.

ESSENTIAL FUNCTIONS, DUTIES AND ACCOUNTABILITIES:

Person Centered Care/Professional Integrity and Responsibility

1. Strives to create an environment that supports the six dimensions of wellness for our residents: physical, social, emotional, intellectual, vocational, and spiritual need of residents and community. 
2. Acts with honesty and openness in all dealings as a representative of the organization and is expected to support a working environment that values respect, fairness, inclusiveness, and integrity.
3. Promotes responsibility in the workplace by recognizing and respecting boundaries of people with whom he/she works and serves. Fosters positive relationships between residents, family, and staff by promoting teamwork.
4. Supports practices and principles of the person-first philosophy that give residents the power of choice. Employees are considered part of the community and are expected to perform duties within the principles and practices that guide care and services through knowing and honoring the person before the task.  e., fostering relationships between residents, family, and staff.  Each person is to be known as an individual who can and does make a difference. We nurture the spirit as well as the mind and body and we promote growth and development for all.

Clinical Performance

1. Provides personal care assistance to residents as directed by a licensed nurse either verbally or in writing (via electronic health record).  Personal care includes -
1. Bathing: bed bath, tub bath, shower per resident preference and as scheduled.
2. Dressing/undressing: allowing resident choice in clothes selection.
3. Personal grooming; comb hair, brush teeth/dentures, nail care, shaving.
4. Eating: provides verbal cues, assists with cutting food, provides total eating assistance as needed. 
5. Toileting: use of bathroom, urinal, bedpan as needed.
6. Mobility: assists with bed mobility/repositioning; ambulation with use of cane, walker, wheelchair; and transfers using a gait belt, or mechanical device such as a sit-to-stand or Hoyer lift.
7. Assists licensed nurse with data collection to include –
8. Temperature (oral, axillary, rectal), pulse (radial), and respiratory rate.  Reports any findings that are outside of normal parameters to the nurse.
9. Nutritional intake - reports intake to the nurse.
10. Weight – using bed scale, chair scale, standing scale
11. Intake and output – records on I&O record
2. Provides supportive care to residents including –
1. Bedmaking – changes linens, makes bed daily and as needed.
2. Transportation – assists residents to move from one department to another (ex. to appointments with dentist, podiatry, hair salon, or social events).
3. Pet Care – cleans cat litter box, walks dogs
4. Incorporates the principles of rehabilitation nursing and restorative care into daily activities as directed by a licensed nurse
5. Responsible for medication administration on a particular shift as assigned by a licensed nurse (if applicable to care setting).

Communication

1. Knows and follows existing lines of communication and authority.
2. Responds to resident requests for assistance by promptly answering call lights.
3. Obtains report from nurse at the start of each shift and provides report to the nurse at the end of the shift.
4. Observes and reports physical and/or behavioral changes in resident condition immediately to a licensed nurse.
5. Provides brief update on residents to oncoming RAs at end of shift.
6. Share input into the revision and updating of resident’s plan of care.
7. Maintains the confidentiality of proprietary business, financial, health, personal or other information concerning residents, employees, consultants, prospects, and operations and where appropriate complies with the Health Insurance Portability and Accountability Act (HIPAA) as well as corporate and departmental standards.

Teamwork

1. Together with the residents and neighborhood team participates in activities, socials, club meetings, holiday parties, special events and/or entertainment. Holds neighborhood activities (one to one, small group and large group activities or learning circles) as scheduled.
2. Works with Rehabilitation services staff; follows instructions for care provided by rehabilitation services (if applicable).
3. Works cooperatively with residents, clients, families, volunteers, visitors, and all levels of staff throughout the organization.
4. Participates in resident care conferences (if applicable).

Development

1. Completes all required educational modules/programs within expected timeframes without reminders. 
1. Maintains a strong knowledge base in the care of residents with dementia.
2. Assures that all resident rights are maintained. Report any violations of suspected deviations according to Saint John's policy.  Assist in the investigation of allegations of abuse and misappropriation of resident's property according to State and Federal regulations.