CNA

Perform direct resident care duties under the supervision of licensed nursing personnel.  Assist with promoting a compassionate physical and psychosocial environment for residents. 

1. Identify residents before administering treatments, serving meals, etc., as necessary.  Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.  Report all changes in the resident’s condition to the Charge Nurse and/or Nurse Supervisor as soon as practical.  Report all accidents and incidents you observe on the shift that they occur.
2. Perform all assigned tasks in accordance with the facility’s established policies and procedures, and as instructed by your supervisors.  Follow work assignments, and/or work schedules in completing and performing your assigned tasks.  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 supervisor 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 residents.  Report occupational exposure to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.
3. Participate and receive the nursing report upon reporting for duty.
4. Assist residents with daily dental and mouth care.  Assist residents with bath functions as directed.  Give backrubs as instructed.  Assist residents with dressing/undressing as necessary.  Assist residents with hair care functions.  Assist residents with nail care (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 residents.  Make bed (occupied or 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.  Prepare and give enemas.  Report results as instructed.  Collect specimens as instructed (i.e., urine, sputum, stools, etc.).  Assist residents in preparing for medical tests.  Assist residents in preparing for activity and social programs.  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.  Change dressings, bandages, binders, etc., as instructed.  Assist with the application of nonsterile warm/cold compresses.  Assist in preparing the resident for a physical examination. 
5. Weigh and measure residents as instructed.  Measure and record temperatures, pulse, and respirations (TPRs), as instructed. 
6. Answer resident calls promptly.  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.
7. Assist with the care of the dying resident.  Provide post-mortem care as instructed.
8. Observe and report the presence 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.  Perform nonsterile (clean) vaginal irrigation/douches.  Assist with the application of slings, elastic bandages, binders, etc.  Give tepid sponge baths.  Provide daily range of motion exercises.  Record data as instructed.  Turn bedfast residents at least every two (2) hours.  Perform diabetic urine testing.  Provide physician and respiratory therapy as instructed.  Perform special treatments as instructed.  Observe disoriented and comatose residents.  Record and report data as instructed.  Turn all medications found in the resident’s room/possession over to the Charge Nurse and/or Nurse Supervisor. 
9. Prepare residents for meals (i.e., take to bathroom wash hands, comb hair, raise bed, position tables, place bids, 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 residents’ 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.). 
10. Restrain residents in chair/bed as instructed.  Check restrained residents at least every thirty (30) minutes.  Release restraints at least every two (2) hours for range of motion exercises, taking to bathroom, etc.  Maintain a record of restrained residents, the times restraints were released, and how long the restraints were released. 
11. Wash hands before and after performing any service for the resident.