CNA

CNA

DUTIES AND RESPONSIBILITES

Assists residents with activities of daily living (bathing, dressing, grooming, etc.) and instrumental activities of daily living, (housekeeping, minor meal preparation, meal service, laundry, and transportation) as assigned by facility supervisor.

1. Monitors health, safety, and well-being of all residents. Accurately measures resident's blood pressure, temperature, pulse respirations, weight and other appropriate vital signs and records them accordingly. Reports concerns about residents to facility supervisor maintaining confidentiality always.
2. Identifies supplies needed to perform tasks; communicates these needs to facility supervisor.
3. Practices safe working habits while utilizing all equipment, chemicals, tools, and utensils. Reports any equipment malfunctions and or safety concerns to the facility supervisor immediately.
4. Assists in keeping the environment safe for residents and co-workers; follows safe working practices and encourages others to do so as well.

• Immediately reports all accidents/incidents and injuries to facility supervisor and Expert Staffing, accurately completes documentation required by Expert Staffing and facility
• Follows all facility and Expert Staffing safety policies and procedures and reports all hazardous or malfunctioning equipment, as well as missing or illegible MSDS chemical labels to facility supervisor
• Uses appropriate personal protective equipment when there is a risk of exposure to blood borne or other potentially infectious material.

5. Provides care for residents within scope of practice of a C.N.A. and documents all provision of care.
6. Leaves work area for breaks only as assigned and as expressly authorized by the facility supervisor in charge.
7. Maintains a positive work environment by behaving and communicating in a manner which encourages teamwork.
8. Provides supervision and assists residents to maintain personal hygiene by:

• Giving complete bed baths, showers, or whirlpool baths
• Caring for teeth or dentures and providing special mouth care as needed
• Combing hair, shaving, trimming nails and applying make-up when desired by resident
• Dressing in appropriate clothing

9. Assures that residents receive adequate nutritional care by:

• Positioning resident so that independent feeding is facilitated
• Feeding residents when necessary
• Encouraging poor eaters and assisting those with marginal food intake to get the maximum benefit from meals and snacks.

10. Assists residents with functions of elimination by:

• Helping and/or reminding the resident to go to the bathroom at appropriate times
• Providing bedpans or urinal as requested or at regular intervals as required
• Participating in bowel and bladder rehabilitation programs as stated in care plans
• Making proper use of incontinence products and protective pads

11. Assists residents to maintain or improve their level of mobility and prevent problems of immobility by:

• Repositioning residents for their comfort and to prevent pressure sores frequently and at least every two hours
• Assisting with range of motion of all extremities by exercises or activities
• Using good body mechanics to assist a resident who can support their own weight to transfer into a chair or bed and with another staff member to transfer a resident who requires lifting
• Using equipment and turning sheets as aids in moving heavy or difficult residents you MUST have another staff member assisting
• Assisting residents with the safe use of walkers, canes and crutches when walking
• Encourage participation in activities and transport of residents to activities of their choice.

12. Maintains a safe, clean environment for the resident by:

• Keeping bed neat, clean, and made up with fresh linens as necessary
• Disposing of soiled linen and trash in proper receptacle.

13. Provides emotional support by:

• Using listening techniques, allow residents to verbalize their concerns without being judgmental or argumentative
• Encouraging participation in recreational programs
• Keeping furniture and personal articles neat and orderly to prevent falls and other accidents
• Practicing good infection control practices of frequent hand washing and use of universal precautions when dealing with body fluids.

14. Provides information about the resident's condition and any significant changes by:

• Document all ADL’s – special foods and fluids, intake/output, mobility, bladder and bladder restraints, etc. as required by each facility
• Reporting anything different or unusual about the resident – rashes, bruises, complaints of pain, vomiting, diarrhea, fever, etc.
• Taking, recording, and reporting temperature, pulse, respiration, blood pressure and weights at regular intervals and when indicated by a change in condition
• Functions as a member of each facilities team by:
• Adhering to dress code and maintaining good standard of personal hygiene and grooming
• Participating in staff development and in-service education programs when available according to State/Federal regulations
• Sharing/helping with workload and cooperating with other staff members regardless of individual assignments
• Following Expert Staffing and each facilities personnel policies and procedures

16. Performs other essential duties as necessary or required by the facility supervisor
17. Ensures proper use and handling of equipment and supplies safely

Working Behaviors

1. Arrives to assignment on time, punch in/out as required, participates in report as directed and documents all necessary information prior to leaving the facility
2. Must utilize each facility time clock to punch in/out as required by each facility (your responsibility to notify facility supervisor of any time clock malfunction)
3. Adheres to and carries out all Expert Staffing and each facilities policies and procedures
4. Reports on-the-job injuries and or grievances to the immediate facility supervisor and Expert Staffing Management before the end of the shift on the day the injury occurs and cooperates in the investigation.
5. Establishes and maintains positive working relationships with co-workers, residents, families and visitors.
6. Maintains confidentiality of verbal and written information
7. Promotes Expert Staffing in a positive way
8. Promotes teamwork in the provision of services for each facilities residents’
9. Facility may at times change assignments mid shift to another floor or department
10. Answer all call lights in a timely manor

Physical Environment

Exposure to all resident elements, including exposure to blood and body fluids and other unpleasant elements. At times, long and irregular hours are necessary. Exposure to hazardous substances is, at times, unavoidable. Frequent multiple tasks and resident needs will be assigned in a rapid fashion.

Physical Requirements

Work involves standing and/or walking over 70% of the time. There is moderate physical effort in positioning, pushing, pulling, overhead reaching, and lifting up to 50lbs. Moving and or repositioning residents of various weights and body shapes, with or without assistance. Vision and hearing acuteness is required always. Repeated bending, squatting, kneeling and stooping is necessary. The incumbent is subject to frustration and fatigue. Manual dexterity to perform all aspects of care in the administration of personal care and other therapies as prescribed for residents.

Occupational Risks

Occupational injuries may occur from not following safety policies and procedures regarding exposure to hazardous materials including blood and body fluids and potential injuries from sharp objects, violent individuals, and physical environment. Working with cleaning chemicals and other medicinal/pharmaceutical preparations which may require personal protective equipment.

Probability and Consequences of Practice Errors

Errors in practice and safety behaviors can result in negative resident and individual outcome. Probability is contingent upon individual practice. Deficient performance will be addressed according to established disciplinary policies and procedures of Expert Staffing and the State of Maine.

Supervision

The Certified Nursing Assistant is under the direct supervision of the assigned Registered Nurse or Licensed Practical Nurse supervisor at the facility assigned.

Evaluation

The Certified Nursing Assistant’s job performance is evaluated by the Director of the agency, using information provided from facility supervisor(s) and personal observations.