Certified Nursing Assistant - LTC

Job Title: LTC Certified Nurse Assistant

Department: LTC Nursing Service

PART I: POSITION OVERVIEW

Position Summary:

The certified nursing assistant in long term care assists in the provision of nursing care of the residents as directed by the CHARGE NURSE/LPN charge nurse. Care skills include but are not limited to: comfort and safety measures, personal hygiene, assisting with activities of daily living, and simple nursing procedures. When students are providing resident care, treatment, and or services as part of their training. Any or all employees may be asked to work and supervise the students.

Employees under the age of 18 will be prohibited from operating patient lifts or hoists. The employee who is under age 18 may participate in patient/resident positioning and stabilization during application/removal of the sling, harness or belt to the lift by another staff member. He/She may also propel the lift from one location to another so long as the employee under the age of 18 is not the person operating the lift controls.

Education/Experience:

High school diploma or equivalent desired.

Required Credentials (Licensure, Certification, or Registration):

Certification from a state approved program for nursing assistant, or completion of in house certification program by the end of four months of employment.

Employment Variables:

Scheduled work hours may vary. Required to rotate weekends and holidays. Occasionally may need to work beyond normal working hours. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills:

Ability to read, write, speak and understand the English language. Ability to deal with people in a professional manner.

Direct Supervisor:

Director of Nursing

PART II: CODE OF CONDUCT

Function

Explanation

Honesty

We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions

Expertise

We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available.

Approachability

We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect

We will be understanding and sensitive to others’ feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others’ feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another’s name.

Teamwork

We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.

PART III: ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.

Duties and Responsibilities

Provides timely and proper notification for absences and paid personal leave. Finds a replacement when necessary. No unexcused absences or excessive tardiness. Knows emergency procedures for fire, internal/external disaster plans, codes, etc. and participates in drills. Verbally supportive of Winner Regional Health and the Sanford Health Network. Participates on committees and/or is involved in special projects of Winner Regional Health. Provides for patient, resident, employee, and visitor safety through preventative measures. Identifies hazards and reports incidents. Utilizes and adheres to appropriate precautions/techniques with hazardous chemicals, blood and body fluids, medical waste and/or equipment. Satisfactory attendance at department meetings (50% attendance meets expectations). Is cross-trained to other areas/positions/departments to provide assistance when needed.

Clinical Competency

Demonstrates operating knowledge of equipment and supplies necessary to perform assigned duties. Demonstrates appropriate aseptic and hygiene techniques to prevent the spread of infection to resident, self and others. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care. Assists Charge nurses and Physicians with assessments, examinations and treatments.

Resident Care Functions

Assists in development and implementation of resident plan of care including personal hygiene, nutrition, and elimination. Observes residents for reactions to treatments or any unusual conditions and records or reports adverse conditions to the Charge nurse.

Ancillary Activities

Orders late trays and snacks from dietary. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Monitors supplies and equipment and orders through WRH as needed.

Resident & Work Safety

Demonstrates appropriate lifting, repositioning, proper use of restraints, and moving of residents and equipment. Maintains good hand washing practices before and after resident care. Reports resident concerns, c/o pain and abnormal vital signs to the charge nurse. Promotes a safe and hazard free resident care environment.

Working With Delegation

Willingly accepts from charge nurses the delegation of tasks that are within the job description and own competence level. Consistently seeks clarity and/or direction from charge nurse when tasks or assignments are unclear, outside job description, or outside the competency level. Seeks appropriate assistance when needed from healthcare team members to ensure the safe administration of resident. Consistently provides charge nurse with feedback regarding outcomes from delegated tasks (i.e., VS, pain assessment, and activity). Demonstrates appropriate independence/interdependence in the provision and documentation of resident care.

PART IV: COMPLIANCE

Compliance

Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct the Compliance Officer or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

In a regular workday, employee may:

Sit

1/2

Hours at a time; up to

1-1.5

Hours during the day

Stand

1/2

Hours at a time; up to

3-4.5

Hours during the day

Walk

2

Hours at a time; up to

4-6

Hours during the day

Motion

Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67 %.)

Bend/Stoop

Occasionally

Kneel, Duration 30 sec

Squat

Balance

Crawl, Distance

Occasionally

Twist

Climb, Height

Keyboarding/Mousing

Reach above shoulder level

Physical Demand

Employee’s job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee’s job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification:

Carrying/lifting weight and pushing/pulling force:

Occasionally

50 lbs

Frequently

25 lbs.

Constantly

Sensory Requirements:

Yes/No

Explanation (if Yes)

Speech

Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

Must be able to interact with residents, families and co-workers

Vision (VDT)

Are there specific vision requirements for the job?

Must be able to read meal cards, jot sheets, etc.

Hearing

Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures.

As stated

Smell

Must be able to smell

Yes

To identify odors related to infections

Environmental Factors

Yes/No

Explanation (if Yes)

Working on unprotected heights

Being around moving machinery

Exposure to marked changes in temperature and humidity

Yes

Assists in transporting residents to appointments and activities.

Driving automotive equipment

Wearing personal protective equipment

Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation)

No

Exposure to extreme noise or vibration

No

Exposure to blood, body fluids and waste

Yes

Residents

Exposure to radiation

Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives)

Emotional/Psychological Factors

Yes/No

Explanation (if Yes)

Stress: Exposed to stressful situations

May be involved in critical situations involving residents, families or others.

Concentration: Must be able to concentrate on work tasks amidst distractions.

As stated above.

Must exert self-control.

Must maintain calm at all times even when others cannot.

PART VI: JOB RELATIONSHIPS

Supervises

No supervisory responsibilities

Supervisory responsibility

# Direct Reports:

# Indirect Reports:

Age of Patient Populations Served

Neonates: 1-30 days

Infant: 30 days - 1 yr

Children: 1- 12 yrs

Adolescents: 13- 18 yrs

Adults: 19- 70 yrs

Geriatrics: 70+ yrs

All

Not applicable

Internal Contacts

Residents

Providers: (i.e. Physicians, Therapists, Social Workers)

Staff: (i.e. clinical and administrative support staff)

Volunteers

Others:

External Contacts

Residents

Families/Significant Others

Providers

Vendors

Community and Health Agencies

Regulatory agencies

Other: Job Applicants