CNA – Winters Healthcare & Rehabilitation

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CNA – Winters Rehab & Healthcare

Reports to: Director of Nursing

Deparment: Nursing

Credentials: CAN, CENA, LNA, STNA

Employment status FT, PT, PRN

Summary

Provide quality nursing care to residents; implement specific procedures and programs; coordinate work within the department, as well as with other departments; report pertinent information to the immediate supervisor; respond to inquiries or requests for information; assist the immediate supervisor with tasks to support department operations.

Essential Job Duties and Responsibilities

Provide quality nursing care to residents in an environment which promotes their rights, dignity, freedom of choice, and their individuality as illustrated by the following:

1. Provide individualized attention which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well being.

2. Knowledgeable of the individualized care plan for residents and provide support to the resident according to the care plan. Contribute to the care planning process by providing the charge nurse or other care planning staff with specific information and observations of the residents’ needs and preferences.

3. Attend to the individual needs of residents which may include assistance with grooming, bathing, oral hygiene, feeding, incontinent care, toileting, colostomy care, prosthetic appliances, transferring, ambulation, range of motion, communicating, or other needs in keeping with the individuals’ care requirements, and scope of practice.

4. Maintain the comfort, privacy, and dignity of each resident in the delivery of services to them. Interact with residents in a manner that displays warmth and promotes a caring environment.

5. Fully understand all aspects of residents’ rights, including the right to be free of restraints and free of abuse. Responsible for promptly reporting to the charge nurse or administrative staff incidents or evidence of resident abuse or violation of residents’ rights.

6. Assist in maintaining a safe, neat, and clean environment; report environmental deficiencies to the charge nurse such as lighting or equipment problems.

7. Protect the personal belongings of each resident including eyeglasses, dentures, hearing aids, furnishings, jewelry, clothing, memorabilia, etc. Promptly report missing items according to established policy and participate in efforts to locate missing items.

8. Observe residents for changes in condition or behavior and promptly report these changes to appropriate licensed nursing personnel.

9. Provide care that maintains each resident’s skin integrity to prevent pressure ulcers, skin tears, and other damage by changing incontinent residents, turning, repositioning immobile residents, and applying moisturizers to fragile skin, etc.

10. Answer residents’ call bells promptly and courteously.

11. Perform various tasks assigned by the charge nurse including vital signs, residents’ weights, applying creams/ointments, collecting specimens, etc.

12. Assist with orienting residents and their families to the nursing home upon admission and to the unit when transfers occur.

13. Lift, move, and transport residents, using proper body mechanics or lifting devices for accident prevention.

14. Communicate and interact effectively and tactfully with the resident, visitors, families, peers, and supervisors.

15. Assist and escort residents for appointments such as beauty shop, activities, church services, etc. Participate in activities and functions as directed.

16. Practice careful, efficient, and no-wasteful use of supplies and linen and follow established charge procedures for resident charge items.

17. Complete certified nursing assistant records documenting care provided or other information in keeping with department policies.

18. Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.

19. Respond to inquiries relating to his/her particular area or to requests from residents, visitors, other personnel, etc., within given time frames and within established policy.

Other Duties

1. Assist the immediate supervisor with various administrative tasks to support department operations as directed: may also be assigned special projects.

2. Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.

3. Meet on —going requirements to maintain current certified nursing assistant certifications.

4. Interacts with residents, families, visitors, facility and corporate staff.

5. Carries out other tasks as requested in situations where hands-on intervention/participation may be required.

6. May be required to work rotating shifts, holidays, weekends, additional hours, and in different positions as the facility’s needs require.

7. Must practice good personal hygiene and follow the dress code requirements.

8. Must provide annual verification of a negative TB skin test as required.

9. Support an atmosphere which promotes a homelike environment.

10. Supports, cooperates with, and implements specific procedures and programs for:

• • • • • Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
        • Confidentiality of all data, including resident, employee and operations data.
        • Quality assurance and compliance with all regulatory requirements.
        • Compliance with current law and policy to provide a work environment free from sexual harassment and all illegal and discriminatory behavior.

11. Supports and participates in common teamwork:

• • • • • Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgment.
        • Uses tactful, appropriate communications in sensitive and emotional situations.
        • Follows up as appropriate with supervisor, co-workers or residents regarding reported complaints, problems and concerns.
        • Promotes positive public relations with residents, family members and guests.
        • Completes requirements for in-service training, acceptable attendance, uniform and dress codes including personal hygiene, and other work duties as assigned.

Qualifications

1. A high school diploma or equivalent; successful completion of a state-approved Nursing Assistant Certification course or other education which meets state certification requirements. Must hold current Nursing Assistant Certifications in the state in which he/she is practicing or be eligible to obtain.

2. Must possess good organizational and time management skills.

3. Must possess good verbal and written communication skills.

4. Must possess the ability to maintain composure and interact courteously and professionally.

5. Must be knowledgeable of resident rights and ensures an atmosphere which allows for the privacy, dignity and well-being of all residents in a safe, secure environment.

Key Competencies

• Command Skills: Relishes leading: takes unpopular stands if necessary; encourages direct and tough debate but isn’t afraid to end it and move on; is looked to for direction in a crisis; faces adversity head-on; energized by tough challengers.
• Composure: Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature; can be counted on to hold things together during tough times; can handle stress; is not knocked off balance by the unexpected; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis.
• Conflict Management: Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.
• Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
• Timely Decision Making: Makes decisions in a timely manner; sometimes with incomplete information and under tight deadlines and pressure; able to make a quick decision.
• Decision Quality: Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.
• Directing Others: Is good at establishing clear directions; sets stretching objectives; distributes the workload appropriately; lays out work in a well-planned and organized manner; maintains two-way dialogue with others on work and results; brings out the best in people; is a clear communicator.
• Integrity and Trust: Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.
• Managerial Courage: Doesn’t hold back anything that needs to be said; provides current, direct, complete, and “actionable” positive and corrective feedback to others; lets people know where they stand; faces up to people problems on any person or situation (not including direct reports) quickly and directly; is not afraid to take negative action when necessary.
• Motivating Others: Creates a climate in which people want to do their best; can motivate many kinds of direct reports and team or project members; can assess each person’s hot button and use it to get the best out of him/her; pushes tasks and decisions down; empowers others; invites input from each person and shares ownership and visibility; makes each individual feel his/her work is important; is someone people like working for and with.
• Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.
• Drive for Results: Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.
• Sizing up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Language Skills

1. Ability to read, write, speak, and understand English including the ability to make oral presentations to individuals and groups.

2. Ability to relate positively, effectively and appropriately with patients, families, community members, volunteers and other hospital staff on a daily basis. Possess special interest in, and a positive attitude about, working with long-term care patients and the elderly.

Physical Capabilities: Percent (%) of Time

Lifting/Carrying
1-10 lbs: FREQUENTLY (31-60%)
11-25 lbs: FREQUENTLY (31-60%)
26-50 lbs: OCCASIONALLY (1-30%)

Pushing/Pulling
20-50 lbs: FREQUENTLY (31-60%)
Over 50 lbs: OCCASIONALLY (1-30%)

Climbing/Balancing: FREQUENTLY (31-60%)
Stooping/Bending: FREQUENTLY (31-60%)
Standing:Sitting: CONTINUOSLY (61-100%)
Walking: FREQUENTLY (31-60%)
Travel: FREQUENTLY (31-60%)
Overtime: OCCASIONALLY (1-30%)
Hearing: Y
Vision: Y
Speaking: Y
Color Vision: Y

WORK ENVIRONMENT DEMANDS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ENVIRONMENT: Percent (%) of Time Inside / Percent (%) of Time Outside
Cold: OCCASIONALLY (1-30%)
Hot: FREQUENTLY (31-60%)
Humid: OCCASIONALLY (1-30%)
Wet: OCCASIONALLY (1-30%)
Dry: FREQUENTLY (31-60%)
Dust: OCCASIONALLY (1-30%)
Noise: FREQUENTLY (31-60%)
Fumes: OCCASIONALLY (1-30%)
Odors: CONTINOUSLY (61-100%)
Chemical Exposures: OCCASIONALLY (1-30%)
Infections: OCCASIONALLY (1-30%)
Video Display Terminals: FREQUENTLY (31-60%)
Mechanical/Electrical Hazards (Possible Exposure to): FREQUENTLY (31-60%)
Gloves Necessary: OCCASIONALLY (1-30%)

If you have questions please contact Jackie Miller, Human Resource Director
Phone: 325-754-1500 Ext. 523
Fax: 325-754-4337
Email: jmiller@nrhd.org