CNA/RNA-Skilled Nursing-Full Time-PM Shift

I. BASIC PURPOSE OF POSITION:

Assist in providing care for Residents receiving services in our Long Term Healthcare facility. Promotes resident well-being and satisfaction through support with activities of daily living. Promotes resident well-being and satisfaction by performing restorative nursing activities in accordance with the patient care plan. Communicates with other departments to ensure resident needs are met. Communicates with other departments to ensure resident needs are met.

II. CUSTOMER/CLIENTS SERVED BY POSITION:

Goldberg Healthcare Residents, resident family and guests, Department managers, supervisors, support staff, outside vendors and state and federal regulators.

III. OUTCOME WHEN JOB IS WELL DONE:

Well being of residents meets resident and family expectations. Resident’s care meets state requirements and meets or exceeds The Seacrest Village standards of quality care, quality business practices, and quality people relationships. State survey is meet with excellence.

IV. EDUCATION REQUIREMENTS:

High school diploma and or equivalent. California Certified Nurse Assistant for CNA’s.

V. EXPERIENCE REQUIREMENTS:

Six (6) months skilled nursing care experience preferred. Will train motivated CNA whose goals are to stay in long term care. NOC shift requires a minimum of two (2) years experience

VI. SPECIAL SKILLS, LICENSES, CERTIFICATION AND /OR SPECIALTRAINING REQUIREMENTS:

Ability to work with geriatric population, medical professionals, families and staff, English language a must. Current CA State CNA certificate mandatory for CNA position. Knowledge of proper body mechanics and transfer procedures. Has basic computer skills and knowledge to navigate and use current EMR program/system and point of care. General knowledge of oxygen tanks and equipment. Ability to read and interpret written procedures and directions. Knowledge of proper use of gait belt, and Hoyer lift. CNA renewal must be the responsibility of the employee to keep current. Medical terminology helpful and knowledge of proper transfer techniques necessary. Able to pass pre-employment physical/TB test and obtain fingerprint clearance as required by our licensure. Must be able to push and lift without restrictions. Good mental and physical maturity. No previous conviction of abuse or neglect.

VII. ESSENTIAL JOB DUTIES THAT MUST BE SAFELY PERFORMED WITH OR WITHOUT REASONABLE ACCOMMODATION WITHOUTPOSING A DIRECT THREAT TO OTHER EMPLOYEES, RESIDENTS AND STAFF:

WORK PERFORMANCE – job knowledge, quality, productivity, planning, creativity, initiative

1. Able to take and record vital signs (BP and T.P.R. and weigh residents when assigned.)
2. Coordinate with person in charge for care of residents and documentation knowledge. Report change of condition to charge nurse.
3. Carry out department head’s and physician’s instructions in patient care ADL’s and observing residents for any changes in physical or mental health and reporting changes and notifying charge nurse.
4. Ability to assess and to respond to resident and staff medical emergencies and use proper judgment for same.
5. Monitor and assist in resident meal periods, assist with personal care and services for residents. Report any unusual changes of condition of residents to charge person and document same.
6. Perform duties as assigned using current EMR program on every shift.
7. Ability to transfer residents with appropriate assistance and proper transfer technique. (i.e., from bed to wheelchair or from wheelchair to toilet).
8. Able to assist residents in all ADL needs (Activities of daily living)
9. Encourage, participate and assist in resident participation in social activities.
10. Assist residents personal laundry as needed.
11. Report to charge nurse any changes in behavior mental, weight loss and physical condition.
12. Maintain confidentiality and respect for resident’s privacy. Complies with Residents rights.
13. Able to communicate well with and relate well to elder population.
14. Assist in dining; pouring coffee, feeding, monitoring meal intake, etc.
15. Provides assistance; with activities of daily living such as grooming, oral hygiene, bath/shower, hair, maintaining personal environment- clothing, linen, personal belongings within apartment in a manner conducive to the residents comfort and safety.
16. Adheres to Standard Precautions and Infection Prevention and Control procedures.
17. Transport dirty linens to main laundry as needed- barrels in hallway used and housekeeping picks them up.
18. Perform acceptable personal grooming and cleanliness that meets standard dress code and is within Seacrest uniform guidelines.
19. Maintain a pleasant courteous attitude with residents, family, guests and co-workers.
20. Performs a variety of repetitive tasks that may involve unpleasant conditions.
21. Preserves the dignity and self respect of all residents at all times.
22. Practices conservation of equipment and supplies; keeping them clean and available.
23. Reports equipment and supply needs to charge person.
24. Makes rounds of all assigned residents at the start of each shift to verify their condition and safety and periodically thereafter, throughout the shift.
25. Obtains report from charge nurse of any special needs of residents.
26. Adheres to assigned run and makes changes with the approval of charge nurse.
27. Assist residents to bathroom or change incontinent resident at least every 2 hours and as needed.
28. Turn and reposition residents as needed.
29. Keeps resident fingernails clean, trimmed and manicured.
30. Pass nourishment’s and assist residents as needed.
31. Assist residents to dining room, pass meal trays, assist residents and dining as needeD
32. Provide rest periods to residents according to care plan.
33. Make beds and change linens.
34. Maintain a clean and odor free unit.
35. Assist residents to and from religious services, life enrichment, and assist residents during life enrichment as assigned.
36. Observe skin of all assigned residents and report concerns to charge person.
37. Answer all resident bells promptly.
38. Obtain specimens from lab as necessary.
39. Accurately record fluid intake.
40. Encourage residents to drink fluids during shift.
41. Chart ADL sheets; do narrative notes and chart bowel and bladder training as needed.
42. Observe and record bowel movements of assigned residents daily and notify charge person of irregularities.
43. Provides perineal care.
44. Assist with procedures for admissions, discharge, transfer, and death of a resident.

RESTORATIVE CARE

1. Promote independence and wellness of each resident in performing restorative and rehabilitative nursing activities in accordance with the resident care plan.
2. Restorative Ambulation Program, (to provide residents the opportunity to achieve the highest level of self-performance in walking with or without assisted devices).
3. Restorative Range of Motion Program (to improve and maintain flexibility and strength in the joints of the body).
4. Restorative Activities of Daily Living Program (to improve residents self-esteem and dignity as more independence and proficiency is achieved in performance of self-care tasks; hygiene, grooming and dressing.
5. Restorative Dining Program – )to preserve the skill of self-
6. feeding as the ability to self-feed is one of the last self care skills a resident with disabilities is able to perform; utilize verbal/tactile/manual initiation cue during meal time; use appropriate utensils/devices, or adaptive equipment depending on resident’s needs).
7. Maintain master list of residents on Restorative Nursing Programs, up-to-date. Complete as assigned, the weekly summary in a timely manner.
8. Maintain daily and weekly medical record on attendance and progression or regression on each resident in each program before the end of each shift.
9. Recognizes the uniqueness of each resident and applies principles of restorative and rehabilitative nursing in caring for each resident; confidentiality, preserving the resident rights, privacy, dignity and self-esteem is part of the total picture of care in this position.

FACTORS AFFECTING WORK PERFORMANCE - attendance, dependability, achievement, interpersonal skills

1. Regular, punctual attendance. Flexibility in schedule as it may include some weekends, evenings and holidays.
2. Additional duties as assigned by supervisor; DON, ADON, RN, LVN and SDC.
3. Attend department staff and "All" employee staff meetings.
4. Timely completion of work assignments.
5. Be a team player and able to get along well with co-workers and other departments.

MISSION, VISION, POLICY AND REGULATIONS - SV Philosophy, Judgment & Adherence to policy

1. Familiarize self with Seacrest Village mission/vision, rules, policies and procedures and same with the Jewish Tradition as observed by our residents, family and guests.
2. Observes safety regulations; to include but not limited to wearing appropriate safety equipment, reporting work related injuries, using proper body mechanics and wearing security access name badge.
3. Payroll/HR- use current computer system to follow timekeeping policy utilizing timeclock to record all hours worked to include mandatory meal period of thirty minutes by the 5^th hour of work and OT is authorized by supervisor.
4. Wear appropriate clothing per facility and uniform policy.
5. As a matter of SV policy and federal and state law; attends HIPAA training, follows HIPAA confidentiality and privacy policy, applies “minimum necessary”, “needs to know” guidelines on all PHI information and reports non-compliance violations to Privacy Officer.
6. As a mandated reporter per DOJ requirements; attends Mandated Reporter Abuse training meetings, will report all abuse incidents; physical, emotional, financial, sexual, verbal, completing the 1) SOC 341 form, mailing or faxing, 2) calling the ombudsmen and/or department of health services; for Assisted Living and Independent Living, call ombudsmen, and APS (adult protective services), and 3) informing supervisor so resident can be protected.
7. Follow the corporate compliance standard and employee code of conduct, of performing work with an ethical behavior and utilizing proper business conduct and professional practice, that complies with applicable laws, rules and regulations; as serving the residents, preserving the organizational reputation, maintaining resident/employee trust, community respect. Reports non-compliance or concerns to Corporate Compliance Officer.

VII. NON-ESSENTIAL JOB FUNCTIONS:

1. Preparation of meals.
2. Cleaning following resident accidents, such as diarrhea, vomiting, etc. Notify appropriate department for follow-up cleaning of a rug, toilet, etc. (housekeeping or maintenance)
3. Able to use plunger for toilets.

VIII. OUTCOME WHEN JOB IS DONE WELL:

Residents have all their needs met, documentation is accurate and the annual survey is successful.

IX. EQUIPMENT REQUIRED IN THE PERFORMANCE OF ESSENTIALJOB DUTIES:

1. Digital thermometer
2. Gait belts
3. Wheelchair
4. Weighing Scale
5. Blood pressure cuff and stethoscope
6.  Hoyer lift/Electric/Electric E-Z Stand
7. Gloves
8. Black pen

X. PHYSICAL REQUIREMENTS: Frequently is required to walk, stand, use hands to finger, handle feel objects, tools or controls; reaches with hands and arms. Must be able to talk and hear will Good vision is imperative; close, distance, peripheral, depth perception and ability to adjust focus. Occasionally employee is required to sit, stoop kneel, crouch or craw. Employees will be required to lift and or move residents weighing more than 125 lbs. with appropriate assistance and equipment. Able to bend, stand, walk and lift in all nursing units. Ability to work in confined spaces. Ability to carry food trays.

XI.TITLE 22 HEALTH FACILITIES AND REFERRAL AGENCIES 72319

1. Maintain proper body alignment and joint movement to prevent contractures and deformities
2. Use pressure reducing devices when indicated
3. Provide care to maintain clean, dry skin from feces and urine
4. Change lines and other items in contact with the patient as necessary, to maintain a clean, dry skin free from feces and urine
5. Each patient requiring help with eating shall be provided with assistance when served, and shall be provided with training or adaptive equipment in accordance with identified needs, based upon patient assessment, to encourage independent eating
6. Each patient shall be provided with good nutrition and with necessary fluids for hydration
7. Patient call signal shall be answered promptly, 8)Each patient shall be treated as an individual with dignity and respect and shall net be subjected to verbal or physical abuse of any kind
8. Each patient shall be provided care, which shows evidence of good personal hygiene, including care of the skin, shampooing and grooming of hair, oral hygiene, shaving or beard trimming, cleaning and cutting of fingernails and toenails
9. The patient shall be free from offensive odors
10. Each patient shall be encouraged and/or assisted to achieve and maintain the highest level of self-care and independence. Every effort shall be made to keep the patients active, and out of bed for reasonable amount of time, except when contradicted by a physicians order
11. Each patient shall be given care to prevent formation and progression of decubiti, contractures and deformities. Such care shall include: changing positions of bed-fast and chair-fast patients with preventive skin care in accordance with the patients’ needs
12. Encouraging, assisting and training in self-care and activities of daily living.