Last Amended: March 2023
ESSENTIAL FEATURES:
Administers personal care to residents including bathing, personal hygiene, toileting, feeding, dressing, mouth care, nail care, hair care, foot care; assures that services are provided in accordance with facility policies and procedures, and with the privacy and dignity afforded to residents in the Residents’ Bill of Rights.
Provides rehabilitative nursing services, i.e., ambulation, range of motion, and reality orientation, in accordance with the Nursing Assistant’s assignment which is based on the care plan developed for the resident; follows policies and procedures.
Assures that residents assigned have been provided with their sensory and safety apparatus, i.e., eye glasses, hearing aides, safety bars, canes, etc.
Receives from, and gives report to Charge Nurse, on patients at the beginning and end of each shift; reports changes accurately and promptly.
Makes suggestions for nursing care plans based on observations of the resident and their response to care provided; attends care planning meeting as assigned.
Supports facility policies and procedures at all times.
Transfers residents from one surface to another taking care to protect the resident from injury; employs proper body mechanics in order to prevent self injury; uses mechanical lift equipment and transfer aids as needed or directed when the resident presents a difficult transfer situation, obtains assistance as needed.
Maintains a clean and orderly resident unit; cares for personal belongings, keeps bedside stands and closets neatly arranged.
Maintains clean bedpans, urinals, and commodes in accordance with policies and procedures.
Promptly and courteously answers call bells; responds to the residents’ needs and desires; refers issues to the Nurse in charge.
Promptly informs the Nurse in charge of resident care problems, changes in conditions, accident or injuries to a resident, lost items, or unit problems.
Changes bed linens in accordance with facility policies, and whenever needed; makes the beds of all residents assigned during the morning hours.
Passes assigned nourishments, refills water pitchers in accordance with policies; offers fluids to residents throughout the shift.
Passes dietary trays at mealtimes; escorts residents to the dining room; assists with applying bibs as needed; assists residents to eat their meals, or feeds residents as needed; recommends the use of adaptive aides when applicable.
Notes and records intake and output of residents as determined by assignment, orients new residents and families to the unit environment, assures that call bells are within residents’ reach when in bed/rooms, provides tub baths, C-tub baths and showers as directed, records charting on the COGNE with accuracy.
Follows safety and infection control principles at all times; reports safety or infection control hazards to the Nurse in charge, attends at least 12 hours of mandated education programs yearly.
Utilizes safety restraint procedures only in accordance with State and Federal guidelines following assignment, policy and procedures strictly; reports problems promptly.
Weighs residents using standing, chair, ramp, sling, and tub scales; takes temperature readings and records findings.
Transports residents as directed to designated outside locations.
Provides post-mortum care.
Performs other related duties as required.
MARGINAL FEATURES:
Participates in non-mandated in-service education programs and in studies involving the nursing unit as assigned, assists in orienting new staff to the unit and facility routines and transports residents within the facility.
All positions may be subject to an interview process. The Town reserves the right to limit the number of qualified candidates who will be invited to participate in the examination, or any part thereof.All outside candidates will be required to undertake and successfully pass a pre-employment medical examination, which includes a substance abuse test that includes testing for THC (the psychoactive ingredient in marijuana), given at the Town's expense prior to employment if conditionally offered a part time, full time or safety sensitive position. Candidates for employment at Nathaniel Witherell Skilled Nursing Facility are required to demonstrate their vaccination status against COVID 19. The Town of Greenwich has implemented a policy of background investigations all full and part time positions positions prior to hiring as part of the reference checking procedures for outside candidates. The investigation will only be conducted as the last step prior to an offer. Refusal to sign the release form will terminate the candidate's further consideration.
