CNA (Nurse Aide)

Unit Notes

Department: LTC | LNA

*Certifications Required: BLS and must be licensed in New Hampshire*

• Type of Facility: 100 Residents Bed; 96 Semi-private beds, 4 private bed. 2 floors (1 LTC and 1 LTC-SNF). No locked units - Dementia and Alzheimer's
  
  

patients wear a tracker that locks the door if they get close to it.

• EMR: PCC in conjunction with paper charting .
• Ratios: 1:9-12.
• Common diagnosis: LTC/SNF patient population: DM, COPD, Post Stroke, heart disease, fractures, dementia (Secure care tracker), Alzheimers, Rehab,
  
  

chronic conditions, multiple comorbidities, and more.

• Job Duties: Assists with ADLs, bathing, toileting- every 2 hours, peri care, assisting with meals and feeding, taking patients to activities, assisting with
  
  

taking residents to appt, bedtime routine, 1-2 hourly rounding.

• Experience: Must have prior LTC/SNF experience. Minimum of 1 year of experience, prefer 2 years of experience. Will accept first time travelers, prefer
  
  

experienced travelers.

• Are there IV's or titratable drips?: Occasional IV antibiotics; potential PICC line management .
• Are there Tele monitors?: None.
• Are RN's required to attend team conferences for acute inpatient rehab?: They are required to attend Daily Huddle.
• DON/Charge Nurse/House Supervisor: Supervisor on every shift, available as a resource.
• Physician availability after hours: NP rounds each morning M-F, 2 MDs- 1 comes in on Tu & Fr evenings, 1 comes twice a month on Weds; Off- Hours:
  
  

can call the hospital for on-call provider.

• Interdisciplinary Team: PT, OT, SLP, Case Managers, SW, and Dieticians.
• Is RT on-site 24/7: No RT in house, LPNs & RNs expected to manage respiratory treatments and equipment: Cpap, NC, High; no trachs or vents.
• Pharmacy on-site? Medication dispensing system?: Bubble Packs for patient prescription medications; House stock of generic meds (tylenol, etc).
• Shifts & Scheduling: Days: 7 A-3 P or 7-7 (typically 3 RNs and/or LPNs, 4-5 LNAs on each floor & 1 MNA), Evenings: 3 P-11 P,
  
  

Nights: 11 P-7 A, 7-7 (typically 2 RNs and/or LPNs, 4-5 LNAs on each floor).

Scheduler makes out the schedule 6 weeks in advance; travelers asked to stay flexible and help to fill gaps in permanent staffing.

DON & ADON in house 7a - 4p.

• Weekend Requirements: Every Other Weekend.
• Holiday Requirements: May be asked to work holidays.
• Call/Standby Requirement: None; Covered by perm staff .
• Floating Requirements: Can float between either floor.
• Dress Code: Any color scrubs, must look professional, no big earrings/jewelry, no fake nails; hair must be up; no face tattoos.
• Department Specific Orientation: 3 shifts with a preceptor
  
  

*Radius Rule: 50 miles and must note in submission if clinician has ever worked for Coos County.*

Entered on: 4/23/2024