TITLE: Certified Nursing Assistant (CNA)

REPORTS TO: Charge Nurse, Supervisor and Director of Nursing Services (DNS)

QUALIFICATION: New York Department of Health Certificate

• Ability to comprehend and follow verbal and written instructions.

• Ability to write legibly.

• Physically able to perform the required duties of a Certified Nursing Assistant.

• Experience as a Nursing Assistant in an acute care or long-term care setting.

DEFINITION:

The Certified Nursing Assistant works directly under the supervision of the Registered Nurse or Licensed Practical Nurse (LPN) and performs duties in a relation to the personal needs of the resident, care of supplies and equipment, and maintaining the cleanliness, comfort and safety of the resident in his/her environment.

RESPONSIBILITIES:

Residents

• Provides or assists with bed bath, tub bath, whirlpool and showers. (Supervises safety of same.)

• Provides personal grooming: i.e. hair, nails, shaving, personal clothing, mouth care, perineal care.

• Prepares laundry for pick-up and return.

• Checks resident's body for skin care: i.e. rash, any discoloration or edema.

Feeding and Assisting with Feeding (when necessary)

• Provides calm, pleasant environment.

• Engages in cluster feeding while seated.

• Monitors daily intake and keeps nurses informed.

• Records food intake on Nutrition Work Sheet.

Making Beds

• Uses recommended amount of linen and diapers.

• Disposes of linen in proper manner.

• Properly utilizes clean and dirty linen carts.

• Secures call bells to bed.

• Beds are made in proper manner.

• Knowledgeable in procedure for linen precaution.

Safety of Residents

• Restraints are to be properly applied and released and removed every two (2) hours for at least 15 minutes.

• Make sure, if restraint is used, that it was indicated on assignment and the proper type is applied.

• Restraints are checked at the beginning and end of each shift.

• Supervises ambulation of resident when needed.

• Proper attention is given that side rails are up on bed when needed.

• Completes dining room duty as posted by charge nurse.

• Is alert for spills on floor.

• Answers call bells as soon as possible.

• Makes rounds frequently.

• Reports need for repair and safety matters to charge nurse.

Assist in Admission of Resident

• Admission procedure is properly adhered to: i.e. take vital signs, obtain weight and height.

• Preparation of room is completed: i.e. clean towels, pillow, blanket, etc.

• Resident's clothing and personal articles properly identified.

Assist in Discharge of Resident

• Clothing is packed in a neat and orderly fashion.

• Room is properly prepared following resident's discharge.

• Items for storage are properly labeled.

• Knowledgeable in procedure for post-mortem care.

To Ascertain Vital Signs

• Follows procedure in taking TPR correctly.

• Adheres to the proper procedure for cleaning thermometers/IVAC.

Rehabilitation

• Assists in ambulation, transfers, ROM exercises and good body alignment where indicated.

• Uses adaptive devices properly.

• Cooperates with all rehab disciplines.

• Keeps accountability sheets up to date with signatures as required.

Attendance at In-Service

• Attends mandatory in-service and other in-service programs offered.

Punctuality and Attendance

• Reports for duty punctually to the person in charge. Reports to charge nurse for coffee break and meal time when leaving and returning.

Testing of Urine and Collecting of Specimens

• Has knowledge of proper procedure.

• Records results.

• Informs nurse of results.

Assignments

• Receives daily report from nurse.

• Consults assignment for special duties and sets proper priorities for following through on assignment.

• Is familiar with and takes proper action in meeting physical needs of resident.

• Routinely checks and keeps in order all residents' belongings: i.e. clothing, glasses, hearing aid, prosthesis aid, adaptive devices, etc.

• Ensures that residents on turning schedule is positioned every two hours or as ordered, and documented.

• Ensures that residents on toileting schedule are assisted as needed, and documented.

• Resident is kept clean and dry.

• Gives assistance to co-workers when needed.

• Uses good handwashing techniques.

Personal Appearance

• Meets uniform code.

• Wears official facility staff ID tag at all times when on duty.

• Excessive jewelry not to be worn.

Cooperation

• Works well with co-workers and supervisors.

• Maintains appropriate relationship with residents, families and peers.

• Gives assistance to other departments: i.e. recreation, when necessary.

• Communicates well with other staff members.

In addition to above duties and responsibilities, employee is expected to do any and all work involved in the operation of the facility as designated by the Director of Nursing Services (DNS) or Nursing Supervisor.