CROWN POINT HEALTH SUITES

**DAYS** Certified Nursing Assistant

General Information
Location  6640 Iola Ave.
Lubbock, TX 79424
United States
Employee Type  Non-Exempt FT
Job Category  Health Care - Direct Care Staff
Contact Information
Name  April Morales
Phone  806-687-6640
Email  Amorales@crownpointhealth.com
Description

Purpose of this position: The purpose of this position is to provide direct care to residents, under the supervision of a licensed nurse, in accordance with facility policies and procedures and report resident needs and concerns to a licensed nurse.

 

Qualifications: Must have completed a state approved NATCEP program and passed the state certification test, both written/verbal and skills test. Must have certification from the state of Texas.

 

Delegation of authority: 

Authority is delegated to the individual in this position to:

 •           Provide care to residents following facility policies and procedures.

 •           Report residents’ needs and concerns to a licensed nurse.

 

Quality Assurance/Performance Improvement Responsibilities: 

  • Recognize your role as part of the QAPI efforts of your organization.
  • Attend trainings to build understanding and capacity to undertake QAPI work.
  • Carry out QAPI roles and responsibilities as assigned.
  • Follow established policies and procedures in support of QAPI efforts.
  • Look for and share with leadership ideas for improvement in the organization.
  • Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success.
  • Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.

 

Compliance Responsibilities: 

  • Observe all facility policies and procedures.
  • Observe infection control procedures.
  • Observe facility Residents’ Rights policies and procedures.
  • Observe facility safety policies and procedures.
  • Agree not to disclose assigned user I.D. codes and passwords for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Report any known or suspected unauthorized attempt to access facility’s information system.
  • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
  • Ensure that computer workstations are properly logged off when left unattended.
  • Immediately report all suspected or alleged abuse, neglect exploitation and/or misappropriation to the Administrator and/or designee. 

 

Job duties include but are not limited to:

  1. Follow written and oral directions.
  2. Follow established performance standards and perform duties according to nursing service policies and procedures.
  3. Assist new employees in following established facility policies and procedures.
  4. Identify resident problems and concerns and report them immediately to a charge nurse or a licensed nurse.
  5. Complete assignments timely, completely and accurately.
  6. Conduct resident rounds as assigned.
  7. Initiate corrective action as necessary and/or seek assistance of a licensed nurse.
  8. Identify safety hazards and emergency situations, and initiate corrective action.
  9. Attend all in-service classes as assigned and complete assignments.
  10. Assume personal responsibility for following facility procedures related to control of equipment and supplies within the unit.
  11. Document incidents and/or unusual problems according to established facility procedures.
  12. Participate in interdisciplinary team and other facility meetings as assigned.
  13. Participate in the development of an individualized plan of care of assigned residents.
  14. Review care plans and perform nursing care as outlined.
  15. Document in the nursing assistant notes the care and treatment provided to the resident and the resident’s response or lack of response to care provided.
  16. Maintain confidentiality of resident and facility information.
  17. Report changes in residents’ conditions to Charge Nurse or Nurse Supervisor.
  18. Report all accidents and incidents you observe on the shift that they occur.
  19. Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.
  20. Use only authorized abbreviations established by this facility when recording information.
  21. Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission supplies available, etc.).
  22. Greet residents and escort them to their room.
  23. Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.
  24. Make resident comfortable (i.e., put to bed, get water, etc.).
  25. Inventory resident’s personal possessions as instructed.
  26. Store resident’s clothing.
  27. Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.
  28. Transport residents to new rooms or to the receiving area.
  29. Assist with loading/unloading residents from vehicles as necessary.
  30. Follow facility procedures for admission, discharge and transfer of residents.
  31. Complete documentation accurately, timely and following facility policies and procedures.
  32. Listen to resident and family complaints and report problems to Charge Nurse.
  33. Assure residents have call lights at hand and answer call lights promptly.
  34. Assure residents are given adequate assistance with personal and oral hygiene needs following facility’s policies and procedures.
  35. Assist residents with activities of daily living as documented in the residents’ care plans.
  36. Participate in the implementation of the individualized plan of care of assigned residents.
  37. Assure residents are given adequate assistance with meals, nourishment and transportation to meal service area(s).
  38. Consistently work cooperatively with residents, charge nurses, treatment nurses, restorative nurses, other nursing assistants, physicians, families, consultant personnel and ancillary service providers.
  39. Come to work in a clean, neat uniform and consistently present an appropriate professional appearance.
  40. Come to work as scheduled and consistently demonstrate dependability and punctuality.
  41. Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
  42. Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
  43. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
  44. Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.
  45. Participate in and receive the nursing report upon reporting for duty.
  46. Follow established policies concerning exposure to blood/body fluids.
  47. Wash hands before and after performing any service for the resident.
  48. Keep the nurses’ call system within easy reach of the resident.
  49. Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
  50. Report injuries of an unknown source, including skin tears.
  51. Provide daily indwelling catheter care.
  52. Provide daily perineal care.
  53. Perform nonsterile (clean) vaginal irrigation/douches.
  54. Assist with the application of slings, elastic bandages, binders, etc.
  55. Give tepid sponge baths.
  56. Provide daily Range of Motion Exercises. Record data as instructed.
  57. Turn bedfast residents at least every two (2) hours.
  58. Perform diabetic urine testing as instructed.
  59. Provide physical and respiratory therapy as instructed.
  60. Perform special treatments as instructed.
  61. Observe disoriented and comatose residents. Record and report data as instructed.
  62. Turn all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse.
  63. Provide residents with Reality Orientation as instructed.
  64. Watch for and report any change in room temperature, ventilation, lighting, etc.
  65. Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.).
  66. Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).
  67. Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).
  68. Record the resident’s food/fluid intake. Report changes in the resident’s eating habits.
  69. Keep residents’ water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.
  70. Serve between meal and bedtime snacks.
  71. Perform after meal care (i.e., remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).
  72. Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).
  73. Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
  74. Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed.
  75. Give backrubs as instructed.
  76. Assist residents with dressing/undressing as necessary.
  77. Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
  78. Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)
  79. Shave male residents.
  80. Keep hair on female residents’ clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.
  81. Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
  82. Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
  83. Make beds (occupied and unoccupied).
  84. Put extra covers on beds as requested.
  85. Position bedfast residents in correct and comfortable position.
  86. Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.).
  87. Maintain intake and output records as instructed.
  88. Keep incontinent residents clean and dry.
  89. Check and report bowel movements and character of stools as instructed.
  90. Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).
  91. Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
  92. Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary.
  93. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
  94. Assist residents to walk with or without self-help devices as instructed.
  95. Perform restorative and rehabilitative procedures as instructed.
  96. Clean eye glasses, hearing aids and dentures.
  97. Assist in preparing the resident for a physical examination.
  98. Weigh and measure residents as instructed.
  99. Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
  100. Answer resident calls as promptly as feasible.
  101. Ensure that residents who are unable to call for help are checked frequently.
  102. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
  103. Assist with the care of the dying resident.
  104. Provide post-mortem care as instructed.
  105. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.
  106. Follow established safety precautions in the performance of all duties.
  107. Keep residents’ personal possessions off the floor and properly stored.
  108. Keep floors dry. Report spills immediately.
  109. Keep excess supplies and equipment off the floor. Store in designated areas
  110. Wash wheelchairs, walkers, etc., as instructed.
  111. Clean, disinfect, and return all resident care equipment to its designated storage area after each use.
  112. Perform routine housekeeping duties (i.e., clean bedrails, over bed table, night stand, etc., that relate to nursing care procedures).
  113. Before leaving work area for breaks, or at the end of the workday, store all tools, equipment, and supplies.
  114. Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.
  115. Report all safety violations.
  116. Follow established smoking regulations. Report all violations.
  117. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.
  118. Follow established isolation precautions and procedures.
  119. Wash hands before entering and after leaving an isolation room/area.
  120. Follow established procedures in the use and disposal of personal protective equipment.
  121. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
  122. Report missing/illegible labels and MSDSs to your supervisor.
  123. Use only the equipment you have been trained to use.
  124. Operate all equipment in a safe manner.
  125. Use only the equipment and supplies necessary to do the job. Do not be wasteful.
  126. Report defective equipment to the Nurse Supervisor/Charge Nurse.
  127. Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.
  128. Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
  129. Ensure that all nursing care is provided in privacy.
  130. Knock before entering the resident’s room.
  131. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
  132. Report all allegations of resident abuse and/or misappropriation of resident property.
  133. Honor the resident’s refusal of treatment request. Report such requests to your supervisor.
  134. Assume accountability for data contained in the employees’ handbook.
  135. Perform other related duties as directed by his/her supervisor.
  136. Perform all duties assigned in an effective, timely and professional manner.
  137. Be responsible for the safety of residents under his/her supervision.
  138. Accept assigned duties in a cooperative manner.
  139. Completes yearly 12 hours in-service programs as designated by federal government.
  140. Attends annually training in dementia management and patient abuse prevention.
  141. Uses only authorized abbreviations established by the facility when recording information.
  142. Follow fire and disaster procedures during a drill and actual occurrence.

NOTE: The job description for Certified Nursing Assistant may include any function delegated by the ADON/Charge Nurse.   

Requirements

Job duties include but are not limited to:

  1. Follow written and oral directions.
  2. Follow established performance standards and perform duties according to nursing service policies and procedures.
  3. Assist new employees in following established facility policies and procedures.
  4. Identify resident problems and concerns and report them immediately to a charge nurse or a licensed nurse.
  5. Complete assignments timely, completely and accurately.
  6. Conduct resident rounds as assigned.
  7. Identify safety hazards and emergency situations, and initiate corrective action.
  8. Attend all in-service classes as assigned and complete assignments.
  9. Report and document incidents, changes in condition and/or unusual problems according to established facility procedures.
  10. Participate in interdisciplinary team and other facility meetings as assigned.
  11. Review care plans and perform care as outlined.
  12. Document in the nursing assistant notes the care and treatment provided to the resident and the resident’s response or lack of response to care provided.
  13. Maintain confidentiality of resident and facility information.
  14. Complete documentation accurately, timely and following facility policies and procedures.
  15. Listen to resident and family complaints and report problems to Charge Nurse.
  16. Assure residents have call lights at hand and answer call lights promptly.
  17. Assist residents with activities of daily living as documented in the residents’ care plans.
  18. Participate in the development and implementation of the individualized plan of care of assigned residents.
  19. Consistently work cooperatively with residents, charge nurses, treatment nurses, restorative nurses, other nursing assistants, physicians, families, consultant personnel and ancillary service providers.
  20. Come to work in a clean, neat uniform with name tag and gait belt and consistently present an appropriate professional appearance.
  21. Come to work as scheduled and consistently demonstrate dependability and punctuality.
  22. Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
  23. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
  24. Participate in and receive the nursing report upon reporting on and off duty.
  25. Follow established policies concerning exposure to blood/body fluids.
  26. Use appropriate hand hygiene before and after performing any service for the resident.
  27. Keep the nurses’ call system within easy reach of the resident.
  28. Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
  29. Report injuries of an unknown source, including skin tears.
  30. Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
  31. Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Use your gait belt.
  32. Perform restorative and rehabilitative procedures as instructed and/or assigned.
  33. Ensure that residents who are unable to call for help are checked frequently.
  34. Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.
  35. Follow established safety precautions in the performance of all duties.
  36. Keep residents’ personal possessions off the floor and properly stored.
  37. Wash wheelchairs, walkers, etc., as instructed.
  38. Clean, disinfect, and return all resident care equipment to its designated storage area after each use.
  39. Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures).
  40. Report all safety violations.
  41. Follow established smoking regulations. Report all violations.
  42. Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.
  43. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, gait belts etc.) when lifting or moving residents.
  44. Use only the equipment you have been trained to use. Operate all equipment in a safe manner.
  45. Report defective equipment to the Nurse Supervisor/Charge Nurse.
  46. Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
  47. Knock before entering the resident’s room.
  48. Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
  49. Report all allegations of resident abuse and/or misappropriation of resident property.
  50. Honor the resident’s refusal of treatment request. Report such requests to your supervisor.
  51. Assume accountability for data contained in the employees’ handbook.
  52. Be responsible for the safety of residents under his/her supervision.
  53. Accept assigned duties in a cooperative manner.
  54. Completes yearly in-service programs as designated by federal government.
  55. Other duties as assigned.
  56. Follow emergency preparedness procedures during all drills and actual occurrences..

 

Working Conditions

  • Works throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).
  • Moves intermittently during working hours.
  • Is subject to frequent interruptions.
  • Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
  • Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
  • Communicates with nursing personnel and other department personnel.
  • Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary.
  • Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
  • Attends and participates in continuing educational programs.
  • Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, and other air contaminants.
  • Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
  • May be subject to the handling of and exposure to hazardous chemicals.

 

 Specific Requirements

  • Must be able to read, write, speak, and understand the English language.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
  • Must be a supportive team member, contribute to and be an example of team work and team concept.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Must possess the ability and willingness to work harmoniously with other personnel.
  • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident’s condition.
  • Must not pose a direct threat to the health and safety of other individuals in the workplace.

 

Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices) 

  • Must be able to move intermittently throughout the workday.
  • Must be able to speak and write the English language in an understandable manner.
  • Must be able to cope with the mental and emotional stress of the position.
  • Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
  • Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
  • Must meet the general health requirements to perform job duties.
  • Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
  • Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
  • May be necessary to assist in the evacuation of residents during emergency situations.