Certified Medication Aide (CMA)

POSITION: Certified Medication Aide (CMA)

TITLE OF IMMEDIATE SUPERVISOR: Health and Wellbeing Director (HWD)

DEPARTMENT: Resident Care

STATUS: Non-Exempt / Hourly

SUMMARY

This position administers prescribed medications and treatments under the direct supervision of the Health and Wellbeing Director. In addition, this position will provide personal care service to the residents and perform related tasks at the community in accordance with the plan of care assigned by the Health and Wellbeing Director.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• High school diploma or GED
• Successful completion of a state approved nursing assistant training program and a state approved trained medication assistant program
• Good standing on the Georgia Certified Medication Aide Registry and have no record of being terminated for cause relating to the performance of medication aide tasks (Rule 111-8-63-.20 5a)
• Current certification in medication administration. Must be able to submit written competency test and skills check-off list prior to assuming position
• Must successfully clear a background check, TB skin test or x-ray, and health screening
• Current CPR certification
• Current certificate of training for successful completion of the five (5) hour initial fire safety training provided by the Rules and Regulations of the Georgia Safety Fire Commissioner

PRINCIPLE DUTIES AND RESPONSIBILITIES

• Administer physician ordered medication to resident's and maintain related medical records under the supervision of the Health and Wellbeing Director
• Verify identity of residents receiving medication and record name of drug, dosage, route, and time of administration on specified forms of records
• Presents medication to resident and observes ingestion or other application, or administers medication, using specified procedures
• Takes vital signs or observes residents to detect respond to specified types of medication and prepares report or notifies designed personnel of unexpected reactions
• Documents reasons prescribed drugs are not administered
• Adheres to medication administration policy
• May receive supply of ordered medications and apportion, mix, or assemble drugs for administration to resident
• May record and restock medication inventory
• Maintains Georgia state CMA requirements for assisted living communities (Rule 111-8-63-.20 5):

5a. Good standing on Georgia CMA Registry

5b. Participates in an annual CMA skills competency check which meets the requirements contained in the standardized clinical skills competency checklist used to certify medication aides.

5c. Successful demonstration of CMA skills during quarterly observations conducted by a licensed registered professional nurse or a pharmacist

5d. Follow state CMA protocols in order for the community to maintain compliance and successful completion of quarterly drug regimen reviews conducted by a licensed pharmacist

5f. Successfully completes an annual comprehensive clinical skills competency review. The skills competency checklist is administered by a Georgia-licensed registered nurse, pharmacist or physician. Testing includes observation and verbal testing scenarios

• Under the direction of the HWD, the CMA may perform the following tasks related to the administration of medications utilizing only unit or multidose packaging of medications (Rule 111-8-63-.20 5e):

o Administer physician ordered oral, ophthalmic, topical, otic, nasal, vaginal and rectal medications

o Administer insulin, epinephrine, and B12 pursuant to physical direction and protocol

o Administer medications via a metered dose inhaler

o Conduct finger stick blood glucose testing following established protocol

o Administer a commercially prepared disposable enema ordered by a physician

o Assist residents in the supervisor of self-administration of medications

• Provides bed bath, shower or tub bath as appropriate
• Provides appropriate care of skin, hair, nails, mouth and feet
• Provides good body alignment, positioning, and range of motion exercises for non-ambulatory residents
• Assists resident in and out of bed and with ambulation
• Assists resident with use of bedpan, urinal, commode and bathroom
• Assists with feeding and dressing resident
• Monitors and records temperature, pulse, respirations and blood pressure, as directed by the HWD. Significant changes in the residents' condition will be reported to the HWD immediately
• Changes simple dressings and ostomy bags
• Change Colostomy bags
• Assist with catheter cares
• Reminds and assists resident in taking pre-measured medications
• Maintains an accurate and complete record of care provided and documents observations appropriately
• Performs various housekeeping duties related to resident care
• Responsible for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards
• Supports, instructs and educates the resident, family, and caregiver
• Provides personal care to the resident in a compassionate and understanding manner consistent with the Orchard philosophy
• Maintains the dignity of the resident
• Provides person-centered care across treatment settings to improve the quality of life
• Consults and collaborates with the interdisciplinary team and others involved in the resident's care
• Provides leadership oversight of team members and accountability to policies and procedures such as uniform, shift start times, absenteeism and professional interactions
• Assists residents during activity programs, memory enhancement programs and performance improvement exercises

o Performs various laundry and meal service duties

• Focuses on solving conflict and not blaming
• Listens to others without interrupting and keeps emotions under control- Remains open to others' ideas and tries new things

COMPETENCIES

• Practices infection control and special precautions in all resident care duties
• Works with integrity; upholds organizational values
• Must be able to work semi-independently and have strong written and verbal communication skills
• Ability to read and interpret documents such as safety rules, operating procedures, policies and employee manuals
• Ability to write reports and correspondence
• Ability to speak effectively in front of others
• Ability to solve practical problems and deal with a variety of variables in situations
• High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with residents' families and families experiencing loss
• Attention to detail to ensure accuracy
• Must be proficient in English and able to read, write and follow instructions in English (Rule 111-8-63-.20 2b):
• Demonstrates and knowledgeable of the Six (6) Rights of Medication Pass ("Right" resident, medication, dosage, time, route, right to refuse)

ORCHARD EXPECTATIONS:

• Adheres to all Orchard policies and procedures
• Maintains absolute confidentiality of all information pertaining to residents, families, and staff and adhere to all HIPAA rules
• Displays a positive and professional image and attitude in all relationships with residents, families, peers and in the community- Outlined in detail in the employee handbook
• Maintains positive communication and team collaboration
• Serves as an ambassador for Orchard at all times
• Demonstrates ongoing responsibility for self-education
• Maintains resident and personal safety regarding occupational health and safety
• Attends regularly scheduled department meetings
• Responsible for maintaining all continuing education and training requirements for position
• Attends and participates in onsite training and continuing education as required
• Participates in safety program, as requested
• Cooperates to investigate employee injuries
• Promotes and support safety awareness and implement safety operations
• Participates in orientation of new employees
• Participates in volunteer orientations, training and education as requested
• Remains updated on all state regulations related to position
• Ensures compliance with all state and federal regulations (i.e. OSHA)
• Participates in the risk management programs
• Demonstrates the ability to be innovative and creative and have patience, high energy and resourcefulness in problem solving
• Ability to work evenings, weekends and flexible hours when necessary to meet the needs of our residents
• Follows Professional Dress Code policies as outlined in the employee handbook for community and department specific standards
• Adheres to Orchard's No Cell Phone policy as outlined in the employee handbook at all times
• Perform other related duties as assigned.

ORCHARD STANDARDS

All employees are expected to uphold the Orchard F-A-M-I-L-Y mission and vision.

Love, Joy, Peace, Patience, Kindness, Gentleness, and Self-Control

These are the fruits of the spirit you can expect from the Orchard F-A-M-I-L-Y values and best practices.

F-A-M-I-L-Y

First Impressions

All are welcomed with an authentic and inviting experience into the beautiful, well organized, and relaxing home we share.

Accountability and Integrity

We value the ability of our team to be reliable, personally responsible, and to honor their commitment to residents, families, leadership and one another. Accountability involves a process of seeing the need, owning the next step, and staying solution focused.

Meaningful Moments

When it comes to creating a life worth living, each person has unique and individual needs. We are dedicated to creating purpose and wellbeing through connection with our team, local affiliates and organizations, and previous community relationships whenever possible.

Information and Communication

We believe knowledge is power and communication is the lifeline to effective collaboration.

Learning and Leading

Curiosity, willingness, and personal action create the professional path to achieving the orchard FAMILY of excellence.

Yes "we can" Attitude

With a can-do character we are committed to creative solution focused problem solving.

ADA Requirements (essential functions)

Physical Requirements

Lifting

More than 25 lbs, routinely

More than 50 lbs, occasionally

Transfer

150 lb. or greater resident weight

Sitting

1 - 3 hours/day

Standing

4 - 5 hour/day

Walking

2 - 4 hours/day

Bend, stoop, squat, and/or twist

Repeatedly throughout day

Climbing stairs

Repeatedly throughout day

Reaching

3 4 hours/day arms shoulder level

Use of telephone

1 - 2 hours/day

Working under pressure

3 4 hours/day

Working rapidly for long periods

2 - 3 hours/day

Use of keyboard/computer, printer, fax, copier

1 - 2 hours/day

Position requires close work; finger dexterity; adequate hearing and vision (with or without correction).

May occasionally work longer than 8 hours/day.

Cognitive or Mental Requirements

The following cognitive or mental requirements are necessary on a daily basis:

• Critical thinking
• Reading
• Writing
• Mathematics
• Drawing conclusions from written or computer-generated materials
• Analyzing data or report information
• Implementing recommendations by coordinating persons and/or other resources
• Clear verbal articulation of the English language

Working Environment

• Indoors
• Possible exposure to communicable diseases
• Skin contact with solvents or other chemicals such as alcohol, acetone, detergents, bleach, and latex gloves
• Exposure to medical equipment with the risk of lacerations or punctures

This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required by the employee. This document is subject to change at any time.