Certified Nursing Assistant

Almaden Health and Rehabilitation Center -

FUNCTION

Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse.

QUALIFICATIONS

The requirements listed below are representative of the knowledge, skill and/or ability required.
Minimum Qualifications:
• Freedom from illegal use of drugs
• Freedom from use of and effects of use of drugs and alcohol in the workplace.
• Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related
setting are ineligible for employment in the position.
Education and/or Experience: Minimum High school diploma or general education degree
(GED), or one to three months related experience and/or training or equivalent combination of
education and experience preferred.
Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training
program and passed a state approved competency examination (written and skills) within 120
days of employment; name entered into state nurse aide registry.

LANGUAGE SKILLS

Must be able to express self adequately in written and oral communication and to communicate effectively in an
interdisciplinary care setting with residents, families and staff members.

MATHEMATICAL SKILLS

Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in
feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.

SUPERVISORY RESPONSIBILITIES

N/A

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable
accommodations may be made to enable individuals with disabilities to perform the key functions.
Care and Services:
• Take and records vital signs
• Measures and records height and weight
• Calculates and records weight gain or loss
• Calculate and records fluid intake and output
• Cares for the resident’s environment
• Recognizes abnormal changes in body functioning and importance of reporting such changes to a
supervisor
• Cares for residents when death is imminent
• Makes routine rounds on each assigned resident every two hours
• Bathes residents
• Assist with grooming, including mouth care
• Dresses residents
• Toilet residents
• Assist with eating and hydration
• Use proper feeding techniques
• Calculates and records percentage of meal eaten
• Observe resident’s skin when giving care and reports changes to license nurse
• Provides skin care
• Transfer, position and turns residents
• Meets residents’ mental health and social service needs
• Modifies own behavior in response to resident’s behaviors
• Allows residents to make personal choices
• Provides and reinforces other behavior consistent with the residents’ dignity.
• Uses the residents’ families as a source of emotional support.
• Contributes to the resident’s assessment (MDS/CAA) and the plan of care.
• Provides nursing rehabilitation/restorative nursing services:
- Promote resident’s ability to adopt and adjust to living as independently as possible
- Trains the resident in self-care according to the resident’s abilities
- Trains the resident in the use of assistive devices for transferring, walking and
mobility.
Dressing and grooming, eating and swallowing
- Maintains range of motion; proper turning and positioning in bed and chair
- Provides bladder and bowel retraining
- Instructs the resident on the care and use of prosthetic and orthotic devices
- Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task
segmentation
• Care for residents with dementia:
- Knows how to respond to residents’ behaviors
- Allows residents to make personal choices
- Provides and reinforces other behavior consistent with residents’ dignity
- Uses the residents’ families as a source of emotional support
- Demonstrates a basic understanding of behavior and functional symptoms associated
with dementia by providing interventions and treatments to help reduce these symptoms
- Uses modification in the presentation of activities of daily living to maintain and
maximize resident competencies and function
- Uses effective intervention techniques to address behavioral concerns
- Acts as a facilitator for activity programming
- Demonstrates effective communication techniques for persons with dementia
• Provides non-resident care including, but not limited to:
- Washing wheelchairs
- Cleaning soiled utility areas
- Cleaning nurses’ station
- Cleaning shower and whirlpool rooms
- Cleaning kitchen areas on the nursing unit
• Provides transporation of residents to and from hospital and medical appointments

RESIDENT RIGHTS

Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect,
protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in
accordance with current professional standards and, supports independent expression, choice and decision-making consistent
with applicable law and regulation.

LEADERSHIP

Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges
others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high
performance.

PROCESS IMPROVEMENT

Applies process improvement methods and techniques and identifies processes for improvement in daily work.

ENVIRONMENT OF CARE

Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates
understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of
hazardous materials plan; demonstrates proper use of equipment.

INFECTION CONTROL

Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and
symptoms of infection and complies with the employee health program; demonstrates understanding of the process for
identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and
demonstrates understanding of cross-contamination.

INFORMATION MANAGEMENT

Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or
destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies,
procedures and state and federal law.

INTERPERSONAL SKILLS

Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect;
and seeks feedback.

CONTINUING EDUCATION

Attends in-service and education programs; attends continuing education required for maintenance certification.

PHYSICAL DEMANDS

The physical demands describes here are representative of those that must be met by an employee to successfully perform
the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform
the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands
or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or
kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific
vision abilities required by this job include close vision, distance vision and peripheral vision.

WORK ENVIRONMENT

The work environment characteristics describes here are representative of those an employee encounters while performing
the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform
the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body
fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate.

• THER REQUIREMENTS

Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s
protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state
and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines
relative to the confidentiality of residents’ protected health information.

JOB DESCRIPTION REVIEW

I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the
job duties may be altered from time to time.

WAGE RATE: FROM $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE

Mariner Healthcare reserves the right to discontinue any bonus program at anytime.