Day shift - CNA

Cares for patients in the skilled nursing facility settings under direction of nursing staff, by performing the following duties, supporting the nursing philosophy. May include weekends, holidays, day, evening, night, and/or on-call hours.

Responsibilities

Provides resident care as assigned and per individual resident routine, according to standards of care, under CMS Federal and State Regulations for Skilled Nursing Facilities, and facility policies and procedures.

The ability to identify and document the resident’s usual and current cognitive patterns, mood and behavior, and whether these present a risk to the resident or others, identifying and documenting how the resident typically displays personal distress such as anxiety or fatigue, recognizing a change in the resident and the resident’s functioning and the ability to describe and report such changes to the nurse such as negative verbalizations and vocalizations, facial expressions of grimacing, frowning, or fright, changes in gait, skin color, vital signs, behaviors such as resisting care, distressed pacing, irritability, depressed mood, and or decreased participation in usual physical and/or social activities, loss of function or inability to perform Activities of Daily Living, difficulty eating or loss of appetite and difficulty sleeping.

Performs daily range of motion exercises, assisting the resident to transfer from bed to wheelchair, assisting residents daily with bathing, dressing, grooming, transfers and ambulating through the facility, toileting, and eating.

Assisting residents to attend activities of their own choosing

Grooming residents as they wish to be groomed (e.g., removal of facial hair for women, maintaining the resident’s personal preferences regarding hair length/style, facial hair for men, and clothing style.)

The ability to describe the care, services and expected outcomes of care they provide; have knowledge of the care and services provided by therapists; have an understanding of the expected outcomes of this care and understand the relationship to the care they provide.

The ability to identify and document , to the extent possible, factors that may underlie the resident’s expressions of distress, as well as applying knowledge of lifelong patterns, preferences, and interests for daily activities to enhance quality of life and individualize routine care.

The ability to identifying and understanding that the resident with dementia may be responding predictably given the situation or surrounding. For example, being awakened in the middle of the night in his/her bedroom by staff and not recognizing the staff could elicit an aggressive response.

Matching activities for a resident with dementia to his/her individual cognitive and other abilities and tracking the specific behaviors in that resident based on the assessment.

The ability to identifying and document how the resident communicates physical needs such as pain, discomfort, hunger or thirst, as well as emotional and psychological needs such as frustration or boredom; or a desire to do or express something that he/she cannot articulate;

Answers call lights in a timely and appropriate manner ensuring that all of the residents needs to be provided by C.N.A. are met.

Documents all daily care provided according to Federal and State Regulations and standards of care

Maintains a clean work and patient environment.

Maintains supplies, including scanning, stocking and ordering new supplies and disposing of expired or damaged supplies.

Floats to various units based on identified needs.

Participates in department Quality Assurance and Performance Improvement activities.

Provide leadership and training to less experienced CNA’s

Education and Experience

• Completion of a State approved Certified Nursing Assistant Course
• 3 years of experience working in a skilled nursing facility as a CNA Current with 16 hours of specific training for skilled nursing facilities in the following subjects; (Verified through skills checklist at time of interview)

Communication and interpersonal skills

• Safety and emergency procedures, including the Heimlich maneuver;
• SNF based C.N.A. skills
• Mental health and social services of residents
• Personal care skills;
• Care of cognitively impaired residents
• Basic restorative services
• Promoting resident’s independence and respecting resident’s rights
• Abuse and Neglect training
• Facility infection control
• 8 hour continued education course on Dementia

Certification/Licensure

• Current WI or IL CNA Certification
• Approved CPR or BLS certification required within 90 days