This position provides routine nursing care to residents in a long-term care facility under the direction of the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. As a Certified Nursing Assistant, you will deliver direct resident care while maintaining the highest standards of quality and safety.
Clinical Setting
You will work in a long-term care facility serving ill, aged, and infirm residents. The role requires close collaboration with nursing staff and other facility personnel to ensure comprehensive resident care.
Responsibilities
General Duties
- Perform all assigned duties in accordance with facility policies, procedures, nursing care protocols, and safety regulations
- Make resident rounds at the beginning of each shift and every two hours thereafter
- Verify resident identification before providing care or serving food
- Report missing ID bands to the admission coordinator immediately
- Make beds and clean bedside and overbed tables
- Serve drinking water and maintain clean, filled water pitchers within resident reach
- Dress residents neatly in their own clothing, assisting as necessary
- Assist residents with meal preparation, including transport to/from dining room, serving trays, placing bibs, assisting with feeding or cutting food, and removing trays
- Serve nourishment according to facility procedures
- Feed residents who cannot feed themselves
- Ensure resident food is accessible and self-help devices are available
- Prepare residents for therapy, activities, physician visits, religious services, and other appointments, including transportation
- Keep incontinent residents clean and dry; change bed linens, diapers, and clothing as needed
- Prevent residents from smoking in bed
- Ensure nurse call systems are attached to beds and within easy reach for bedfast residents
- Answer resident call lights promptly
- Check for food in resident rooms and ensure food is kept in sealed containers
- Report all resident complaints to the Charge Nurse
- Report any resident abuse immediately, including harsh or abusive language and unnecessary roughness
- Report any medications found in resident rooms to the Charge Nurse immediately
- Report all hazardous conditions and faulty equipment to the Charge Nurse immediately
- Report any bruises, skin tears, incidents, or accidents to the Charge Nurse immediately
- Attend in-service educational programs, on-the-job training, and meetings as directed
- Perform other related duties as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator
Clinical Care
- Wash hands before and after caring for each resident
- Position residents correctly and comfortably, with head of bed elevated at 30 degrees for residents on enteral feeding
- Assist residents with dental and mouth care; clean dentures after each meal and keep them soaked with Efferdent after dinner
- Record resident food and nourishment intake as directed
- Perform after-meal care including cleaning resident hands, face, clothing, and dentures
- Assist residents to/from bathroom; offer bedpans and urinals to bedfast residents; clean and store equipment after each use
- Document intake and output as directed
- Check and document bowel movements and stool character every shift
- Bathe residents as assigned according to facility procedures; encourage showers and self-help measures
- Comb and brush resident hair daily; shampoo on shower days
- Clip and trim fingernails
- Shave male residents daily or as needed
- Keep underarm and facial hair on female residents clean-shaven as necessary or instructed; trim nose and ear hair as needed
- Observe and report reddened areas on bony prominences
- Keep drainage bags off the floor when residents are in bed or wheelchair
- Apply Vaseline or A & D ointment to dry skin according to facility policy
- Move and turn bedfast residents at least every two hours and record this information in CNA notes
- Observe disoriented and comatose residents and notify the Charge Nurse immediately of any changes
- Apply postural support properly; check with Charge Nurse for type of restraint to be used
- Apply hand rolls or splints to residents with contractures according to facility policy
- Follow infection control procedures when isolation techniques are necessary
- Chart required information every shift
- Complete intake and output documentation on all residents with orders before the end of each shift
- Perform other related duties as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator
Consumer Service
- Present a professional image through dress, behavior, and speech
- Adhere to company standards for resolving consumer concerns
- Ensure all consumer and resident rights are protected
Required Qualifications
- Currently enrolled in a nursing assistant school or hold a valid CNA license
- Minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class
- Ability to read, write, and speak English
- Ability to deal tactfully with personnel, residents, family members, visitors, and the general public
- Willingness to work harmoniously with other personnel
- Good general health and demonstrated emotional stability
- Ability to relate to and work with ill, disabled, elderly, emotionally upset, and sometimes hostile people
Preferred Qualifications
- Sincere desire to serve the ill, aged, and infirm
- Patience, tact, cheerful disposition, and enthusiasm
- Willingness to handle residents based on their current maturity level