Duties and Responsibilities
Admission, Transfer, and Discharge Functions
- Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.
- Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.
- Use only authorized abbreviations established by this facility when recording information.
- Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.
- Report all accidents and incidents you observe on the shift that they occur.
- Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).
- Greet residents and escort them to their room.
- Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.
- Make resident comfortable (i.e., put to bed, get water, etc.).
- Inventory and mark the resident's personal possessions as instructed.
- Store resident's clothing.
- Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.
- Transport residents to new rooms or to the receiving area.
- Assist with loading/unloading residents from vehicles as necessary.
Personal Nursing Care Functions
- Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
- Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
- 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.
- Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
- 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.
- Report all complaints and grievances made by the resident.
- Notify the facility when you will be late or absent from work.
- Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.
Special Nursing Care Functions
- Participate in and receive the nursing report upon reporting for duty.
- Follow established policies concerning exposure to blood/body fluids.
- Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
- Assist residents with bath functions (i.e., bedbath, tub or shower bath, etc.) as directed.
- Give backrubs as instructed.
- Assist residents with dressing/undressing as necessary.
- Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
- Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)
- Shave male residents.
- Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.
- Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
- Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
- Make beds (occupied and unoccupied).
- Put extra covers on beds as requested.
- Position bedfast residents in correct and comfortable position.
- Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.).
- Maintain intake and output records as instructed.
- Keep incontinent residents clean and dry.
- Check and report bowel movements and character of stools as instructed.
- Prepare and give enemas. Report results as instructed.
- Collect specimens as instructed (i.e., urine, sputum, stools, etc.).
- Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).
- Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
- Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary.
- Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
- Assist residents to walk with or without self-help devices as instructed.
- Perform restorative and rehabilitative procedures as instructed.
- Change dressings, bandages, binders, etc., as instructed.
- Provide eye and ear care (i.e., warm/cold compresses, eye/ear instillation, cleaning eyeglasses/hearing aides, etc.) as instructed.
- Assist with the application of nonsterile (moist and dry) warm/cold compresses.
- Assist in preparing the resident for a physical examination.
- Weigh and measure residents as instructed.
- Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
- Answer resident calls promptly.
- Ensure that residents who are unable to call for help are checked frequently.
- Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
- Assist with the care of the dying resident.
- Provide post-mortem care as instructed.
Food Service Functions
- Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
- Report injuries of an unknown source, including skin tears.
- Provide daily indwelling catheter care.
- Provide daily perineal care.
- Perform nonsterile (clean) vaginal irrigation/douches.
- Assist with the application of slings, elastic bandages, binders, etc.
- Give tepid sponge baths.
- Provide daily Range of Motion Exercises. Record data as instructed.
- Turn bedfast residents at least every two (2) hours.
- Perform diabetic urine testing (i.e., clinitest, acetest, etc.).
- Provide physical and respiratory therapy as instructed.
- Perform special treatments as instructed.
- Observe disoriented and comatose residents. Record and report data as instructed.
- Turn all medications found in the resident's room/possession over to the Nurse Supervisor/Charge Nurse.
- Provide residents with Reality Orientation as instructed.
- Watch for and report any change in room temperature, ventilation, lighting, etc.
- 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.).
- Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).
- 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.).
- Record the resident's food/fluid intake. Report changes in the resident's eating habits.
- Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.
- Serve between meal and bedtime snacks.
- Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).
- Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).
Safety and Sanitation
- Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant.
- Attend and participate in scheduled orientation programs and activities.
- Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
- Attend and participate in advance directive in-service training programs as scheduled.
Equipment and Supply Functions
- Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.
- Wash hands before and after performing any service for the resident.
- Keep the nurses' call system within easy reach of the resident.
- Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.
- Follow established safety precautions in the performance of all duties.
- Keep residents' personal possessions off the floor and properly stored.
- Keep floors dry. Report spills immediately.
- Keep excess supplies and equipment off the floor. Store in designated areas.
- Wash wheelchairs, walkers, etc., as instructed.
- Clean, disinfect, and return all resident care equipment to its designated storage area after each use.
- Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures).
- Before leaving work area for breaks, or at the end of the work day, store all tools, equipment, and supplies.
- Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.
- Report all safety violations.
- Follow established smoking regulations. Report all violations.
- Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.
- Follow established isolation precautions and procedures.
- Wash hands before entering and after leaving an isolation room/area.
- Follow established procedures in the use and disposal of personal protective equipment.
- Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
- Report missing/illegible labels and MSDSs to your supervisor.
Care Plan Functions
- Use only the equipment you have been trained to used.
- Operate all equipment in a safe manner.
- Use only the equipment and supplies necessary to do the job. Do not be wasteful.
- Report defective equipment to the Nurse Supervisor/Charge Nurse.
- Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.
- Review care plans daily to determine if changes in the resident's daily care routine have been made on the care plan.
- Inform the Nurse Supervisor/Charge Nurse of any changes in the resident's condition so that appropriate information can be entered on the resident's care plan.
- Ensure that your notes reflect that the care plan is being followed.
- Maintain the confidentiality of all resident care information.
- Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
- Ensure that all nursing care is provided in privacy.
- Knock before entering the resident's room.
- Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.
- Report all allegations of resident abuse and/or misappropriation of resident property.
- Honor the resident's refusal of treatment request. Report such requests to your supervisor.
- 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 work day, as well as to reactions from dust, disinfectants, tobacco smoke, 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.
- Must possess, as a minimum, a _______ grade education.
- Must be a licensed Certified Nursing Assistant in accordance with laws of this state.
- Must be able to read, write, speak, and understand the English language.
- 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.