6683 jobs found

500 dollar sign on bonus! New Charleston Transitional Care Building-State of the Art Are you looking for a rewarding career helping others? Do you want to be a part of a dynamic team in Charleston, WV? Eastbrook is selecting Certified Nursing Assistants (CNA) to work with others to enrich the lives of those with whom we work and serve. Through principles, passion and purpose. Apply now to join us. In addition to competitive wages, you’ll benefit from: •Tuition reimbursement and advancement opportunities •Paid vacation •Health insurance •401(k) matching •And more! SHIFTS 7-3p, 3-11p, 11-7a Competitive pay plus shift diff for 3-11 and 11-7 SUMMARY:: Provides direct care to assigned residents under the supervision of a RN or LPN. Performs simple treatments and other tasks that do not require professional training or education; maintains compliance with established facility policies and procedures. Participates in educational programs and performs other duties as assigned. ESSENTIAL DUTIES AND RESPONSIBILITIES:: * Utilizes appropriate resources to know the care needs of assigned residents * Administers showers, bed baths, or tub baths * Provides oral hygiene including denture care * Cares for hearing aids safely * Takes oral, rectal, and axillary temperatures * Answers call lights. * Changes bed linens. * Toilets residents before and after meals and prn * Passes snacks and ice water * Assists residents for meals * Feeds residents who require assistance * Ambulates residents frequently * Assists residents in use of walker and/or cane * Shaves residents (male and female) * Transports residents to scheduled activities * Empties drainage bags in timely manner * Accurately completes all required forms: intake and output, food intake, flow sheet, accident/incident report, resident clothing sheet, CNA flow sheet * Attends to resident hygiene needs: provides nail care, administer perineal care, cleans glasses, checks residents hourly for dryness * Notifies nurse of any change in resident’s condition * Follows facility policy regarding restraints * Adheres to Bowel and Bladder Training Program QUALIFICATIONS:: * EDUCATION: * Must attend, complete, test satisfactorily and pass a state approved nursing assistant program * Become registered by testing and passing the Nurse Aide Competency Exam and maintain active certification * Attend required number of educational programs per month/quarter RESIDENTS’ RIGHTS : * Maintains the confidentiality of resident’s information * Honor resident’s personal and property rights * Understands all rights afforded to residents and acts

: : : Prestige Senior Living - Arbor Place enjoyed a deficiency-free survey in 2017, as well as winning the prestegious American Health Care Association "Bronze" award for high quality care of our residents! Check out the article here: https://www.ohca.com/ahcancal-announces-2017-bronze-national-quality-award-recipients/ : : : Tucked away in a beautiful corner of Medford, Oregon, Prestige Senior Living Arbor Place is a tranquil senior living community. From comfortably situated apartments, to a restaurant-style dining area and vibrant common spaces, Arbor Place offers many amenities and activities for residents to take advantage of. Arbor Place prides itself in the ability to meet each individual's scheduled and unscheduled needs around the clock in a way that promotes choice, convenience and independence for each resident. Our dedicated staff takes the time to know each resident as an individual and works together with families, neighbors and friends to ensure all our residents receive the best care. In addition to the many services and amenities, Arbor Place offers award-winning Expressions Memory Care Program, designed to make our residents feel accepted, important, comfortable… at home. Expressions creates a buffer against fear and the stress of dementia and other forms of cognitive impairment through activities that stimulate the body and mind, and enrich the life of our residents.: : Questions? Contact ArborPlaceED@prestigecare.com: : Build Your Healthcare Career with Prestige Care!: : Prestige Care is a family-owned and operated industry leader in the skilled nursing, assisted living, and rehabilitation space. As a Prestige Care team member, you are more than just an “employee,” you are part of our family. With a company focus on career development and advancement, there are many opportunities for advancement at our over 80 communities and care centers in 8 Western states. The healthcare career opportunities are endless and we look forward to collaborating with you to achieve your professionals goal. Check out the career path that you can take with Prestige Care below:: : : Job Summary: : Personal Care Attendant provides direct resident care, completes assignments as a universal worker, assists in maintaining a positive physical and psychosocial environment for residents, and upholds Prestige’s core values of respect, integrity, commitment and trust. Essential Functions:: * Provides direct resident care while promoting resident dignity, independence and choice, regularly observes residents’ physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. * Assists with or performs ADL’s, takes vital signs and weights and accurately documents care services provided and observations on communication log and incident reports. Reports and documents all incidents and accidents immediately. * Assists residents to and from dining room and activities. * Performs First Aid and initiates emergency response procedures as required. * Greets residents, visitors, and staff courteously and answers phones when assigned. * Follows and supports community fire safety and infection control practices and promptly reports any unsafe conditions or equipment to immediate supervisor. * Serves meals in the dining room, assisting residents at meal time, provides resident tray delivery, and assists with dining room and kitchen clean up and maintenance. * Assists with tours, move-ins, move-outs, and transfers and coordinates personal care service with co-workers assisting with lifting and responds to assistance pages promptly. * Assists with apartment housekeeping services and residents laundry. * Attends and participates in training, in-services, and staff meetings. * Performs other related duties as assigned. Qualifications:: * High school diploma or GED with one or more years of personal care experience with older adults preferred. * Must complete and pass competency evaluation within 120 days of employment, state required training including the Revised Fundamentals of Care, Dementia Care, First Aid, CPR and HIV training if not able to provide appropriate documentation of prior training. * Current First Aid and CPR certification. * Food Handlers permit if required by State. EOE/M/F/VETS/DISABLED KEYWORDS: Personal Care Attendant, PCA, healthcare, health care, senior living, assisted living, memory care, dementia, entry-level, entry level, C.N.A., CNA, Certified Nursing Assistant, certified nursing assistant, entry level, entry-level

CHA provides 24-hour emergency care at its Cambridge, Somerville, and Everett Hospitals. We are one of the busiest emergency services in Massachusetts with approximately 100,000 combined annual visits and have been recognized nationally as one of the most efficient emergency services in the nation. Highlights include a state-of-the-art patient triage and tracking system, a streamlined admission process that helps us get the sickest patients to a hospital bed sooner, rapid assessment protocol to help prioritize our work, a BIDMC tele-stroke program, and an integrated Psychiatric Emergency Services at Cambridge Hospital. Duties and responsibilities for the Nursing Assistant II  include but are not limited to ability to work in a fast paced Emergency Department, answer phones, perform order entry, phlebotomy (required to perform), point of care testing, working under the direction of a registered Nurse. Candidate must exhibit excellent customer relations skills with patients, visitors, physicians, and co-workers. Must understand and integrate into the delivery of patient care the needs of specific ages in regard to their growth and development. Must organize daily work, prioritize, and make decisions concerning care to meet the needs of individual and groups of patients. Assist in the care and safety of all patients including behavioral health patients. Must adhere to and administer treatment according to Cambridge Health Alliance's policies and procedures. Qualifications/Experience : High School diploma or equivalent is required. Certificate of completion of a certified nursing assistant program in Massachusetts. Will also consider a nursing student who has completed a clinical rotation and or EMT certification. Emergency Room Experience required. Current American Heart Association Basic Life Support (BLS) for Healthcare Providers certification required. One year Phlebotomy preferred. All newly hired candidates must successfully complete a job specific physical agility exam.  [cha063094]

SUMMARY OF RESPONSIBILITY - Job Summary (general statement of purpose or objective of position) The individual works in a blended role of two positions. In a coordinated approach, the individual is responsible for certain clerical and reception duties and performs basic nursing tasks. All duties are performed in a collaborative approach with unit personnel and under the direction and supervision of the RN. MINIMUM REQUIREMENTS - Knowledge, skills, abilities, license, registration, certification, education, and experience EDUCATION: High school graduate or equivalent . EXPERIENCE, TRAINING, KNOWLEDGE: Must satisfactorily complete a basic course of classroom instruction and/or demonstrate a working knowledge of required skills. Should have good physical and mental health, retain emotional stability in situations of varying circumstances and exhibit flexibility for various duties. Possesses the knowledge and skill regarding the developmental needs of the patient population served as well as the skills required to perform processes involved in the delivery of patient are services to that population. This includes neonatal, pediatric, adolescent, adult and geriatric. CERTIFICATION, LICENSURE, BONDING: BLS (Must be obtained within 30 days of date of hire, if not already BLS certified)

Duties and Responsibilities     Administrative 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.     Admission, Transfer, and Discharge Functions   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.     Personnel 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.     Personal 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.     Special Nursing Care 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.     Food Service Functions   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.).     Staff Development   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.     Safety and Sanitation   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.     Equipment and Supply 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.     Care Plan Functions   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.     Resident Rights   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.     Working Conditions   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.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   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.    

Duties and Responsibilities     Administrative 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.     Admission, Transfer, and Discharge Functions   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.     Personnel 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.     Personal 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.     Special Nursing Care 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.     Food Service Functions   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.).     Staff Development   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.     Safety and Sanitation   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.     Equipment and Supply 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.     Care Plan Functions   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.     Resident Rights   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.     Working Conditions   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.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   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.    

Duties and Responsibilities     Administrative 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.     Admission, Transfer, and Discharge Functions   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.     Personnel 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.     Personal 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.     Special Nursing Care 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.     Food Service Functions   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.).     Staff Development   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.     Safety and Sanitation   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.     Equipment and Supply 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.     Care Plan Functions   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.     Resident Rights   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.     Working Conditions   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.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   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.    

Duties and Responsibilities   Administrative Functions   Plan, develop, organize, implement, evaluate, and direct the nursing service department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing service department. Maintain a reference library of written nursing material (i.e., PDR'S, Federal and State Regulations, etc.) that will assist the nursing service department in meeting the day-to-day needs of the resident. Develop, maintain, and periodically update the Nursing Service Procedures Manual and nursing service objectives and philosophies. Develop and implement a nursing service organization structure. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department. Develop, maintain, and periodically update written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Develop, implement, and maintain an ongoing quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies. Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies. Assist the Discharge Planning Coordinator in developing, implementing and periodically updating the written procedures for the Discharge Planning Program. Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident's discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.       Committee Functions   Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assessment and Assurance, etc.) as required, and as appointed by the Administrator. Provide written and/or oral reports of the nursing service programs and activities as required, or as may be directed by such committee(s). Assist the Pharmaceutical Services Committee in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the Discharge Plans and make such plans available to the Care Plan Committee as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services.       Personnel Functions   Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents. Recommend the number and level of nursing personnel to be employed. Assist the Administrator and/or the Personnel Director in the recruitment and selection of nursing service personnel. Ensure that all nursing assistants are enrolled in or have graduated from an approved training program. Assign a sufficient number of licensed practical and/or registered nurses for each tour of duty to ensure that quality care is maintained. Assign a sufficient number of certified nursing assistants for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Personnel Director in developing performance evaluation schedules, criteria, and annual reviews for the nursing service department (e.g., RNs, LPNs, CNAs, medication aides, etc.). Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Develop, maintain, and periodically update the written procedure for ensuring that professional nursing personnel, including private duty nurses, have valid and current licenses as required by this State. Review complaints and grievances made or filed by department personnel.  Provide complaint/grievance reports to the Administrator as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Assist the Infection Control Coordinator in establishing a TB management program for employees. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Perform background checks on Nursing Service personnel in accordance with established procedures. Ensure that all CNA's credentials are verified through the State Nurse Aide Registry. Ensure that appropriate adverse personnel actions relative to CNA's employment criteria are reported to the State Nurse Aide Registry.       Nursing Care Functions   Participate in the interviewing and selection of residents for admission to the facility, including PASARR screenings. Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission.  Escort to room as necessary. Make rounds with physicians as necessary. Schedule physician visits as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a CNA, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the resident's request. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Provide direct nursing care as necessary. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently.       Staff Development   Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage the nursing supervisory staff to attend and participate in outside training programs.  Schedule times as appropriate. Assist the Administrator in developing and revising the nursing assistant training curriculum used by the facility. Submit to state agency for approval as required. Assist the In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management,  and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their licenses on an active status. Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Assist the Infection Control Coordinator in the development of a TB management program.       Safety and Sanitation   Assist the Safety Officer in developing safety standards for the nursing service department. Ensure that the department's policy and procedure manuals identify safety precautions and equipment to use when performing tasks that could result in bodily injury. Assist the Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Develop, implement and maintain a program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment. Ensure that personnel 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 the safety officer or other designated person.       Equipment and Supply Functions   Recommend to the Administrator the equipment and supply needs of the department. Ensure that a stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Develop and implement procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste. Ensure that personal protective equipment used in the handling of infectious materials are available and easily accessible to nursing service personnel. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.       Care Plan and Assessment Functions   Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident. Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Assist the Resident Assessment/Care Plan Coordinator in the scheduling of care plans and assessments to be presented and discussed at each committee meeting. Ensure that all personnel involved in providing care to the resident are aware of the resident 's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing a comprehensive plan of care. Ensure that medical and nursing care is administered in accordance with the resident's wishes, including the implementation of advance directives.       Budget and Planning Functions   Prepare and plan the nursing service department's budget and submit to the Administrator for his/her review, recommendations, and/or approval. Keep abreast of economic conditions/situations, and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Administrator the equipment and supply needs of the nursing service department.       Resident Rights   Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Administrator indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Ensure that appropriate notices are given to residents before their room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Ensure that the facility's policies and procedures governing advance directives are reviewed with the resident and/or representative. Assist the Infection Control Coordinator in developing and implementing a resident TB management program.     Working Conditions   Works in office area(s) as well as 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 the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. On call 24 hours per day, 7 days per week. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. 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. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education Requirements   Must possess, as a minimum, a Nursing Degree from an accredited college or university.   Experience   Must have, as a minimum, _______ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have, as a minimum, ________ months training experience in rehabilitative and restorative nursing practices.   Specific Requirements   Must possess a current, unencumbered, active license to practice as a Registered Nurse in 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 be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. 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 or safety of other individuals in the workplace.     Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)   Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

Respiratory Therapist Job Duties: Meets patient's goals and needs and provides quality care by conducting pulmonary function tests; assessing and interpreting evaluations and test results; determining respiratory therapy treatment plans in consultation with physicians and by prescription. Helps patient accomplish treatment plan and supports life by administering inhalants; operating mechanical ventilators, therapeutic gas administration apparatus, environmental control systems, and aerosol generators. Administers respiratory therapy treatments by performing bronchopulmonary drainage; assisting with breathing exercises; monitoring physiological responses to therapy, such as vital signs, arterial blood gases, and blood chemistry changes; directing treatments given by aides, technicians and assistants. Evaluates effects of respiratory therapy treatment plan by observing, noting, and evaluating patient's progress; recommending adjustments and modifications. Completes discharge planning by consulting with physicians, nurses, social workers, and other health care workers; contributing to patient care conferences. Assures continuation of therapeutic plan following discharge by designing home exercise programs; instructing patients, families, and caregivers in home exercise programs; recommending and/or providing assistive equipment; recommending outpatient or home health follow-up programs. Documents patient care services by charting in patient and department records. Maintains patient confidence and protects hospital operations by keeping information confidential. Maintains safe and clean working environment by complying with procedures, rules, and regulations. Protects patients and employees by adhering to infection-control policies and protocols. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Develops respiratory therapy staff by providing information; developing and conducting in-service training programs. Complies with federal, state, and local legal and certification requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. Contributes to team effort by accomplishing related results as needed. Skills: Bedside Manner, Physiological Knowledge, Infection Control, Health Promotion and Maintenance, Create a Safe & Effective Environment, Informing Others, Verbal Communication, Medical Teamwork, Judgment, Procedural Skills, People Skills   Qualifications: Nursing Home experience preferred BLS/ACLS Certified

Duties and Responsibilities   Administrative Functions   Assist the Assistant Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, Federal and State Regulations, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist the Director in planning the nursing services portion of the resident's discharge plan as necessary. Meet with the nursing staff, as well as support personnel, in planning the department's services, programs, and activities. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.     Committee Functions Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. Provide information to the Quality Assurance and Assessment Committee as requested. Participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Implement recommendations from established committees as instructed by the Director.     Personnel Functions Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Develop work assignments, and/or assist in completing and performing such tasks. Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities 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 on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. Review and evaluate your department's work force and make recommendations to the Director. Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.     Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Make rounds with physicians as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Inform the Director when physician visits are not made in a timely manner. Consult with the resident, his/her family, and the resident's physician in planning the resident's care, treatment, rehabilitation, etc., as necessary. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. Visit residents on a daily basis in order to observe and evaluate each resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Provide direct nursing care as necessary. Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. Take TPRs, blood pressures, etc., as necessary. Admit, transfer and discharge residents as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Keep the Director informed of the status of residents and other related matters through written/oral reports. Assist the Charge Nurse in monitoring seriously ill residents. Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Director. Assist in arranging transportation for discharged residents as necessary. Inform family members of the death of the resident. Call funeral homes when requested by the family.     Staff Development   Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for your Charge Nurses. Encourage your Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning clinical supervision for nurse aide trainees. Assist the  In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.     Safety and Sanitation Assist the Safety Officer in developing safety standards for the nursing service department as necessary. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. Monitor your shift's personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that all nursing service personnel comply with established departmental policies and procedures. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that nursing service personnel follow established handwashing procedures. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel 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 the safety officer or other designated person.     Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the nursing service department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.     Care Plan and Assessment Functions Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident to participate in the development and review of his/her care plan. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan and wishes.    Budget and Planning Functions Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department.     Resident Rights Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.     Working Conditions Works in office area(s) as well as 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 the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. 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 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. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education  Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.  Experience Must have, as a minimum, _____ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have training in rehabilitative and restorative nursing practices.   Specific Requirements Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in 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 be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. 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 or safety of other individuals in the workplace.   Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)  Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

DUTIES AND RESPONSIBILITIES : Complete, distribute the midnight census; maintain accurate records of census activity. Responsible for the admission/re-admission process outlined in the Department’s Operational policy and procedure. Ensures photographs of new resident admissions are on resident’s medical record. Communicate Admissions/Discharges via notices in the Nursing Administration Communication Book Compile facility’s Roster Matrix/Census and condition sheet on a weekly basis. Compile and distribute weekly Pressure Ulcer tracking in read only format for the Wound Care Specialist and other clinical staff as appropriate. Complete assignments from the ADNS/In-service Director. Completes and distributes weekly In-service Calendars. Enter all nursing staff /orientation/training into the departmental tracking computer program Collaborate with ADNS/In-service Director to review the monthly Pharmacy Consultant audits. Distribute Implementation/Discontinuation of Infection Precautions form to the ID Team Maintain files on completed Occurrence Report for residents. Ensures all nursing license/certifications are maintained and are current. Responsible for re-certification procedures for Certified Nursing Assistants. Facilitate the completion of probationary and annual nursing employee evaluations. Maintains an updated list/log of all employee physicals. Respond to Units request for durable medical equipment; inform DNS/designee of anticipated need for purchasing/renting additional durable medical equipment. Collaborate with Purchasing in the ordering of additional equipment. DME includes but is not limited to: Oxygen concentrators/Heavy duty compressors, Oxygen cylinders (E tanks), Suction machines, Nebulizers, Enteral feeding pumps/polls, Tracheostomy set-ups/supply of inner cannulas, Bath chairs, Low beds/floor mattresses, Personal monitors, etc. Order and maintain inventory of office supplies; monitor inventory of pre-printed documents and places all orders for pre-printed documentation forms with Purchasing. Maintain a professional relationship with vendors; reconcile vendor billing for oxygen, tracheostomy supplies, personal monitors, Wander Guard devices, etc. Facilitate the completion of various departmental audits. Order and track Wander Guard devices (weekly); ensure Wander Guard book is updated on an on-going basis.; ensure Security Guard has picture of resident at risk for unsafe wandering and elopement with the resident’s name. Manage the medication scanning and return to Pharmacy Collaborate with the Director for Quality Management to: Completion of Medicare/Medicaid documentation (Certifications/authorizations) File MD certifications/authorization documents in medical record Fax resident updates to 3rdParty Payors; Follow-up with received authorizations Monitor PAR levels in the Night and Evening Shift supply closets and collaborate with Purchasing to maintain adequate supplies Participates in filing of Nursing related form in residents’ medical record. Provide coverage for Medical office, as necessary. Complies with all HIPAA regulations to assure resident rights are protected. Perform related duties as assigned, etc. compose routine correspondence, reports, statements, minutes of meetings, agenda, makes appointments with doctors, schedules transportation, etc., as necessary/directed. 

Duties and Responsibilities     Administrative 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.     Admission, Transfer, and Discharge Functions   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.     Personnel 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.     Personal 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.     Special Nursing Care 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.     Food Service Functions   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.).     Staff Development   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.     Safety and Sanitation   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.     Equipment and Supply 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.     Care Plan Functions   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.     Resident Rights   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.     Working Conditions   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.     Education   Must possess, as a minimum, a _______ grade education.     Experience   Must be a licensed Certified Nursing Assistant in accordance with laws of this state.     Specific Requirements   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.    

Duties and Responsibilities   Administrative Functions   Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, Federal and State Regulations, etc.) maintained at the nurses' stations is current. Recommend to the Director written material that will assist the nursing service department in meeting the day-to-day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing service organization structure. Make written and oral reports/recommendations to the Director as necessary/ required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions of policies, procedures, etc., to the Director of Nursing Services. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the administrator or director of nursing services. Participate in developing, implementing, and periodically updating the resident's written discharge plan. Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident's discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.     Committee Functions   In the absence of the Director, serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.). Serve on the Quality Assurance and Assessment Committee as directed. Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s). Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies. Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Evaluate and implement recommendations from established committees as they may pertain to nursing services.     Personnel Functions   Assist the Director in determining the staffing needs of the nursing service department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing service personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Schedule work assignments and duty hours. Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Participate in the development and implementation of performance evaluations for the nursing service department. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Monitor the professional nurses' licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration date. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary. Ensure that all nursing personnel participate in the facility's TB testing program. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.     Nursing Care Functions   Participate in the interviewing and selection of residents for admission to the facility, including the PASARR screenings. Provide the Director with information relative to the nursing needs of the resident and to the nursing service department's ability to meet those needs. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Make rounds with physicians as necessary. Inform the Director when physician visits are not made in a timely manner. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Ensure that residents who are unable to call for help are checked frequently.     Staff Development   Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses. Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate. Assist the Director in developing and revising the nursing assistant training curriculum used by the facility. Assist the Director in planning and conducting universal precautions in-service training. Assist the  In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard. Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.     Safety and Sanitation   Assist the Safety Officer in developing safety standards for the nursing service department. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Assist the Infection Control Committee in the development, implementation, and revising of written aseptic and isolation techniques. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when moving or lifting a resident. Report missing/illegible labels and MSDSs to the safety officer or other designated person.     Equipment and Supply Functions   Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.     Care Plan and Assessment Functions   Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident and his/her family to participate in the development and review of the resident's plan of care. Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Review and revise care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive care plan. Be sure that staff members are providing care that reflects the wishes of the resident.     Budget and Planning Functions   Participate in the preparation of and planning of the nursing service department's budget and submit to the Director for his/her review, recommendations, and/or approval. Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department.     Resident Rights   Maintain the confidentiality of all resident care information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. Ensure that appropriate notices are received by the resident before his/her room or roommate is changed. Report and investigate all allegations of resident abuse and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. Review the facility's advance directive policies and procedures with resident and/or family members as necessary.   Working Conditions   Works in office area(s) as well as 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 the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. 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. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.   Education   Must possess, as a minimum, a Nursing Degree from an accredited college or university.   Experienc e   Must have, as a minimum, ________ year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have, as a minimum, ________ months training experience in rehabilitative and restorative nursing practices.   Specific Requirements   Must possess a current, unencumbered, active license to practice as a Registered Nurse in 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 be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. 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 or safety of other individuals in the workplace. Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices)   Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of __________ pounds to a minimum height of __________ feet and be able to push, pull, move, and/or carry such weight a minimum distance of _________ feet. May be necessary to assist in the evacuation of residents during emergency situations. 

Summary: The Certified Nursing Assistant assists the Registered Nurse in providing care for a defined group of patients under the direction of the RN. He/She provides nursing care to promote recovery, prevent illness and assist patients and families to reach optimal health. Education: High School education or equivalent is preferred. Must have a current Rhode Island CNA license.  BLS required.  Experience:  Prefer a minimum of one year in an acute care setting. Previous emergency room experience required. 

GENERAL SUMMARY/BASIC PURPOSE OF JOB: The unlicensed assistant personnel perform(s) direct patient care and a variety of clinical and environmental tasks delegated by, and under the direction of the Registered Nurse. ESSENTIAL FUNCTIONS AND DUTIES   · Accepts and carries out assignments from Registered Nurse/designee in consideration of unit needs and as appropriate to clinical experience. · Answers call lights promptly; and responds to patient needs when within the realm of the job description and communicates other patient needs to the patient's nurse. · Provides general comfort measures to patients including, but not limited to: positioning, turning, back rubs, linen change, ambulating, dangling, sitting, walking, and offering bed pan. · Cares for patients in a manner that demonstrates understanding of their cognitive, physical, emotional and age specifics needs. · Performs patient care rounds and anticipates patient care needs. MINIMUM EDUCATION: • High School graduate or GED required. • Graduate of Basic Nursing Assistant Program required  MINIMUM WORK EXPERIENCE: • Minimum one-year hospital/comparable experience within the last 5 years preferred. REQUIRED LICENSES, CERTIFICATES, REGISTRATIONS: • Certified by Illinois Department of Public Health.

Summary: Provides assistance to residents as required with basic services of daily living to support an independent lifestyle within the community. His/her function may not exceed Standards of Practice as accorded by Certification. Essential Position Functions: * Assists residents with bathing, dressing, toileting, ambulation, grooming, and eating according to their individual service plan. * Assists with transportation to dining room for meal service and/or to Program Services programs within the community. * Assists with personal and household chores such as tidying up room, errands, delivers mail and newspaper. * Observes and monitors residents for their safety and well being. * Offers comfort and support, emotionally and physically. * Effectively communicates changes in resident status to nurses and/or administration, documents observations thoroughly. * Assists with vital signs and weight monitoring of residents and completes all required documentation. * Assists serving residents their meals and clearing the tables, as needed. * Follows procedure for medication reminders (NOT to administer) to ensure correct day, time and that they are indeed being taken. * Assists residents’ relatives, visitors and guests as needed. * Maintains a positive and professional environment and projects a calm and competent image. * Concerns his/herself with OSHA regulations and the safety of all community residents in order to minimize the potential for fire and accidents. Also, ensures that the location adheres to the legal, safety, health, fire and sanitation codes by being familiar with his/her role in carrying out the site’s fire, safety and disaster plans and by being familiar with current Safety Data Sheets (SDS). * Puts Customer Service first; ensures that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals’ needs and rights. * Assists with the training and orientation of new staff as requested. Education/Experience:: * Must have a current Certified Nursing Assistant Certificate in accordance with state requirements. * A minimum of a high school education or high school equivalency diploma is preferred for this position. * Must attend a minimum of 14 hours continuing education per year to maintain the certificate. * Current certificate in an accredited First Aid course and CPR is preferred. An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

Shift available Part Time 2:30P-11P: Summary of Duties: Certified Nursing Assistant – CNA will be responsible for providing each of the assigned residents with routine daily nursing care and services in accordance with the resident’s assessment and care plan as directed. Essential Job Functions: * Assist in providing nursing care to residents as assigned including activities of daily living such as bathing, eating, grooming, toileting, and obtaining vital signs. * Provide and document medication assistance as directed. * Provide assistance to the residents as needed in preparing for medical testing, activities programs, and visitation. * Maintain residents living area clean, neat, and change linens as directed. * Greet newly admitted residents upon admission. Escort resident to room. * Report changes in the resident’s condition (i.e., areas of redness, skin tears, bruising, mental status change, eating habits, medical needs, etc.) to the charge nurse immediately. * Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes as needed. * 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., as necessary. * Obtain and record the resident’s blood sugar, as directed, using the Free Style Glucose Monitoring machine. * Utilize the Smart Charting IPAC to record the selected ADLs and meals. * Complete incident reports in a timely manner along. * Perform other duties as assigned. Education and Experience: High school diploma or equivalent preferred. Must be a Certified Nursing Assistant – CNA or obtain certification within 4 months of hire. Certified Nursing Assistant – CNA experience preferred. Physical Requirements for Essential Job Functions: * Must be able to move consistently throughout the work day. * Must be able to reach, bend, and/or stoop intermittently throughout the work day. * Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. * Must be able to push, pull, or move a minimum of 100 pounds utilizing proper body mechanics and assistance. * Must be able to walk/stand 75% of the day. * Must be able to cope with the mental and emotional stress of the position. CNA Certified Nursing Assistant C.N.A.

: : : Tucked away on the banks of the Tualatin River, Prestige Senior Living Riverwood is a perfect location for relaxation and reflection.: At our community in Tualatin, Oregon, residents enjoy riverside strolls, beautifully landscaped grounds and the convenience of being near the Pacific Highway, making it effortless to reach any local destination. Spacious indoor common areas furnished with cozy furniture make socializing with peers, building new relationships and meeting new residents easy. In addition to the many amenities, Riverwood also offers Celebrations, an innovative lifestyle program that embraces a philosophy of healthy, fulfilled living to foster happiness and longevity among our residents. Our program’s events, activities and educational opportunities are designed to nurture mind, body and spirit, and give you the choices and freedom to celebrate life. : Questions? Contact RiverwoodED@prestigecare.com: : Build Your Healthcare Career with Prestige Care: : Prestige Care is a family-owned and operated industry leader in the skilled nursing, assisted living, and rehabilitation space. As a Prestige Care team member, you are more than just an “employee,” you are part of our family. With a company focus on career development and advancement, there are many opportunities for advancement at our over 80 communities and care centers in 8 Western states. The healthcare career opportunities are endless and we look forward to collaborating with you to achieve your professionals goal. Check out the career path that you can take with Prestige Care below:: : : : : : POSITION SUMMARY: As directed by health services leadership, assist in ensuring resident care needs are met by health and supportive services provided to residents at the Assisted Living Community. Coordinate and oversee care staff work schedules. Provide resident care and services. Assist health services leadership in the oversight of health services procedures and systems. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Other duties may be assigned.: * Assist in the development and implementation of Cooperative Service Plans. * Ensure that Cooperative Service Plans are completed and updated in a timely manner. * Perform various resident evaluations as assigned by Health Services Leadership. * Coordinate and adjust resident specific service schedules. * Assist in the development of staff work schedules. * Provide direction and oversight to healthcare staff and assist in staff education and development as assigned. * Responsible for coordinating services, interviewing and hiring, shift coverage and staff scheduling. * Assist by encouraging and/or reminding residents to participate in activities. Promote activities enthusiastically to pique residents’ participation in activities. Facilitate activities outside of the facility when requested. * Observation and oversight of the Documentation and Communication Policy and Procedure and Medication Room systems. * Coordinate information pertaining to changes in Residents’ functional status, personal needs, appointments, outside services, etc. Coordinate transportation services and resident health services appointments for offsite visits. * Provide resident care and services covering shifts as needed or assigned by the health services leadership. Work as Medication Aide and/or Personal care Attendant at least one shift per week. Report concerns about residents to supervisor and co-workers. Practice safety working around and with equipment, chemicals, tools and utensils (infection control; universal precautions). * Respond to resident emergencies; provide first-aid assistance and arrange for appropriate medical attention/follow-up. * Health Services supply ordering. * Provide on-call support for staff questions and staffing coordination. COMPANY WIDE RESPONSIBILITIES: Supports a dignified and caring atmosphere with residents, residents’ families, visitors and staff. Protects privacy and confidentiality of information pertaining to residents, employees, the residence, and company information and records. Maintains a safe and secure working environment and practices safe working habits. Complies with the Prestige policies. Maintains neat appearance, good personal hygiene, and appropriate attire. Assists with special projects as assigned and performs other related duties. SUPERVISORY RESPONSIBILITIES: Assists health services leadership in the oversight of personal care assistants. QUALIFICATIONS: High school diploma or GED, with reading, comprehension and writing ability at 12th grade level or higher. Clean driving record (verified by MVR) and willingness to drive the company vehicle to transport Residents. Ability to work weekends and holidays as scheduled. Must be able to perform essential job duties with or without reasonable accommodation. EDUCATION and/or EXPERIENCE: Training/Experience as a nursing assistant or home-health aide helpful. Certified medication training preferred. Skills in nurturing and organizing similar to those in a domestic household. Experience or interest in working with older adults. EOE/M/F/VETS/DISABLED KEYWORDS: Resident Care Coordinator, RCC, Senior Living, Assisted Living, ALF, SNF, Skilled Nursing, Healthcare, Health care, Health Care Administration, HCA, Administrator, Director, Sales, Marketing, Senior, Elderly, Assisted Living, Independent Living, Senior Housing. AL, Alzheimer’s, Assisted Living, CCRC, Communities, Continuous Care Retirement Community, Independent Living, Term Care, Nursing Home, Retirement Communities, Retirement Homes, Senior Housing, Senior Living, Skilled Nursing, SNF, Sales, Jobs, Careers, Openings, Opportunities, Search, Employment, Management, Management Trainee, Administrator, Assistant Administrator, Administrator in Training, Assistant Executive Director, Assistant ED, Executive Director, senior living

FULL TIME-2ND SHIFT (SNF) (2 openings) PART TIME-1ST SHIFT (SNF) (2 OPENINGS) PART TIME -2ND SHIFT (SNF) (3 OPENINGS) PART TIME-3RD SHIFT (SNF) (2 OPENINGS) We are without a doubt the most premier retirement community in the area, and are a dream come true for a Certified Nurse Assistant. At a Watermark Community our care staff does so much more than what the title reflects. This is why we choose to call our care staff “NAYAS.” Naya is an ancient Sanskrit word that means GUIDE, PERSON of WISDOM, and LEADER. Does that sound like the CNA you are? We are currently looking to hire people who want to make a positive impact on the lives of those we care for. Your job should provide a sense of accomplishment, joy and gratification. We can provide that for you! If you have a passion for working with seniors and have experience as a CNA in assisted living, skilled nursing and memory care then come on board with us. We look forward to meeting you! Job Requirements: * Current Certified Nursing Assistant license * 1 year experience as a CNA in an assisted living, skilled nursing, memory care or home care setting * Able to work weekends and holidays * Diligent in paper work * Excellent work ethic * Great assessment skills * Computer skills with online systems * Interested in learning and growing your skill set What we can provide for you:: * Excellent Benefits * Training and continuing education * Comprehensive onboarding program * Coaching and mentoring

****Assisted Living Openings Part Time 1st Shift -every other weekend Part Time 3rd Shift-every other weekend with Mon and Fri Full Time 2nd Shift 5 days per week ****Memory Care Openings Part Time 1st Shift-every other weekend Part Time 2nd Shift-every other weekend Part Time 3rd Shift-every other weekend We are without a doubt the most premier retirement community in the area, and are a dream come true for a Certified Nurse Assistant. At a Watermark Community our care staff does so much more than what the title reflects. This is why we choose to call our care staff “NAYAS.” Naya is an ancient Sanskrit word that means GUIDE, PERSON of WISDOM, and LEADER. Does that sound like the CNA you are?: We are currently looking to hire people who want to make a positive impact on the lives of those we care for. Your job should provide a sense of accomplishment, joy and gratification. We can provide that for you! If you have a passion for working with seniors and have experience as a CNA in assisted living and memory care, then come on board with us. We look forward to meeting you!: Job Requirements: * Current Certified Nursing Assistant license * 1-year experience as a CNA in an assisted living, memory care or home care setting * Able to work weekends and holidays * Diligent in paper work * Excellent work ethic * Great assessment skills * Computer skills with online systems * Interested in learning and growing your skill set What we can provide for you:: * Excellent Benefits * Training and continuing education * Comprehensive onboarding program * Coaching and mentoring