Certified Nurse Assistant (CNA) 11p-7a

Claremore, OK, United States

Shifts Available:

11-7: 4 on 2 off

General Summary:

The Certified Nurse Aide (CNA) assists the licensed nursing staff by performing routine nursing duties and activities of daily living.

Essential Functions: The CNA will perform routine duties in caring for residents which includes (but is not limited) the following:

Bathing: Residents are bathed according to the bath schedule and/or as needed. Incontinent residents are bathed daily or per plan of care. Residents are taken to the shower room and helped into the shower chair. This task involves pushing wheelchair residents to the shower room. The resident is transferred to the shower chair per resident plan of care. Residents are partially bathed when bed or clothing is wet and on days when complete bath is not given. This will involve turning the resident and bending and reaching as well as carrying the water and supplies to the room.

Dressing: Residents are assisted in dressing, which may require some lifting of residents for putting on pants, shirts, etc. Residents are assisted with putting on and taking off braces as needed.

Hair Care: Hair is combed daily and shampooed weekly per resident's plan of care. For male residents, beards are shaved, trimmed, shampooed and combed on a regular schedule to ensure proper hygiene and appearance.

Oral Hygiene: Residents are assisted with oral hygiene, including dentures, daily. Oral hygiene is encouraged more than once a day. This may require assisting residents with teeth brushing and may require bending and reaching. Fresh water will be placed in denture cup and sputum cups daily.

Nail Care: Finger and toenails are trimmed every week and cleaned as needed per resident's plan of care. For diabetic residents, obtain LVN's assistance with nail care per resident's plan of care.

Toileting: Residents are assisted as necessary with toileting. Bedpans and urinals and emesis basins are given to the residents as needed. They are emptied and cleaned daily and after each use. They must be labeled with the resident's name, dated and changed weekly. Incontinent residents are monitored and changed as needed. Pericare is done per plan of care. This may require positioning the resident in bed with some lifting required. Foley bags are emptied, and output recorded at the end of each shift. B.M.'s are recorded at the end of each shift. Briefs are checked every 2 hours, dated, timed, and initialed, or as needed or per plan of care.

Transfers & Mobility Assistance: G/C and W/C residents are ambulated or assisted to the bathroom per resident plan of care and or doctor's orders. Residents are assisted in transferring from bed to wheelchair, to chairs, back to bed. Transfers must be done per resident plan of care. Gait belts should be used. Transfers involve lifting residents and may require up to 45 pounds to 56 pounds effort of each person to help lift a 120-pound resident who is unable to assist with the transfer. For residents weighing 150 pounds who are unable to assist with transfers, a force of up to 108 pounds per person may be required for a 2-person transfer. Transfers will involve squatting, bending. Assistive devices for transferring residents should be used per resident plan of care. Residents who are bedfast must be turned every two hours or per orders. This task may involve pulling the resident up in bed using a draw sheet and will involve lifting and bending and reaching. Beds may be as low as 24-25" from the floor or raised to waist level. Residents are also assisted as needed in crutch walking and using walkers. Gait belts should be used when assisting residents in using these devices.

Mealtimes: Food trays are served, and residents who need assistance are helped during meal times. Some residents may need to be fed. Nourishments are served to residents as directed by the charge nurse or doctor's orders. After meals, staff will follow clean-up instructions for the area in which they are working.

Restraints: Restraints are not allowed without a doctor's order. Never apply a restraint to a resident without checking with the charge nurse first.

Exercise: Residents are assisted with acute and passive exercise in the absence of the restorative aide. This may include lifting the resident's arms, legs, etc. Residents are transported to and from social activities and events, which may include pushing W/C's or assisting residents with walking.

Assorted Room Duties: Beds will be changed, made and cleaned, which will involve bending and some pushing and pulling. Clean bedside stands, closet, dresser drawers, over-bed tables etc. Fresh ice water will always be kept at bedside, and assure each resident has an individual water pitcher, if appropriate. Water pitchers are sent to be changed weekly and PRN. Answer every signal light and buzzer promptly and courteously.

Maintains safe and sanitary work stations and equipment

Encourages independence, attendance at activities, restorative programs and rehabilitation.

Attends in-service training and education session, as assigned.

Performs specific work duties and responsibilities as assigned by supervisor.

Must utilize safety equipment, to include personal professional equipment as required. Gloves will be used for wound care and when dealing with blood and body fluids. Observe all safety and infection control procedures and policies. Use of rubber gloves, non-permeable gowns and face shields as required.

Observes changes in residents. Any changes in resident skin condition, appetite, behavior or actions will be reported to the charge nurse. Observe all diabetic residents closely These observations are important to the residents' care and well being and aid the nurse in evaluating the resident and in formulating his care plan, assuring his needs are met. Observations to be reported:

Signs of illness: Temperature elevation, Vomiting or diarrhea, Listlessness or lethargy, Headache or dizziness, Poor color.

Changes in general condition:

Pressure areas; open areas. Falls, cuts, or abrasions. Usual discharges or bleeding. Edema. C/O pain or discomfort. Changes in bowel or bladder habits. Change in physical abilities. Change in appetite - difficulty in chewing or swallowing. Slurring of speech (sudden onset). Sudden or frequent mood swings. Visual or hearing problems.

Observes all safety and infection control procedures and policies. Gloves will be used for wound care and when dealing with blood and body fluids. Use of rubber gloves, non-permeable gowns and face shields as required.

Keeps all resident information confidential in accordance with SMRS policies H.I.P.A.A. regulations.

Physical Requirements Standing

Stooping

Bending

Stretching

Squatting

May be exposed to blood and body fluids which may contain HIV and/or HBV. Must be able to transport residents via wheelchair, Geri chair or shower chair; pushing up to 150 pounds unassisted

Must be able to transfer, lift, turn and position a resident weighing up to 125 pounds unassisted, or with the assistance of one for a resident weighing over 125 pounds

Must be able to stoop, bend, stretch, squat, stand and walk for up to 90% of the work day

May be subjected to offensive odors and combative behavior. Must be able to reach up to a level of six feet

Must be able to push a dietary cart up to 40 pounds unassisted

Must be able to lift and carry up to 20 pounds frequently and 50 pounds occasionally

There is exposure to bodily functions and infectious waste, diseases, odors, viruses and other situations associated with healthcare. Viruses involved include but are not limited to COVID, HIV, AIDS, and Hepatitis B.