Certified Nursing Assistant (CNA) Job Description
General Description: Provides direct patient care according to each resident’s established plan of care under the direction and supervision of a licensed nurse. Duties and Responsibilities: include the following. Other duties may be assigned. Responsible for providing direct care to residents which may include assistance with or total performance of bathing, dressing, toileting, personal hygiene, incontinence care, feeding, hydration, and transfers. Responsible for knowing the individualized plan of care for each assigned resident as noted on the ADL documentation form. Reviews form daily for changes prior to beginning care and documents care delivered. Documents care refused or not delivered according to facility guidelines, and informs licensed nurse of the situation. Is alert to changes in a resident’s condition and reports symptoms and/or behaviors to licensed nurse in a timely manner. Promptly reports to licensed nurse any resident who is not eating/drinking, has a change in urinary or bowel status, a change in mental status, or change in skin condition so the resident can be assessed and treated in a timely manner. Encourages resident independence and decision-making in the care process to the extent possible. Does not automatically perform a task for the resident that the resident is capable of doing for himself/herself, and assists only as needed. Recognizes when a resident is capable, but unwilling, to assist in own care and encourages but does not force the resident’s self-care – assists whenever needed in any circumstance. Notifies licensed nurse of any problems with care delivery. Responsible for recording all food and fluid intake and ensuring that each resident consumes as much as possible at each meal. Offers nutritional supplements if resident consume less than 50% of a meal and records how much of the supplement was consumed. Notifies the licensed nurse if problems are incurred during a meal or resident refuses food or fluids. Weighs residents according to the plan of care and reports current weight to licensed nurse as well as documenting weight on the ADL record. Responsible for obtaining monthly vital signs on each assigned resident according to plan of care. Documents vital signs on ADL records and reports any abnormalities to the licensed nurse in a timely manner. Maintains a high level of awareness for potential threats to resident/employee safety and takes prompt action to report or resolve the problem. Maintains resident rooms in clean and tidy condition, and takes immediate action to remove any items on the floor or in the walkway areas of the room to prevent falls. Notifies licensed nurse of any persistent, unresolved safety issues. Responsible for insuring, to the best of his/her ability, the safety of each assigned resident through the use of fall prevention programs as noted on the resident’s plan of care. Does not leave residents unattended in bathroom or shower if the resident has a diagnosis of dementia, cannot/will not follow safety precautions, or needs assistance with transfers. Transfers residents using mechanical lifts as much as possible, avoiding manual lifting to ensure safety of both resident and personnel. Uses caution during transfers to avoid falls or injuries related to the transfer. If the resident care plan specifies a particular method of transfer to be used with that resident, MUST use this mode of transfer every time. Responsible for notifying licensed nurse immediately of any resident incidents, such as falls, skin tears, bruises, burns, etc. so the resident can be assessed and treated in a timely manner. Compliant with all Holly Hall administrative, personnel, and nursing policies and procedures. Adheres to infection control guidelines for body fluid exposure and prevention of disease transmission. Consistently removes gloves and washes hands between resident contacts. Bags all soiled linens in the resident’s room and ties linen bags securely in the room prior to bringing