Certified Nursing Assistant - Long Term Care- Second Shift

Mercyhealth•Janesville, WI

19h•Onsite

About The Position

Cares for patients in the skilled nursing facility settings under direction of nursing staff. The role involves providing resident care as assigned and per individual resident routine, according to standards of care, under CMS Federal and State Regulations for Skilled Nursing Facilities, and facility policies and procedures. Responsibilities include documenting resident cognitive patterns, mood, and behavior, identifying and reporting changes in resident functioning, and assisting residents with daily living activities such as bathing, dressing, grooming, transfers, ambulating, toileting, and eating. The position also requires assisting residents with activities of their choice, grooming them as they wish, understanding the care provided by therapists and its relation to CNA care, and identifying factors that may underlie resident distress. The CNA must also understand that residents with dementia may respond predictably to situations and match activities to their abilities. They need to document how residents communicate physical and emotional needs, answer call lights promptly, document all daily care provided, maintain a clean work and patient environment, manage supplies, float to various units as needed, and participate in quality assurance activities. Additionally, this role involves providing leadership and training to new CNAs.

Requirements

One year experience as a CNA
Continued education that includes: Communication and Interpersonal Skills
Continued education that includes: Safety and Emergency Procedures, including Heimlich Maneuver
Continued education that includes: SNF based CNA skills
Continued education that includes: Mental Health and Social Services of Residents
Continued education that includes: Personal Care Skills
Continued education that includes: Care of Cognitively Impaired Residents
Continued education that includes: Basic Restorative Services
Continued education that includes: Promoting Resident’s Independence and Respecting Resident’s Rights
Continued education that includes: Abuse and Neglect Training
Continued education that includes: Facility Infection Prevention
Continued education that includes: Dementia Training
Current CNA Certification in state of practice
Approved CPR or BLS certification required within 90 days

Responsibilities

Provides resident care as assigned and per individual resident routine, according to standards of care, under CMS Federal and State Regulations for Skilled Nursing Facilities, and facility policies and procedures.
Identifies and documents in the medical record the resident's usual and current cognitive patterns, mood and behavior, and whether these present a risk to the resident or others.
Identifies and documents how the resident typically displays personal distress such as anxiety or fatigue.
Recognizes a change in the resident and the resident's functioning and describes and reports such changes to the nurse.
Performs and documents daily range of motion exercises.
Assists the resident to transfer from bed to wheelchair.
Assists residents daily with bathing, dressing, grooming, transfers and ambulating through the facility, toileting, and eating.
Assists residents to attend activities of their choice.
Grooms residents as they wish to be groomed.
Describes the care, services and expected outcomes of care they provide.
Have knowledge of the care and services provided by therapists.
Have an understanding of the expected outcomes of this care and understand the relationship to the care they provide.
Identifies and documents, to the extent possible, factors that may underlie the resident's expressions of distress.
Applies knowledge of lifelong patterns, preferences, and interests for daily activities to enhance quality of life and individualize routine care.
Identifies and understands that the resident with dementia may be responding predictably given the situation or surrounding.
Matches activities for a resident with dementia to his/her individual cognitive and other abilities and tracks the specific behaviors in that resident based on the assessment.
Identifies and documents how the resident communicates physical needs such as pain, discomfort, hunger or thirst, as well as emotional and psychological needs such as frustration or boredom; or a desire to do or express something that he/she cannot articulate.
Answers call lights in a timely and appropriate manner ensuring that all of the residents needs to be provided by C.N.A. are met.
Documents all daily care provided according to Federal and State Regulations and standards of care.
Maintains a clean work and patient environment.
Maintains supplies, including scanning, stocking and ordering new supplies and disposing of expired or damaged supplies.
Floats to various units based on identified needs.
Participates in department Quality Assurance and Performance Improvement activities.
Provide leadership and training to new CNA's.