CNA Home Care/Long Term Care

TETON COUNTY HOSPITAL DISTRICT•Jackson, WY

4d•$25 - $35•Hybrid

About The Position

Performs age and developmentally appropriate nursing related tasks and services delegated by a licensed nurse to adult and geriatric patient/resident populations. Provides services in the Long-Term Care setting as well as in patients’ homes. After appropriate delegation by the supervising nurse, the nursing assistant shall utilize knowledge of resident rights, legal/ethical concepts, communication skills, safety, and infection control while performing the following: basic nursing skills, personal care skills, basic restorative skills, mental health and psychosocial skills, communication skills and nursing team member skills. Delivers resident patient care according to the Scope of Service for the Sage Living, Home Based Services, Hospice of the Tetons, and Teton Private Care. Fosters a culture of patient/resident safety in all work teams. Practices within the scope of a CNA and complies with standards of practice for long term care facilities.

Requirements

Must have completed an accredited CNA course and have current Wyoming CNA license.
Must complete annual required Home Health Aide training as required by CMS.
If employed as a CNA II, must have completed an accredited CNA II course and have a Wyoming CNA II license.
Effective and professional communication skills.
Good customer service skills.
Wyoming CNA required at time of hire and upon expiration of the credentials.
BLS required at time of hire.
Valid driver's license required at time of hire.
Employee must be physically active including heavy lifting and moving of residents.
Must possess sight/hearing abilities to perform job requirements.
Must possess the ability to push, pull, bend and move patients/residents, equipment, and supplies.
Able to lift up to 50 pounds.
75% of shift spent standing and walking.
Intermittent sitting and computer use.

Nice To Haves

After appropriate delegation by the supervising nurse, the nursing assistant shall utilize knowledge of resident rights, legal/ethical concepts, communication skills, safety, and infection control while performing the following: basic nursing skills, personal care skills, basic restorative skills, mental health and psychosocial skills, communication skills and nursing team member skills.
Delivers resident patient care according to the Scope of Service for the Sage Living, Home Based Services, Hospice of the Tetons, and Teton Private Care.
Fosters a culture of patient/resident safety in all work teams.
Practices within the scope of a CNA and complies with standards of practice for long term care facilities.
Collaborates on the implementation of rehab goals such as ROJM, ambulation, positioning, and turning.
Demonstrates correct use of in-home DME. Seeks assistance when uninformed about a particular piece of equipment.
Aware of psychosocial needs of the patient and the family. Offers emotional support to the patient and family.
Aware of, maintains and supports Patients' Rights in the home.
Provides relief for primary care giver and/or family for short time periods for hospice patients
Maintains knowledge of applicable Home Based Services policies and procedures
Attends all required team meetings for Sage Living, Home Health, and Hospice (IDG meetings)
Submits all required reports and records of hours worked to office in a timely manner.
Consistently communicates effectively with team members to effectively address resident needs and implements the plan of care. This includes communication with team members of the interdisciplinary team on all shifts.
Consistently and accurately completes required documentation for dietary intake, I and O, and aide duties. Records all patient care activities in the patient’s chart per policy. Documents in patient record in a timely manner and according to department protocol.
Actively participates in culture change and implementation of the Eden Philosophy of Care.
Prepares residents for participation in activities and participates with the resident in the LC activity program.
Performs fundamentals of customer service such as answering phones, paging, and relaying messages.
Assists in performance improvement activities in order to improve resident care and professional practice including completing audits and problem solving to improve clinical processes.
Keeps certifications, reorientation and continuing education current. Maintains, develops and updates skills to implement quality care and service to residents and families.

Responsibilities

Provides age and developmentally appropriate personal care to residents (eg. peri care, linen changes, dressing), encourages resident choices and independence within resident's abilities.
Provides interventions to reduce loneliness, helplessness and boredom and it improve resident's quality of life and self-worth. Listens and communicates respectfully with residents and families. Encourages residents to communicate opinions, needs, and choices. Consistently treats residents with respect and provides interventions to maintain resident dignity.
Follows plan of care as noted on daily mini-care-plan sheet and gives input to nurses on any changes that should be made to further individualize plan of care. Prepares residents for meals, offering choices, distributing food and assisting residents as needed. Provides a meaningful dining experience for residents by engaging them in conversation and creating a positive dining environment. Knows resident diet and offers snacks and appropriate hydration to residents. Consistently documents meal and fluid intake.
Makes rounds to anticipate resident needs. Promptly responds to call lights and all other alarms. Assures resident safety including: fall alarm in place and working; call light within reach; staying with resident as required; using gait belt.
Completes resident positioning, lifting, turning, and ambulating according to standards of care and resident's plan of care using proper equipment and tools to facilitate safe care for both the resident and employee. Collaborates on the implementation of rehab goals such as ROJM, ambulation, positioning, and turning.
Consistently follows appropriate infection control practices including hand washing, linen handling, glove use, catheter care, and isolation procedures.
Assists in maintaining a safe and clean environment for residents by reporting malfunctioning equipment, environmental hazards, cleans equipment, keeps hallways clear, and equipment in good working order. Implements fire and disaster plan correctly.
Keeps resident's rooms neat, safe, and clean. Handles resident's personal belongings properly including prosthetic devices, hearing aids, dentures, glasses and clothes.
Checks oxygen for correct flow and makes certain that oxygen is available to meet resident needs.
Provides and/or assists the patient with aspects of personal care, including measuring vital signs and performing non-sterile procedures as instructed by the RN.
Assists with ambulation/transfers using safe body mechanics and according to the plan of care to avoid injury to the patient and/or staff.
Demonstrates correct use of in-home DME. Seeks assistance when uninformed about a particular piece of equipment.
Assists with prescribed exercise programs.
Aware of psychosocial needs of the patient and the family. Offers emotional support to the patient and family.
Aware of, maintains and supports Patients' Rights in the home.
Provides relief for primary care giver and/or family for short time periods for hospice patients
Maintains knowledge of applicable Home Based Services policies and procedures
Attends all required team meetings for Sage Living, Home Health, and Hospice (IDG meetings)
Submits all required reports and records of hours worked to office in a timely manner.
Communicates to nursing staff any changes in resident condition including but not limited to mental status, mobility, positioning needs, skin condition, dietary intake, participation in care.
Consistently communicates effectively with team members to effectively address resident needs and implements the plan of care. This includes communication with team members of the interdisciplinary team on all shifts.
Consistently and accurately completes required documentation for dietary intake, I and O, and aide duties. Records all patient care activities in the patient’s chart per policy. Documents in patient record in a timely manner and according to department protocol.
Actively participates in culture change and implementation of the Eden Philosophy of Care.
Prepares residents for participation in activities and participates with the resident in the LC activity program.
Performs fundamentals of customer service such as answering phones, paging, and relaying messages.
Assists in performance improvement activities in order to improve resident care and professional practice including completing audits and problem solving to improve clinical processes.
Keeps certifications, reorientation and continuing education current. Maintains, develops and updates skills to implement quality care and service to residents and families.