Hospice Homecare CNA PRN

Prisma Health•Greenville, MT

1d•Hybrid

About The Position

Provides personal care and comfort services to terminally ill patients, regardless of their age, and perform related homemaker tasks in the patient/family residences or Cottingham Hospice House, in accordance with the plan of care, as assigned and supervised by the registered nurse.

Requirements

Completion of a nursing assistant or patient care tech program
No experience required
If driving is required for the position, a valid driver’s license; an acceptable motor vehicle record, as defined by the Acceptable Motor Vehicle Record (MVR) Chart; and proof of auto insurance.
Computer skills (word processing and data entry)
Mathematical skills
Familiar with dept. policies and procedures and demonstrates compliance with hospice standards of care, including infection control and bloodborne pathogens.
Knowledgeable in the issues related to death and the normal grieving process and is able to be supportive of patient and family.

Nice To Haves

In lieu of school verification of a nursing assistant training course, may accept current or former state CNA certification as proof of completed state required training at time of hire.

Responsibilities

Bathes patient in the bed, chair, tub or shower providing for patient's privacy, comfort and safety while doing so.
Assists /provides mouth care.
Shampoos, styles and/or combs patient's hair.
Performs basic nail care and foot care.
Shaves patient.
Assists patient to dress.
Assists with ambulation, transfer, use of assistive devices.
Turns and positions patient.
Assists patient to perform range of motion exercises.
Facilitates elimination, assisting patient to use BSC, diapers, bedpan, urinal or to care for indwelling catheter or ostomy appliance.
Facilitates nutrition, assists by preparing meal, feeding patient and/or by offering fluids.
Models competent personal care techniques and communication skills for the caregiver.
Participates in bereavement care by attending visitations/funerals.
Assists the nurse by monitoring the patient's condition and reporting any changes noted to the nurse promptly.
Measure and record vital signs (temperature, pulse, respiration, blood pressure, weight) as designated in POC.
Measures I&O.
Observes and reports changes in skin color, reports any skin tears.
Monitors the condition of non-sterile dressings and with the direction of the RN changes the dressing when needed.
Reports any difficulties with elimination.
Reports any changes in patient's mental status i.e. ability to communicate, level of confusion or any aggressive/agitated behavior.
Utilizes communication skills /listening skills to promote patient comfort with the procedure.
Encourages patient to express needs or preferences in personal care.
Observes and reports patient compliance with safety measures.
Participates in team conference and IDG as requested to discuss patient and caregiving issues.
Reports any changes in patient's physical strength, endurance or coordination that would alter the delivery of care as assigned on the CNA POC.
Performs basic housekeeping duties, as assigned, that promotes hygiene, comfort and safety for the patient and enables the patient to remain in the home or the Cottingham House.
Changes linen and bed clothes; Launders linen, towels and clothing (in home).
Washes dishes and utensils.
Cleans and sanitizes kitchen counters.
Empties out of date food from refrigerator.
Organizes food and supplies.
Delivers medical supplies as requested.
Works with caregiver to remove unnecessary clutter from patient's environment in order to reduce risk of falls.
Cleans and sanitizes durable medical equipment.
Cleans and sanitizes bathroom area.
Runs errands for caregiver/patient as assigned by RN.
Participates in review of QI data and makes appropriate recommendations for improvement.
Manages the agency resources by demonstrating reasonable and efficient use of time, mileage visit schedules and pre-visit activity.
Monitors utilization of medical supplies, maintains adequate supply in the home to meet patient's needs.
Assists in organizing, cleaning storeroom.
Performs other duties as assigned.