At Milton Nursing and Rehabilitation Center, We are currently seeking Certified Nursing Assistants (CNAs) to join our team. Full time, Part Time, and PRN.
The Certified Nursing Assistant (CNA) provides nursing and nursing related services to residents consistent with each resident’s comprehensive resident assessment and plan of care. Resident care is provided according to the “Flow of Care” in a manner that meets the resident's physical, mental, and psycho-social needs and enables the individual to attain or maintain the highest practicable level of functioning. The CNA maintains a "homelike environment for the residents, protects and promotes Resident Rights and assists the person to maintain independence and control to the greatest extent possible.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Participates in the provision of direct nursing care according to the needs of the individual resident under the direction and supervision of the nurse in charge.
Provides direct care to residents to improve or maintain the resident’s abilities according to the resident's plan of care. Incorporates information obtained from report.
Provides care in a manner that protects and promotes Resident Rights, dignity, self-determination and active participation. Offers and respects resident choices in matters of daily routine. Refers to residents by proper names unless resident requests otherwise. Avoids use of all pet names. Handles all resident property with respect.
Assists with the planning, implementation and evaluation of plans of care for assigned residents and reports information about conditions, responses to interventions and suggestions for alternative approaches to the Unit Charge Nurse.
Assists with preparation for state inspections as directed. Attends survey training and interacts with state surveyors as directed by immediate supervisor.
Follows all facility policies and procedures including those related to infection control. Uses personal protective equipment properly whenever indicated.
Records accurate, legible information about resident care and condition in appropriate sections of residents’ records. Records all entries on flow sheets, notes, charts, etc. in an informative and descriptive manner.
Communicates with Unit Charge Nurse about assigned residents regularly throughout shift.
Demonstrates competence in use of proper body mechanics for both upper and lower body. Safely and correctly uses equipment such as gait belts and mechanical lifting equipment for lifting, pulling, and turning residents who may range in weight from less than 80 pounds to over 300 pounds.
Monitors physical environment for safety or fire hazards and corrects or reports potential problems immediately to unit charge nurse. Promptly reports housekeeping and maintenance problems to Unit Charge Nurse.
Reports injury to resident or self to Unit Charge Nurse immediately.
Participate in and receive nursing report upon reporting for duty.
Assists the resident in maintaining or improving function, encouraging independence whenever responsible for the Activities of Daily Living (ADLs) and overall hygiene of the resident: baths, shampoos, shaves, nail care, mouth care, foot care, and peri-care per facility policy.
Activities of Daily Living (ADLs)--Assists with bathing, grooming, dressing, mobility, transferring, and feeding of assigned residents by providing set-up assistance, verbal prompts, physical support or more extensive assistance as more fully described below:
Bathing--Assists with transport of resident to tub or shower; Adjusts water temperature; Washes and dries resident. Dries body thoroughly with clean towels. Maintains privacy for resident at all times.
Dental--Assists resident with daily dental and mouth care (i.e. brushing teeth/dentures, oral hygiene, special mouth care, etc.)
Dressing--Locates, selects, and dons clothing for resident. Assists residents with snaps, zippers, and buttons after donning clothes or removing them. Recognizes clothing in need of repair and communicates clothing needs to resident and to Unit Charge Nurse.
Hair Care--Assist resident with hair care functions (i.e. combing, brushing, shampooing, etc.) Shave male residents. Keep hair on female resident clean shaven (i.e. facial hair, under arms, on legs, etc., as instructed.)
Elimination/Toileting--Promptly assists resident to bathroom according to toileting schedule or, promptly brings clean bedpan or urinal. Opens, removes clothing in preparation, cleans resident if resident is unable to clean self, adjusts clothing, cleans resident and own hands. Measures and records input and output as directed by Unit Charge Nurse and plan of care. Provides catheter care according to facility procedure and infection control policies. Check and report bowel movements and character of stools as instructed. Prepare and give enemas.
Report results as instructed. Keep resident dry (i.e. change gown, clothing, linen, etc., when it becomes wet or soiled.)
Nail Care—Assists resident with nail care (i.e. clipping, trimming, and cleaning the finger/toenails.) (Note: Does not include diabetic residents.)
Rehabilitation--Assists resident or provides range of motion exercises to all joints. Provides weight-bearing assistance or physical support for ambulating. Pushes wheel chair or Geri-chair if needed. Maintains safe environment for mobile resident by removing obstacles, inspecting equipment and reporting defects to Unit Charge Nurse. Monitors resident progress toward treatment goals and reports responses to Unit Charge Nurse.
Transfer--Positions resident for transfer. Uses correct transfer technique and equipment according to plan of care, resident ability and self ability. Obtains assistance of another staff member if needed before transfer.
Eating--Provides set-up assistance for meal tray. Opens, pours, unwraps, and cuts food if resident is unable to help self. Feeds residents who require total assistance according to their plans of care. Actively encourages residents to chew, eat, and swallow if indicated. Socializes with residents during mealtimes. Assists or cleans resident after meals. Serves nourishments and snacks as ordered. Documents and reports food and fluid intake accurately.
Takes residents’ temperature, pulse, respirations, and blood pressure per facility policy.
Maintains restraints per policy, participating in programs to reduce, release, or eliminate restraints.
Use the wristband or photo card file to identify residents before administering treatments, serving meal, etc. as necessary.
Assists at meals - serving, cutting, pouring, encouraging, or feeding as necessary. Passes ice, water, and encourages fluid intake.
Collects specimens as directed by nurse. Cares for catheters. Gives bedpans, urinals; removes, cleans, and sanitizes them as necessary.
Assists in the admission and discharge of residents.
Ensure that the resident’s room is ready for receiving the resident (i.e. bed made, name tags up, admission kit available, etc.)
Makes rounds every two hours on residents, per policy. Answers all call lights promptly, per policy.
Observes and reports patterns of decreased social interaction, angry or sad behaviors, and refusals of treatment to Unit Charge Nurse.
Assists with care after death, per policy. Strips unit and removes equipment after resident transfer, discharge, or death.
Follows infection control guidelines.
Observes reactions and promptly reports changes in physical and mental condition of the residents to the nurse in charge of the unit.
Reports to charge nurse when circumstances prevent meeting resident needs; reports unfinished tasks. Asks for assistance when work assignment is too heavy. Asks for clarification when necessary.
Report all complaints and grievances made by the resident.
Participates in planning to meet the total needs of the residents on the assigned nursing unit on the particular tour of duty.
Assists in the provision of the emotional and physical comfort and safety of the residents.
Assists with the rehabilitation of resident according to the resident’s plan of care. Turns and positions residents per facility policy. Assists residents with mobility or transfer as needed using gait belt, wheelchair, walker, and lifts; assists in transporting residents to and from P/T, Religious Services, and Activities.
Assists with meeting the recreational and spiritual needs of the individual resident.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
Maintains a safe, clean, orderly, and pleasant physical environment throughout the facility. Cares for resident unit - assists in keeping a clean, orderly area, wipes over-bed tables, tops of bedside chests, and straightens drawers and closets. May be involved in cleaning equipment; wheelchairs, geri-chairs, walkers, etc. Reports any Housekeeping or Maintenance problems noted in rooms. Monitors for safety or fire hazards and reports potential problems. Reports anything in need of repair to supervisor.
Participates in unit conferences and in-service education activities.
Attends 12 hours of in-service education provided by the nursing home annually. Applies information to job tasks.
Participates in nursing service activities as requested.
Participates in fire and disaster drills. In the event of an emergency carries out assigned duties to assure resident safety.
Records accurate information in nursing assistant charting, per policy. Records Intake and Output, care provided to residents, and individual residents meal consumption immediately after each meal. Keeps notes to assist with organization of tasks; refers to notes throughout the day.
Carries out all duties in accord with the facility mission and philosophy.
Must be punctual and timely in meeting all requirements of performance, including, but not limited to, attendance standards and work deadlines; beginning and ending assignments on time; and scheduled work breaks, where applicable.
Must maintain courteous, professional and effective working relationships with employees at all levels of the organization.
Must communicate information and state problems or challenges to be resolved in a clear, concise, courteous, nondiscriminatory and professional manner, and be able to provide clarification, as necessary.
Must show respect for the opinions of others and behave in such a way as to ensure an atmosphere free of needless interruptions, difficulty and/or discrimination.
Must receive and provide clear, constructive feedback regarding work performance (to/from individuals or groups) and be able to provide clarification, as necessary.
Must handle in a constructive, non-disruptive manner, the multiple business, organizational and interpersonal changes or stresses that may exist in the employee’s work, work processes, dealings with other personnel, and supervision received. (“Work processes” include but are not limited to, how work is performed, supervised, or distributed; how problems are solved; and how decisions are made.)
Must be sufficiently adaptable to accept and perform in a timely and effective manner work assignments that are outside the normal (day-to-day) routine.
Performs related duties as required. (Related duties as required are duties that may not be specifically listed in the class specification or position description, but are within the general occupational series and responsibility level typically associated with the employee’s class of work.)
Specialized Knowledge & Skills:
To perform the job successfully, an individual should demonstrate the following competencies:
Must be able to read, write, speak, and understand the English language.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be wiling to incorporate them into existing nursing practices.
Demonstrates knowledge of and respect for the rights, dignity, and individuality of each resident in all interactions.
Appreciates the importance of maintaining confidentiality of resident and facility information.
Demonstrates honesty and integrity at all times in the care and use of resident and facility property.
Able to understand and to follow written and verbal directions. Able to effectively communicate with staff members and residents through verbal and/or written means.
Able to interact effectively with individuals who are cognitively and/or physically impaired.
Knowledge of emergency and disaster procedures of facility. Able to locate nearest exit, to understand and respond to written or oral instruction in case of emergency.
Sufficient mobility, and strength to move freely through the building, to assure resident safety at all times and to assist transfer or otherwise move residents of facility out of danger in case of emergency.
Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies on attendance and punctuality and dress code.
Able to arrive and to begin work on time.
Working knowledge and ability to comply with facility policies and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials.
Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time.
Able to respond to change productively and to handle additional tasks/projects as assigned.
Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.
Demonstrates competence in performing all services required of a CNA including providing nursing and nursing-related services to individuals with cognitive impairments.
Able to recognize changes in residents' conditions as evidenced by physical symptoms, verbal expression, or observation of change in mental or psycho-social status.
Ability to exchange information clearly and concisely with the supervisor, managers and co-workers.
Ability to receive guidance, follow work rules and follow safety and security practices.
PHYSICAL, PSYCHOLOGICAL AND ERGONOMIC REQUIREMENTS:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Successful performance of essential functions can best be achieved through consistent application of current knowledge, use of good judgment, common sense, ability to establish and carry out priorities, effective use of interpersonal skills and ongoing communication with residents, staff, families, interdisciplinary team members, and government officers, including state surveyors and ombudsmen.
This job cannot be performed without exposure to the stresses associated with an infinite, 24 hour residential care environment that delivers care and services primarily to disabled and cognitively impaired residents. Examples of these stresses include, but are not limited to: shift rotation, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in the nursing home, death and dying, oversight of state surveyors, ombudsmen, and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.
Essential functions are carried out in a variety of positions including standing and sitting. To meet residents' needs, virtually all positions require the ability to move freely through the building. Stooping, bending, lifting and carrying, as well as other physical demands may be required as described in the Essential Physical Demands of this position.
Work experience/EDUCATION requirements
Education: Sufficient education to demonstrate functional literacy. Successful completion of a state approved nurse aide training and competency evaluation program or a nurse aide competency evaluation program approved by Pennsylvania.
Certificate/Licenses: Acceptable verification of training and competency evaluation from State Nurse Aide Registry. No findings in the Registry concerning abuse, neglect, mistreatment of residents or misappropriation of residents’ property. Active C.N.A License, CPR Certification required.
Work Experience: A Minimum of two years of experience as a Certified Nursing Aide giving personal care to impaired individuals in a health care setting. Long term care experience preferred.
Freedom from illegal use of drugs, and freedom from use and effects of use of drugs and alcohol in the workplace.
Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in this position.
At MIMA , we provide you with the tools and support you need to grow your career in healthcare. We are committed to hiring the best team to serve our patients, while providing an environment that offers challenging, stimulating and financially rewarding opportunities. Competitive salary & benefits, EOE