Department

NURSING FACILITY - 806150

Worker Sub Type

Regular

Work Shift

Pay Grade

107

Job Description

Under the direction of an RN/LPN, provides care and treatment appropriate to the age of patients/residents served as defined and determined through the unit specific Scope of Care, Competency/Skills Checklists, Equipment Skills Matrix, Policies and Procedures and Inservice Training. Maintains safe environment and reports any problems. Supports the Valley Health System (VHS) mission statement. Supports new policies and procedures. Assists when requested in quality review studies. Acts as a preceptor in the orientation of new CNAs.

Duties may include, but are not limited to:

Performs routine basic patient care under the supervision of a registered nurse.

Receives report and/or makes rounds on each assigned patient/resident with the registered nurse/licensed personnel.

Performs and completes assigned tasks accurately.

Assists licensed personnel in the delivery of patient/resident care.

Obtains and records patient’s vital signs and reports to the Nurse.

Recognizes variations in patient/resident condition from what is normally found. Reports observations to the team leaders, i.e., patient complaints, patient behavior or appearance, family complaints.

Assists patient/resident with ADL’s, ambulation, transfers, functional/bed mobility, exercises, application and/or use of equipment or orthotics (for example: prosthesis, AFO, ambulation devices, etc.) according to the established protocols and/or patient/resident plan of care.

Demonstrates understanding of pressure ulcer staging (Stages: I, II, III, IV). Follows skin care/wound protocol (for example: sterile technique, Stage II dressing changes, pressure relief devices/techniques).

Demonstrates understanding of adequate nutrition and hydration for populations served.

Follows continence management protocol (for example: bladder scans, timed voids, Foley management).

Demonstrates the ability to manage the cognitively impaired and/or dementia patients/residents (for example: TBI, dementia, strokes/MI). Utilizes cognitive/communication adaptive techniques (for example: validation therapy, use of compensatory attention/memory strategies, cueing for safety, etc.) for patients/residents with cognitive impairment according to protocols and patients/residents plan of care.

Demonstrates the ability to manage agitated patients/residents (for example: TBI, panic disorder, anxiety, dementia, paranoia, psychiatric history) by working 1:1 with the patient/resident using de-escalation techniques as designated in unit protocols or the patient/resident plan of care.

Maintains accurate, timely and objective documentation (for example: vital signs, ADL’s, weight, intake, output, food intake, restorative, activity) each shift.

Adheres to Infection Control policies at all times.

Maintains a safe, clean environment on the nursing unit.

Reports unsafe and/or broken equipment or practices immediately to appropriate personnel.

Provides input and supports individual care plan goals for patients/residents.

Manages fluctuations in patient/resident load and demonstrates flexibility of work assignments.

Reports completeness of assigned tasks to the nurse at end of shift and, as necessary, otherwise.

Serves as a preceptor to new CNAs on the unit (for example, serves as advisor and coach, shares job duties, offers support, encourages peak performance, role model, assists with care plan implementation and documentation, utilizes organizational roles and responsibilities).

Assists with orientation of new staff (for example: use of adaptive equipment, transfer protocols, continence management, wound care protocols and eating skills) as assigned.

Displays initiative and maintains proficiency in patient care procedures.

Performs task appropriate for the skill level and educational preparation.

Assists other unit members without being asked when own work is complete.

Follows documented policy and procedure in the delivery of patient care.

Participates in patient/resident care conferences, staff meetings and in services (minimum of 10 per year) and nursing committees.

Completes all mandatory certifications and competencies.

Education
High School Diploma or equivalent is preferred.

Certification & Licensure
Registry of the Board of Nursing as a Certified Nurse Aide required. Must be listed on the relevant Registry of the Board of Nursing as a Certified Nurse Aide in Virginia and/or West Virginia based on work location(s) within Valley Health.<