Geriatric Nursing Assistant (PRN)

Charlotte Hall Veteran's Home - Charlotte Hall, MD (30+ days ago)4.4


SHIFT: PRN (Various Shifts)

DESCRIPTION

To provide each assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed by your supervisors.

  • Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.
  • Use only authorized abbreviations established by facility when recording information.
  • Report all changes in the resident's condition to the Nursing Supervisor
  • Report all accidents and incidents you observe on the shift that they occur.
  • Ensure that the resident's room is ready for receiving the resident.
  • Greet residents and escort them to their room.
  • Introduce resident to his/her roommate, if any, and other resident's and personnel as appropriate.
  • Make resident comfortable (i.e., put to bed, get water, etc.).
  • Inventory and mark the resident's personal possessions as instructed.
  • Store resident's clothing.
  • Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.
  • Transport residents to new rooms or to the receiving area.
  • Assist with loading/unloading residents from vehicles as necessary. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
  • Report all complaints and grievances made by the resident.
  • Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
  • Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed.
  • Give backrubs as instructed.
  • Assist residents with dressing/undressing as necessary.
  • Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
  • Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)
  • Shave male residents.
  • Keep hair on female residents clean-shaven (i.e., facial hair, under arms, legs, etc.) as instructed.
  • Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
  • Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
  • Make beds (occupied and unoccupied).
  • Put extra covers on beds as requested.
  • Position bedfast residents in correct and comfortable position; turn at least every two (2) hours and as needed.
  • Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.).
  • Maintain intake and output records as instructed.
  • Check and report bowel movements and character of stools as instructed.
  • Collect specimens as instructed ei urine and stool
  • Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).
  • Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
  • Assist in transporting residents to/from appointments, activity and social programs, etc., as necessary.
  • Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
  • Assist residents to walk with or without self-help devices as instructed.
  • Perform restorative and rehabilitative procedures as instructed.
  • Assist in preparing the resident for a physical examination.
  • Weigh and measure residents as instructed.
  • Measure and record temperatures, pulse, and respirations (TPRs), as instructed.
  • Answer resident calls promptly.
  • Ensure that residents who are unable to call for help are checked frequently. Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
  • Assist with the care of the dying resident; provide post-mortem care as instructed.
  • Observe and report the presence of any impaired skin, pressure areas, and skin breakdowns.
  • Report injuries of an unknown source, including skin tears.
  • Provide daily indwelling catheter care.
  • Provide daily perineal care.
  • Give tepid sponge baths.
  • Provide daily Range of Motion Exercises. Record data as instructed.
  • Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place clothing protector, take to/from dining room, etc.).
  • Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).
  • Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).
  • Record the resident's food/fluid intake during meals and as needed. Report changes in the resident's eating habits.
  • Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.
  • Serve between meal and bedtime snacks.
  • Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).
  • Check rooms for food articles (i.e., food in proper container, unauthorized food items)
  • Check residents with safety devices per facility protocol.
  • Release safety devices per facility protocol.
  • Keep floors dry. Report spills immediately.
  • Ensure that you treat all residents fairly, and with kindness, dignity, and respect.
  • Ensure that all nursing care is provided in privacy.
  • Honor the resident's refusal of treatment request. Report such requests to your supervisor.
  • Performs other related assignments as required.
  • Attend departmental and staff meetings as directed or called.
  • Attend and participate in in-service educational classes and on-the-job training programs, etc., as scheduled or directed.

Work Schedule

  • As assigned, including some week-ends, evenings and Holidays.

Working Conditions

  • Works in well-lighted/ventilated areas.
  • Most of the work is performed indoors
  • Is subject to frequent interruptions.
  • The noise level in the work environment is usually moderate.
  • Is involved with residents, personnel, visitors, government agencies, etc., under all conditions and circumstances.
  • Is subject to hostile and emotionally upset residents, family members, etc.
  • Communicates with the medical staff, nursing staff, and other department supervisors.
  • Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
  • May be exposed to bodily fluids, infectious waste, diseases, conditions, etc., including the AIDS and hepatitis B viruses.

Physical Requirements

  • While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
  • Must be able to speak and write the English language in an understandable manner.
  • Collect information through observation, listening, touching, and smelling.
  • Must have auditory ability sufficient to monitor and assess
  • Job requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc.
  • Must be able to move intermittently throughout the work day.
  • Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus.
  • Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance).
  • Must be able to cope with the mental and emotional stress of the position.
  • Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies.
  • Must be in good general health and demonstrate emotional stability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
  • May be required to lift, push, pull, and move equipment, supplies, etc., in excess of fifty (50) pounds.
  • Must be able to assist in the evacuation of residents.

Safety, Sanitation and Infection Controls

  • Assure the assigned work areas are maintained in a clean, safe and sanitary manner.
  • Assure that established infection control and universal precautions practices are observed.
  • Report all hazardous conditions or equipment to your supervisor.
  • Follow established safety policies and procedures.
  • Dispose of refuse daily in accordance with established sanitation procedures.
  • Keep work/assignment areas free of hazardous objects, unnecessary equipment, supplies, etc.
  • Report any accident/incident to your supervisor no matter how minor.

POSITION REQUIREMENTS

Qualifications

  • A minimum 10th grade education.
  • Must be a licensed Geriatric Nursing Assistant in accordance with laws of this state.
  • Must be able to read, write, speak, and understand the English language.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Must possess the ability and willingness to work harmoniously with other personnel.
  • 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 willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident's condition.
  • Must be able to cope with the mental and emotional stress of the position.

Job Types: Part-time, Temporary

Experience:

  • Long Term Care: 1 year

License:

  • GNA