The primary role of the Nursing Assistant is to provide assigned residents with routine daily nursing care in accordance with established facility nursing care procedures as directed by clinical supervisors. The Nursing Assistant reports any observed changes in resident condition as they occur. Performs routine resident care duties and tasks delegated by the registered nurse, licensed practical nurse or licensed therapist to meet the physical and psychosocial needs of residents. Provides services in a manner compliant with all state and federal regulations as well as with any applicable facility policies and procedures.
ESSENTIAL FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Nursing Care Functions
a. Assists residents with personal cares, including bathing, dressing, grooming, oral hygiene, bed mobility, toileting and eating.
b. Follows all shift routines, policy and procedures regarding accurate performance of vital signs, weights, etc. Understands/supports Resident Bill of Rights.
c. Delivers meals and assists residents with eating. Records accurate food and fluid intake as assigned. Reports any chewing or swallowing difficulty to the nurse.
d. Assists the resident with the restorative nursing program including but not limited to, passive and active range of motion, ambulation with appropriate assistive devices and use of transfer belt.
e. Uses safety standards at all times in transferring of residents: (a) Uses transfer belt and/or proper mechanical equipment for all transfers/ambulation of residents. (b) Uses proper body mechanics. (c) Ambulates/transfers residents per plan of care. (d) Positions residents to maintain body alignment per policy and procedure and plan of care.
f. Reports promptly to the nurse any changes in the resident condition.
g. Answers call lights promptly and determines residents’ needs.
h. Neatly makes and changes bed linens.
i. Ensures that residents are clean, neatly dressed according to preference or age, and well-groomed.
j. Reports any indication of resident illness to the nurse.
k. Provides any information on changes in skin conditions to the nurse.
l. Follows standard precautions and works within OSHA guidelines. Follows infection control policy/procedure: (a) Follows resident skin care protocol. (b) Properly cleans and stores resident equipment. (c) Maintains sanitary conditions in common areas (e.g., tub rooms, dining areas, hallways). (d) Follows basic principles of linen handling. (e) Follows principles of universal precautions. (f) Follows isolation precautions. (g) Reports any concern related to infection control to nurse.
m. Observe and report any noted changes in mental status to the nurse.
n. Report to charge nurse all incidents/accidents that occur involving employee, residents, and visitors.
o. Treats and ensures that residents are treated with respect and dignity. Shows respect for resident’s right to confidentiality, dignity and privacy.
p. Immediately reports any suspected abuse or neglect per facility policy.
q. Remains aware and takes special precautions to ensure a clean and safe environment for residents and staff.
r. Reports any equipment malfunction to designated employee.
s. Completes miscellaneous tasks related to care of residents (e.g., transporting patients).
t. Reports to nurse prior to shift and at end of shift.
a. Accurately documents vital signs, weights, intake and output as delegated per facility protocol.
b. Utilizes electronic systems of documentation as required per facility policy.
3. Personnel Functions
a. Attends designated nursing meetings as scheduled.
b. Develops and maintains a good working relationship with inter-departmental personnel.
c. Attends educational offerings and obtains at least twelve (12) hours of continuing education a year per state regulations.
d. Follows federal and state rules and regulations governing nursing facilities.
e. Reports emergency situations immediately to nurse.
f. Responds immediately to an emergency. This includes assisting with the evacuation of residents.
g. Establishes and maintains respectful communication with all employees, residents and families.
h. Attends required in-services and completes assigned on-line modules.
i. Uses proper chain of command to communicate concerns.
4. Committee Functions
a. Serves on, participates in and attends various committees and meetings of the facility to enhance interdisciplinary process.
b. Participates/supports activities of facility committees.
5. Other duties as assigned or directed by nurse.
1. High school graduate or equivalent.
2. State approved nursing assistant course completion/certification, or enrollment in approved course per state guidelines.
3. Experience in the long-term care setting preferred.
4. Ability to safely perform the essential functions of the job without harm to self or others.
5. Ability to prioritize duties.
6. Ability to understand and follow work assignments.
7. Ability to work as part of a team.
8. Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.