Certified Nursing Assistant CNA 7p-7a

Purpose of Your Job Position

The primary purpose of your position is provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and any other duties that may be directed by your supervisor.

Delegation of Authority

As Certified Nursing Assistant/Geriatric Nursing Assistant you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Job Function

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is an essential function of the position.

Duties and ResponsibilitiesAdministrative Functions

• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc. , as necessary.
• Record all entries on flow sheets, notes, charts, and computer programs in an informative and descriptive manner.
• Use only authorized abbreviations established by the Facility when recording information.
• Report all changes in the resident's condition to the Nurse Supervisor, LPN, or RN, as soon as possible.
• 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 (i. e. , bed made, name tags up, admission kit available, etc. ).
• Greet residents and escort them to their room.
• Introduce resident to his/her roommate, if any, and other residents 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 and unloading residents from vehicles, as necessary.

• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.
• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.
• Cooperate with inter-departmental personnel, as well as other Facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.
• Report all complaints and grievances made by the resident.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.

• Participate in and receive the nursing report upon reporting for duty.
• Follow established policies concerning exposure to blood or body fluids.
• Assist residents with daily dental and mouth care (i. e. brushing teeth or dentures, oral hygiene, special mouth care, etc. ).
• Assist residents with bath functions (i. e. bed bath, tub or shower bath, etc. ) as directed.
• Assist residents with dressing and 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 or toenails). (Note: Does not include diabetic residents. ).
• Shave male residents.
• Keep hair on female residents' clean-shaven (i. e. facial hair, under arms, on 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.
• Assist resident with bowel and bladder functions (i. e. take to bathroom, offer bedpan or urinal. Portable commode, etc. ).
• Maintain intake and output records, as instructed.
• Keep incontinent residents clean and dry.
• Check and report bowel movements and character of stools, as instructed.
• Prepare and fix enemas. Report results as instructed.
• Collect specimens (i. e. urine, sputum, stools, etc. ), as instructed.
• 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 and 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.
• Change dressings, bandages, binders, etc. , as instructed.
• Provide eye and ear care (i. e. warm or cold compresses, eye or ear instillation, cleaning eyeglasses or hearing aids, etc. ), as instructed.
• Assist with the application of non-sterile (moist and dry) warm or cold compresses.
• 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 as promptly as feasible.
• Ensure that residents who are unable to call for help are checked frequently.
• Check each resident routinely to ensure that his or 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.
• Assist new employee in following established Facility policies and procedures.

• Observe and report to Supervisor the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
• Report to Supervisor injuries of an unknown source, including skin tears.
• Provide daily indwelling catheter care.
• Provide daily perineal care.
• Perform nonsterile (clean) vaginal irrigation or douches.
• Assist with the application of slings, elastic bandages, binders, etc.
• Give tepid sponge baths.
• Provide daily Range of Motion Exercises. Record to Supervisor data, as instructed.
• Turn bedfast residents at least every two (2) hours.
• Perform diabetic urine testing, as instructed.
• Provide physical and respiratory therap.