Summary Description: To provide routine daily nursing care and services that support the care delivered to patients/residents residing in the facility in accordance with the established nursing care policy and procedures and as directed by the supervisor. Essential Functions and Responsibilities: 1. Works utilizing guidelines established by the facility policy and procedures. 2. Provides care as directed by the nurse to patients/residents residing in the facility. 3. Safety concerns are identified, and appropriate actions are taken to assure patient safety. 4. Reports to the nursing supervisor any observations and pertinent information related to the care of the patient/resident. 5. Documents observations related to patient/resident care, per facility standard. 6. Provides services that support the care delivered to the patient/resident. 7. Provides input in the formulation and evaluation of standards of care. 8. Participates in the development of unit objectives. 9. Participates in the identification of staff educational needs. 10. Conducts self professionally in compliance with unit and facility policies. 11. Participates in the performance improvement process, and activities. 12. Performs other related duties as assigned or requested. 13. Maintains patient/resident care supplies, equipment, and environment. 14. Serves as a preceptor to new CNA staff, as delegated. 15. Works rotating shifts, holidays, and weekends, as scheduled. 16. Maintains knowledge of equipment set-up, maintenance, and use (i.e., restraints, monitors, drain devices, lifts, weight machines, etc.). 16. General Patient/Resident Care A. Correctly identifies patient/resident prior to care. B. Ensures that patients/residents are approached in a kind, gentle, and friendly manner. C. Consistently provides respect for the patient's/resident's dignity and privacy. D. Maintains confidentiality of all patient/resident information. E. Reports all grievances and complaints made by the patient/resident to the Charge/Staff Nurse. F. Provides assistance with admissions/transfers/discharges. 1. Strips room after patient/resident is transferred/discharged. 2. Moves patients/residents to accommodate unit needs. _ 2 G. Transports specimens to the appropriate areas. H. Re-stocks patient/resident rooms 1. Keeps rooms neat and orderly. 2. Removes excess supplies and linen. I. Reviews care plans as directed to determine if changes in daily care routine were made. J. Provides assistance with patient/resident care as directed but not limited to: 1. Giving baths. 2. Changing linens. 3. Properly positioning patients/residents. 4. Offering hydration. 5. Giving AM and PM care. 6. Taking vital signs. K. Assists with restorative programs as directed: 1. Positioning and alignment 5. Range of motion 2. Skin integrity 6. Activities of daily living 3. Bowel and bladder 7. Dining 4. Ambulation 8. Emotional needs L. Ensures that hallways are kept clear of equipment or that it is kept on one side. M. Maintains the unit in an orderly fashion. N. Distributes and picks up meal trays. O. Assists in feeding patients/residents at meal times, as directed. P. Distributes, labels, and removes bedpans, urinals and emesis basins as requested. Q. Collects routine specimens as directed. R. Assists with treatments as directed. S. Promptly answers patient/resident call lights. Provides appropriate responses to requests. T. Promptly removes full linen and trash barrels from unit. 17. Maintenance of Supplies/Equipment A. Operates all equipment safely; only uses equipment for which training has been received. B. Reports defective equipment to the nursing supervisor. C. Ensures vacant rooms are neat in appearance. D. Maintains the nurse's station: 1. Maintains supplies at par levels and arranges in an organized manner. 2 Keeps nurses station neat and orderly. 3. Empties full waste containers. E. Accounts for equipment on round and notifies nursing supervisor of any missing equipment. F. Ensures the patient's/resident's environment is safe and clean. G. Keeps shower rooms neat and clean. 18. Adherence to facility procedures A. Performs appropriate procedures according to established method in the Standards of Practice or reference manual. B. Utilizes body substance precautions and other appropriate infection control practices with all activities. C. Follows safety guidelines established by the facility. 3 D. Reports all accidents or incidents observed on the shift on which they occur to the nursing supervisor. 19. Documentation A. Document per facility policy. B. Accurately records vital signs on the appropriate form. C. Accurately records intake and output on the appropriate form. D. Records patient/resident weights on the appropriate form. E. Maintains CNA flow sheet as applicable. F. Documents restorative program and progress towards goals. G. Uses only Company-approved abbreviations when recording information. 20. Communication A. Reports all changes in a patients/residents condition as soon as possible to the nursing supervisor (LPN/LVN/RN). B. Reports to nurse supervisor prior to leaving assigned area. C. Attends staff meetings if on duty. Reads and initials minutes if not on duty. C. Reports patient/resident/employee/unit problems to the nursing supervisor. 21. Professionalism A. Makes decisions that reflect both knowledge and good judgment. B. Shows evidence of awareness of own limitations and seeks assistance when necessary. C. Adheres to dress code and facility attendance policy. D. Attends committee meetings, if assigned. Reports related to the committee are given during staff meetings. E. Takes responsibility for own professional growth. Attends and participates in all scheduled training, educational and orientation classes, programs and activities including annual mandatory classes. F. Follows work schedules and completes assigned tasks according to the established standards of the facility. G. Notifies the nursing supervisor when tardy or absent from work within established facility time frames. H. Demonstrates organizational ability and time management. I. Respects confidentiality of patient/resident at all times (i.e., when answering telephone and/or speaking to co-workers). J. Cooperates with interdepartmental personnel to ensure that the needs of the patients/residents are met and maintained. 22. Human Relations A. Demonstrates a positive working relationship with patients/residents, visitors and facility staff. B. Acknowledges authority and exhibits appropriate response to the direction of supervisors. C. Spends time with patients/residents rather than other personnel. D. Readily assists co-workers as needed. Other Duties: 1. As this job description is not intended to be all-inclusive, the employee will be expected to perform other essential functions and duties as assigned. _ 4 Standard Responsibilities: 1. Supports the Facility. 2. Is knowledgeable of patient/resident rights and promotes an atmosphere which allows for the privacy, dignity and well-being of all residents in a safe, secure environment. 3. Supports, cooperates with, and implements specific procedures and programs for: A. Safety, including precautions and safe work practices, established fire/ safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs. B. Confident