Charge Nurse (PRN) - Humphreys County Care and Rehab

TITLE: DEPARTMENT: SUPERVISOR:

Certified Nursing Technician Nursing Director of Nursing

POSITION GOAL: The CNT provides direct patient care including assisting in activities of daily living, bathing, dressing, and feeding of patients, assists the RN/LPN, and reports all changes in the resident's condition to the Charge Nurse.

ENVIRONMENT: Humphreys County Nursing Home provides multiple levels of care and services to its residents, through a continuing care plan, in an attractive surrounding while offering an array of personal services and activities.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

1. Demonstrates Appropriate Knowledge and skills to Coordinate and Organize assigned work

Maintains and arranges residents room in a clean and orderly fashion as required

• Demonstrates competence in care of specimens and accurately handles

specimens at all times. Notifies appropriate staff when resident complains of pain 100% of the time. Complies with policy changes expeditiously and reports any problems 100% of the time. Adapts procedures to meet adult and geriatric residents' needs 100% of the time. Assists in keeping residents dry (i.e. changes gown, clothing, linen when bed becomes wet or soiled.

Ensures confidentiality of all non-public information and meets any HIPPA requirements. Accurately completes baths, oral hygiene, nail care, foot care, skin care, pressure relief device, feeding and transferring. Carries out medical asepsis during treatments/procedures 100 % of time. Checks all equipment/instruments needed, prior to each procedure, to ensure proper functioning. Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of the facility. Uses correct technique when lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, and lifts according to facility expectations.

Checks each resident at least every two hours or more as requested by the Charge Nurse, to ensure that his/her personal care needs are being met and respond to resident calls, as requested by a resident. Assists residents with bowel and bladder functions.

2. Demonstrates Appropriate Knowledge and skills to Function as a Certified Nurse Aide

• Takes accurate Vital Signs 100% of time as instructed and records in Vital

Stats section of LTC. Records activities of Daily Living correctly 100% of time in LTC.

Positions residents in bed with proper alignment.

• Maintains resident's dignity (i.e. knocks on door prior to entry of room, uses

privacy curtains for bathing and doing procedure 100% of time. Documents and reports all non-functioning equipment and unsafe conditions, immediate to supervisor 100% of the time Anticipates the needs of assigned residents i.e. clean water, clean linens, bathroom needs, and ambulation. Keeps supervisor informed of critical events and/or situations of possible negative outcomes. Performs all procedures according to approved facility policy and procedures. Keeps current on skills and knowledge of assigned areas of responsibilities. Monitors Bowel Movements of each assigned resident each day of work

100% of time and records in LTC accurately and timely 100%. Assist with new resident admissions correctly and timely 100% of the time. Responses to the physical, mental, social and emotional needs of terminally residents and their families. Observes and reports to the Charge Nurse the presence of pressure areas and skin breakdowns to prevent decubitus ulcers. Interacts with co-workers, physicians, residents and all other customers in a manner which encourages harmonious working relationships, enhances the image and reputation of the facility and promotes positive customer relations. Supports the facility's mission statement by dependability in attendance, punctuality, maintaining confidentiality, the timely completion of assignments, and attention to principles of professional ethics and quality service. Has a commitment to professional and personal growth through development

of skills and knowledge, as well as improvement in the facility's performance.

• Ensures the rights, dignity and confidentiality of all residents is maintained.

3. Demonstrates an Understanding of the Federal and State Regulations

Can answer questions correctly when asked concerning expectations of Nurse Aide. Supports cultural practices so long as it does not harm others. Determines critical and non-critical aspects of a situation accurately. Recognizes when to consult with the supervisor for assistance. Reports all accidents and incidents observed on the shift that they occur 100 % of time.

Treats residents and their families with respect, dignity and compassion.

• Assists with emergency situations when needed.

Completes the annual skills inventory checklist successfully each year.

• All other duties as assigned by the Director of Nursing.

SUPERVISION & LEADERSHIP:

Receives guidance with respect to general objectives in the majority of tasks and projects assigned, determine methods, work sequence, and how to achieve objectives of assignments; operates within specific policy guidelines.

EDUCATION & EXPERIENCE:

Prefer six months previous experience Knowledge and experience in the areas of geriatric nursing or related health

programs. Ability to work effectively with health care providers, families, and other

professionals as necessary.

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED TO PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB:

Certified Nursing Technician

SKILLS REQUIRED TO SUCCESSFULLY ACCOMPLISH THE ESSENTIAL FUNCTIONS OF THIS JOB:

LANGUAGE SKILLS: Ability to read and comprehend simple instructions, and short correspondence. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to residents, and other employees.

MATHEMATICAL SKILLS: Ability to add, and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume and distance. Ability to calculate meal percentages.

REASONING ABILITY: Ability to apply sound clinical judgment to carry out effective resident care. Understands simple oral or written instructions. Ability to prioritize and concurrently manage multiple tasks. Ability to identify hazards, make reports and/or implement corrective actions. Ability to respond in a calm, professional demeanor. Ability to work in stressful situations or environment.

COMPUTER OPERATIONS:

Must have some computer skills

PHYSICAL DEMANDS:

AMOUNT OF TIME UP TO 33%

33-67%

NONE

OVER 67%

Stand Walk

Sit

Use hands to handle, feel Reach wl arms and hands Climb or balance Stoop, kneel, crouch, and bend Talk or hear Taste or smell

WEIGHT LIFTED/FORCE EXERTED

AMOUNT OF TIME UP TO 33%

33-67%

NONE

OVER 67%

Up to 10 pounds Up to 25 pounds Up to 50 pounds Up to 100 pounds More than 100 pounds

Any lifting of 35lbs or more requires the use of an assistive device and/or physical assistance.

EXPOSURE CATEGORY

1. Tasks that involve exposure to blood, body fluids or tissues. This includes all procedures or job related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them.

2. Tasks that do not involve exposure to blood, body fluids or tissue, but exposure may be required as a condition of employment. Appropriate protective measures are readily available to these employees when needed.

3. Tasks that involve NO exposure to blood, body fluids or tissue and Category 1 tasks are not a condition of employment.

Humphreys County Care and Rehab is dedicated to providing the best possible care of the sick and elderly.  We will comply in every respect with TItle VI of the Civil Rights Act of 1964 and section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.  Humphreys County Care and Rehab will not discriminate on the basis of race, color, age, handicap, religion or national origin in any activity carried on by the facility affecting the care and treatment of the patients or in the hiring of staff to provide services.  Humphreys County Care and Rehab will not discriminate toward any applicant for admission or employment regardless of source of payment.  Humphreys County Care and Rehab is an Equal Opporunity Employer.  We adhere to all regulations pertaining to the Americans with Disability Act.