Geriatric Nursing Assistant GNA CNA1

FAHRNEY KEEDY Boonsboro Maryland / near Hagerstown

New higher pay scale !

GNA !! GNA !! GNA !!

Full or Part time

$19.00 - $23.00 evening or night shift plus generous applicable shift differentials

$21.00 - $25.00 for FULL TIME DAY SHIFT

8, 10, or 12 hour shifts for day shift

Also $1,000 sign on bonus for full time day shift (payable upon completion of a successful orientation.)

Top 15 Nursing Home in Maryland

Geriatric Nursing Assistant

All Shifts !!

Full Time, Part Time

SUMMARY

Provide practical established nursing assistant skills to residents, following policies and procedures of this facility. Assist nurses and supervisory staff in the resident care on the unit. Providing quality care by checking resident and room to insure the care required is safe and done in a timely manner. Units must be kept neat and tidy. The nursing assistant must possess good communication skills with all levels of staff, as well as, visitors, family members and consultants. The nursing assistant will respect the resident confidentiality and support resident Bill of Rights. Attending in-service educational classes is a part of your regular assignment of duty and record of attendance will be kept.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Attend and participate in change of shift report and make walking rounds with off/on coming shift.
• Answer signal light and bells on a timely basis to determine the resident's need.
• Assist resident with bath functions (bed bath, tub or shower) as directed by the resident's preference and care plan.
• Assist resident with daily dental and mouth care (brushing teeth, dentures, oral hygiene, and special mouth care).
• Assist resident with dressing and undressing.
• Assist resident with nail care (clipping, trimming, and cleaning fingernails).
• Shave male residents.
• Keep hair on female resident's clean (facial, underarms, and legs) as desired by the resident.
• Assist residents with hair care (combing, brushing, shampooing, styling) when not provided by the beautician.
• Keep residents dry (change gown, clothing, linens) when wet or soiled; following correct procedures for the use of disposable incontinence products.
• Change bed linens per facility schedule and policy. Make beds - occupied and unoccupied. Make sure air mattresses are inflated.
• Turn and position bedfast residents every 2 hours or as otherwise indicated, maintaining proper body alignment and using correct positioning devices.
• Assist resident with bowel and bladder functions (taking to the bathroom, offering urinal, or bedpan).
• Maintain Intake and Output records as directed.
• Keep water pitchers clean and filled with ice water, straws and within easy reach when ordered.
• Check and report bowel movements and character of stool as instructed.
• Assist residents in preparing for activity and social programs. Check daily calendar of events and ensure that the resident is ready to participate when indicated. Transport residents to and from activities in the facility.
• Assist with lifting, turning, positioning, transferring residents into and out of bed, chairs, bathtubs, wheelchairs, lift, etc.
• Assist residents to walk using devices design to assist (canes, walkers, chairs, gait belts, etc.) as ordered.
• Weigh and record weights as assigned., measure and record temperature, pulse, blood pressure and respiration (TPR)
• Assist residents with eyeglasses and hearing aides.
• Answer call lights promptly and keep call bells within resident's reach.
• Assist with the care of the dying resident.
• Knock before entering the resident's room to ensure privacy of resident.
• Treat all residents fairly with kindness, dignity and respect and ensure all nursing care is provided respecting the privacy of the resident.
• Report all allegations of resident abuse and/or misappropriation of resident's property.
• Honor the resident's refusal of treatment request and report such requests to the Nurse/Patient Care Coordinator.
• Offer resident liquids to drink/hydration frequently throughout each shift, unless resident on fluid restriction
• Clean up any spills, spatters, messes (including BM and urine) made while providing ADL's and completing toileting rounds

SPECIAL RESIDENT CARE FUNCTION

• Observe and report the presence of pressure areas and skin breakdown.
• Provide preventative skin care by the application of skin barrier products to residents at risk.
• Report injuries of an unknown source, including skin tears.
• Provide daily indwelling catheter care.
• Provide daily and as needed care.
• Assist with the application of hand cones, splints, binders, slings and other devices.
• Provide daily Range of Motion Exercises.
• Report changes in resident's condition and behavior.
• Apply protective devices correctly and as ordered. Release protective devices and reposition resident every 2 hours.
• Use assistive and positioning devices to assure proper position such as pillows, cushions and wedges to prevent skin breakdown and contractures.
• Prepare residents for meals - take to the bathroom, wash hands, position in bed, take to the dining room, place bibs, etc. ALL NURSING ASSISTANTS MUST PARTICIPATE IN DISTRIBUTION OF TRAYS IN A TIMELY MANNER.
• Trays are served to all residents at the same table before moving to the next table.
• Trays are color coded for feeding level and ensure the resident is being served proper diet as ordered.
• Assist with feeding - cutting foods, encouraging, prompting, and pouring beverages, seasoning.
• Spoon-feed residents, sitting at the resident's level and SYRINGE FEED ONLY BY PHYSICIAN ORDER.
• Assist resident with identifying food on tray, offer substitutes and inform kitchen when they are needed.
• Record food and fluid intake and meal percentage on the flow sheets, reporting any changes in eating abilities to the Nurse.
• Follow dysphasia protocols as indicated for residents with difficulty swallowing.
• Perform after meal care - remove trays, clean residents with difficulty swallowing.
• Assist resident in consuming snacks and other nourishment.
• Ensure all linen carts empty - down laundry chute - by 7:30 a.m. and 11:00 a.m. as Laundry department unable to collect dirty linens from nursing units while meal carts on units
• Assure clothing protectors removed from residents directly after meal is complete and sent to laundry in a timely manner

INFECTION CONTROL

1. Use proper hand washing technique and infection control measures.

2. Follow established isolation precautions and procedures.

3. Follow established procedures in the use of personal protective equipment.

4. Maintain a safe, clutter free environment.

5. Keep all poisons (medications, creams, lotions, cleaning solutions) locked and out of reach of the residents.

6. Keep resident's personal items out of the bath and tub rooms.

7. Keep floors dry, clean up spills immediately.

8. Before leaving work area store all equipment and supplies.

9. Follow established safety precautions in the performance of all duties.

10. Report all hazardous conditions and equipment to the Nurse/Patient Care Coordinator immediately.

11. Participate in fire and disaster drills.

12. Follow established smoking regulations and report all violations.

13. Report any communicable or infectious diseases to the Nurse/Patient Care Coordinator.

14. Operate equipment in a safe manner and report defective equipment to the Ward Clerk/Nurse.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Attends and participates in continuing education programs.

LANGUAGE SKILLS

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Must possess the ability to deal tactfully with personnel, residents family members, visitors, government agencies/personnel, and the general public. Must be able to relate information concerning a resident's condition.

COMPUTER SKILLS

Enter, adjust and retrieve data using a microcomputer or personal computer and keyboard.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Must possess the ability to make independent decisions when circumstances warrant such action.

CERTIFICATES, LICENSES, REGISTRATIONS

Listed in good standing on the Maryland CNA and GNA Registry.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand. The employee frequently is required to walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move up to 50 pounds independently or move up to 100 pounds to a minimum height of 4 feet and be able to push, pull, move and/or carry such a weight a minimum distance of 100 feet with assistance from another or mechanical lift. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and depth perception.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

1. Work throughout the nursing unit.

2. Is subject to frequent interruptions.

3. Is subject to hostile and emotionally upset residents, family members, personnel and visitors.

4. Works beyond normal working hours and on weekends and holidays when necessary and in other positions when necessary.

5. Is subject to call-back during emergency conditions (e.g. severe weather, evacuation, post disaster, etc.)

6. Is subject to the handling of and exposure to hazardous chemicals.

7. Is subject to exposure to infectious waste diseases, conditions, etc. including TB, and the HIV and Hepatitis B viruses.