TITLE OF POSITION: Certified Nurse Assistant Click here to view the regulation number
TITLE OF IMMEDIATE SUPERVISOR: REGISTERED NURSE/ DIRECTOR OF NURSING RISK OF EXPOSURE TO BLOODBORNE PATHOGENS – HIGH
Provides personal care and related services in the home, under the direction, instruction, and supervision of the staff nurse and the Director of Nursing. Tasks to be performed by an Attendant must be assigned by, and performed under, the supervision of an RN who will be responsible for the client care provided by the Home Attendant. Under no circumstances may an Attendant be assigned to receive or reduce any intravenous procedures, or any other sterile or invasive procedures, other than rectal temperatures.
Follows the plan of care to provide, safe, competent care to the client.
Helps the client to maintain good personal hygiene and assists in maintaining a healthful, safe environment.
Plans and prepares nutritious meals, markets when instructed to do so by the nurse.
Assists the client with ambulation, as ordered by the physician, and approved, and supervised, by the nurse.
Assists the therapy personnel, as needed, with rehabilitative processes.
Encourages the client to become as independent as possible, according to the nursing care plan.
Attempts to promote client's mental alertness through involvement in activities of interest.
Gives simple emotional and psychological support to the client, and other members of the household, and establishes a relationship with client and family, which transmit trust and confidentiality.
Reports any change in the client's mental or physical condition, or in the home situation, to the staff nurse, or to the Attendant supervisor.
Performs routine housekeeping tasks as related to a safe and comfortable environment for the client, as instructed the professional nurse.
Documents services and promptly prepares a visit report, incorporating documentation in the clinical record, weekly.
Confirms, on a weekly basis, the scheduling of visits so that other necessary visits, by staff members, can be coordinated.
Works with personnel of other community agencies involved in the client's care, as directed, by the nurse.
Attends in-service, as required by regulation.
Taking and recording vital signs, if specified in the plan of service.
The ability to drive and the ability to access clients homes, which may not be routinely wheelchair accessible, are required. Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care. On occasion, may be required to bend, stoop, reach, and move client weight up to 250 pounds; lift and/or carry up to 30 pounds. Must be able to effectively communicate in English.
Use of BP cuff, thermometer and stethoscope. Hand-washing materials
Has access to all client medical records, which may be discussed with the Registered Nurse and the Director of Nursing.
1. Must be able to speak, read, and write English and shall meet one of the following 6 qualifications:
a. Satisfactorily completed a nursing education program preparing for a registered nurse licensure or practical nurse licensure;
b. Satisfactorily completed a nurse aide education program, approved by the Virginia Board of Nursing;
c. Have certification as a nurse aide, by the Virginia Board of Nursing;
d. Has been successfully enrolled in a nursing education program preparing for registered nurse or practical nurse licensure and has currently completed, at least, one nursing course that includes clinical experience involving direct client contact; or
e. Has satisfactorily passed a competency evaluation program that meets the criteria of 42 CFR 484.36 (b). Home attendants of personal care services need only be evaluated on the tasks in 42 CFR 484.36 (b) as those tasks related to the personal care services to be provided;
f. Has satisfactorily completed training using the Personal Care Aide Training Curriculum, 2003 edition, of the Department of Medical Assistance Services. However, this training is permissible for home attendants of personal care services only.
2. Must have a criminal background check.
3. Must have a current CPR certification.
4. Must be free from health problems that may be injurious to patient, self, and co-workers and must present appropriate evidence to substantiate this.
5. Must understand and respect clients including ethics and confidentiality of care.
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