Certified Nursing Assistant

POSITION DETAILS

Part-time with benefits; 64 hours in the two week pay period; 8 hour shifts primarily pms working 2pm to 10:30pm with flexibility to do other shifts if needed; every other weekend rotation; holiday rotation. Starting pay no less than $17 per hour or higher for experience, plus shift differentials of $1.75 up to $5.25 more per hour depending on the day of the week and the time of the shift.

JOB SUMMARY

The Hospice Nursing Assistant participates as a member of the Hospice Team (Physician, Nurse, Nursing Assistant, Social Worker, Chaplain, Volunteer) to provide holistic care to hospice patients and the their families. The Nursing Assistant works under the supervision of, and as delegated by, the RN Nurse Case Manager to provide care consistent with the overall comprehensive hospice plan of care. The Nursing Assistant maintains positive communication with patients, performs delegated care and observes and reports patient responses to care or change in condition within the specified work period.

MAJOR JOB FUNCTION

1. Participates as a member of the Hospice Team to plan and provide holistic care to the hospice patient and family.

1. Provides care consistent with the plan of care and goals identified in the plan.
2. Promptly notifies Nurse Case Manager or Hospice Coordinator of change in patient condition, need or complaint.
3. Works cooperatively with all Team members and respects each Team member's area of expertise.

1. Provides direct care and support to meet the special care and bereavement needs of child, adolescent, adult and geriatric hospice patient.

1. Provides assistance in activities of daily living, including personal hygiene, nutrition, elimination, mobility or ambulation, maintenance of environment, safety and self-administration of medications as assigned by the Nurse Case Manager.
2. Collects vital signs accurately and observes and reports changes in patient condition to the hospice nurse.
3. Provides emotional support to assist patient and family members to cope with the dying and grief process through a calm, caring presence and active listening.
4. Is sensitive to the families/caregivers need to be in control and meet the patient's needs. Respects their need to do things as they feel the dying person would desire. Includes and asks caregivers before cares are done; includes them in doing cares as they desire.

1. Documents and maintains data on the patient record.
2. Completes all education assigned.

1. Attends 100% of mandatory meetings and 80% of Hospice Staff/QI meetings. Views videos/reads minutes of meetings not attended. Attends and documents 12 hours of continuing education/inservice per year. Lists all completed education in education record.
2. Assists in the orientation and education of others. Records completion of orientation skills.
3. Assures adherence to ethical and legal standards of the agency. Is aware of and nursing practice is congruent with the Hospice Touch Mission Statement and Tomah Health Mission and Values. Does not exceed the authority of the Nursing Assistant Certification and follows Tomah Health/Hospice Touch policy and guidelines.
4. Follows safety guidelines as related to body mechanics, hazardous materials and standard and transmission-based infection control and isolation guidelines.
5. Displays behaviors by actions and verbalization that reflect Tomah Health Standards of Behavior. Maintains appropriate boundaries with patients and families and seeks direction when boundaries become blurred or questionable. Is open to change and a positive change agent. Takes ownership and responsibility for their actions, how they impact others and the provision of patient care, and respects the right of the entire team to have a welcoming, safe, and positive work environment.

1. Recognizes personal need for support and notified hospice Social Worker or Hospice Coordinator of needs. Demonstrates self-care behaviors.
2. Demonstrates proficiency in regards to the computer documentation of patient cares and any other related computerized patient information/documentation.
3. Performs all other duties as assigned.

ADDITIONAL MAJOR JOB FUNCTIONS FOR SERENITY HOUSE NURSING ASSISTANT

1. Prioritizes personal care and needs of 1 to 8 residents and families at Serenity House.
2. Plans and assists with household duties and chores and provides a safe environment. Uses House Duty and Safety Checklist as a guide and documents duties completed within the shift. Ensures a non-cluttered, safe environment of house and patient rooms. Does laundry as needed per directions. Makes out work orders as needed for maintenance and repair. Restocks used items. Participates in hand off report at the beginning and end of each shift.
3. Assists with dietary needs. Identifies patient dietary preferences within their ordered diet. Makes meals and snacks ensuring that food is cooked to proper temperature. Serves and assists with feeding as needed and plans for a pleasant atmosphere. Makes and offers snacks, coffee, etc. to visitors. Orders groceries. Dates food and checks and disposes of outdated items.
4. Promotes coping of patient, family and visitors. Aids interaction and enhanced quality of time spent with the patient by offering diversional activities, outdoor time, games, movies, etc. to patient and family.
5. Uses judgment and good decision-making skills to identify the priority of needs and duties. Plans the work schedule for day or night accordingly. Can change focus or plan quickly depending on needs. Can identify when, and does call hospice RN appropriately for assistance, questions or needs. Is a calm and comforting presence even when the work pace is increased or death is imminent.
6. Completes other duties as needed and assigned.

EDUCATIONAL REQUIREMENTS

1. High school diploma or equivalent required.
2. Successful completion of Certified Nursing Assistant program.
3. State Registry identification required.
4. Previous experience preferred.
5. Current certification or eligibility to become BLS certified.
6. Must have access to insured vehicle and have current and valid WI Driver's License if performing cares in the patient's home.

QUALIFICATIONS/SKILLS

1. Excellent verbal and written communication skills.
2. Excellent human relation skills as demonstrated by the ability to interface positively with all customers and employees.
3. Must acquire the knowledge and maintain established competency levels to perform essential nursing practice.
4. Must have the ability to work with frequent interruptions, under stress and with minimal supervision.
5. Needs to possess a high level of intelligence, integrity, sense of responsibility and ability to comprehend and analyze details.
6. Must have proficient computer skills with the ability to operate within a Windows environment.
7. Ability to operate and handle many kinds of complex equipment.
8. Ability to demonstrate clinical competence and maintain current knowledge in caring for child through geriatric patients.

JOB REQUIREMENTS

1. Regularly required to use hands to finger, handle or feel objects, and talk and hear.
2. The CNA is frequently required to stand, walk and reach with hands and arms. The CNA is occasionally required to sit, climb or balance, stoop, kneel or crouch, and detect odors.
3. The CNA must occasionally lift and/or move up to 50 pounds.
4. Good hearing is necessary to receive detailed information through oral communication and to make fine discriminations in sound.
5. Visual acuity is needed to assess color changes, to verify accuracy of written materials.