Certified Nursing Assistance (CNA)

Reports to: The Administrator, or SIC, and works directly under the supervision of the RN
Purpose: The Certified Nursing Assistance provides specifically defined, non-medical care services under the supervision of the registered nurse. The CNA provides personal care and home making services. The CNA will conform to all agency policies and procedures including providing care in compliance with the Domiciliary Home Residents Bill of Rights.
Qualifications: The Certified Nursing Assistance will meet the qualifications, and will maintain the qualifications, required by the county and state regulations, including but not limited to:

1. High school diploma or GED program equivalence.
2. State certification for Certified Nursing Assistance, and in good standing on the North Carolina Registry.
3. Nurse Aide Skills checklist validated by RN
4. Completed the training manual for food handling and Safety as designated by county and state regulations. (NCDA Diet manual).
5. General Health requirements: Medical exam including the necessary two-step Tuberculosis test per NC Licensure rules.
6. Current CPR Certification
7. Continuous education of 6 hours per year.
8. Completion of the Infection control module and signed off by RN.

General Responsibilities: The Certified Nursing Assistance duties include the following:

1. Allow residents freedom of movement.
2. Provided residents assistance with bathing, dressing, eating, etc. As needed.
3. Reports to the staff nurse observations and accurately records notes regarding care.
4. Provided residents assistance with personal grooming such as hair, and teeth as needed.

ADDITIONAL THIRD SHIFT DUTIES:

30. Make rounds checking on all residents, upon arrival and hourly afterwards.
31. Meal prep assistance such has cutting and dicing.
32. Cleaning of the common areas including wet mopping.
33. Wash and dry medicine cups.
34. Performing other duties as assigned by the SIC or Administrator.
5. Review and comply with all policy and procedures found in the Senior Retreat policy and procedure manual.
6. Secures medical care for Residents when needed and notifies both the RN and Administrator.
7. Assure that residents are dressed appropriately when in common areas of the home or outside the building.
8. Assist and teach the residents skills in self-help skills such as walking, bathing, dressing and eating.
9. Assist with meaningful activities and daily orientation, including telling day, time, and weather.
10. Routinely inspects, cleans and monitors equipment and supplies to ensure residents safety. Reports any equipment or supply issues to the RN and Administrator as applicable.
11. Obtains, records, and reports vital signs as indicated, including weight, temperature, pulse, respirations, and blood pressure.
12. Provide personal attention such as bedside ice water or other personal attention as requested and appropriate.
13. Assist activities coordinator in carrying out planned activities.
14. Assist in transportation as requested by administrator.
15. Provide assistance to residents to keep clothes in proper order.
16. Strip and launder bedding as needed or on an alternating schedule.
17. Provide clean towels and wash clothes.
18. Maintain Laundry.
19. Provide assistance with emptying urinal, bed pan, or bed side commodes.
20. Make beds as needed.
21. Respond to need requests in a timely manner.
22. Assist residents into and out of bed, wheelchair as needed.
23. Assist resident to dining area, activities area, bathroom, living areas and outside the building as needed.
24. Demonstrates proper awareness of infection control practices by using Universal Precautions as directed in the Universal Precaution training module.
25. Maintains the visitors log and follows the visiting policies.
26. Assure the ‘Resident temporary release form’ is signed by appropriate person.
27. Be familiar with the Domiciliary Home Residents Bill of Rights and assist residents with exercising these rights.
28. All Certified Nursing Assistances that will also be providing care and handle food, or assist in the care of the home must review and sign the additional Job descriptions applicable.
29. Performing other duties as assigned by the Administrator.

CNA/Med Tech

Reports to: The Administrator, or SIC, and works directly under the supervision of the RN
The Medication Technician is responsible for the administration of the dispensing of medication and documenting accordingly. Qualifications:
The Medication Tech will meet the qualifications, and will maintain the qualifications, required by the county and state regulations, including but not limited to:

1. High school diploma or GED program equivalence.
2. State certification for Medication Technician, and in good standing on the North Carolina Registry.
3. Medication Clinical Skills checklist validated by RN
4. Additional Training module completed for the care of residents with Diabetes prior to the dispensing of insulin, signed off by RN
5. General Health requirements: Medical exam including the necessary two-step Tuberculosis test per NC Licensure rules.
6. Current CPR Certification
7. Continuous education of 6 hours per year.
8. Completion of the Infection control module and signed off by RN.

General Responsibilities: The Medication Technician duties include the following:

1. Administers medications exactly as prescribed by the resident’s physician, in accordance with established policies and procedures of Senior Retreat and applicable state/federal regulations.
2. Accurately records and documents the administration of medication, the medication effectiveness, and any noted adverse reactions and side effects.
3. Reports to the staff nurse observations recorded, symptoms and conditions of resident that are related to medication interactions.
4. Review and comply with all policy and procedures found in the Pharmacy and medication policy and procedure manual.
5. Secures medical care for Residents when needed and notifies both the RN and Administrator.
6. Stores medication in a safe and accurate manner in accordance with established policies and procedures.
7. Monitors medication to ensure adequate accountability measures are taken when medications are ordered, received into facility, administered and at change of shift.
8. Routinely inspects, cleans and monitors equipment and supplies to ensure residents safety. Reports any equipment or supply issues to the RN.
9. Obtains, records, and reports vital signs as indicated.
10. Demonstrates proper awareness of infection control practices by using Universal Precautions as directed in the Universal Precaution training module.
11. Maintains the visitors log regarding the release of medication
12. Assure the ‘Resident temporary release form’ is signed by appropriate person and detailed instructions regarding medication are given.
13. Provides and promotes residents rights during administration of medications.
14. All Medication technicians that will also be providing care, handle food, or assist in the care of the home must review and sign the additional Job descriptions applicable.
15. Performing other duties as assigned by the Administrator.