C.N.A.-M


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Job Number 46404
Posted 4/13/2017
Account Lakewood
Department Lakewood
Location Lakewood, ME 04901
Schedule Regular Part-time
Shift Day/Evening
Hours 2pm-10:30 pm
Job Details Our mission is to enhance the lives of our residents and their families. Such care recognizes the importance of quality service to residents and co-workers. Each employee has the following responsibilities as an individual:

· Responsible - works independently, in a safe and appropriate manner.

· Sensitive - displays sensitivity and empathy to the needs of residents and co-workers.

· Timely - recognizes time as a most valuable resource and responds promptly to residents' and co-workers' needs.

· Accurate - works carefully and precisely, with attention to detail.

· Coordinated - organizes and delivers service in the proper order. Displays good organizational skills and utilizes resources wisely.

· Thorough - meets all requirements of the position. Is able to evaluate and follow-up services.

Summary of Major Functions



The Certified Medication Assistant (C.N.A. - M) is responsible for the administration of certain medications to residents as prescribed for them by their licensed care providers under the direction of the Licensed Nurse, in accordance with State and Federal regulations and facility policy. This position may also entail other nursing directed activities including provision of personal care services, assistance, support and supervision for residents and other designated duties assigned by their supervisor.









Essential Functions and Work Role Responsibilities



Primary responsibility includes the preparation, administration and documentation of medication administered to individual residents, ensuring accuracy of person receiving medication, preparation, route, dosage, form and time of delivery of medication as well as timely documentation of all of the above.

1. Ensures that medication is verified three times prior to its administration. Ensures label on medication contains all documentation required by federal and state legislation and that label agrees with current order.

2. Observes each resident as they take their medication. Ensures medication is

Never left unattended or left with the resident at the bedside.

3. Documents administration of medication in the Medication Administration

Record (MAR) as soon as resident is observed taking medication. Documents any instance when medication is not taken or is refused, as well as the reason for omission and/or refusal and reports these instances to supervisor.

4. Observes, records and reports unusual signs, symptoms or reactions to the nurse Reports all medication errors to supervisor as required by facility policies and

procedures.

5. Takes and records appropriate vital signs whether required before, during or

after administration of medication. These may include temperature, pulse, respirations, blood pressure, oxygen saturation, blood glucose , or level of discomfort, in accordance to medication orders or parameters, and in accordance with facility policies and procedures.

6. Consults appropriate drug references to verify proper drug indication, dosage, route, purpose, storage and administration guidelines and precautions as well as interactions and possible side effects of each medication.

7. Demonstrates knowledge of common terms, abbreviations and symbols related

to medications and their administration.

8 Stores medications in accordance with current federal and state regulations and policies and procedures of the facility. Maintains the security of all drug storage areas at all times. Separates internal vs. external preparations. Maintains separation of individual resident's medications.

9. Observes residents' rights related to medication administration, recognizing the following.

· The right to be informed of the purpose for the medication

· The right to refuse any or all medication

· The right to select their own pharmacy provider

· The right to treatment with dignity and respect at all times.

· Maintains confidentiality of all information in accordance with HIPPA and facility guidelines

· Immediately reports any violations of resident rights, complaints or grievances made by residents or their families to the supervisor.

10. Utilizes appropriate aseptic techniques in the preparation, administration and storage of medication.

· Disinfects hands after administering medication to each resident

· Washes hands with antibacterial soap and water utilizing proper hand washing techniques after the administration of eye preparations

· Utilizes personal protective equipment when there is risk of exposure to blood or body fluids.

11. Assists residents with activities of daily living (bathing, dressing, grooming, etc.) and instrumental activities of daily living, ( housekeeping, minor meal preparation, meal service, laundry, and transportation) as assigned by supervisor.

12. Monitors health, safety and well-being of the residents. Accurately measures resident's blood pressure, temperature, pulse respirations, weight and other appropriate vital signs and records them accordingly. Reports concerns about residents to supervisor and co-workers on a need-to-know basis, maintaining confidentiality at all times.

13. Identifies supplies needed to perform tasks; communicates these needs to supervisor.

14. Practices safe working habits while utilizing all equipment, chemicals, tools and utensils. Reports any equipment malfunctions and or safety concerns.

15. Assists in keeping the environment safe for residents; follows safe working practices and encourages others to do so as well.

· Immediately reports all accidents/incidents and injuries to shift supervisor/administrator and accurately completes incident report and/or workman's compensation report.

· Follows all safety policies and procedures and reports all hazardous or malfunctioning equipment, as well as missing or illegible MSDS chemical labels to person in charge or the administrator.

· Follows established policies and procedures related to infection control and exposure to blood and body fluids. Immediately reports occupational exposures to person in charge and or administrator.

· Uses appropriate personal protective equipment when there is a risk of exposure to blood borne or other potentially infectious material.

16. Provides care for residents within scope of practice of a C.N.A. Documents all provision of care.

17. Attends continuing education programs and facility in-services when required to ensure current, relevant knowledge of issues affecting the elderly, as well as facility policies and procedures.

18. Leaves work area for breaks only as assigned and as expressly authorized by the person in charge.

19. Maintains a positive work atmosphere by behaving and communicating in a manner which promotes teamwork.

20. Provides supervision and assists residents to maintain personal hygiene by:

· Giving complete bed baths, showers, or whirlpool baths

· Caring for teeth or dentures and providing special mouth care as needed

· Combing hair, shaving, trimming nails and applying make-up when desired by resident

· Dressing in appropriate clothing

21. Assures that residents receive adequate nutritional care by:

· Positioning resident so that independent feeding is facilitated

· Feeding residents when necessary

· Encouraging poor eaters and assisting those with marginal food intake to get the maximum benefit from meals and snacks.

22. Assists residents with functions of elimination by:

· Helping and/or reminding the resident to go to the bathroom at appropriate times

· Providing bedpans or urinal as requested or at regular intervals as required

· Participating in bowel and bladder rehabilitation programs as stated in the care plans

· Making proper use of incontinence products and protective pads

23. Assists residents to maintain or improve their level of mobility and prevent problems of immobility by:

· Repositioning residents for their comfort and to prevent pressure sores frequently and at least every two hours

· Assisting with range of motion of all extremities by exercises or activities

· Using good body mechanics to assist a resident who can support his own weight to transfer into a chair or bed and with another staff member to transfer a resident who requires lifting

· Using mechanical life and turning sheets as aids in moving heavy or difficult residents

· Assisting residents with the safe use of walkers, canes and crutches when walking

· Encourage participation in activities and transport of residents to activities of their choice.

24. Maintains a safe, clean environment for the resident by:

· Keeping bed neat, clean and made up with fresh linens as required

· Using physical restraints only when absolutely necessary and demonstrating proper application of vest, belt, geri-chair and specialized restraints

· Disposing of soiled linen and trash in proper receptacle.

25. Provides emotional support on a day to day basis by:

· Using listening techniques, allow residents to verbalize their concerns without being judgmental

· Encouraging participation in recreational programs

· Keeping furniture and personal articles neat and orderly in order to prevent falls and other accidents

· Practicing good infection control practices of frequent hand washing and use of universal precautions when dealing with body fluids.

26. Provides information about the resident's condition and any significant changes by:

· Taking, recording and reporting temperature, pulse, respiration, blood pressure and weights at regular intervals and when indicated by a change in condition

· Reporting anything different or unusual about the resident – rashes, bruises, complaints of pain, vomiting, diarrhea, fever, etc.

· Documenting as required on ADL sheets – special foods and fluids, intake/output, mobility, bladder and bladder restraints, etc.

27. Functions as a member of the facility resident care team by:

· Adhering to dress code and maintaining good standard of personal hygiene and grooming

· Participating in staff development and inservice education programs according to State/Federal regulations

· Sharing/helping with work load and cooperating with other staff members regardless of individual assignments

· Following facility personnel policies and procedures

28. Performs other essential duties as necessary or required

29. Ensures proper use and handling of equipment and supplies





Working Behaviors



1. Adheres to and carries out all policies and procedures

2. Reports on-the-job injuries and or grievances to the supervisor before the end of the shift on the day the injury occurs.

3. Establishes and maintains constructive working relationships with co-workers, residents, families and visitors.

4. Maintains confidentiality of verbal and written information

5. Promotes Lakewood in a positive way

6. Promotes teamwork in the provision of services for residents

Physical Environment

Exposed to all resident elements, including exposure to blood and body fluids and other unpleasant elements. At times, long and irregular hours are necessary. Exposure to hazardous substances is, at times, unavoidable. Frequent multiple tasks and resident needs will be assigned in a rapid fashion.

Physical Criteria/Effort

Work involves standing and/or walking over 70% of the time. There is moderate physical effort in positioning, lifting, or moving residents of various weights and body shapes, with or without assistance. Vision and hearing acuteness is required at all times. Repeated bending, squatting, and stooping is necessary. The incumbent is subject to frustration and fatigue. Manual dexterity to perform all aspects of care and prescribed treatments for residents, including but not limited to preparation of different forms of medication as well as the ability to administer them; also involves manual dexterity to administer personal care and other therapies as prescribed for residents.



Occupational Risks

Occupational injuries may occur from not following policies and procedures regarding exposure to hazardous materials including blood and body fluids and potential injuries from sharp objects, violent individuals, and physical environment. Working with cleaning chemicals and other medicinal/pharmaceutical preparations which may require personal protective equipment.

Probability And Consequences of Errors



Errors in practice can result in negative resident outcome. Probability is contingent upon individual practice. Poor performance will be addressed according to established progressive disciplinary policies and procedures of the facility and the State of Maine.

Minimum Requirements For The Job



· Currently certified and registered with the Maine CNA Registry

· Certification in the State of Maine as a CNA-M

· Training/Experience as a Certified Nursing assistant

Education/Experience



Completion of a state approved program. Previous clinical experience in acute care of long-term care is desirable.

· Certified medication training as outlined by the state

· Experience or interest in working with older adults

· Maturity, friendliness and enjoyment in working with people

· High school diploma or GED, with reading, comprehension and writing ability at 12th grade level or higher

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.
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