REPORTS TO:         DIRECTOR OF NURSING/

ASSISTANT DIRECTOR OF NURSING

 DUTIES AND RESPONSIBILITIES:

 1.                  Reviews the Pre-Admission screen prior to admission to determine admission acceptability.  Advises Administrator of any questionable admissions.

 2.                  Completes an admission care plan for the resident.

 3.                  Determines the Assessment Reference Date at time of admission.

 4.                  Advises the unit of the “look back” period and provides the unit with the Certified Nursing Assistant worksheet.

 5.                  Schedules assessments for all Medicare residents to meet PPS guidelines, notifies appropriate staff assessment dates and assures that required time frames are met without exception.

 6.                  Conducts the full assessment on or before Day 5.  Coordinates the completion of the Comprehensive Assessment on or Before Day 14.

 7.                  Notifies the Interdisciplinary Team of the Resident Care Plan meeting.  Coordinates the Care Plan meeting.

 8.                  Completes and faxes to the corporate office the Medicare Verification of Funding form in a timely manner (By Day 5 upon admission and upon RUGS III level change during stay).  Coordinates all RUGS III level changes throughout resident’s stay, working closely with Therapy and Nursing.  Communicates all reimbursement level changes to Business Office Manager as soon as pending level change is identified.

 9.                  Identifies potential discrepancies between therapy provides and RUG III claimed on Medicare A residents.

 10.              Runs draft of all MDS’s prior to locking the MDS on all Medicare A residents.

 11.              Assures all MDS’s are transmitted within the required time frames.

 12.              Attends and actively participates in all utilization review and therapy team conference meetings.

 13.            The Manager on Duty will do facility rounds, checking each department and getting reports from the nursing supervisors. Duties will include, but are not limited to, facility tours for prospective admissions, assisting with resolution of resident concerns and overall facility operations

14.              Others responsibilities assigned

 WORK SCHEDULE:

Days; Monday –Friday. May be required to work Evening shift, Night Shift, Holidays, Weekends as needed. We offer competative pay .

 Required to Participate in Manager on Duty Program.

MINIMUM QUALIFICATION REQUIREMENTS:

 ·         Education:                         RN, BSN

 ·         Licensure:                          Licensed in the State of Florida

 ·         Work Experience:             Three years in an LTC facility and experienced in MDS

 ·         Computer Literacy:           Must know basic data entry, MDS software

experience preferred

ESSENTIAL DEMANDS OF THE POSITION:

 ·         Ability to ambulate throughout the facility as needed to complete job responsibilities

·         Ability to sit for time required to complete paperwork duties required

·         Able to work flexible hours

·         Concrete organizational skills

·         Outstanding clinical assessment skills

·         Excellent communication skills

·         Able to work well with staff (Nursing, Therapy, Interdisciplinary team members, Business Office)

·         Understands clinical skills and documentation

 ESSENTIAL ENVIRONMENTAL DEMANDS OF THE POSITION:

 ·         Inside/Outside

·         Heat/Cold

·         Wet/Humidity

·         Noise/Vibrations

·         Fumes/Odors/Chemical Exposure

·         Other Hazards

 REPORTS TO                       Administrator

 PURPOSE OF YOUR JOB DESCRIPTION

To assist in fulfilling the operations and functions of the Business Office of the facility timely and efficiently. Coordination of timely billing and collections of the facility’s Accounts Receivables. Participate in AR reviews with the facility regional representative, the Director of Finance and the Administrator of the facility. Actively participating and assisting the facility team.

 Duties and Responsibilities for Accounts Receivables

       1.       Supervise and manage the following facility staff (HR place “X” where appropriate)

       2.       Billing for all Medicare, Medicaid, Managed Care, Hospice and all secondary claims timely and appropriately.

3.       Follow up on all timely billed claims and document in the facility EMR (electronic medical record) system on the status of the outstanding AR.

4.       Generate monthly private statements for amounts due.

5.       Meet with residents and/or responsible parties regarding private amounts due.

6.       Submit past due private accounts to facility collection agency when appropriate.

7.       Answer and assist residents and/or responsible parties with billing questions.

8.       Receive and file all incoming documents.

9.       Prepare and reconcile monthly accounts receivables for month end close.

10.   Prepare and reconcile yearly Medicare and Medicaid cost report information.

11.   Prepare and reconcile monthly the facility Medicare Bad Debt log.

12.   Prepare and reconcile monthly the facility bank accounts.

13.   Hold weekly AR reviews with any applicable staff to include the Administrator of the facility

14.   Hold weekly Medicaid Pending reviews with any applicable staff to include the Administrator of the facility

15.   Manage the facility Resident Funds Management System (RFMS). Appropriately withdrawing, depositing, posting and reconcile the trust on a monthly basis.

16.   Maintain current and accurate data in the EMR especially relating to billing functions.

17.   Demonstrate respect and compassion with every interaction.

18.   All other duties assigned.

Job Specific Requirements

1.       Minimum, two (2) years’ experience in a skilled nursing home of ALF facility.

2.       Point Click Care experience preferred.

3.       National Data Care and RFMS experience preferred.

4.       Medicaid Pending knowledge preferred.

5.       Must be able to read, write, speak and understand the English language and possess good communication skills.

6.       Must possess the ability to make independent decisions when circumstances warrant such action.

7.       Must possess the ability to handle tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.

8.       Must be able to work harmoniously with other personnel.

9.       Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing sound accounting techniques.

10.   Must be able to carry out and understand written and oral instructions.

11.   Must be knowledgeable of computers, data entry, retrieval and output of information.

12.   Must possess the ability to examine and verify financial documents and reports.

13.   Must not pose a direct threat to the health or safety of other individuals in the workplace.

 Working Conditions

1.       Works in office areas as well as throughout the facility

2.       Able to be mobile which includes lifting up to 20 lbs. of force or force frequently.

3.       Essential physical demands include: lifting, climbing, bending, pushing, standing or sitting, reaching, hearing and speaking. However, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

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

 Education

       Must possess, as a minimum, a high school diploma or its equivalent. Two-year degree preferred.

 REPORTS TO: Director of Respiratory Department

COMPETITIVE WAGES AND NEW GRADS ARE WELCOME TO APPLY!!

 Position Summary: Responsible for direct care, equipment management and other respiratory related duties relevant to delivery of quality care in a safe environment according to the interdisciplinary care plan approach. 

 Qualifications:

1. Current state of Florida license CRT/RRT credentials
2. Acute care and/ or long term care Pediatric and/or geriatric experience
3. CPR certification
4. Proficient in airway and ventilator management for children and/or adults.
5. Ability to communicate effectively
6. Ability to work with others as a team
7. Must be able to function independently
8. Must demonstrate good judgment, tact and patience with others

 Physical Demands/Working Conditions:

1. Sufficient mobility and strength to move freely, to assure patient safety at all times and to assist,

transfer or otherwise move patients and essential equipment Requires standing walking, reaching, bending, kneeling, crouching, pushing, pulling. The position characteristics described are representative of those an employee encounters while performing the essential functions of this job. However, reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

2.     Water exposure through frequent hand washing with soap.

3.     Potential direct exposure to blood, body fluids, infection disease, air contaminants and hazardous chemicals.

General Appearance:

1. Must wear appropriate scrubs and MUST have stethoscope at all times
2. Must be neat and clean with appropriate attire to carry out duties
3. Nails must be trimmed; Jewelry worn should not pose a risk injury.
4. Perfumes and colognes may be respiratory irritant to some and are not allowed.

Responsibilities: 

Carries out all responsibilities according to the policies and procedures of the facility and within the scope of practice of individual licensure, under the direction of the charge nurse Lead Respiratory Therapist.

1. Utilize knowledge and skills to assess and manage the patient respiratory status, including, but not limited to:

a. physical assessment and interpretation-auscultation, performing diagnostic studies (ABG, CBG,etc .), sputum specimens, monitoring and interpretation of SaO2,pCO2, blood gas values, and other diagnostics, assist with procedures, assess patient response to interventions and determine appropriate course of action.

b. airway management-care of artificial airway and cuff, suctioning, positioning, medication      administration, humidification, aspiration precautions.

c. Ventilation management-monitor assess work of breathing, monitor and assess lab values and results of others diagnostic tools, oxygen and medication administration, COPT, postural drainage, monitor and assess patient response to interventions

             2.  Other duties as assigned

DIETARY AIDE 

The following is a list of general duties to be completed in the Dietary department:

Foods are prepared according to standardized recipes and served following proper portion control.

Dietary staff work assigned tray line positions for all meals. Foods are served according to specific daily menus. Tray carts are delivered to meal areas for meal service and collected at the end of use. Resident nourishment's are prepared daily and delivered to designated areas for distribution.

Wash and sanitize all dishes, utensils for all meals. Rack and store appropriately. Record PPD for sanitized and wash temperatures for all meals on dish room form.

Wash and sanitize all pots, pans and equipment to maintain a clean sanitary work environment. Record PPM for sanitized and record on pot sink form all meals. The following is an example of daily items – not inclusive of all that are assigned by position supervisor: rear dumpster area, floors cleaned and mopped, work tables, work stations, dish room, freezer and walk-in area.

Received foods are dated and put in designated locations. Food supplies are distributed to requested locations within the facility. Pulled meats are dated and labeled.

Food waste is prevented and food is served in an attractive, palatable presentation following the individuals’ tray card to meet dietary needs. Foods are served to ensure quality. Prepared food items are dated and stored appropriately for use.

Proper body mechanics are practiced to ensure a safe working environment. Any injuries should be reported immediately to shift supervisor.

The Dietary Aide and/or Porter is an important part of the entire operation of the department. Any of the above stated tasks are guidelines and are no inclusive of all duties that may be requested by the supervisor. The dietary Aide and/or Porter will complete any duties as assigned by the supervisor to maintain the department in a clean and sanitary work condition at all times.

 POSITION:               STAFFING COORDINATOR

 REPORTS TO:         DIRECTOR OF NURSING

SPECIFIC DUTIES:

Responsible for scheduling and staffing of the nursing department

(RN’s, LPN’s and C.N. A’s).  Work closely with the Nursing Office and Administrator to maintain and assure the facility is staffed in accordance with all state and federal guidelines daily. Responsible for new hire orientation and appropriate paperwork completion.

 Education/background:

 A minimum of a high school diploma. Basic computer skills. A general understanding of the daily operations of a skill nursing facility.  The ability to work independently and make sound decisions.

 Job Responsibilities:

1. Bi-weekly scheduling for Nurse’s and C.N.A.’s for Geriatric and Pediatric to be submitted to the Director of Nursing for approval.
2. Assist staff with request for personal time off /emergency time off and scheduling that will not conflict with facility day to day operations.
3. Maintain appropriate staffing levels and adjusting staffing in accordance with facility census.
4. Maintain daily-staffing sheets based on the master schedule and update master schedule with call off’s and changes in staffing needs.
1. Responsible for finding replacements for nursing staff Call-off’s while on duty.
2. Assist nursing supervisor on an On-Call basis to find replacements for crisis situations.
3. Calculating HPPD numbers in accordance with state regulation and maintaining records for facility inspections.  Submit daily records to the Administrator and Director of Nursing, fax to NuVision Management

5. Maintaining individual nursing staff attendance sheets with call offs and leaves of absence.
6.  Assist Director of nursing with hiring of new employees.
1. Interviews
2. Setting up new personnel files and submitting information to bookkeeping for processing and files to DON
3. Maintaining and tracking employee’s evaluation: 90 days and yearly and submitting them to nursing supervisor for completion
4. Monitoring and inform nursing office and staff of need for yearly physicals.
5. Other related duties as assigned

Additional Duties:

1. Bi-weekly Payroll
2. Checking nursing staff time sheets for accuracy and submitting them to bookkeeping in a timely manner
3. Monitoring staff for attendance counsels for absenteeism/ tardiness
4. Assist the nursing office with clerical task-filing or other duties that do not require state license or certificate
5. Additional duties may be given by the Director of Nursing or by the facility Administrator

 Working Conditions:

1.      Sitting, standing, bending, lifting and moving   intermittently during working hours

2.      Works in well lighted / ventilated office areas o the facility

3.      Subject to frequent interruptions

4.      Willingness to work beyond normal working hours, and in other positions temporarily, when necessary

5.      Attend and participate in continuing educational programs

6.      Subject to cuts, bruises, falls, odors, etc.

7.      May be subjected to infectious diseases, substances, contaminated articles, etc.

8.      Communicates with nursing personnel and other department personnel.

Health Requirements:

 Physical and skin test prior to employment.   Must show evidence of good health and free of communicable disease.

1. Must have adequate vision and hearing
2. Annual physical and skin test required
3. Must to able to lift at least 50 lbs, must be able to bend and stretch. Standing and walking most of the day.

Job Description

POSITION: REGISTERED NURSE

REPORT TO: DON/ADON

PURPOSE OF POSITION: As a member of the interdisciplinary team, the Registered Nurse assumes responsibility and accountability for nursing services delivered to all residents of a designated team for one shift. The Registered Nurse provides direct care, administers treatments and medications, organizes and distributes daily assignments to direct care staff consistent with staff competency and each individual resident’s comprehensive resident assessment and plan of care. Supervises direct care staff and makes decisions about resident care needs during shift within scope of clinical competence, consistent with facility policies and procedures. Frequently serves as relief for charge nurse.

MINIMUM QUALIFICATION STANDARDS

Education: Graduate of an accredited school of nursing.

Certificate/Licenses: Current, active license as Registered Nurse or Practical/Vocational Nurse in Florida.

Work Experience: One year experience providing direct care to residents in a long term care setting. Prior Experience as Charge Nurse or similar supervisory experience preferred.

PERFORMANCE REQUIREMENTS:

·                     Knowledge of nursing principles and professional standard of nursing practice and ability to apply to resident specific circumstances. Able to identify, implement and evaluate appropriate objectives and interventions for residents.

·                     Demonstrate competency in clinical skills needed for facility resident population.

·                     Demonstrate competency in physical, behavioral and functions capacity assessment of long term care residents.

·                     Working knowledge of laws and regulations that influence provision of care and services in nursing facilities.

·                     Working knowledge and ability to interpret and demonstrate facility policies and procedures to direct care staff.

·                     Sufficient organizational and interpersonal skills to assign, motivate staff, elicit work out put, improve quality and interact effectively with residents, families, interdisciplinary team members, administration, government officials, consultants and others in addition to staff.

·                     Carries out all duties in accord with the facility mission and philosophy.

·                     Demonstrates knowledge of and respect for the rights, dignity and individuality of each resident in all interactions.

·                     Appreciates the importance of maintaining confidentiality of resident and facility information.

·                     Demonstrates honesty and integrity at all times in the care and use of resident and facility property.

·                     Able to understand and to follow written and verbal directions. Able to express adequately in written and/or oral communication (including documentation in clinical records) with direct care staff, interdisciplinary team members, administration, physicians, and government officials.

·                     Knowledge of emergency and disaster procedures of the facility. Able to locate the nearest exit, to understand and respond to written or oral instruction in case of emergency.

·                     Sufficient mobility to move freely through the building to assure resident safety at all times and to assist, transfer or otherwise move residents of facility out of danger in case of emergency.

·                     Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies on attendance and punctuality and dress code. Able to arrive and to begin work on time and to report for duty on all shifts, weekends and holidays.

·                     Working knowledge and ability to comply with facility policies and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials.

·                     Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time.

·                     Able to respond to change productively and to handle additional tasks/ projects as assigned.

·                     Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.

·                     Reports information to DON/ADON as part of staff performance evaluations.

·                     Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with state and federal laws and regulations.

·                     Completes written 24 hour facility report for team/unit. Gives and listens to verbal shift report making special note of significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints unnecessary use of any drug, incidents, unexplained injuries, medication errors, loss of resident property or evidence of resident or family dissatisfaction.

·                     Informs the resident in advance about care and treatment and any changes to the plan of care.

·                     Immediately informs the residents, consults with the resident’s physician and notifies the designated family member and/or the resident’s legal representative when there is an accident involving an injury which has potential for requiring physician intervention; a significant change in the resident’s physical, mental or psycho social status; a need to alter treatment significantly or a decision to transfer or discharge the resident from the facility. Promptly notifies the resident, designated family member and/or resident’s legal representative when there is a change in room or roommate.

·                     Report relevant information to the DON/ADON including, interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sudden changes in resident behavior (positive and negative). Staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.

·                     Ensures staff fulfillment of Restorative Nursing Measures and documentation on team.

·                     Monitors staff for compliance with OSHA mandates on work place safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first-aide and refers employee to appropriate facility staff member for post-exposure follow-up.

·                     Reports all injuries to self or others to supervisor immediately.

·                     Takes job actions with staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents of other staff members. Reports all job actions taken to DON/ADON promptly.

·                     Attends in-service education programs as assignee. Applies information to job tasks.

·                     Ensures completion of resident charges for supplies utilized on that shift.

·                     Assists DON/ADON with preparation for long term care survey. Attends survey training, interacts with state surveyors as instructed by supervisor.

Plantation Nursing & Rehabilitation Center has both geriatric and pediatric departments. As such, rotations between both departments may be required to ensure the patients receive the level of care that they deserve.

 If I have any questions, I will reach out to my immediate supervisor, the Director of Nursing, or the Human Resources department for assistance.

PHYSICAL, PSYCHOLOGICAL AND ERGONOMIC REQUIREMENTS:

Successful performance of essential functions can best be achieved through consistent application of current knowledge, use of good judgement, common sense, ability to establish and carry out priorities, effective use of interpersonal skills and ongoing communication with residents, staff, families, interdisciplinary team members, and government officials, including state surveyors and ombudsmen.

This job cannot be performed without the stresses associated with an intimate 24 hour residential care environment that delivers care and services primarily to disabled and cognitively impaired residents with an average age of 80 years.  Examples of these stresses include, but are not limited to; shift rotation, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in the nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.

Essential functions are carried out in variety of positions including standing and sitting. To meet residents’ needs. Virtually all positions require the ability to move freely through the building. Stooping, bending, lifting and carrying, as well as other physical demands may be required as described in the Essential Physical Demands of this position.

ESSENTIAL PHYSICAL DEMANDS OF THE TEAM LEADERS JOB:

These are the essential physical demands to perform the essential functions of this job as determined by your job analysis of this position.

·                     MOBILITY:

Ability to move throughout the facility.

·                     LIFTING:

Infrequent assistance in lifting 50 pounds.

·                     CLIMBING/BALANCING:

Minimal stepping up.

·                     STOOPING/BENIDNG:

Frequent.

·                     PUSHING:

Frequent – medical treatment cart.

·                     STANDING/SITTING:

Frequent.

·                     REACHING:

Moderate.

·                     HEARING:

Necessary for communication and observation.

·                     VISION:

Necessary for reading

·                     COLOR VISION

ESSENTIAL ENVIRONMENTAL DEMANDS OF THIS JOB:

These demands document the environment of the specific environment of the job-site for this position.

·                     INSIDE/OUTSIE:

Inside only.

·                     COLD/HEAT:

No Extremes.

·                     WET/HUMIDITY:

No extremes.

·                     NOISE/VIBRATIONS:

No extremes.

·                     DRY/DUST:

No extremes.

·                     FUMES/ODORS/CHEMICAL EXPOSURE:

No extremes.

·                     OTHER ENVIRONMETAL HAZARDS:

The Occupational Safety and Health Administration (OSHA) have determined that certain employees in nursing homes are at significant risk of exposure to blood borne pathogens such as Hepatitis B and Human Immunodeficiency Virus (HIV).Potential contact with blood and body fluids.

Job Description

Licensed Practical Nurse

The L.P.N. assists the Charge Nurse in his/her responsibility for total care within the nursing unit and management of the unit.  Performs all professional nursing duties.  May act as Charge Nurse of the unit with all attendant Charge Nurse Authority and responsibility.  Provides nursing care according to physician’s instructions and in conformance with state approved Florida Board of Nursing Practice, established standards and administrative policies, which may include more than the specific responsibilities list below.

Minimum Qualifications

I.                    Education:

Graduate of a State Accredited School of Practical Nursing and currently licensed to practice as a Practical Nurse in the State of Florida.

II.                 Experience:

1.        Clinical experience, specifically geriatric nursing preferred.

2.        New Graduates eligible.

3.        Must have a sincere desire to work with the ages and physically disabled.

4.        IV certification with in 1 year of hire date

5.        Current CPR certification.

6.        Maintain CEU’s for licensure.

III.              Physical & Health Requirements:

1.        TB skin test and a physical prior to employment, and annually thereafter.  Must show evidence of good health and be free of communicable diseases.

2.        Must be able to read print with visual aides, if required.

3.        Good grooming, with a neat and clean appearance

4.        Pass a 10 panel drug test (Drug free work place)

5.        The ability to safely push 100 lbs. medication cart or a 100+ lbs patient in a Geri, shower or wheelchair.

6.        The ability to bend at the knees and waist while performing medical treatment to patients at least 30 times a day.

7.        The ability to bend and reposition a 100+ lb patient 1 to 30 times per day.

8.        Must be able to respond to the paging system in the appropriate manner.

IV.              Responsible to:

Director of Nursing, Assistant D.O.N., Supervisor and Charge Nurse

V.                Duties:

1.        Check and administer medications and treatments per standards of Florida Nurse Practice Act and facility policy; order medications from pharmacy; maintain narcotic records; count narcotics with nurse from outgoing and incoming shifts.

2.        Assist the Registered Nurse in charge in giving treatments that are more complex.

3.        Maintain resident care plans.

4.        Carry out the resident care plan set forth for each resident.

5.        Maintain accurate records of nursing and medical care received by the resident.

6.        Implement plans through tasks such as wound treatment, monitoring pulse, blood pressure and temperatures.

7.        Resident education.

8.        Assist the Charge Nurse in supervision and management of the unit and assumes the role of Charge Nurse as assigned.

9.        Observe and record the condition of residents.

10.    Encourage and assist residents to participate in activities, which promote physical and emotional well being.

11.    Respond quickly to emergencies.

12.    Perform and specific duties assigned by the Registered Nurse or the Charge Nurse.

13.    Organize staff and work loads

14.    Documentation of the care of the resident.

15.    Make ethical decisions related to consent and confidentiality.

16.    In all cases, nurses need to establish a professional relationship with residents, families, physicians, and other nurses through the community.

17.    Other duties as assigned.

VI.              Working Conditions:

1.        Sitting, standing, bending, lifting and moving intermittently during work hours.

2.        Subject to frequent interruptions.

3.        Willingness to work beyond normal working hours, in other positions temporarily when necessary; i.e.: When CNA staffing is not adequate, will perform CNA duties and sign the back of the daily staffing sheet.

4.        Attend and participate in continuing education programs

5.        Hours as assigned by the Director of Nurses with flexibility of hours to allow staff meetings, inservices or overtime.  Attendance at staff meetings and inservice programs is expected.

6.         

Plantation Nursing & Rehabilitation Center has both geriatric and pediatric departments. As such, rotations between both departments may be required to ensure the patients receive the level of care that they deserve.

If I have any questions, I will reach out to my immediate supervisor, the Director of Nursing, or the Human Resources department for assistance.

NOTE:

Please note that management reserves the right to assign or reassign duties and responsibilities to this job as needed. The essential and marginal functions outlined comply with the Americans with Disability Act (ADA), and all employees are expected to perform their job duties accordingly. While critical features of this job are outlined above, they may be subject to change due to reasonable accommodations or other factors. This job description provides a general overview of the work. It is a partial list of all responsibilities, duties, and skills required for this position.

Job Description

POSITION: CERTIFIED NURSES AIDE

DEPARTMENT: NURSING SERVICES

IMMEDIATE SUPERVISOR: DIRECTOR OF NURSING

GENERAL RESPONSIBILITY:

A Certified Nursing Assistant (CNA) is a professional worker who, under the direction and supervision of a Registered Nurse, carries out simple nursing functions. These include attending the personal needs of residents, procuring and returning equipment, and assisting in the general maintenance of the nursing unit.

DUTIES AND RESPONSIBILITIES:

1.                  Gives hygienic care: bathing, assisting with cleaning teeth, back rubs, providing water to wash hands and face, combing hair.

2.                  Gives, removes and cleans bedpan.

3.                  Prepares residents for meals, assists residents to eat.

4.                  Assists the Nurses in the care of residents as directed.

5.                  Reports all observations concerning residents to a Team Leader.

6.                  Makes beds, occupied and unoccupied.

7.                  Assists patients in moving and turning, and getting in and out of bed, and walking as needed.

8.                  Keeps water pitchers clean and filled with fresh drinking water.

9.                  Assists in keeping department neat and clean by: cleaning bedside unit, cleaning nursing equipment, keeping service areas in order (utility room, linen room, and kitchen).

10.              Assists in keeping residents’ flowers fresh and watered.

11.              Charts pertinent information on flow sheet as directed by Team Leader.

RESPONSABILITIES:

1.      Report on duty promptly at 6:45 am in full uniform including name badge, clock in and report to nurse in charge of unit.

2.      Check assignment, review Instruction Sheets and receive report.

a.                   Get residents ready for breakfast-which night shift has not completed.

b.                  A.M. care – faces and hands washed, teeth or dentures cleaned.

c.                   Bathroom or bedpan before eating.

d.                  Sit residents up in bed with over bed table in place or out of bed to chair.

e.                   Pass trays – assist as needed – fix eggs, butter toast, fix coffee etc.

f.                    Feed residents as needed – report any difficulty in eating or change in appetite to nurse.

g.                  Remove all trays from rooms to be returned to the kitchen.

3.      Get linen ready.

4.      Daily baths and showers to assigned residents. Provide privacy as per regulations. Knock on doors before entering rooms.

a.                   Mouth care – teeth or dentures daily.

b.                  Back care – back rubs, skin care

c.                   Peri-care.

d.                  Report to nurse any unusual findings with resident.

e.                   If resident needs any treatments for decubitus (wound care etc.) the nurse will do these – tell her when resident is ready.

5.      Residents out of bed. Check those who need to be ready for therapy.

a.                   All residents are to be out of bed - unless otherwise ordered by physician.

b.                  All residents are to be dressed appropriately (no holes/rips or torn clothing).

c.                   Residents should be taken to TV room, dining room, activities, physical therapy room or outdoors as tolerated.

d.                  Complete all restorative care as ordered.

6.      Assist with admissions and discharges as necessary.

a.                   Introduce self. Obtain height and weight of resident.

b.                  Bring resident to room and assist to undress and unpack.

c.                   Fill in clothing list and admission sheet completely.

d.                  Escort all discharge residents out of building.

7.      Make beds using covered barrels for dirty linen. No linens on floor.

8.      Assist with lunches (as with breakfast). Encourage residents to eat in the Dining Room.

9.      Report to dining room at 11:30. Prepare residents for lunch. Take assigned residents to the dining room. Ambulate to dining as ordered. Sanitize resident’s hands; offer clothing protectors, or assist resident eating in rooms as assigned. Monitor dining room as assigned.

a.       Pass trays – assist as needed.

b.      Feed residents as needed – report any difficulty in eating or change in appetite to nurse.

c.       Assist residents eating in rooms as assigned; remove all trays from rooms for return to kitchen.

10.  Take breaks and lunches as assigned. If one person goes late it holds the next person up.

11.  Bring residents to activities in the afternoon.

12.  Walk residents as per schedule and to and from dining if able.

13.  Check residents every two hours and provide for toileting, restraint release, change of position tec.

14.  All residents are to receive fresh water and nourishments per policy. Change water sets and clean ice chest per policy.

15.  Review CNA instruction sheet for accuracy – notify nurse of changes as necessary.

16.  Prepare residents for care conferences. Take them with you to conference as assigned.

17.  Afternoon duties:

a.                   Special assignments-utility room, linen, closets, etc.

b.                  Make sure resident rooms are neat – bedside tables clean, bedpans and urinals clean and put away. Closet draws are tidy and neat, clothing on hangers.

c.                   Empty catheters.

d.                  Make all empty beds in your assignment and prepare room for new admission.

e.                   Complete all charting; flow sheets, restorative documentation etc. Notify nurse of any changes or problems.

f.                    All personal items in plastic bags labeled with resident names.

18.  Make final rounds and report off to Charge Nurse notifying her of any resident care issues or needs.

PHYSICAL DEMANDS:

The physical demands described here are reprehensive of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is frequently required to talk or hear.  The employee is required to stand, walk, sit and use hands to finger, handle or feel, reach out with hands and arms, and smell.  All employees of nursing homes may be required to provide lifting and transfer

assistance to patients/residents safely without harming or injuring the resident/patient, yourself, co-workers or others.  This job requires significant physical activities including standing, lifting, bending stooping, pushing, pulling and twisting.  Employees of nursing homes may be required to provide lifting and transfer assistance to residents safely without harming or injuring the residents/patient, yourself, co-workers or others.  Lifting and /or transferring some residents will required use of a lifting device and /or assistance. Specific vision abilities required by the job include closed vision, distance vision, depth perception, and ability to adjust focus.

MINIMUM QUALIFICATION REQUIREMENTS:

·                     Certification or eligible for certification in the State of Florida.

·                     Preference given to the applicant who can provide evidence of previous satisfactory experience as CNA.

·                     Male and female are both eligible.

·                     Ability to meet all health, compliance and competency requirements

·                     Ability to read, write and speak English; and communicate effectively verbally and in writing

·                     Ability to complete required orientation as directed by the facility

·                     Ability to lift, move, push or pull a minimum of 60 pounds.

·                     Minimum of one year C.N.A experience

Plantation Nursing & Rehabilitation Center has both geriatric and pediatric departments. As such, rotations between both departments may be required to ensure the patients receive the level of care that they deserve.

If I have any questions, I will reach out to my immediate supervisor, the Director of Nursing, or the Human Resources department for assistance.

REPORTS TO:           DIRECTOR OF MAINTENANCE

MAIN PURPOSE OF POSITION:

To carry out works required to repair, maintain, and improve the facility and grounds of Plantation Nursing & Rehabilitation Center in order to ensure that we provide an excellent customer experience at all times.

 GENERAL RESPONSIBILITY:

1.         General cleanliness and maintenance of building and grounds.

2.         Carry out any other ad-hoc duties as assigned to meet the needs of the business.

3.           Other related duties as assigned

SPECIFIC DUTIES:

1.         General cleanliness and maintenance of building and grounds:

            A.         Cleans and maintains stairways, storage areas, boiler room and outdoor areas.

B.         Keeps grounds clear of debris and properly maintained.

C.         Performs repairs on doors, walls, floors, and ceilings.

D.        Completes maintenance work order requests in a timely manner.

E.         Painting, caulking, drywall, pressure washing and sealing

MINIMUM QUALIFICATION STANDARDS:

•           Education:                                High School diploma or equivalent

ESSENTIAL PHYSICAL DEMANDS OF THE POSITION:

•           Mobility:                     

•           Lifting:                         Up to 50 lbs.

•           Climbing:                    

•           Bending:                     

•           Pushing:                       Up to 150 lbs.

•           Standing/Sitting:           Approx. ¾ of time of standing

•           Reaching:                    

•           Hearing:                      

•           Speaking:                     Communicates clearly with other employees

 ESSENTIAL ENVIRONMENTAL DEMANDS OF THE POSITION:

·                     Inside/Outside:                                     Repairs and maintains inside and outside

·                     Heat/Cold:                                            Repairs and maintains inside and outside

·                     Wet/Humidity:                                    

·                     Noise Vibrations:                                  Equipment make noises

·                     Fumes/Odors/Chemical Exposure:         Occasional with proper breathing apparatus

·                     Other Hazards:                                     Climbs ladders, works on roof

Freedom from illegal use of drugs, and freedom from use and effects of the use of drugs and alcohol in the workplace.

Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in this position.