RNA - Restorative Aide

RNA – Job Duties and Responsibilities

Essential Functions

Interpersonal, Teamwork & Misc.

• Communicates unresolved work-related issues productively & effectively solves problems

• Handles confidential information appropriately and is HIPAA compliant

• Friendly and courteous to residents, co-workers etc, and takes ownership in solving problems (taking initiative where appropriate)

• Works well in a team, owning personally assigned work and assisting wherever needed to get the job done

• Follows established policies and guidelines

• Reliable and predictable attendance

• Other Duties as assigned

Administrative Functions

• Use the wristband or photo card file to identify residents before providing care, serving meals, etc., as necessary.

• Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.

• Use only authorized abbreviations established by this facility when recording information.

• Report all changes in the resident’s condition to the Nurse Supervisor/Charge Nurse as soon as practical.

• Report all accidents and incidents you observe immediately on the shift as soon as they occur.

• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.

• Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.

• Report any known or suspected unauthorized attempt to access facility’s information system.

Admission, Transfer, and Discharge Functions

• Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).

• Greet residents and escort them to their room.

• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.

• Make resident comfortable (i.e., put to bed, get water, etc.).

• Inventory and mark the resident’s personal possessions as instructed.

• Store resident’s clothing.

• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.

• Transport residents to new rooms or to the receiving area.

• Assist with loading/unloading residents from vehicles, as necessary.

Personnel Functions

• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.

• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.

• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.

• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.

• Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.

• Report all complaints and grievances made by the resident.

• Notify the facility when you will be late or absent from work.

• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals to your supervisor.

• Report known or suspected incidents of fraud to the Administrator.

• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screensaver activates within established facility policy guidelines.

Nursing Care Functions

• Participate in and receive the nursing report upon reporting for duty.

• Follow established policies concerning exposure to blood/body fluids.

• Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).

• Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed.

• Assist residents with dressing/undressing, as necessary.

• Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).

• Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). (Note: Does not include diabetic residents.)

• Shave male residents.

• Keep hair on female residents clean shaven (i.e., facial hair, under arms, on legs, etc.) as instructed.

• Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).

• Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.

• Make beds (occupied and unoccupied).

• Put extra covers on beds as requested.

• Position bedfast residents in correct and comfortable position.

• Assist resident with bowel and bladder functions (i.e., take to bathroom, offer bedpan/urinal, portable commode, etc.).

• Maintain intake and output records as instructed.

• Keep incontinent residents clean and dry.

• Check and report bowel movements and character of stools as instructed.

• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).

• Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).

• Assist in transporting residents to/from appointments, activity, and social programs, etc., as necessary.

• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.

• Assist residents to walk with or without self-help devices as instructed.

• Perform restorative and rehabilitative procedures as instructed.

• Assist in preparing the resident for a physical examination.

• Weigh and measure residents as instructed and per policy

• Measure and record temperatures, pulse, and respirations (TPRs), as instructed.

• Answer resident calls as promptly as feasible.

• Ensure that residents who are unable to call for help are checked frequently.

• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.

• Assist with the care of the dying resident.

• Provide post-mortem care as instructed.

Special Nursing Care Functions

• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).

• Report injuries of an unknown source, including skin tears.

• Provide daily indwelling catheter care.

• Provide daily perineal care.

• Assist with the application of slings, elastic bandages, binders, etc. as assigned (Restorative Aid function)

• Provide Bed Bath per resident needs/wishes

• Provide daily Range of Motion Exercises. Record data as instructed.

• Reposition residents at least every 2 hours or more frequently according to individual plan of care

• Turn all medications found in the resident’s room/possession over to the Nurse Supervisor/Charge Nurse.

• Watch for and report any change in room temperature, ventilation, lighting, etc.

Restorative Nursing Assistant Functions

• Directs and assists in transfer and ambulation techniques and range of motion exercise activities

• Directs and assists in the use of walkers or other assistive devices

• Coordinates self-help training

• Coordinates or assists with other restorative functions

• Evaluates progress documents daily, weekly, monthly and as needed

• Participates in care planning

Food Service Functions

• Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.).

• Serve food trays. Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).

• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).

• Record the resident’s food/fluid intake. Report changes in the resident’s eating habits.

• Keep residents’ water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.

• Serve between meal and bedtime snacks.

• Perform after meal care (i.e., remove trays, clean resident’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).

• Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc.).

Staff Development

• Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant.

• Attend and participate in scheduled orientation programs and activities.

• Attend and participate in facility in-service training programs as instructed.

Safety and Sanitation

• Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids.

• Wash hands before and after performing any service for the resident.

• Keep the nurses’ call system within easy reach of the resident.

• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.

• Follow established safety precautions in the performance of all duties.

• Keep residents’ personal possessions off the floor and properly stored.

• Keep floors dry. Report spills immediately.

• Keep excess supplies and equipment off the floor. Store in designated areas

• Wash wheelchairs, walkers, etc., as instructed.

• Clean, disinfect, and return all resident care equipment to its designated storage area after each use as assigned

• Perform routine housekeeping duties (i.e., clean bedrails, overbed table, night stand, etc., that relate to nursing care procedures).

• Before leaving work area for breaks, or at the end of the workday, store all tools, equipment, and supplies.

• Report all hazardous conditions and equipment to the Nurse Supervisor/Charge Nurse immediately.

• Report all safety violations.

• Follow established smoking regulations. Report all violations.

• Report any communicable or infectious disease to the Director of Nursing Services and/or to the Infection Control Coordinator.

• Follow established isolation precautions and procedures.

• Wash hands before entering and after leaving an isolation room/area.

• Follow established procedures in the use and disposal of personal protective equipment.

• Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.

• Report missing/illegible labels and MSDSs to your supervisor.

Equipment and Supply Functions

• Use only the equipment you have been trained to use.

• Operate all equipment in a safe manner.

• Use only the equipment and supplies necessary to do the job. Do not be wasteful.

• Report defective equipment to the Nurse Supervisor/Charge Nurse.

• Inform the Nurse Supervisor/Charge Nurse of your equipment and supply needs.

Care Plan and Assessment Functions

• Follow the care plan to deliver care plan in accordance with patient needs

• Provide resident care according to care plan/KARDEX review (review care plan/KARDEX and get prior shift report prior to delivering care)

• Inform the Nurse Supervisor/Charge Nurse of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.

• Ensure that your notes reflect that the care plan is being followed.

Budget and Planning Functions

• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Resident Rights

• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.

• Ensure that you treat all residents fairly, and with kindness, dignity, and respect.

• Ensure that all nursing care is provided in privacy.

• Knock before entering the resident’s room.

• Report all grievances and complaints made by the resident to the Nurse Supervisor/Charge Nurse.

• Report all allegations of resident abuse and/or misappropriation of resident property.

• Honor the resident’s refusal of treatment request. Report such requests to your supervisor.

Physical Capabilities

• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

• Must meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination.

• Must be able to lift a minimum of 25 pounds.

• Must be able to lift up and over 100 pounds with assistance according to resident’s abilities.

• Must be able to move intermittently during working hours.

• Must be able to stand and walk for extended periods of time.

• Must be able to bend, squat, push, stoop and pull as needed especially in fulfilling resident care activities.

• Must be able to cope with the mental and emotional stress of the position.

Environment Conditions

• Inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure, and potential exposure to bloodborne pathogens.

• This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population.

• Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.

• HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).

Job Type: Full-time

Pay: From $23.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Physical Setting:

• Acute care
• Long term care
• Nursing home
• Rehabilitation center

Experience:

• Caregiving: 1 year (Preferred)

License/Certification:

• CPR Certification (Preferred)

Work Location: In person