POSITION SUMMARY: The Certified Nurse Aide (CNA) assists individuals with personal care activities, nutritional needs, and restorative function. CNAs will perform assigned medical and daily living skills tasks, provide individual transportation, and assist with leisure activities. Emphasis will be placed on active treatment goals and achievement of the highest level of function for the individual. CNAs are responsible for adherence to clinical standards of care and organizational policies and procedures.

DUTIES AND RESPONSIBILITIES:

Personal Care Activities

• Performs/assists with personal care activities including bathing, dressing, shaving, toileting, and incontinence care in accordance with program protocols
• Performs/assists with oral care including brushing and flossing of teeth, swabbing gums, denture care, and administration of mouthwash
• Performs/assists individuals with nail care of finger and toenails for non-diabetic individuals
• Assists individuals with snack and meal set up and feeding including but not limited to utilizing prescribed diet textures and consistencies, feeding techniques and adaptive feeding equipment

Restorative Care Activities

• Assists individuals with ambulation including use of gait belts, walkers, rollators, and other devices in accordance with the individual's plan of care
• Applies prescribed braces
• Assists individuals with transfers to and from bed, chair or wheelchair utilizing 2-person transfer techniques and mechanical lifts as needed
• Maintains proper positioning of individuals in bed, therapeutic chair or wheelchair to prevent aspiration
• Maintains every 2 hour (Q2) turning and repositioning for all assigned individuals while on unit including utilizing positioning pillows and tilt in space chairs to relieve pressure and documenting position changes on turning and repositioning worksheets accurately and timely
• Assists the licensed nurse in caring for the dying individual and in providing postmortem care

Monitoring of Physical Status

• Takes vital signs for individuals as specified by the care plan and as needed, and records the results in the individual's chart
• Empties Foley catheters and documents output
• Applies prescribed oxygen therapy devices such as nasal cannula or oxygen mask and monitors placement
• Monitors individual bowel function and maintains documentation of bowel movements documenting changes in bowel function and alerting the nurse
• Observes individual for changes in baseline level of mental and physical function and immediately reports changes to the licensed nurse
• Participates in clinical review sessions with nursing personnel incorporating nursing feedback into performance of duties

Documentation and Reporting

• Completes progress notes, supports/goals data collection sheets, Transfer Sheet (for recording transfer of coverage for 1:1 assignments), Treatment Administration Record (TAR), Unit Alert Log, and Behavioral Support Plan (BSP) documentation as assigned
• Completes Incident Reports per Elwyn policy

Other

• Maintains a clean living area for individuals, including the dining areas and kitchen and completion of all laundry
• Actively carries out building safety routines and takes the initiative to correct safety hazards or reports hazards to proper supervisory personnel
• Implements goals and supports as presented in the individual's wing book to ensure an environment of active treatment
• Maintains individual's room in a neat and orderly manner, ensuring that all equipment is functional and in working order, completing the room checklist; individualizes each individual's personal environment
• Ensures that individual's personal equipment/specialized devices are clean, in good working order, and used correctly. Reports malfunctions, missing, or broken items to supervisor
• Transports individuals to and from day programs, recreational activities, unit based events and medical appointments/procedures
• Trains and assists individuals in constructive use of leisure time. Encourages participation in planned recreational activities
• Assists with shopping for individuals including but not limited to purchasing clothing or personal items for individuals' rooms
• Participates as a member of the Interdisciplinary Treatment Team by contributing information about the needs and skills of the individual for inclusion in the assessment, behavior management and program plans developed for each individual and by monitoring individual progress
• Provides assigned coverage for co-worker's individuals if co-worker is on break or needs to leave the building
• Attends and actively participates in unit based meetings and in-services, clinical rounds, quality improvement activities, and educational training as scheduled
• Remains on duty until relieved by co-worker
• Performs cardiopulmonary resuscitation (CPR), first aid, lifting and transferring, and crisis intervention using agency-trained protocols
• Performs other duties as assigned

IMMEDIATE SUPERVISOR: Program Supervisor

DIRECT REPORTS: None

CONTACTS: Elwyn staff and individuals, family members, funding source representatives, visitors, doctors, community members

EDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:

• High School diploma or equivalent
• Current CNA certificate
• Maintain CPR and First Aid certification
• Experience working with people with disabilities preferred
• Demonstrated ability to work effectively as part of a team
• Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities
• Demonstrated strong attention to detail
• Demonstrated ability to anticipate future needed changes or identify problem areas and take effective actions
• Must be able to perform CPR, first aid, lifting and transferring, and crisis intervention techniques using agency-trained protocols
• Must possess excellent customer interaction, collaboration, and written and verbal communication skills
• Demonstrated basic experience with internet-based programs
• Knowledge of Electronic Health Record (EHR) preferred
• Must have current, valid driver's license in state of residence, three (3) years driving experience in the United States, and acceptable driving record; otherwise-qualified candidate may be considered for non-driving position with less than three years of driving experience in the United States to be converted to a driving position upon completion of said three years

PHYSICAL DEMANDS/ENVIRONMENTAL PROFILE: See Physical Demands Checklist below which represents the general physical demands and environment conditions to which the employee holding this position must meet, in addition to the duties and responsibilities listed above, to successfully perform the essential functions of this job. Elwyn will engage otherwise qualified candidates for this position whose disabilities may require reasonable accommodations to enable an individual to perform the essential functions.

Elwyn reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of duties and responsibilities of the job nor does it constitute a written or implied contract.

Elwyn is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation and identity, gender identity, national origin, citizenship status, genetic information, disability status, military or veteran status, marital or family status, political activities or affiliations, or any other characteristic protected by local, state, and federal law.