Job Opening

Certified Nursing Assistant

CNA Job Duties and Responsibilities:

• Assists with everyday activities. This includes delivering meals to patients, turning and ambulating them, and providing plenty of fresh water, as well as additional nutrition in between meals
• Assists patients in their personal hygiene completion
• Provides bedpans, as well as assistance with baths, shampoo, and showers
• Provides ice packs, non-sterile dressings, and therapeutic baths as needed for the patient
• Checks vital signs and keeps track of daily events in the patient’s chart
• Assists the nurses and other members of the staff as required
• Follows professional standards, policies, and procedures, as well as federal, state, and local regulations and Joint Commission guidelines
• Protects patient information and confidentiality per the HIPAA Privacy Act
• Maintains a safe working environment by adhering to all policies and procedures
• Participates in all training and career enrichment programs

CNA Qualifications:

• Current CNA license
• Eight hours of dementia training
• Updated TB Records — Mantoux and/or Chest X-rays
• Driver’s License
• Social Security Card and Work Authorization
• Green Card
• Passport or Birth Certificate.

Essential Functions/Areas of Accountability:

PHYSICAL/ENVIRONMENTAL DEMANDS:

See ADA Requirements.

Licensed Practical Nurse

LPN Job Duties and Responsibilities:

The majority of tasks performed by an LPN are independent of their workplace environment, while others are solely dependent on healthcare situations. The following are some of the most important LPN roles and responsibilities:

• Keeps track of the patients’ eating habits and how frequently they use the restroom
• Assembles the necessary supplies, such as gastrostomy tubes, catheters, and oxygen
• Dresses wounds, changes bandages, inserts catheters, and administers injections as needed at the bedside
• Takes the patient’s vital signs, like respiration, temperature, blood pressure, and heart rate
• Enters data related to patient records into computer systems
• Admits and bills patients
• Examines patients’ medical histories and conducts interviews with them
• Administers vaccinations and injections to patients
• Educates and encourages patients to avoid unhealthy habits
• Informs patients by mail or phone about the doctor’s order or test results
• Assists registered nurses and other superior nurses in developing the best patient care plan possible
• Discusses the patients’ current problems, allergies, and medications with them; and keeps an eye on their medical records
• Schedules immunizations, vision tests, and nebulizer treatments; and keeps track of TB tests
• Explains the patients’ treatment plans, tests, and diagnoses to them and their families
• Monitors or discontinues the intravenous catheters or intravenous fluids
• Takes verbal orders from the MD (Doctor of Medicine)
• Analyzes patients, reviews the requisition form for requested tests, and sets up the equipment, patient, and puncture site
• Assists with IV set-ups, including validating the solution to be regulated, analyzing the infusion site, monitoring IV function and patient comfort, and terminating the IV at the appropriate time, as directed by the MD
• Answers phones, responds to messages, and performs accurate and precise triage within the scope of licensed practical nursing practice
• Assists in the coordination of patient referrals and new employee training and orientation
• Orders prescriptions from pharmacies and keeps supplies in patients’ rooms

Registered Nurse

Registered Nurse Job Duties:

• Establishes personal rapport with potential and actual patients, as well as other persons, in a position to understand and identify patient care requirements
• Provides emotional, psychological, and spiritual support to patients, friends, and families to create a compassionate environment
• Establishes patient care goals; teaches patients, friends, and family about the condition, medications, and self-care skills; and answers questions to promote patient independence
• Follows the hospital and nursing division’s philosophies and standards of care set by the state board of nursing, state nurse practice act, and other governing agency regulations; ensures the quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and adhering to therapeutic standards
• Utilizes multidisciplinary team strategies to solve patient problems and needs
• Maintains a safe and clean working environment by following procedures, rules, and regulations and requesting help from healthcare support personnel
• Adheres to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations to protect patients and employees
• Maintains nursing team continuity by documenting and communicating actions, irregularities, and ongoing needs
• Maintains patient trust and protects operations by keeping information private
• Completes preventive maintenance requirements, follows manufacturer’s instructions, troubleshoots malfunctions, calls for repairs, maintains equipment inventories, and evaluates new equipment and techniques to ensure equipment operation
• Checks stock to determine inventory level; anticipates needed supplies; places and expedites supply orders; verifies receipt of supplies, and uses equipment and supplies as needed to achieve job results
• Attends educational workshops, reviews professional publications, builds personal networks, and participates in professional societies to keep professional and technical knowledge current.
• Continues to maintain cooperative relationships between health care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.

Registered Nurse

HHA Job Description:

The Home Health Aide works under the supervision of a Registered Nurse or Therapist and provides services to the client as needed to ensure their personal comfort.

Reports to: Nursing Supervisor

HHA Qualifications:

1. The following requirements must be met:
   • Completion of a 75-hour training program and competency evaluation or;
   • Any competency evaluation/assessment approved by the Commissioner or;
   • Training within another jurisdiction but is equivalent to the 75-hour course aforementioned or;
   • A training program or competency evaluation program that meets the Medicare requirements for Home Health Aides as outlined in Title 42, Section 484.36 of the Code of Federal Regulations.
2. Have satisfied the following requirements:
   • Meet the requirements of Title XVIII of the Social Security Act for Nursing Assistants in nursing facilities that are Medicare-certified, or have completed a Nursing Assistant training program approved by the State of Minnesota, and;
   • Have completed at least twenty (20) hours of supervised practical training or experience as a Home Health Aide in a home setting under the supervision of a Registered Nurse, or have completed the supervised practical training or experience within one (1) month of beginning work as a Home Health Aide, or;
   • Prior to June 1, 1993, had fulfilled and received certification for completion of any approved HHA training program.
3. Be at least eighteen (18) years old.
4. Have demonstrated a passionate and sympathetic attitude toward delivering care.
5. Know how to communicate in English, as well as read and write it well enough to follow the Plan of Care’s instructions and complete the required paperwork.
6. Have the maturity to deal effectively with the job’s demands.
7. Have shown the ability to work with little supervision and make sound decisions.
8. Have shown dependability, tact, and the ability to carry out instructions.
9. Maintain good physical and mental health, including ongoing tuberculosis testing.
10. Can provide proof of U.S. Citizenship or a valid Alien Work permit.

Essential Functions/Areas of Accountability:

1. Carries out simple procedures as an extension of therapy services under the direction and supervision of the therapist
2. Assists with personal care activities, such as bathing, toileting, skincare/nail care, oral hygiene/denture care, shaving, and dressing
3. Assists with ambulation, transfers, and exercise
4. Assists nonambulatory clients with body positioning and transfers
5. Performs household services essential to health care at home that include meal preparation, feeding, laundry, and homemaking
6. Performs medications and treatments for patients under the direction and supervision of the Registered Nurse
7. Aids with bowel and bladder control, as well as devices and training
8. Notifies the Registered Nurse of any changes in the client’s condition or need
9. Completes the necessary paperwork to document the care provided and any pertinent observations
10. Responds to and attends to client requests as soon as possible
11. Follows proper hand washing procedures
12. Effectively communicates with all members of the multidisciplinary team.
13. Maintains a safe client environment
14. Maintains client confidentiality; respects clients and their families
15. Takes part in in-service programs to ensure compliance
16. Accepts and completes assignments for the Agency; uses discretion when accepting assignments
17. As needed, performs other related duties and responsibilities

Medication Administration

1. A Home Health Aide may administer medications, whether oral, suppository, eye drops, ear drops, inhalant, topical, or administered through a gastrostomy tube if the medications are regularly scheduled.
2. Prior to the administration, the Home Health Aide is instructed by a Registered Nurse in the procedures to administer the medications to each client.
3. A Registered Nurse specifies, in writing, and documents in the client’s clinical records, the procedures to administer the medications to each client.
4. Prior to administration, the Home Health Aide demonstrates to a Registered Nurse the Home Health Aide’s ability to competently follow the procedure. The Registered Nurse, then, will document this competency and include this in the HHA’s personal file.
5. In the care of pro re rata (PRN) medications, the administration of the medication is reported to a Registered Nurse either:
   • Within 24 hours after its administration or;
   • Within the Registered Nurse’s specified time period before the administration

NOTE: PRN medications are the medications the client has been prescribed to take for their health maintenance.

Delegated Medical or Nursing and Assigned Therapy Procedures

A Home Health Aide may perform delegated medical or musing and assigned therapy procedures if:

• Before the assigned procedure, the HHA has been instructed by their RN or a leading Therapist to properly perform client care procedures
• The RN or leading Therapist has specified, in writing, the tasks and instructions that should be performed by the HHA.