POSITION SUMMARY: The Certified Nurse Assistant (CNA) assists residents with personal care activities, nutritional needs, and restorative function. CNAs perform assigned medical tasks, provide individual transportation, and assist with leisure activities. Emphasis is placed on active treatment goals and achievement of the highest level of function for the resident. CNAs adhere 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 residents with nail care of finger and toenails for non-diabetic residents
• Assists residents 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 residents with ambulation including use of gait belts, walkers, rollators, and other devices in accordance with the resident's plan of care
• Applies prescribed braces
• Assists residents with transfers to and from bed, chair, or wheelchair utilizing two-person transfer techniques and mechanical lifts as needed
• Maintains proper positioning of residents in bed, therapeutic chair, or wheelchair to prevent aspiration
• Maintains every two (2) hour (Q2˚) turning and repositioning for all assigned residents including utilizing positioning pillows and tilt in space chairs to relieve pressure and documenting position changes on turning and repositioning worksheets

Monitoring of Physical Status

• Takes vital signs for residents as specified by the care plan and records the results in the resident's chart
• Empties Foley catheters and documents output
• Applies prescribed oxygen therapy devices such as nasal cannula or oxygen mask and monitors placement
• Monitors resident bowel function and maintains documentation of bowel movements, documenting changes in bowel function and alerting the nurse
• Observes resident for changes in baseline level of mental and physical function and immediately reports changes to the licensed nurse

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), and Behavioral Support Plan (BSP) documentation as assigned
• Completes Incident Reports per Elwyn policy

Other Duties

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

IMMEDIATE SUPERVISOR: Program Administrator. May take direction from lead staff on their scheduled shift.

DIRECT REPORTS: None.

CONTACTS: Elwyn personnel, residents, funding and regulatory agency personnel, parents/conservators and family, visitors, outside vendors, contractors, etc.

EDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:

• High School diploma or equivalent
• Current CNA certificate
• Maintain CPR and First Aid certification
• One (1) year of experience working with individuals with developmental disabilities
• 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, 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: 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.

WORKING CONDITIONS: Working conditions include: Ongoing interaction with consumers and staff, potential exposure to communicable diseases, blood-borne pathogens, medicinal preparations and other common conditions in a healthcare environment, and interaction with consumers who may display aggressive and/or self-injurious behaviors.

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

Elwyn California is an Equal Opportunity Employer. Elwyn does not discriminate on the basis of race, color, religion, creed, ancestry, pregnancy status, medical condition, gender, gender identity or expression, genetic information, sexual orientation or identity, age, national origin, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation.