Certified Nursing Assistant jobs in United States

Main responsibilities:

• Lead and manage the Enhanced Health in Care Homes programme, including weekly ward rounds and supporting holistic, person-centred assessments of all patients admitted or readmitted to a care home within 7 days.
• Ensure all residents have a personalised support care plan within 7 days of re/admission.
• Develop and manage highly specialised programmes of care and provide expert advice beyond normal clinical practice scope, including establishing differential diagnoses, management/treatment plans, and making referrals.
• Make fast-track referrals and work autonomously, being accountable for professional actions.
• Undertake advanced clinical nursing practice, assessing patients with acute, non-acute, and chronic conditions, conducting physical examinations, and formulating management plans.
• Manage undifferentiated conditions, identify red flags and serious pathology, and take appropriate actions.
• Use complex decision-making to inform diagnoses, investigations, and management within a broad scope of practice.
• Adopt a personalised and population-centred care approach, supporting shared decision-making with patients.
• Refer patients to other healthcare professionals when appropriate and prescribe medications as needed.
• Maintain accurate records in Emis Web and make critical judgements, including managing acute presentations and making decisions independently when protocols do not exist.
• Visit patients at home and within care homes, communicating complex medical information effectively to patients and carers.
• Promote health, disease prevention, and self-management, recognizing and acting on detrimental health situations.
• Ensure care is evidence-based, aligned with policies, and maintain professional competency for NMC revalidation.

Education and Training:

• Complete relevant training for multi-professional clinical practice and CPD, linking with the Training Hub to promote local training opportunities.
• Organise at least one annual training session for PCN and practice staff on frail elderly care.

Research and Development:

• Engage actively in research, evaluation, and development activities within Connexus PCN, including audits and dissemination of findings.

Leadership:

• Build strong relationships with care home staff to promote good clinical practice.
• Collaborate with GP leads to improve care for elderly residents and provide clinical support to colleagues.

This list is not exhaustive and may evolve based on clinical and organizational needs.