CNA Home Care/Long Term Care

St Johns Health; Jackson (WY); Hybrid; USD 34,000 - 48,000; Full time

Job summary

St Johns Health in Jackson, Wyoming is seeking a CNA to provide age-appropriate nursing assistance in long-term care settings and patient homes. Working hybrid, you will follow care plans, support residents' dignity, and assist with daily living activities under licensed nurse supervision.

This role requires a Wyoming CNA license and CMS Home Health Aide training; prior experience in home health or hospice is a plus.

Qualifications

• Must have completed Wyoming CNA program and hold Wyoming CNA license.
• High School diploma or equivalent required.
• CMS Home Health Aide training as required.

Responsibilities

• Provide age-appropriate personal care and assist with daily living activities.
• Assist with meals, hygiene, and mobility while following the plan of care.
• Document care activities in the patient’s chart per policy.

Skills

CNA

Home Care

Long Term Care

Education

High School Diploma

Job description

Job Details: Job Location: 1. Main Campus SJH - Jackson, WY, Position Type: Full Time, Education Level: High School, Salary Range: $25.05 - $35.09Hourly, Job Category: Nursing Jobs, CNA Long Term Care/ Home Care - 1-2 days per week long term care, 1-2 days per week home health/hospice

Job Summary

Performs age and developmentally appropriate nursing related tasks and services delegated by a licensed nurse to adult and geriatric patient/resident populations. Provides services in the Long-Term Care setting as well as in patients' homes. After appropriate delegation by the supervising nurse, the nursing assistant shall utilize knowledge of resident rights, legal/ethical concepts, communication skills, safety, and infection control while performing the following: basic nursing skills, personal care skills, basic restorative skills, mental health and psychosocial skills, communication skills and nursing team member skills. Delivers resident patient care according to the Scope of Service for the Sage Living, Home Based Services, Hospice of the Tetons, and Teton Private Care. Fosters a culture of patient/resident safety in all work teams. Practices within the scope of a CNA and complies with standards of practice for long term care facilities.

Essential Functions

Quality Resident Care

• Provides age and developmentally appropriate personal care to residents (eg. peri care, linen changes, dressing), encourages resident choices and independence within resident's abilities.
• Provides interventions to reduce loneliness, helplessness and boredom and it improve resident's quality of life and self-worth. Listens and communicates respectfully with residents and families. Encourages residents to communicate opinions, needs, and choices. Consistently treats residents with respect and provides interventions to maintain resident dignity.
• Follows plan of care as noted on daily mini-care-plan sheet and gives input to nurses on any changes that should be made to further individualize plan of care. Prepares residents for meals, offering choices, distributing food and assisting residents as needed. Provides a meaningful dining experience for residents by engaging them in conversation and creating a positive dining environment. Knows resident diet and offers snacks and appropriate hydration to residents. Consistently documents meal and fluid intake.

Resident Safety

• Makes rounds to anticipate resident needs. Promptly responds to call lights and all other alarms. Assures resident safety including: fall alarm in place and working; call light within reach; staying with resident as required; using gait belt.
• Completes resident positioning, lifting, turning, and ambulating according to standards of care and resident's plan of care using proper equipment and tools to facilitate safe care for both the resident and employee. Collaborates on the implementation of rehab goals such as ROJM, ambulation, positioning, and turning.
• Consistently follows appropriate infection control practices including hand washing, linen handling, glove use, catheter care, and isolation procedures.
• Assists in maintaining a safe and clean environment for residents by reporting malfunctioning equipment, environmental hazards, cleans equipment, keeps hallways clear, and equipment in good working order. Implements fire and disaster plan correctly.
• Keeps resident's rooms neat, safe, and clean. Handles resident's personal belongings properly including prosthetic devices, hearing aids, dentures, glasses and clothes.
• Checks oxygen for correct flow and makes certain that oxygen is available to meet resident needs.

Home Health and Hospice Care

• Provides and/or assists the patient with aspects of personal care, including measuring vital signs and performing non-sterile procedures as instructed by the RN.
• Assists with ambulation/transfers using safe body mechanics and according to the plan of care to avoid injury to the patient and/or staff.
• Demonstrates correct use of in-home DME. Seeks assistance when uninformed about a particular piece of equipment.
• Assists with prescribed exercise programs.
• Aware of psychosocial needs of the patient and the family. Offers emotional support to the patient and family.
• Aware of, maintains and supports Patients' Rights in the home.
• Provides relief for primary care giver and/or family for short time periods for hospice patients
• Maintains knowledge of applicable Home Based Services policies and procedures
• Attends all required team meetings for Sage Living, Home Health, and Hospice (IDG meetings)
• Submits all required reports and records of hours worked to office in a timely manner.

Collaborative Communication and Teamwork

• Communicates to nursing staff any changes in resident condition including but not limited to mental status, mobility, positioning needs, skin condition, dietary intake, participation in care.
• Consistently communicates effectively with team members to effectively address resident needs and implements the plan of care. This includes communication with team members of the interdisciplinary team on all shifts.
• Consistently and accurately completes required documentation for dietary intake, I and O, and aide duties. Records all patient care activities in the patient’s chart per policy. Documents in patient record in a timely manner and according to department protocol.

Other Duties

• Actively participates in culture change and implementation of the Eden Philosophy of Care.
• Prepares residents for participation in activities and participates with the resident in the LC activity program.
• Performs fundamentals of customer service such as answering phones, paging, and relaying messages.
• Assists in performance improvement activities in order to improve resident care and professional practice including completing audits and problem solving to improve clinical processes.
• Keeps certifications, reorientation and continuing education current. Maintains, develops and updates skills to implement quality care and service to residents and families.

Job Requirements

Minimum Education

Required: Must have completed an accredited CNA course and have current Wyoming CNA license. Must complete annual required Home Health Aide training as required by CMS. If employed as a CNA II, must have completed an accredited CNA II course and have a Wyoming CNA II license.

Minimum Work Experience

Required: Effective and professional communication skills. Good customer service skills.

Required Licenses

Wyoming CNA required at time of hire and upon expiration of the credentials. BLS required at time of hire. Valid driver's license required at time of hire.

Functional Demands

Working Conditions

Hybrid position - Long-term care clinical setting as well as patient’s place of residence. Patients’ residences may present unsafe conditions. May encounter animals/pets and/or smoking environments. Frequent driving to patients’ homes required. Occasional stressful situations, irregular hours. Care of patients/residents with complicated medical/psychosocial conditions. Employees may be required to take call shifts and must possess the ability to do shift work. Must be on-site at the St. John's Health campus or other facilities to fulfill the responsibilities of this role.

Physical Requirements

Employee must be physically active including heavy lifting and moving of residents. Must possess sight/hearing abilities to perform job requirements. Must possess the ability to push, pull, bend and move patients/residents, equipment, and supplies. Able to lift up to 50 pounds. 75% of shift spent standing and walking. Intermittent sitting and computer use.

Direct Reports: None

Reports to: Director of Nursing LC with dotted line to Clinical Manager Home Health and Hospice

Internal & External Contacts All hospital departments, residents, physicians, families and/or friends of residents. community agencies, clergy, visitors, and volunteers.

Leadership Capabilities

Composure

• Stays calm when times are tough
• Maintains balance when the unexpected happens

Interpersonal Skills

• Relates well to all kinds of people, up, down and sideways, inside and outside the organization
• Builds appropriate rapport
• Uses diplomacy and tact

Priority Setting

• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical few and puts the trivial many aside

Initiative

• Doesn’t wait for others to tell him/her what to do; sees a problem or opportunity and immediately starts moving to address it
• Finds his/her own motivation for completing work and accomplishing goals

Time Management

• Uses his/her time effectively and efficiently
• Concentrates his/her efforts on the more important priorities
• Gets more done in less time than others