LTC Restorative Aide

Position Summary:

The Restorative Aide plays a vital role in supporting residents of our nursing home by helping them maintain or regain their highest level of physical functioning. Under the supervision of licensed nursing staff the aide implements restorative care programs that promote mobility independence and overall well-being in a long-term care environment.

Education/Experience:

High school diploma or equivalent desired. Prior experience in a long-term care or skilled nursing facility preferred.

Required Credentials (Licensure Certification or Registration):

Current Certified Nursing Assistant (CNA) certification in South Dakota.

Employment Variables:

Scheduled work hours may vary. Required to rotate weekends and holidays. Occasionally may need to work beyond normal working hours. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills:

Ability to read write speak and understand the English language. Ability to deal with people in a professional manner. Knowledge of restorative nursing techniques and mobility assistance.

Direct Supervisor:

Director of Nursing

PART II: CODE OF CONDUCT

Function Explanation

Honesty - We will do the right thing at all times even if it is difficult maintaining strong ethical practices. We protect the confidentiality of others including patients staff and the facility as a whole. We will take responsibility for our actions

Expertise - We will demonstrate superior judgment training and skill at all times demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability utilizing all resources and tools available.

Approachability - We will be non-judgmental friendly and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect - We will be understanding and sensitive to others feelings; caring and responding in a manner that sets them at ease keeping the situation in perspective without minimizing others feelings or reactions. We will listen to others with full attention in a sincere civil fashion being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming anothers name.

Teamwork - We willingly work together with a common approach trusting and supporting members of our organization using our skills and resources sharing information to achieve a common aim.

PART III: ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job along with the corresponding performance standards.

Duties and Responsibilities Provides timely and proper notification for absences and paid personal leave. Finds a replacement when necessary. No unexcused absences or excessive tardiness. Knows emergency procedures for fire internal/external disaster plans codes etc. and participates in drills. Verbally supportive of Winner Regional Health and the Sanford Health Network. Participates on committees and/or is involved in special projects of Winner Regional Health. Provides for patient resident employee and visitor safety through preventative measures. Identifies hazards and reports incidents. Utilizes and adheres to appropriate precautions/techniques with hazardous chemicals blood and body fluids medical waste and/or equipment. Satisfactory attendance at department meetings (50% attendance meets expectations). Is cross-trained to other areas/positions/departments to provide assistance when needed.

Clinical Competency

Demonstrates operating knowledge of equipment and supplies necessary to perform assigned duties. Demonstrates appropriate aseptic and hygiene techniques to prevent the spread of infection to resident self and others. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care. Assists Charge nurses and Physicians with assessments examinations and treatments.

Resident Care Functions

• Carry out individualized restorative care plans developed by nursing and therapy staff.
• Assist residents with ambulation transfers and positioning to prevent decline and promote independence.
• Perform and document range-of-motion exercises walking programs and other restorative interventions.
• Observe and report changes in residents physical or emotional condition to nursing staff.
• Encourage resident participation in daily activities and self-care.
• Maintain accurate records of restorative care provided and resident progress.
• Ensure a safe clean and supportive environment for all residents.
• Collaborate with CNAs nurses and therapists to ensure continuity and quality of care.

Ancillary Activities

Orders late trays and snacks from dietary. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Monitors supplies equipment and orders through WRH as needed.

Resident & Work Safety

Demonstrates appropriate lifting repositioning proper use of restraints and moving of residents and equipment. Maintains good hand washing practices before and after resident care. Reports resident concerns c/o pain and abnormal vital signs to the charge nurse. Promotes a safe and hazard free resident care environment.

Working With Delegation

Willingly accepts from charge nurses the delegation of tasks that are within the job description and own competence level. Consistently seeks clarity and/or direction from charge nurse when tasks or assignments are unclear outside job description or outside the competency level. Seeks appropriate assistance when needed from healthcare team members to ensure the safe administration of resident. Consistently provides charge nurse with feedback regarding outcomes from delegated tasks (i.e. VS pain assessment and activity). Demonstrates appropriate independence/interdependence in the provision and documentation of resident care.

PART IV: COMPLIANCE

Compliance Must comply with the Corporate Compliance Policy and all laws rules regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct the Compliance Officer or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

• In a regular workday employee may:

Sit 1/2 Hours at a time; up to 1-1.5 Hours during the day

Stand 1/2 Hours at a time; up to 3-4.5 Hours during the day

Walk 2 Hours at a time; up to 4-6 Hours during the day

Motion

• Employee is required: (In terms of a regular workday Occasionally equals 1% to 33% Frequently 34% to 66% Continuously greater than 67 %.)

Bend/Stoop Occasionally Kneel Duration 30 sec Occasionally

Squat Occasionally

Balance Occasionally

Crawl Distance Occasionally Twist Occasionally

Climb Height Occasionally

Keyboarding/Mousing Occasionally

Reach above shoulder level Occasionally

Physical Demand

Employees job requires he/she carry and lift loads from the floor from 12 inches from the floor to shoulder height and overhead. Employees job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Medium
• Occasionally 50 lbs
• Frequently 25 lbs.
• Constantly 10 lbs.

Sensory Requirements:

• Yes/No Explanation (if Yes)

Speech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately loudly or quickly.

Yes

Must be able to interact with residents families and co-workers

Vision (VDT) Are there specific vision requirements for the job

Yes

Must be able to read meal cards jot sheets etc.

Hearing Ability to receive detailed information through oral communications and to make fine discriminations in sound; i.e. making fine adjustments on machine parts using a telephone taking blood pressures.

Yes

As stated

Smell Must be able to smell Yes To identify odors related to infections

Environmental Factors

• Yes/No Explanation (if Yes)

Working on unprotected heights No

Being around moving machinery No

Exposure to marked changes in temperature and humidity Yes Assists in transporting residents to appointments and activities.

Driving automotive equipment No

Wearing personal protective equipment Yes

Exposure to atmospheric conditions (i.e. fumes dust odors mists gases or poor ventilation) No

Exposure to extreme noise or vibration No

Exposure to blood body fluids and waste Yes Residents

Exposure to radiation No

Exposure to other hazards (i.e. mechanical electrical burns or explosives) Yes

Emotional/Psychological Factors

• Yes/No Explanation (if Yes)

Stress: Exposed to stressful situations

Yes

May be involved in critical situations involving residents families or others.

Concentration: Must be able to concentrate on work tasks amidst distractions.

Yes

As stated above.

Must exert self-control.

Yes

Must maintain calm at all times even when others cannot.