Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!
Position Summary:
Responsible for the medication administration of assigned nursing unit.
Essential Duties:
• Administers medication by oral, rectal, topical, inhalation, eye or ear routes, under the supervision
and direction of a Registered Nurse.
o Follows standard nursing procedure and facility policies for administering medication.
o Maintains medication cart and ensures storage area is clean, neat, and areas are locked if
appropriate.
o Obtains permission from licensed nurse before administering PRN medications.
o Performs the count of countable medications with another medication technician or a
licensed nurse at beginning and end of shift. Does not administer any injectable medications.
o Checks supply of medications for each resident on unit and re-orders meds as necessary from
pharmacy. Does not call in new medications to pharmacy.
o Takes vital signs, following correct procedure, including apical pulse rates.
• Performs the following nursing documentation as assigned by the charge nurse or supervisor.
o Reports any significant changes in resident condition or vital signs to charge nurse or
supervisor promptly.
o May be required to document observations in nursing notes of residents’ records.
o May be required to document treatments and observations on treatment record.
o Documents medications administered on MAR per facility policy and procedures.
o Follows plan of care as directed by RN/LPN. Provides input for evaluation of the plan of
care.
• Partial Admission:
o Takes initial vital signs and measurements and documents them on the vital sign flowsheet.
o Assists with orientation of patient/resident/family to unit, facility and services.
• Plan of Care:
o Delivers patient/resident care promptly and accurately as directed by the RN/LPN and in
accordance with the patient’s/resident’s written plan of care.
o Contributes relevant and appropriate information to RN/LPN for revision of the plan of care,
and interdisciplinary conferences as appropriate.
o Reinforces compliance of RN/LPN teaching and plan of care.
• Performs safe patient care according to policy and procedure
o Obtains and promptly records routine:
? Vital Signs
? Heights and weights as indicated.
? Reports changes in vital signs or measurements promptly to the Supervisor/Charge
Nurse.
o Assists the patient/resident with routine activities of daily living:
? Feeding: verifies diet order with plan of care, feeds or assists with feeding, assists
with fluid intake as directed by RN/LPN or plan of care
? Bathing: verifies activity restrictions with plan of care, bathes or assists with
bathing/shower provides personal hygiene as needed
? Ambulating: verifies activity level with plan of care support patients/residents in
achieving maximum mobility by repositioning, range of motion, and assisting with
ambulation.
o Performs specific ambulation/exercises as directed by RN/LPN. Seeks assistance as needed.
o Provides comfort measures such as PM care and repositioning with proper alignment
o Observes patients/residents to insure safety as directed by the plan of care
o Utilizes proper body mechanics to protect self and patient/resident
o Identifies potential and actual safety hazards and reports to RN/LPN.
o Sets up and checks equipment for proper functioning; reports malfunctioning to RN/LPN.
Labels equipment with reason for malfunction as applicable.
• Skin Care: assists with maintaining skin integrity and reports all pressure areas/sores to RN/LPN.
o Performs routine skin care with bathing, and additional care as directed by RN/LPN
o Reports any redness, drainage and/or swelling promptly to RN/LPN.
o Follows procedures for Universal Precautions at all times.
o Monitors and promptly records patient/resident intake and output in accordance with unit
standards or physician orders including:
? Intake and output
? Fluid restrictions
? Calorie counts
o Reports changes in patient’s/resident’s status (e.g. changes in vital signs, level of
consciousness, weight, mobility status, comfort level, feeding pattern or any unusual
occurrences) to the RN/LPN in a timely manner.
o Answers all call lights promptly and intervenes appropriately.
o Documents care provided on CNA ADL Flowsheet.
• Assists with the following duties as directed:
o May be assigned to transport residents in facility-owned vehicles.
? Ensures that the duties outlined in the “Transportation Aide” job description are
followed when performing this task.
o Prepares patient’s/resident’s room for admission, discharge and transfer.
• Maintains a neat, clean and safe environment
o Keeps patient/resident area clean and free of trash and clutter.
o Keeps linen appropriately stored or disposed.
o Removes equipment and supplies not in use; cleans equipment and returns to appropriate
location for storage.
o Is alert to safety hazards and takes appropriate action.
o Provides safe delivery of patient/resident care.
o Participates in Quality Improvement activities as directed by RN/LPN.
o Seeks ways to improve the individual resident’s quality of life, treats residents with dignity,
and as individuals in order to meet their needs and interests.
o Creates a stimulating, home-like environment where residents experience a sense of
belonging.
o Preparation of between meals snacks, meal set-up and feeding in accordance with established
protocols.
o Responds to resident behavioral problems, observing policies and protocol for appropriate
behavior management.
o Responsible for routine cleaning of equipment, as directed.
o Participates in walking rounds/report and the beginning and end of each shift.
o Maintains residents’ rights and treats resident information with confidentiality.
o Engages resident’s in one-to-one activity as needed. Is alert to needs of individuals not
involved in groups. Is aware of available resources.
o Consults with Activity Director and Department regarding program improvement: new ideas,
adaptations, different techniques, changes in scheduling and programs, etc.
• EDUCATIONAL COMPONENT
o Attends at least (12) twelve role related in-services per year.
o Attends and participates in related in-services, conferences and meetings if applicable.
o Communicates personal and work-related needs clearly to the DON/Charge Nurse.
o Seeks feedback to enhance own performance.
o Manifests desired behavior change in response to guidance.
Education and Experience:
• Active Certified Nursing Assistant certification in the state of Maine.
• Active Certified Nursing Assistant/ Medication certification in the state of Maine.
• High school diploma or equivalent preferred.
• Previous experience in Long Term Care resident care helpful.
Knowledge, Skills and Abilities:
• Ability to maintain flexible, relaxed attitude in response to difficult situations.
• Good listening and communication skills.
• Must be able to read, write and communicate routine information.
• Must possess willingness to work harmoniously with professional and non-professional personnel.
• Must have patience, tact, a cheerful disposition and enthusiasm.
• Must have willingness to handle difficult residents.
• Ability to engage patients and team members utilizing the CMH Experience Standards
i. I am creating a warming, caring, and non-judgmental environment
ii. I am actively listening and seeking information
iii. I am honest, truthful, and consistent
iv. I am respectful, treating all individuals with dignity and empathy
v. I am serving as a role model, taking both initiative and ownership when appropriate
vi. I am working collaboratively and demonstrating teamwork
vii. I am resilient and adapt to change in positive ways.
CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.
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