FT CNA  position working a 64+ status per two week payperiod.  Is requred to have a minimum of one year experience working with the elderly.

This is a day position that requires flexibility to include different start times during the day and to work one evening until 9pm a week.  Shift also includes a weekend rotation for "on-call", one weekend every 4-5 weeks.  (All shifts can vary based on client need and staffing needs so flexibility is a must.)

Excellent pay based on experience and qualifications.  Full benefit package available offered with this position.

Have questions?  Please call 701-456-7387 and ask for Melisa.  She can provide more information on "The day in the life of a PACE CNA".

Overview

The CNA-NAR is responsible for providing resident care as required under the direct supervision of the RN or LPN. 

Responsibilities

Performs initial and ongoing data collection on all residents and documents the plan of care results. Completes assigned tasks to ensure timely, efficient and safe patient/resident care. Communicates and interacts with patients, residents, families and other health team members to assure resident safety and well-being.

Qualifications

Qualifications Required

• In good standing on the State Nursing Assistant registry or appropriate entity.

Qualifications Preferred

• Experience in health care or long term care.
• CPR certified.

EEO/AA/Vet Friendly

Within an Interdisciplinary Care Team setting, incumbent promotes and maintains the physical mobility and well-being for participants both in the day center and at home if needed.  Conducts assessment, treatment, teaching and counseling.  Trains restorative aides, center health aides and home care aids to support restorative care plans.

Job Summary: Promotes and maintains the health of enrolled participants through nursing assessment, treatment, teaching and counseling.  Responsible for completing enrollment and periodic assessments of health needs to contribute to the individual’s plan of care. Responsible for the implementation of nursing care plan and coordination of nursing with other services.   

Primary Responsibilities:  Under limited supervision and in accordance with all applicable federal, state and local laws/regulations:

1. Completes RN assessment during initial, semi-annual, annual and significant change evaluations
2. Ensures participants care plan is reflective of all nursing interventions and participant diagnoses
3. Initiates preventative nursing care procedures as appropriate for the participants’ care and safety
4. Completes participant cares scheduled within the day center and in participants’ homes as needed
5. Collaborates with the Home Care Nurse about teaching needs of participants and families 
6. Implements, directs, evaluates and provides oversight of nursing care and care provided by certified nursing assistants. 
7. Collaborates with provider to facilitate PACE appointments, participant needs and plans/follow-up for specialty appointments and medical orders
8. Assists with preparation for interdisciplinary team meetings and ensuring that all updates for participants and needed appointments are added to the schedule 
9. Communicates regularly with pharmacy regarding prescription changes and ensuring that participant MAR is up to date
10. Provides care to participants in a positive, nurturing, professional manner. 
11. Provides health teaching to participants with complex nursing needs
12. Triages and ensures assessments are completed on participants reporting any sudden illness or onset of illness at home.
13. Is flexible and able to adjust schedule to meet complex needs of participants.
14. Consults with other staff members regarding any concerns about appointments, complaints or other anticipated/discovered needs identified during assessments.
15. Works with social worker regarding family and caregiver in caring for homebound participants.
16. Maintains accurate records of all nursing services provided to participant in EMR
17. Participates in Quality Improvement activities as requested
18. Collaborates with hospital for any participant hospitalized
19. Collaborates with nursing facility weekly for any participants residing in nursing facility

Job Summary:

Responsible for the daily operations of food service according to facility policies, procedures and Federal/state regulations.  Provides leadership and guidance to ensure that food quality and safety standards are met.

Primary Responsibilities:

• Coordinates the ordering of daily meal supplies based on particpants' diets and attendance schedules.
• Manages inventory of food service products and supplements.
• Monitors receiving and proper storage of food serivce products.
• Completes meal preparation, service and clean up duties in the day center and/or communicates with Site Director to assign other duties as needed to help with dietary service.
• Plans and adjusts menues for noon meals and daily snacks a the day center.
• Manages the operations and maintenance of food service equipment.
• Monitors diet orders during meal service and food intake of participants and reports concerns to dietitian or nursing as needed.  
• Enters appropriate documentation into electronic health record for participants.
• Updates daily diet/attendance shees for the day center and home delivered meals/supplement sheets.
• Delivers items to particpants homes.
• Ensures the PACE particpant's dietary plans are followed as written.
• Knows and adheres to the philosophy of Northland PACE.
• Participates in Northland PACE committees as requested.
• Attends and participates in scheduled staff meetings and participant care meetings as requsted.

Education:  Two year associate degree as a Dietary Technician or BS or BA degree in Home Economist from an accredited college or university preferred however, will also consider candate with High School Diploma with two years of experience in a food service setting and successful completion of and approved course in food service management.

Experience:  Minimum of two years in food service setting;  preferred one year working with elderly.

Special Training:  Ability to navigate computer systems; ability to cood and bake institutionally; must possess leadership qualities and be able to supervise and secure the cooperation of other personnel, in addition to working well with interdisciplanary team members and particpants.  Ability to adapt to change in a positive and professional manner.  Must meet established competencies for the position.  Must be medically cleared for communicable diseases.  Must have all immunizations up to date before engaging in direct particpant contact.

Physical Demands:  Ability to stand and walk intermittently throughout the day, as well as reach, stoop, bend and lift dietary supplements and equipment.  Ability to see, hear and verbally communicate.

Working Conditions:  Primarily inside; well-lit, climate controlled environment.  Hazards of instutional kitchens and potential exposure to infectious diseases and environmental hazards.

Job Summary: Responsible for all nursing services provided to participants in the home or day center per care plan.  

Primary Responsibilities: The Home Care Nurse’s duties shall include, but not be limited to:

• Completes nursing cares as scheduled in participants home and day center   
• Assesses participants’ medical needs as related to nursing scope of practice
• Participates in preventative nursing care procedures as appropriate for the participants’ care and safety.
• Collaborates with provider for participant needs 
• Triages and ensures assessments are completed on participants reporting any sudden illness or onset of illness at home.
• Maintains accurate records of all nursing services provided to participant in EMR
• Is flexible and able to adjust schedule to meet complex needs of participants.
• Provides coverage for On-Call as scheduled 
• Collaborates with nursing and home care coordinator 
• Assist with providing health teaching to participants with complex nursing needs
• Provides care to participants in a positive, nurturing, professional manner. 
• Understands and follows Northland PACE Program policies and procedures.

Employment Specifications:

Education:  Associate or Bachelor’s degree in nursing from an accredited college or university.

Experience:  At least two years as staff nurse; home and/or community health preferred.  One year’s experience with a frail or elderly population.

Licensure, registry or certification required:  Current North Dakota nursing license.  Current, valid North Dakota driver’s license.

Special Training:  Must be able to work effectively with an interdisciplinary team.  Must be able to communicate effectively.  Must possess strong interpersonal and organizational skills. Ability to adapt to change in a positive/professional manner. Must possess the ability to effectively handle difficult and unusual interpersonal situations. Must meet standardized competencies for standards of medical care and established for position.  Must be medically cleared for communicable diseases.  Must have all immunizations up to date before engaging in direct participant contact.

Physical Demands:  Must be able to see, hear, and verbally communicate.  Must be able to move about freely and possess manual dexterity and visual acuity.

Working Conditions:  Primarily inside, well-lit, climate controlled environment; however, will require travel in various weather elements (rain, snow, cold, warm temperatures etc). Frequent travel for home visits. Must have reliable transportation.  Potential exposure to infectious diseases and environmental hazards. 

The PACE Certified Nurse Assistant provides physical assistance and attendant care to participants across care settings (center, home, transportation).  Provides assistance with Instrumental Activities of Daily Living (IADLs).  Provides assistance with nursing care, restorative therapies, activities and meals across care settings.  Demonstrates the knowledge and skills necessary to participate in assessing, planning and care for providing service to participants according to assigned responsibilities and Northland PACE Program standards.

Primary Responsibilities: Under the limited supervision and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines:

• Provides physical assistance and attendant care to participants across care settings (center, home, transportation).
• Provides basic personal care assistance and/or supervision (bathing, grooming, toileting, feeding) and assistance with any other Activities of Daily Living (ADLs).
• Provides assistance with Instrumental Activities of Daily Living (IADLs) across care settings.  
• Performs homemaking, meal preparation, light cleaning and other household duties, shopping and other chore service for participants.
• Provides assistance with nursing care, restorative therapies, activities and meals across care settings.
• Participates in assessing, planning care for and documenting care for participants as member of interdisciplinary team.
• Knows and adheres to the philosophy and goals of the Northland PACE Program.
• Maintains a quiet and safe environment for participants, visitors and staff.
• Keeps confidentiality of participant records, reports and discussions.
• Participates in Northland PACE Program Committees as requested by Director of Nursing (DON).
• Maintains flexibility in schedule and responds to unexpected emergencies and change in workload in order to fulfill responsibilities.
• Utilizes supplies and equipment economically.
• Informs Director of Nursing of “unusual occurrences.”
• Identifies services delivery problems.
• Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from the Director of Nursing as appropriate; serves as a role model for students and staff members.
• May serve as a role model for new trainees.
• Pursues professional growth through the continuing education process.
• Maintains certification and pursues professional growth through continuing education process.