Employment

This position will ensure that the health and safety of all clients are met.  The RN will ensure that staff is trained in Assisted Living with Dementia Care procedures and policies which are current and up to date.  The RN will also ensure that the Assisted Living is in compliance with current regulations.  Working cooperatively with the Heart to Home management team supervises the delivery of services provided to the clients and supervises staff.

Responsibilities: 

SPECIALIZED KNOWLEDGE AND ABILITIES:

This position required the incumbent to have:

• Possess a sensitivity and aptitude for working with the elderly.
• Possess skills to communicate effectively with those you supervise, clients, family members and Heart to Home management team.
• Possess leadership / supervisory skills.
• Must be able to prioritize and organize work effectively and efficiently.
• Able to work irregular hours, occasional weekends and evenings.

ESSENTIAL JOB FUNCTIONS AND TASKS:

Job Function: Manage Assisted Living program including completing essential paperwork and complying with state regulations.

Tasks:

• Works to assure facility is in compliance with federal state and local standards and regulations. Is available for license surveys.
• Keeps forms updated including policies, procedures, Bill of Rights, and related Assisted Living forms and manuals
• Meets with Case Workers regularly.
• Maintains an up-to-date knowledge of current trends of Assisted Living.
• Is responsible for investigating and reporting incidents of suspected client neglect and/or abuse and reporting these findings to Heart to Home management team and/or appropriate county officials.
• Works to maintain privacy and confidentiality of client, client’s records and client’ living environment.
• Is willing to carry a cell phone and be ‘on call’ for emergencies and notification of changes.
• Prepare, record, submit and maintain accurate and timely correspondence and paperwork regarding client data and billing information with management team as needed.
• Communicates and documents client data to staff as needed.
• Completes initial assessment of potential clients to assure that their needs will be met.
• Completes assessment within five days of admission.
• Assures clients maintain residency requirements, reassess and recommend alternative placement if necessary.
• Implements service agreements with all new clients.  Reviews and revises service plan as needed.
• Performs supervisory visits 14 days after initiation of services and coordinates or performs visit at least every 90 days thereafter.
• Assures clients have up to date care plans.  Reviews and revises care plans as needed.
• Monitors and maintains client charts and nursing notes.
• Communicates to physicians and other personnel (outside Assisted Living, county caseworkers, etc) any changes in client’s needs or conditions.
• Monitors and follows thru with ordering medications and all medication renewals as well as any necessary follow-up with physicians regarding medications and/or medical conditions.
• Assures all physicians orders are signed and implemented with-in 24 hours.
• Verifies and/or delegates weekly medication boxes for medication administration by unlicensed staff and checks new medications from the pharmacy.
• Communicates and educates staff any information that staff needs to be aware of.
• Documents or delegates disposal of medication per procedure.
• Assures compliance with regulations and is available for federal and state licensure surveys.
• Assists in the development of policies and procedures and implementation of them. 

Job Function: Supervision of other nursing and Unlicensed Personnel.  

Tasks:

• Supervises, orientates and competency tests unlicensed staff to Assisted Living and to each client’s individual needs.
• Gives input and/or helps perform annual evaluations for nursing and unlicensed personnel staff. 
• Coordinates staff education to include at least 8 hours of in-services per year.
• Meets with staff as needed.
• Provides health and medication training to all new employees as well as continued education for all staff and documents such training to assure compliance with state, federal and local regulations. 
• Assures that staff clearly understands and follow all Assisted Living procedures.
• Monitors staff for compliance of monthly client treatments as scheduled. 
• Supervises medication practices and medical equipment being used by Assisted Living clients.
• Assures that medication administration procedures are followed properly and discusses any needed corrections, errors, etc., with staff.

Job Function: Provide support and address needs for programs and services.

Tasks:

• Maintain client files and appropriate documents as required.
• Assess clients on an ongoing basis to assure their needs can be met.
• Assures clients continue to live safely in their unit, reassess and recommend alternative placement if necessary.
• Communicates the services to be provided for each client to staff responsible for delivering the services, and assures follow through.
• Inform personnel of changes in client’s needs and conditions.
• Maintains communication with clients, their families and staff.
• Facilitates coordination of client services with other service providers as needed.
• Is available for on-call medical questions and/or emergencies via phone.

Job Function: Participate and function effectively as a team member.

Tasks:

• Develop and maintain a positive working relationship with staff, and other Heart to Home staff including providing backup to other staff as needed.
• Articulate information regarding clients to the team.
• Provide proactive, constructive participation in staff meetings, committees, etc.
• Assists other departments with special events and family functions.
• Be compassionate and work with tact and ethical awareness.
• Be flexible and adaptable to changing situations.
• Responds appropriately to safety hazards, fire drills and other emergency situations.
• Reports injuries for self, staff, clients or visitors immediately to Heart to Home management team.
• Keep Heart to Home management team informed and involved and advised of needs and problems.

Job Function: Other duties as assigned.

• Support the mission and values of Heart to Home.

Qualifications: 

• Must be registered and licensed with the State of Minnesota as a RN, and must maintain a current and unrestricted licensure.
• Must have a valid drivers license, if needed to drive.
• At least 3 years experience in related field.

The Certified Nursing Assistant (CNA) or Personal Care Assistant (PCA) position is responsible for providing personal care and designated health-related services designed to maintain the client’s physical and emotional well-being for those clients living at Heart to Home. This position assists clients with tasks of daily living as indicated on the Service Agreement, the Medication Administration Record (MAR), and other services as delegated by the Registered Nurse (RN).

Responsibilities: 

Medication Administration

• Administer medications and give reminders to clients as required according to the Medication Administration Record (MAR) and as delegated by the RN Supervisor.
• Follow policy for administrating medications PRN standing orders.
• Follow policy and procedure for narcotic administration and documentation.
• Follow policy and procedure for medication administration when a client is leaving the building.
• Follows policy and procedures when receiving new or changed medication orders.
• Reorder medications and supplies weekly, or as needed.
• Understand standard precautions used for infection control and adhere to them.
• Other medication administration duties as assigned by RN Supervisor.

Provide personal and direct care to clients

• Assist clients with activities of daily living as indicated on their individual service agreement (including, but not limited to dressing, showering, grooming, toilet assistance and escorting).
• Assist clients with daily room order and light housekeeping.
• Assist clients with personal laundry duties, which may include ironing.
• Maintain a clean and healthy environment.
• Promote independence, not dependence, with clients offering choices and fostering self-help skills.
• Perform routine procedures as delegated by the RN Supervisor.

Documenting and reporting

• Document any changes in clients’ condition in  communication log.  Report these changes to the RN Supervisor.
• Completes incident reports according to policy.
• Reports to RN Supervisor any medication changes or any PRN medications that have been administered to a client.
• Understands procedures regarding home care tasks and charting procedures when performing these tasks.
• Recognizing abnormal signs and symptoms, or changes in clients’ condition.
• Documenting duties completed with clients on the service delivery record during each shift

Complete essential paperwork

• Filing papers in clients’ charts as needed.
• Signing Medication Administration Records (MAR’s) monthly.
• Reviewing and signing all new clients plan of care/ monthly service record and changes in current clients’ plan of care.
• Reading the communication book and checking employee email before the start of each shift.
• Checking outgoing US mailbox, collecting US mail delivered and distributing US mail and in-house mail to the clients.
• Other documentation as assigned and/ or needed.

Knowledge and compliance with state regulations

• Understand and adhere to the Vulnerable Adult and abuse policy, Bill of Rights and HIPPA.  
• Works to assure facility is in compliance with federal, state and local standards and regulations.
• Complete a minimum of 32 hours of documented training and monthly training thereafter.
• Be up to date with completing TB testing and chest x-rays.

Activity programming

• Encourage, gather and/ or escort clients to participate in scheduled activity programs.
• Lead activity programs as assigned.
• Socialize with clients and incorporate new ideas and client suggestions into programming.

Participate and function effectively as a team member

• Develop and maintain a positive working relationship with other Unlicensed Personnel’s, housekeeper, Nursing staff, kitchen staff and other Heart to Home staff.  
• Provide back up to other staff as needed to ensure 24 hours staffing.
• Communicate information regarding clients care needs and changes to the team and families.
• Provide proactive and constructive participation in staff meetings.
• Be compassionate and work with tact and ethical awareness.
• Be flexible and adaptable to changing situations.
• Responds appropriately to safety hazards, fire, weather or emergency situations.
• Follow through promptly on requested duties.
• Assisted kitchen staff at meal times with set up, serving and clean up.
• Provide on-the-job training for new associates.
• Must be mature and emotionally stable using a calm and kind tone of voice.
• The ability to remain calm in difficult or unusual circumstances.

Other duties as assigned

• Possess a sensitivity and aptitude for working with older adults.  
• Prioritize and organize work effectively and efficiently.
• Possess skills to communicate effectively with clients, families, staff and other customers.
• Possess the ability to read, write and comprehend simple instructions, correspondence and documentation, including medical terminology, in English.
• Be punctual with a good attendance record.
• Must demonstrate good interpersonal skills.
• Support the mission and values of Heart to Home.

Qualifications: 

• High school education or equivalent
• CNA/ NAR in good standing on the Minnesota Nursing Assistant Registry (optional)
• PCA or related experience
• Experience in working with older adults or people with disabilities