LNA II

To assist in implementing a medically-directed plan of care for patients in their homes; to assist patients and their families with a variety of home management tasks and personal care activitiesMINIMUM QUALIFICATION STANDARDS: I.

• Basic education (high school)• Graduation from a State approved LNA course instructionII.

Previous experience in nursing home or similar facility desired, or a combination of education and experience from which comparable knowledge and skills are acquired III. License

• Vermont State Board of Nursing Licensed Nursing AssistantIV. General:
• Must demonstrate and maintain any required competency
• Able to speak, read and write in English
• Be honest, self-directed, possess initiative, display good judgment and a positive attitude toward daily activities
• Have the ability to communicate clearly and effectively both orally and in written work
• Be able to work cooperatively and in a productive manner with organization’s employees, clients, customers and the general public
• Maintain satisfactory standing with the Adult Abuse Registry, Child Abuse & Neglect Registry, Vermont Criminal Information Center and OIG
• Be free from the illegal use and effects of drugs and alcohol in the workplace
• Be able to carry out the functions of this job without risk of harm to the health and safety of self and others
• Hold a valid driver’s license and have a reliable, registered vehicle with insurance as required by the organization, and appropriate to position
• Knowledge of physical, emotional, developmental needs of and ways to work with population served by home health organization
• Ability to work independently in private homes under the supervision of a licensed RN, PT
• Ability to complete additional training appropriate to the job prior to assignmentWORKING CONDITIONS: 1. Traveling may be required2. May work in community based settings, and clients’ homes and outdoors3. May work during non-business hours4. May

• Hostile and emotionally upset clients, family members, visitors and staff
• Stress due to a demanding profession
• An exposure to blood-borne pathogens
• A variety of environmental exposures such as inclement weather, animals, firearms, tobacco use, dust, and other client based activities and preferencesESSENTIAL PHYSICAL

1. Must walk, sit, stand, bend, lift and move intermittently during working hours2. Must have the ability to push, pull and lift from the floor, up to a total of 50 pounds and be able to move with the weight, as to organization’s standards3.

Climbing-be able to navigate stairs of varying heights and degrees4. Balancing-be able to maintain balance5. Kneeling, crouching, stooping, twisting, reaching below waist level, reaching overhead and reaching torso level6.

Manual finger dexterity-will need dexterity to perform duties and use equipment7. Visual acuity-will need sufficient eyesight to drive a car, use office equipment and perform duties8. Auditory acuity- will need to assist individuals in person and by telephone PERFORMANCE

• I. Performance Standards:
• Includes basic nursing assistant and restorative duties for which the nursing assistant is prepared by education and supervised practice such as wound care, assistance with self-administered medications, assistance with therapeutic experiences, help with assistive devices, simple technical procedures
• Assist in personal care of patients including ambulation, use of wheelchair/walker/cane and other adaptive equipment, transfer activities, range of motion, bathing, shampooing, hair care, oral hygiene, nail care, shaving, skin care, dressing, toileting/bowel programs/ostomy and catheter care, meal preparation, special diets, and other activities of daily living
• On a limited basis, perform general housekeeping tasks such as:a) laundry: wash, dry, fold, iron, put away clothing, bed and table linens; as it pertains to the plan of careb) Assist in maintaining home environment, identify hazards and concerns
• Observe and report changes in patient’s condition identified during home visit to Primary Nurse and/or PT as appropriate
• Confer regularly with primary Nurse and/or PT regarding patients' status and treatment plan
• Document patient condition, service provided according to organization’s standards
• Travel to and from patient’s home and the University of Vermont Health Network Home Health & Hospice office
• Other duties as requested by supervisorII. Professional Accountability:
• Demonstrates a commitment to the mission and values of the organization
• Complies with all organization policies and procedures
• Demonstrates respectful and effective communication in all interactions
• Protects the privacy and confidentiality of clients, co-workers and organization’s operations
• Complies with organization’s policies to protect confidentiality, integrity, availability and security of all protected health information
• Organization’s security official
• Conducts him/herself in a safe manner by adhering to all safety practices, rules and standards
• Demonstrates a commitment to quality and proactively seeks to make improvements to systems and processes
• Reports to work on time, provides advance notice for time off, accurately reports time and attendance and appropriately manages paid time off (if applicable) in accordance with organization’s policy
• Demonstrates a commitment to integrity in work habits and use of organization’s resources
• Performs duties as assigned that may be outside his/her principle responsibilities
• Meets own learning needs. Participates in educational programs of the organization, including completion of all mandatory competencies, education or training
• Effectively communicates to transfer information, provide guidance and resolve conflicts
• Reports concerns and complaints regarding abuse, neglect and exploitation in accordance with Vermont State Law and the organization
• Enhance or improve organization’s services by participating in team meetings, projects and committees
• Contributes to a positive work environment and responds in a constructive manner to change
• Documents the provision care and services in accordance to organization’s policy .