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The County of DuPage
Wheaton, Illinois

Job Details for 4117 - Certified Nursing and Rehabilitation Aide

Job Description

FLSA STATUS: Non-Exempt
GRADE: 108

POSITION SUMMARY 
Under  immediate supervision performs work of moderate difficulty in providing restorative care and/or maintenance programs  in order to attain or maintain residents maximum functional potential ; performs a variety of duties related to the direct care of residents; performs related work as required.

DISTINGUISING FEATURES OF THE CLASS
Employees in this class provide restorative and maintenance programs to residents of the Convalescent Center.  Work involves promoting resident’s ability to maintain or improve their highest level of function and as safely as possible.  Work is performed under the general supervision of a Division Manager, Administrator or Supervisor.

ESSENTIAL DUTIES AND RESPONSIBILITIES
The list of duties and responsibilities is illustrative only, and is not a comprehensive listing of all the duties and responsibilities performed by positions in this class.

• Assists in evaluating, writing, and administering restorative programs (e.g. walking, transfers, bed mobility, etc.) on and individual basis as directed by a registered nurse
• Administers rehabilitative and maintenance programs (e.g. hydrotherapy, range of motion, resistive exercises, etc.) on  a group or individual basis as developed  by a physical therapist
• Administers health and fitness training with the appropriate devices such as canes, walkers, etc.
• Assists in the bowel and bladder programs
• Acts as a team leader for the Certified Nursing Aides on the unit in carrying out activities of daily living (ADL) programs and subsequent documentation
• Assists in instructing residents , family member, and staff on necessary  exercise programs and rehabilitation techniques
• Observes and reports any physical changes in a residents condition
• Takes and documents vital signs
• Documents monthly progress notes on residents and keeps daily attendance records
• Develops, prepares and enters activities of daily living (ADL) restorative programs into the computer
• Assists in developing care plans and entering into the computer system
• Assists in completing sections of the Minimum Data Set (MDS) and entering those sections into the computer system
• Documents necessary information for staffing meetings
• Participates in departmental meetings, patient care conferences and in-services training sessions.
• Assists the Clinical Staff Educator in facilitating continuing education to the CNA staff
• Assists in the maintenance, storage, use, and cleaning of supplies and equipment
• Assists in assigning  wheelchairs to residents
• Transports residents to and from the unit
• Greets visitors and directs them to residents
• Assists in the tracking of the Resource Utilization Group (RUGS) categories from completion to billing
• Depending on assignment, may act as CNA and provide resident care (e.g. changes, feeds, bathes residents, etc.)
• Maintains regular attendance and punctuality

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES
• Adjusts work assignments and schedules in the event of an emergency to participate in emergency preparedness, response, and recovery activities as assigned.
• Depending on assignment may maintain required emergency management training, licensure and/or certifications.
• Performs related duties and required or assigned within job classification.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

Knowledge of:
• Current methods, materials and equipment used in physical rehabilitation and maintenance  programs
• How to keep accurate records
• Computer systems and working with peripheral equipment such as a hand held device
• Minimum Data Set(MDS/Resident Assessment Instrument(RAI) process as it relates to department functions
• Medicare/resource Utilization Group(RUGS) systems and the ability to identify problems when given general parameters/guidelines
• Current office practices, procedures and equipment
• First aid, safety, and feeding techniques
• Healthcare sanitation, hygiene and medical treatment
• Anatomy and physiology
• County policies and procedures
• Applicable federal, state, and local laws, rules, regulations, codes, and/or statutes

Skill in:
• Applying current methods, materials, and equipment used in physical rehabilitation and maintenance  programs to residents
• Comprehending, interpreting, and adopting written directions for restorative/ maintenance programs
• Dealing effectively with resident problems to gain best results from restorative and maintenance programs,
• Keeping accurate records relative to the resident’s individual goals.
• Applying simple tests for the Minimum Data Set (MDS) completion and decipher information from the clinical record with training
• Working with processes that are detailed and require step by step follow through
• Identifying problems or discrepancies and referring to supervisory personnel
• Working with varied resident personalities and/or behaviors
• Using computer hardware and software including word processing, spreadsheets, databases, email, etc.
• Applying an acquired knowledge of procedures, rules, regulations and services applicable to the assigned office

Ability to:
• Act as a team leader
• Follow directions and work as a team player
• Manage projects as assigned
• Establish and maintain effective working relationships with department and division staff, other departments and others, such as vendors
• Operate tools and equipment listed
• Communicate and use interpersonal skills to interact with coworkers, supervisor, the general public, etc. to sufficiently exchange or convey information and to receive work direction
• Ensure compliance with applicable federal, state, and local laws, rules and regulations
• Convey excellent oral and written communication skills
• Maintain confidentiality

SUPERVISORY RESPONSIBILITIES
May act as lead worker

EDUCATION and/or EXPERIENCE
Completion of a High school Diploma or General Equivalency Diploma and two years of experience as a Certified Nurse’s Aide; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above.

PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Heavy Work:  While performing the duties of this job, the employee is regularly required to stand, walk, and use hands and / or arms to administer therapy programs, crouch or stoop, and lift and transfer up to 50 pounds independently on a continual basis.

WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
The work will occur in an office and field environment and regularly includes working with residents and attending to their daily needs. The noise level in the work environment is moderate to quiet.

CERTIFICATES, LICENSES, REGISTRATIONS
Completion of the State of Illinois Certified Nurse’s Aide Training program and a passing score on the State of Illinois Competency test; registered as active with a clear record on the State of Illinois registry, and a Certified Rehabilitation Nursing Assistant (CNRA) certification.