Discover a Rewarding Career with Bethel Lutheran Home

Discover a Rewarding Career with Bethel Lutheran Home
Sharing Christ through Caring Service.


Madison, SD



Primary purpose of this position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident’s assessment and care plan, as directed by the Director of Nursing (DON) and/or Assistant Director of Nursing (ADON), and Charge Nurse on shift.  


The following is not an all-inclusive list of work duties, but the main highlights of the position:

  1. Delegation of Authority: As a Certified Nursing Assistant you are delegated the administrative authority, responsibility and accountability necessary for carrying out your assigned duties.
  2. Administrative Functions:
    • Record all entries on flow sheets, notes, charts, etc., in an informative and descriptive manner.
    • Use only authorized abbreviations established by this facility when recording information.
    • Report all changes in the resident’s condition to the Charge Nurse as soon as practical.
    • Other duties as deemed necessary and appropriate as may be directed by the DON, ADON, and Charge Nurse.
  3. Admission, Transfer, and Discharge Functions:
    • Ensure that the resident’s room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).
    • Greet residents and escort them to their room.
    • Introduce resident to other residents and personnel as appropriate.
    • Make resident comfortable (i.e., put to bed, get water, etc.).
    • Inventory and mark the residents’ personal possessions when they are being transferred or when being discharged.
    • Transport residents to the receiving area.
    • Assist with loading and unloading residents from vehicles as necessary.
  4. Personnel Functions:
    • Perform all assigned tasks in accordance with our established policies and procedures as instructed by your supervisors.
    • Follow work assignments and/or work schedules in completing and performing your assigned tasks.
    • Cooperate with inter-departmental personnel and other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.
    • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
    • Meet with your shift’s nursing personnel on a regularly scheduled basis to assist in identifying and correcting problem areas and/or the improvement of services.
    • Report all complaints and grievances made by the resident.
    • Notify the facility when you will be late or absent from work.
    • Report occupational exposures to blood, body fluids, infectious materials and hazardous chemicals to your supervisor.
  5. Personal Nursing Care Functions:
    • Participate in and receive the nursing report upon reporting for duty.
    • Follow established policies concerning exposure to blood/body fluids.
    • Assist residents with daily dental and mouth care (i.e., brushing teeth/dentures, oral hygiene, special mouth care, etc.).
    • Assist residents with bath functions (i.e., bed bath, tub or shower bath, etc.) as directed.
    • Give backrubs as instructed.
    • Assist residents with dressing/undressing as necessary.
    • Assist residents with hair care functions (i.e., combing, brushing, shampooing, etc.).
    • Assist residents with nail care (i.e., clipping, trimming, and cleaning the finger/toenails). NOTE: Does not include diabetic residents.
    • Shave male residents. Keep hair on female residents clean-shaven (i.e., facial hair, underarms, on legs, etc.) as instructed.
    • Keep residents dry (i.e., change gown, clothing, linen, etc., when it becomes wet or soiled).
    • Change bed linens. Keep linens tight to avoid wrinkles from forming under the resident.
    • Position bedfast residents in correct and comfortable position. Assist resident with bowel and bladder functions (i.e., take to the bathroom, offer bedpan/urinal, portable commode, etc.). Maintain intake and output records as instructed. Keep incontinent residents clean and dry. Check and report bowel movements and character of stools as instructed.
    • Collect specimens as instructed (i.e., urine, sputum, stools, etc.).
    • Assist residents in preparing for activity and social programs (i.e., church services, parties, visitors, etc.).
    • Assist in transporting residents to/from appointments, activity and social programs, etc. as necessary.
    • Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.
    • Assist residents to walk with our without self-help devices as instructed.
    • Perform restorative and rehabilitative procedures as instructed.
    • Provide eye and ear care (i.e., warm/cold compresses, cleaning eyeglasses, hearing aides, etc.) as instructed.
    • Weigh and measure residents as instructed.
    • Measure and record temperatures, pulse and respirations (TPRs), as instructed.
    • Answer resident calls promptly.
    • Ensure that residents who are unable to call for help are checked frequently.
    • Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.
    • Assist with the care of the dying resident. Provide post-mortem care as instructed.
  6. Special Nursing Care Functions:
    • Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).
    • Report injuries of an unknown source, including skin tears.
    • Provide daily indwelling catheter care.
    • Provide daily perineal care.
    • Turn bedfast residents at least every two (2) hours.
    • Observe disoriented and comatose residents.
    • Record and report data as instructed.
    • Watch for and report any change in room temperature, ventilation, lighting, etc.
  7. Food Service Functions:
    • Prepare residents for meals (i.e., take to bathroom, wash hands, comb hair, raise bed, position tables, place bibs, take to/from dining room, etc.).
    • Serve food trays.
    • Assist with feeding as indicated (i.e., cutting foods, feeding, assist in dining room supervision, etc.).
    • Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold/etc).
    • Record residents’ food/fluid intake.
    • Report change in the residents’ eating habits.
    • Keep the residents’’ water pitchers clean and filled with fresh water (on each shift) and within easy reach of the residents.
    • Serve between meal and bedtime snacks.
    • Perform after meal care (i.e., remove trays, clean residents’ hands, face and clothing, take to the bathroom, brush teeth and clean dentures, etc).
    • Check rooms for food articles (i.e., food in proper container, unauthorized food items, etc).
  8. Staff Development:
    • Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant.
    • Attend and participate in scheduled orientation programs and activities.
    • Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management and blood-borne pathogens standard.
    • Attend and participate in advance directed in-service training programs as scheduled.
  9. Safety and Sanitation:
    • Wash hands before and after performing any service for the resident.
    • Keep the nurses’ call system within easy reach of the resident.
    • Immediately notify the Charge Nurse of any resident leaving/missing from the facility.
    • Follow established safety precautions in the performance of all duties.
    • Wash wheelchairs, walkers, etc. as instructed.
    • Clean, disinfect and return all resident care equipment to its designated storage area after each use.
    • Report hazardous conditions and equipment to the Charge Nurse immediately.
    • Follow established smoking regulations. Report all violations.
    • Report any communicable or infectious disease to the DON, ADON, and/or the Infection Control Coordinator. Follow established isolation precautions and procedures. Follow established procedures in the use and disposal of personal protective equipment.
    • Wear and/or use safety equipment and supplies (i.e., back brace, mechanical lifts, etc) when lifting or moving residents.
    • Report any missing or illegible labels and MSDS to your supervisor.
  10. Care Plan Functions:
    • Inform the Charge Nurse of any changes in the resident’s condition so that appropriate information can be entered on the resident’s care plan.
  11. Resident Rights:
    • Maintain the confidentiality of all resident care information.
    • Ensure that you treat all residents fairly and with kindness, dignity and respect.
    •  Ensure that all nursing care is provided in privacy.
    • Knock before entering the resident’s room.
    • Report all grievances and complaints made by the resident to the Charge Nurse.
    • Report all allegations of resident abuse and/or misappropriation of resident property.
  12. Working Conditions:
    • Works throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc).
    • Moves intermittently during working hours.
    • Is subject to frequent interruptions.
    • Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
    • Communicates with nursing personnel and other department personnel.
    • Works beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary.
    • Is subject to call-back during emergency conditions (i.e., severe weather, evacuation, post-disaster, etc).
    • Has to be constantly alert for resident safety.
    • Attends and participates in continuing education required and/or offered.
    • Is subject to falls, burns odors, assaults from hostile residents throughout the day.
    • Is subject to exposure to and handling of hazardous chemicals, dust, disinfectants, and other air contaminants.
    • Is subject to infectious waste, disease conditions etc., including potential exposure to TB and the Hepatitis B virus.
    • Is subject to lifting, carrying, and supporting residents.
    • Maintains a liaison with residents, their families, and other departments to plan for the resident therapy care needs.
  13. Specific Requirements:
    • Must be able to read, write and understand the English language.
    • Must be a Certified Nursing Assistant with current certification in good standing, or be able to complete CNA course requirement/pass testing within four months of date of employment.
    • Must have the ability to make independent decisions when needed.
    • Must be able to deal tactfully with personnel, residents, family members, visitors, licensure agencies, and the public. Must possess patience, tact, cheerful disposition, and enthusiasm in one’s daily service to the residents.
    • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
    • Must be able to relate information concerning a resident’s condition.
    • Must not pose a direct threat to the health and safety of other individuals in the workplace.
    • Must be able to move intermittently throughout the day and lift a minimum of 50 pounds.
    • Must be able to assist in the evacuation of residents during emergency situations.
    • Must be able to cope with the mental and emotional stress of the position. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
    • Maintain open communication using appropriate chain of command regarding issues.
    • Present a neat appearance in proper attire and identification as required by policy.
    • Adhere to and promotes the established values of the organization, i.e., safety, corporate compliance, customer service, etc.
    • Demonstrate respect and regard for the dignity of all residents, visitors and fellow employees to insure a professional, responsible and courteous environment.
    • Attend all required safety training programs and be able to describe his/her responsibilities related to general safety, department/service safety, and specific job-related hazards.
    • Follow Bethel Community exposure control plans, blood borne and airborne pathogens.
  14. Leadership Competencies: All Bethel staff are required to follow and uphold Bethel Community’s mission, vision, and values; behavioral standards; policies and procedures; and the code of conduct. In addition, the following competencies are expectations for all employees:
    • Courteous: Employee is courteous in interactions with residents, residents’ families, physicians, fellow employees and community members.
    • Respectful and Confidential: Employee respects the rights of privacy of our residents, their families, and fellow employees.
    • Ensures cultural differences are respected. Refrains from disruptive and disrespectful behavior which may include, but is not limited to:
      • Obstruction of the operation of Bethel.
      • Interference with the ability of others to do their jobs.
      • Creation of a “disruptive work environment” for Bethel staff (including volunteers), or medical staff.
      • Conduct adversely affecting or impacting the community’s confidence in Bethel’s ability to provide quality care.
      • Attacks (verbal or physical) leveled at any member of Bethel staff, medical staff, residents or their families, which are personal or beyond the bounds of fair, professional conduct.
      • Inappropriate comments or illustrations made in patient medical records or other official documents impugning the quality of care at Bethel, or attacking specific physicians or Bethel staff.
      • Non-constructive criticism addressed in a way to intimidate, undermine confidence, belittle or to suggest stupidity or incompetence.
      • Disruptive and disrespectful behavior includes statements that are generated verbally, in writing or electronically in any form, including e-mail, text messages, social network sites and blogs.
    • Responsive: Employee responds quickly, graciously and appropriately to customers.
    • Gratitude and Attitude: Employee’s behavior shows that he/she believes that each of us controls our own attitude and that what is important is not so much as what happens to us, but how we choose to react to it.
    • Pride, Ownership and Image: Employee accepts all the rights and responsibilities of being part of the Bethel family.
    • Communication: Employee is personally accountable for positive communication with the customer (residents, their families, co-workers, and community members).
    • Teamwork: Employee contributes positively to the Bethel team and is committed to treating coworkers with courtesy, honesty, and respect. Employee abides by the Attendance Policy and has team pride in the purpose of our work: our residents.
    • Adaptability: Adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to handle frequent change; delays; or unexpected events.

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