Mission:

To assure the agency is operating efficiently at all administrative levels; and to ensure that the agency protects and affirms the rights of the individuals served by creating a working climate that is staff supportive using the tenants of the Teaching-Family Model (TFM) of care.

Responsibilities:

• Position Summary: The primary purpose of this position is to perform personal care activities and
• related nursing services necessary in caring for the personal needs, safety, and comfort of persons.
• Assists in providing a physical, social, and psychological environment which will allow the person
• to achieve the highest level of functioning. Performs duties in accordance with established nursing
• objectives, standards, facility policies and procedures and person’s rights.
• Responsible to: This position works under the supervision and direction of the Nurse House Manager or
• Supervisor.

Essential Functions:

1. Follow work assignments, and/or work schedules in completing and performing assigned tasks.

2. Perform all assigned tasks in accordance with established policies and procedure and as instructed by supervisor.

3. Notify the facility when late or absent from work according to specified call in procedures.

4. Cooperate with other facility personnel to assure that nursing services can be adequately maintained to meet the needs of the persons.

5. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit and shift.

6. Participate in and receive the nursing report upon reporting for duty.

7. Assist persons with daily dental and mouth care.

8. Give backrubs as instructed.

9. Assist persons with dressing/undressing as necessary.

10. Assist persons with hair care functions (combing, brushing, shampooing, etc.).

11. Assist persons with nail care (clipping, trimming, and cleaning the finger/toenails).

12. Shave persons as needed or requested.

13. Keep persons dry (change gown, clothing, line, etc., when it becomes wet or soiled).

14. Make beds.

15. Position bedfast persons in correct and comfortable position.

16. Change bed linens. Keep linens tight to avoid wrinkles from forming under the person.

17. Put extra covers on beds as requested.

18. Assist person with bowel and bladder functions.

19. Maintain intake and output records as instructed.

20. Check and report bowel movements and character of stools as instructed.

21. Assist with bowel and bladder training program.

22. Give enemas as directed.

23. Collect urine and stool specimens as requested.

24. Assist persons in preparing for activity and social programs.

25. Assist in transporting persons to/from appointments, activity, and social programs as necessary.

26. Assist with lifting, turning, moving, positioning, and transporting persons into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.

27. Answer person calls promptly.

28. Assist persons to walk with or without self-help devices as instructed.

29. Perform restorative and rehabilitative procedures as instructed.

30. Provide eye and ear care.

31. Measure and record temperatures, pulse, and respirations as instructed.

32. Weight and measure persons as instructed.

33. Assist with the application of non-sterile warm/cold compresses.

34. Assist with the care of a dying person.

35. Provide post-mortem care as instructed.

36. Check persons routinely to assure that their personal care needs are being met.

37. Observe and report the presence of pressure areas and skin breakdowns to prevent bedsores.

38. Provide daily perineal care.

39. Give alcohol sponge baths.

40. Provide daily Range of Motion Exercises as requested.

41. Turn bedfast persons at least every two hours.

42. Observe disoriented and comatose persons. Record and report data as instructed.

43. Watch for and report any change in room temperature, ventilation, lighting, etc.

44. Prepare persons for meals (take to bathroom, wash hands, comb hair, raise bed, take to/from dining room, etc).

45. Serve food trays. Assist with feeding as indicated.

46. Assist persons with identifying food arrangements (informing persons with sight problems, what foods are on the tray, where it is located, if it is hot/cold, etc.).

47. Record the persons’ food/fluid intake. Report changes in the person’s eating habits.

48. Keep persons water pitchers clean and filled with fresh water and within easy reach of the person.

49. Serve between meal and bedtime snacks as directed.

50. Perform after meal care (remove trays, clean person’s hands, face, clothing, take to bathroom, brush teeth, clean dentures, etc.).

51. Attend and participate in scheduled training and educational classes.

52. Notify the Nurse House Manager or Supervisor immediately of any person leaving/missing from the facility.

53. Keep floors dry. Report spills immediately.

54. Keep excess supplies and equipment off the floor. Store in designated areas.

55. Keep persons personal possessions off the floor and properly stored.

56. Follow established smoking regulations. Report all violations.

57. Keep the nurses’ call system within easy reach of the person.

58. Report all hazardous conditions and equipment to the Nurse House Manager or Supervisor immediately.

59. Follow established safety precautions in the performance of all duties.

60. Report all safety violations.

61. Wash hands before and after performing any service for the person.

62. Wash wheelchairs, walkers, etc., as instructed.

63. Clean, disinfect, and return all person care equipment to its designated storage area after each use.

64. Perform routine housekeeping duties (clean bedrails, night stand, etc., that relate to nursing care procedures).

65. Wash hands before entering and leaving an isolation room/area.

66. Report any communicable or infectious disease that you contact to the Director of Nursing or designee.

67. Follow established isolation precautions and procedures.

68. Use gowns and gloves as indicated.

69. Operate all equipment in a safe manner.

70. Report defective equipment to the Nurse House Manager or Supervisor.

71. Inform the Nurse House Manager or Supervisor of your equipment and supply needs.

72. Review care plans daily to ensure that you are providing appropriate nursing care.

73. Inform the Nurse House Manager or Supervisor of any changes that need to be made on the care plan.

74. Ensure that your notes reflect that the care plan is being followed.

75. Maintain the confidentiality of all person care information.

76. Ensure that you treat all persons fairly and with kindness, dignity, and respect.

77. Ensure that all nursing care is provided in privacy.

78. Knock before entering the person’s room.

79. Report all grievances and complaints made by the person to the Nurse House Manager or Supervisor.

80. Report all accidents and incidents you observe on the shift that they occur.

81. Report all changes in the person’s condition as soon as practical.

82. When processing a new admission, ensure that the person’s room is ready, greet and escort persons to their room, and introduce persons to other persons and personnel as appropriate.

83. Inventory and mark the person’s personal possessions.

84. Assist persons with packing their personal possessions when they are being transferred to a new room or when being discharged.

85. Assist persons with loading/unloading/packing/unpacking as necessary.

Physical Demands and Working Conditions:

• Sits, stands, bends, lifts, moves, stoops, and stirs intermittently during working hours.
• Is involved with persons, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset persons, family members, etc.
• Speaking and hearing when receiving instructions and conversing with others
• Must possess sight/hearing senses, or use prosthetic that will enable these senses to function adequately so that the requirements of this position can be fully met.
• Is willing to work beyond normal working hours, and in other positions temporarily, when necessary.
• Attends and participates in continuing educational programs.
• Subject to falls, burns from equipment, odors throughout the work day.
• May be exposed to infectious waste, diseases, conditions, etc.
• Reading and accurately recording information.
• Must be able to lift, push, pull, and move equipment, supplies, etc., throughout the work day.
• Subject to hostile and emotionally upset persons, family members, personnel, and visitors.

Qualifications:

• Must be a minimum of twenty-one years of age.
• Must be able to read and write in the English language.
• Must be able to lift a minimum of 50 pounds.
• Must have a high school diploma or equivalent.

1) Manages the deposits for individual accounts and enters SSI for Earned Income recipients into spreadsheets maintained for them.

2) Communicates with Social Security employees as well as TFS Admin staff, and Eideitik, etc., to coordinate efficient service delivery and supports.

3) Monitors and provides specific feedback regarding high account balances, completes Representative Payee applications, reports gross monthly earnings to Social Security for individuals supported who earn income and receive SSI, and completes follow ups for assigned tasks, etc.

4) Prepares, balances corresponding spreadsheets, and files Rep Payee Reports in a timely manner.

5) Uploads various documentation into PHS; ISPs, Therapy docs, etc.

6) Complies with various federal and state regulations, TFS’ adaptation of the Teaching Family model, and TFS policies/procedures.

7) Behavior exhibits professional attitude, demeanor, and interpersonal skills required by position and company.

8) Serves as backup to the front desk staff as needed.

9) Manages monthly client financial caseload of up to three homes.

10) Oversees obtaining timely consents and auditing for compliance for Human Rights Committee.

11) Other duties as assigned, such as preparing and mailing annual Parent/Guardian surveys timely and trending results.

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