Atlantic Baptist Housing
Position Summary: The Resident Care Worker/Resident Attendant is the personal care provider for residents within the Long- Term Care facility.
The purpose of this position is to provide professional, high quality, holistic care in manner that considers the residents physical, emotional, psychological and spiritual needs. A primary responsibility is to become acquainted with the resident his/her hopes, dreams and goals, and work on establishing a relationship with him/her and their family.
Working within the philosophy, policies and procedures of Atlantic Baptist Housing and following the nursing departments established policies and procedures, the Resident Care Worker/Resident Attendant will use the skills and competencies within their scope of practice in the performance of their work. As a member of the interdisciplinary nursing team, the Resident Care Worker/Resident Attendant will receive direction from the Team-Leader-LPN on a daily basis and the RN Supervisor on an ongoing basis.
The Resident Care Worker/Resident Attendant is an integral member of the nursing care team and is responsible to work to their full scope pf practice as outlined in the criteria and tasks below:
A. Demonstrate Professionalism:
- Practice within appropriate legal parameters
- Verify resident consent before initiating care
- Advocate and protect the rights of the resident
- Assume responsibility for one’s own actions at all times
- Verify orders and procedures i.e., Creams, suppositories and simple dressings.
- Take steps to maintain optimal personal health and safe work environment
- Perform within role and meets expected level of competency of a RCW
- Report to appropriate authority all incidents of unsafe practice or professional misconduct of nursing or other health providers
- Seek assistance and guidance when the care to be given exceeds personal training
- Incorporate, model and encourage the behaviour of others to reflect occupational professionalism and Nursing Code of Ethics
- Manage time
- Except change
- Be flexible-be adaptive and accepting of new ides, be willing to approach new challenges and adjust plans to meet new priorities.
- Promote cooperation and teamwork
- Respect spiritual beliefs of a resident
- Respects the dignity and right to privacy of every resident
- Promote person centered care philosophy
B. Perform Assessments:
- Monitor temperatures
- Monitor pulse
- Monitor respirations
- Assess residents’ appearance
- Assess skin changes
- Assess residents’ health condition
- Assess changes in elimination
- Assess changes in circulation and oxygenation
- Asses blood glucose and respond to diabetic symptoms and reactions
- Perform assessments using observation
- Monitor report and record oral intake
- Measure, report and record intake and output
- Measure and report abdominal girth
- Measure report and record height and weight
- Test urine for glucose and ketones and report finding to the appropriate resource
- Monitor O2 saturation and BP using automatic machines
C. Participate in Planning:
- Participate in the development of nursing care plans to meet the residents needs
- Involve the resident and family in setting of goals
- Organize nursing care and set priorities that reflect individual needs and maximize use of time
- Participate in discharge planning
- Participate in strategic planning at the nursing unit/facility level
- Assist with the planning and implementation of special projects
D. Participate in Evaluations:
- Participate with the residents, family and other health professionals in the revision of the goals, priorities and nursing actions required.
- Continually evaluate nursing care
- Evaluate quality and effectiveness of resident care
- Collect and report to appropriate authority any objective and or subjective data relating to outcomes of nursing actions taken with the resident and or their family
- Participate in any evaluation of equipment, supplies and service used in the provision of resident care
E. Use Therapeutic Communication:
- Provide appropriate information to and receives information from the resident, family and all members of the health care team
- Communicate with the residents to facilitate his/her understanding
- Encourage the resident’s participation in planning and implementing the care plan
- Encourage the resident to assume responsibility for their own health
- Establish therapeutic communications with the resident, being aware of any special needs i.e. hearing loss, blindness, cognitive impairment, use of communications boards etc.
- Apply charting principles
- Actively participate in team meetings and staff meetings
- Apply principles of conflict resolution and problem solving
- Contribute to the building of positive, cooperative team relationships
- Communicate in a supportive, courteous and respectful manner with everyone
- Offer a welcoming environment for residents, families and staff
- Use non-verbal communication techniques
- Observe and report signs of emotional discomfort whenever they occur
- Respect families and care partners
- Will pursue a relationship with the resident but be careful not to cross professional boundaries to negatively interfere with the resident’s decision making.
- Dementia related challenging behaviours are seen as dementia plus a response to the current situation. The staff member looks for possible triggers and develops care planning to avoid such triggers in the future.
F. Perform Clinical Duties such as:
- Provide wound care:
1.1 Apply simple dressings and non-sterile dressings
1.2 Apply, change and maintain compresses using medical asepsis.
1.3 Report on and record pertinent wound findings
2. Moving In, Discharge and Transfer
2.1 Orientate resident/ family to home and room
2.2 Care for and secures residents valuables
2.3 Assist in moving in and discharge planning
3. Use of Devices and Equipment
3.1 Use equipment the help promote healing, prevent deformities or minimize the effects of immobility
3.2 Use client lifts
3.3 Care for residents who require assistive devices, including assessment and maintenance of equipment
3.4 Operated manual and electrical beds
3.5 Make beds
3.6 Operate equipment safely
3.7 Clean and prepare and wrap utensils for sterilization
3.8 Identify equipment needs and report to appropriate authority
3.9 Monitor the maintenance, use and cleaning of equipment according to procedures and schedules
3.10 Evaluate resident equipment needs and communicate same to appropriate authority
3.11 Reapply slings, bandages, TED stockings, splints
- Monitor and Assist with Elimination
4.1 Use nursing measures to maintain regular elimination
4.2 Assist resident in use of bedpan, urinal, commode and toilet
4.3 Participate in bowel and bladder training and retraining programs
4.4 Provide catheter care
4.5 Provide ostomy care to establish stomas
4.6 Apply condom catheters
5. Assist with Nutrition
5.1 Understand and promote Canadas Food Guide
5.2 Monitor and assist the residents with oral intake as necessary
5.3 Assist in maintaining dietary or fluid restrictions
5.4 Follow safe food handling guidelines in light meal preparation and serve prescribed food supplements
5.5 Assist the resident with food selections based on a regular or therapeutic diet
5.6 Prepare the residents for meals
5.7 Report to LPN/RN any feeding concerns and record same on residents’ chart
6. Person Centred Hygiene and Daily Living Support
6.1 Working with the resident as a partner in care assist with personal care: bathing, oral care, hair care, nail care (non-diabetics), peri care. Will start care form the position that the elder’s decision and choice will direct care. Facilitate independence and coach through activities of daily living. Assist only when necessary.
6.2 Assist with eye care
6.3 Assist with foot care (non-diabetic)
6.4 Assist with dressing and undressing
7. Support Respiration and Ventilation:
7.1 Teach and reinforce deep breathing exercises
8. Monitor and Provide for Protection and Conflict:
8.1 Assist and maintain a safe, hazard free and clean resident environment
8.2 Verify resident identification
8.3 Ensure resident accessibility to the call system
8.4 Promote relaxation and sleep
8.5 Develop therapeutic relationships with resident to meet emotional, mental and psychological needs
8.6 Adhere to Falls Management and Least Restraints Program policies and procedures
8.7 Apply principles of good body mechanics
8.8 Remove from room and dispose of soiled incontinent pads
8.9 Maintain stock supply of clean linen for resident use
8.10 Make beds, clean and tidy bedside tables and closets
8.11 Follow Gentle Persuasive Approach guidelines in relation to protective behaviours
- Provide Specimen Collection and Diagnostic Tests Support:
9.1 Collect and label urine, stool and or sterile urine and sputum specimens
9.2 Strain Urine
9.3 Prepare resident for diagnostic tests, procedures or physical specimens
- Promote and Participate in Teaching and Education:
10.1 Identify resident and family health needs and communicate to LPN or RN
10.2 Identify Modifications which promote resident independence
10.3 Identify functional and dysfunctional health behaviours
10.4 Attend and participate in in-service and training sessions
10.5 Assist with orientation of new RCWs and students
- Provide Care During Dying and Death:
11.1 Participate in meeting the needs of the dying resident and their family
11.2 Care of the deceased resident, the family and the personal possessions
- Provide Safety and Emergency Care:
12.1 Be familiar with Fire and Emergency Plans and actively participate in fire and evacuation drills
12.2 Perform basic emergency procedures including CPR (BCLS Level C) first aid and Heimlich manoeuvre
12.3 Practice principles of safety and accident prevention i.e., resident footwear, smoking habits and report any concerns immediately to the Nurse Supervisor.
12.4 Practice standard precautions i.e., Infection Control
12.5 Clean used utensils carts and chairs in accordance to schedules and procedures
12.6 Participate in safety and security rounds
12.7 Ensure all safety and security rounds
12.8 Maintain a culture of safety within the organization and will be aware of their role in supporting client safety within the organization; and remain up to date and current with department and facility policies and processes that support client safety.
13. Encourage Mobility:
13.1 Perform passive exercises
13.2 Encourage resident to practice active exercise and range of motion
13.3 Organize and encourage and accompany resident to recreation activities
13.4 Provide assistance when positioning a resident
13.5 Assist and encourage resident mobility
13.6 Assist with the use of the ambulatory devices
13.7 Collaborate with other health team members to deliver special exercise Programs
- Assist with Medications:
14.1 Administer glycerine, Dulcolax and hemorrhoid rectal suppositories
14.2 Administer fleet enemas
14.3 Apply non- medicated topical ointments and creams
G. Leadership:
- Promote person centred care philosophy
- Assist in the orientation of new RCWs and students
- Participate in facility committees as required
- Share knowledge with peers and co-workers both in informal and formal exchanges
- Attend and participle in staff meetings
- Adhere to the principles of confidentiality
H. Health and Safety:
- Observe and practice safe work habits
- Has made a commitment to Health and Safety and is committed to doing his/her part in keeping their workplace safe and to safeguarding their fellow employees by:
- Observing all rules related to safety
- Using equipment as directed in a safe manner
- Transfers and positions residents using proper body mechanics and equipment
- Reporting any safety hazard immediately to their supervisor
- Taking part in all Safety programs provided and performs duties as assigned (i.e., Emergency Preparedness, WHIMIS, TLR, and Infection Control)
I. Other:
- Performs all other duties as required
J. Qualifications:
- Successful completion of a recognized Resident Care Worker Program or relevant extensive experience in the nursing field preferably in long-term care
- Preference will be given to those with related work experience
- Good previous work record
- A patient and caring attitude towards the elderly and their needs
- Ability to work in a team environment
- Good communication and interpersonal skills
- TLR Certification
- Neat and clean appearance
- Ability to take direction
- Due to the physical and mental demands of this position, good physical and mental health and good personal health habits are necessary.
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