TalentGro

On-the-job Training

• Organizational/Problem Solving and Ethics
  • Organizational - Use organizational skills (prepare all equipment and supplies prior to performing a care activity to prevent backtracking)
  • Organizational - Use effective time management skills (completing care timely in an unhurried manner)
  • Organizational - Use and recognize teamwork, leadership, and mentoring
  • Problem Solving - Recognize problems and know when/how to seek assistance, as well as how to reassess the situation in problem resolution
  • Problem Solving - Incorporate customer service skills – respecting differences and perspectives
  • Problem Solving - Recognize and report changes in residents’ condition promptly
  • Ethics - Perform duties and responsibilities demonstrating respect and cooperation
  • Ethics - Demonstrate good character, is productive during work hours, manage attendance and absences according to policy
  • Ethics - Maintain a professional demeanor and work appearance
• Maintains a Clean and Safe Environment
  • Infection Control Activities - Hand Washing techniques including the use of sanitizing agents according to standards
  • Infection Control Activities - Use and demonstrate adherence to OSHA and CDC guidelines (such as handling Blood Borne Pathogens and maintaining infection control)
  • Infection Control Activities - Demonstrate knowledge and utilize Exposure Control Plan
  • Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
  • Infection Control Activities - Use and demonstrate personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
  • Infection Control Activities - Describe and use Standard Precautions as determined by the CDC and OSHA
  • Infection Control Activities - Describe clean vs dirty areas
  • Infection Control Activities - Clean and maintain equipment within infection control standards
  • Physical Environment Maintenance - Perform visual check of resident’s living area and resolve potential safety issues (secure hazardous materials, clear pathways, etc.)
  • Physical Environment Maintenance - Check resident’s alarm; make sure call light/signal is within resident’s reach; secure patient’s bed
  • Physical Environment Maintenance - Take care of cleaning needs in resident’s room
  • Physical Environment Maintenance - Handle soiled linen and clothing to prevent contamination, including isolation techniques in accordance with infection control standards
  • Physical Environment Maintenance - Make unoccupied bed
  • Physical Environment Maintenance - Make occupied bed
  • Physical Environment Maintenance - Ensure the resident/client environment does not have hazards for slips, trips, and falls
  • Safety Procedures - Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills, disaster preparedness)
  • Safety Procedures - Properly use safety tools (e.g., ABC fire extinguisher)
  • Safety Procedures - Discuss fire safety, describe and explain RACE and PASS acronyms
  • Safety Procedures - List general safety steps for working in a healthcare environment
  • Safety Procedures - Maintain and operate back up equipment as needed
  • Safety Procedures - Apply and monitor safety devices
  • Safety Procedures - Ability to administer the Heimlich Maneuver
• Communicate Effectively while Following Regulations with Residents, Family Members, Medical Team, and Other Authorized Persons
  • Interact with residents in a respectful way regarding their culture, their needs, and preferences, while respecting their privacy
  • Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
  • Describe rules for effective communication with the resident/client and team
  • Utilize appropriate communication methods for working with the sensory impaired and cognitively impaired
  • Write report and document issues and events in clear concise language, within regulatory requirements
  • Report physical changes, mental changes, abuse, any changes to the medical team, or authorized persons of which the team should be aware
  • Understand and follow legal requirements on reporting and documentation (i.e., HIPAA)
  • Understand who is an authorized person and what information is allowed to be provided
  • Maintain resident/client confidentiality and privacy according to organization and HIPAA guidelines
  • Utilize appropriate communication techniques related to ability (communication board, etc.) with resident/client
  • Communicate in non-judgmental manner minimizing bias and assumptions
• Basic Nursing Assistant Skills
  • Measure/record respiration and obtain other vital signs
  • Measures/records oral temperature (non-digital thermometer)
  • Measures/records rectal temperature (non-digital thermometer)
  • Measures/records radial pulse
  • Measures/records height
  • Measures/records weight (balance scale/chair scale)
  • Collects urine specimen
  • Collects stool specimen
  • Measures/records food and fluid intake
  • Measures/records urinary output
  • Provides post-mortem care
  • Assists nursing staff with any additional duties as assigned within scope of practice
  • Recognizes and reports changes in resident/client condition
• Personal Care Skills and Activities of Daily Living
  • Assists resident with bathing or dressing if needed
  • Gives complete bed bath
  • Gives partial bed bath
  • Provides AM and PM care
  • Gives shower
  • Gives bath/whirlpool bath
  • Provides hair care including shampooing, grooming, brushing, combing
  • Provides mouth care for residents with natural teeth
  • Provides mouth care for residents with no natural teeth
  • Provides denture care
  • Shaves resident
  • Provides hand and nail care
  • Provides foot care
  • Dresses resident, including care of eyeglasses and hearing aides
  • Perineal care – female
  • Perineal care – male
  • Perineal care – incontinent resident
  • Assists with bedpan (offer/remove/ clean)
  • Assists with urinal (offer/remove/ clean)
  • Uses bedside commode
  • Urinary catheter care
  • Care of/emptying of urinary drainage bag
  • Provides ostomy care
  • Feeds resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
  • Provides skin care, including back rub
  • Positions resident in chair
  • Moves resident up in bed
  • Positions resident on side in bed
• Promote Resident’s Developmental, Mental Health, and Social Service Needs
  • Is able to effectively and supportively deal with abusive residents
  • Respects patient privacy (knock before entering)
  • Promotes resident’s social interaction, recreation
  • Encourages self-advocacy and promote resident’s self-esteem
  • Demonstrates techniques for communicating effectively to residents
  • Provides companionship; assist resident with correspondence
  • Encourages health eating choices,
  • De-escalates disputes between residents
  • Coordinates resident’s appointments
  • Encourages family and friends as a source of emotional support of resident
  • Recognizes developmental tasks associated with the aging process
  • Orients resident/client to facility
  • Recognizes signs and symptoms of pain/discomfort and report appropriately
  • Promotes optimal level of wellbeing for residents/clients experiencing loss/grief
  • Promotes optimal level of sensory stimulation (visual, auditory and tactile)
• Care of Cognitively Impaired Residents
  • Is able to effectively communicate with cognitively-impaired residents
  • Provides appropriate assistance with ADLs to maximize independence and well-being, understanding impairment issues and client preference
  • Incorporates expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically
• Basic Restorative Skills/Services
  • Assists with ambulation using gait belt
  • Demonstrates organization’s Universal Fall Precautions and additional standards based on the resident/client
  • Utilizes ambulation assistive devices and adaptive equipment correctly and safely
  • Assists resident with feeding adaptive equipment as needed
  • Under nurse’s care, assists with improving the resident’s range of motion to upper extremities and to lower extremities
  • Assists the resident in the use of positioning devices in bed and in chair
  • Assists residents in the proper use of prosthetic/orthotic devices
  • Applies hand splint
  • Uses all transfer and other equipment in a manner to make the resident feel safe
  • Implements turning, repositioning, and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
  • Provides exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
  • Provides bowel and bladder training as needed
  • Identifies the complications of immobility and importance of exercise to health and well being
  • Encourages patient self-care as appropriate and safe
• Resident’s Rights
  • Responds to resident’s call lights promptly or promptly forward requests if unable to take care of the request
  • Recognizes and respects resident/clients individuality and preferences for services and care.
  • Provides privacy doors or pulling curtain around resident when providing care
  • Respects resident individuality, preferences as much as safely possible
  • Respects and maintains the confidentiality of the resident always adhering to HIPAA and other guidelines
  • Notifies nurse, family member, or other team members of the resident of needed equipment or personal supplies
  • Avoids the need for restraints if possible
  • Is able to define abuse, neglect, assault, battery, and malpractice
  • Identifies organization and professional standards related to the use of restraints
  • Discusses resolving grievances and disputes.
• Perform Administrative Tasks
  • Completes all required reports and documentation
  • Understands and implements all policies and procedures, including new ones
  • Participates in agency/staff/medical team meetings
  • Maintains all professional licensing up to date, including requirements for vaccinations