The NAC provides direct care to skilled-nursing and/or assisted living home resident for the activities or daily living, this will include some medical care.
Accountability: All NACs report directly to the Supervising Nurse
Salary/Compensation: $11.00 per hour base, hourly rate increase dependent on past experience.
Equipment Used: Blood Pressure Gauge, Thermometer, Wheelchair, Mechanical Lift Devices, and Gait Belt.
Environment: Inside 98%, Outside 2%
Schedule: 3:00 – 11:00 PM Memory Care, 2:30 – 11:00 PM Skilled-Nursing
Education: Complete NAC Class and receives certification in the State of Washington. Current CPR Certification.
Duties and Responsibilities: Except as specifically noted, the following functions are considered essential to this position. Assistance may range from total, to partial, to stand by depending upon physical and cognitive ability of resident.
- Assist resident in and out of bed and char/wheelchair with the correct use of the transfer belt (gait Belt). May require the assistance of another aide, depending on weight and physical abilities of residents.
- Assist residents in bathing as assigned.
- Assist residents in dressing or undressing. Fold or hang clean items and place soiled items in hamper (family laundry) or lined barrel (facility laundry).
- Assist residents in using bathroom and peri care. May be required to provide, remove and clean bedpans, urinals and bedside commodes.
- Take vital signs of residents, e.g., temperature, blood pressure, pulse, and respiratory rate, weight, and record information.
- Assist residents to dining area for meals or provide meals in room, as resident prefers. May be required to assist in tray setup and feeding of residents and documenting intake of nourishment. Serve between meal nourishment and assist as needed. Record amount eaten. Except when contraindicated, maintain clean pitcher and cup or fresh water at bedside of each resident.
- Remove soiled bedding and replace with clean linens as needed.
- Assist in personal grooming of residents, e.g., brushing teeth, hair, trimming finger/toe nails, monitor general hygiene, and assist as needed to ensure residents are clean and neat.
- If resident is unable to reposition self, aide may be required to turn and reposition self, aide may be required to turn and reposition resident intermittently.
- May be required to clean equipment such as bedpans and basins and empty catheter bags.
- Maintain each bedside unit in near and orderly condition. Clean table surfaces as needed. Store personal items such as dentures, eyeglasses, combs, brushes in sanitary and convenient manner.
- Make continuous observations of housekeeping and maintenance needs, e.g., broken fixtures, burned out light bulbs, soiled, floors/curtains, and report promptly.
- Maintain all service areas in clean and orderly condition.
- Assist in assuring the maximum quality of life for all residents by maintaining privacy, accommodating individual preference, promoting independence, encouraging and assisting participation in facility activities/events, and communicating respectfully at all times.
- Respond to call lights promptly. Keep call light within reach of non-ambulatory resident when unattended.
- Maintain continuous communication with team leader. Participate in report; communicate all changes and unusual observation concerning resident’s physical and psycho-social functioning.
- Attend unit meetings as scheduled, all mandatory in-services and optional in-services per individual needs and interest, for a total of at least 12 hours annually. Outside educational offerings may be substituted for optional in-service hours by providing proof of attendance. Mandatory in-services cannot be substituted.
- Other duties as assigned by the nursing Supervisor within the area of your practice.
To Apply: Please complete the following application and attach a current resume
- Lift up to 10 lbs: Frequently required to lift medical charts, supplies, and resident’s personal items, e.g. clothing and food items.
- Lift 11 – 25 lbs: Frequently required when lifting soiled bed linens.
- Lift 26 – 50 lbs: Frequently required when transferring a non-weight bearing resident weighing between 100 – 160 pounds. Two aides are typically utilized when resident is unusually heavy or combative• Carry up to 10 lbs: Frequently required to carry medical charts, supplies, and resident’s personal items, e.g., Clothing and food items.
- Carry up to 20 lbs: Frequently may be required when carrying soiled bed linens and carrying to the collection point.
- Carry 26 – 50 lbs: Frequently required for very short distances, when assisting an ambulatory resident to transfers.
- Carry over 50 lbs: Frequently required for very short distances when transferring a non-ambulatory resident weighing between 100 – 130 pounds. Two aides are typically utilized when resident is usually heavy or combative.
- Reach About Shoulder Height: Occasionally when reaching for information or supplies located on shelves.
- Reach Below Shoulder Height: Frequently occurs while assisting with grooming and hygiene.
- Grasping: Frequently grasping while transferring resident and assisting with grooming and hygiene, and while documenting care.
- Handling: Constantly handling resident’s personal items, blood pressure gauge, thermometer, and eating utensils.
- Fingering: Occasionally occurs while documenting resident’s medical charts.
- Controls/Equipment: Blood pressure gauge, thermometer, etc.
OTHER PHYSICAL CONSIDERATIONS
- Twisting: Occasionally may occur while transferring resident.
- Bending: Frequently occurs while taking vital signs, assisting resident in bathing, providing peri care, etc.
- Squatting: Occasionally may occur while bathing residents, also required when putting on shoes and socks of residents, and also when making eye to eye contact while talking if resident is in wheelchair.
DURING AN 8 HOUR DAY, EMPLOYEE IS REQUIRED TO
- Sit: 1 -2 Hours
- Stand: 1-3 hours
- Walking: 1-3 hours
Varies from carpeting, linoleum, and tile. When seated, typically an office-type chair or a kitchen type chair.
COGNITIVE AND SENSORY REQUIREMENTS
- Talking: Necessary for communicating with residents and staff.
- Hearing: Necessary for taking instruction from charge nurse and request of resident.
- Sight: Necessary for doing job correctly and effectively.
- Tasting/Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary track problems etc.
SPECIFIC VOCATIONAL PREPARATION REQUIREMENT
State certification (required within four months of employment)
OTHER TRAINING SKILLS AND EXPERIENCE REQUIREMENTS
Annual continuing education of 12 in-service hours per year.
SUMMARY OF OCCUPATIONAL EXPOSURE
- Blood-borne Pathogens
- Task and procedures performed by employee involved risks classified by CDC as:
- Category I (Direct contact with blood or other bodily fluids to which universal precautions apply)
- Category II (Activity performed without blood exposure but exposure may occur in emergency)
- Category III (Task/activity does not entail predictable or unpredictable exposure to blood)
REFER TO EXPOSURE CONTROL PLAN FOR ADDITIONAL INFORMATION.
OTHER CONSIDERATIONS AND REQUIREMENTS
In this position, the employee is required to be on his or her feet continually throughout the day. In a full-time nonrestrictive basis, the employee must be able to lift at least 50 pounds of weight, which is required when transferring a resident from a bed to a wheelchair. A transfer belt (gait belt) is necessary and required when transferring any non-weight bearing resident. This is for the safety of not only the resident, but also the aide. Other nurses’ aides are available to assist with heavier residents if needed.