Administer and Document Medications. Perform Treatments. Observe and Record and Report Observations. Provide Direct Resident Care. Adhere to Safety and Infection Control Policies and Procedures. Promote Positive Public Relations For the Facility. Perform Other Tasks as Required. Observe and report to the facility's licensed nurse reactions and side effects to medications exhibited by a resident. Measure and document vital signs prior to the administration of medication that could affect or change the vital signs. Report any abnormalities that would prohibit medication administration to the licensed nurse.
Administer regularly prescribed medication, which the QMA has been trained to administer only after personally preparing (setting up) the medication to be administered. The QMA shall document in a resident's clinical record all medications that the QMA personally administered. The QMA shall not document in a resident's clinical record and medication that was administered by another person or not administered at all. Initiate oxygen per nasal canula or non-sealing mask only in an emergency. Immediately after the emergency, the QMA shall verbally notify the licensed nurse on duty or on call and appropriately document the action and notification. Obtain oxygen saturation utilizing an oximeter that has been calibrated by a licensed or certified professional and report results to the licensed nurse. Administer/apply physician-order oral, ophthalmic, otic, nasal, vaginal and rectal medications. Crush and administer medications if such preparation is appropriate per manufacturer's instructions or physician's order.
Alter capsules, if prescribed to be administered in this altered manner by the physician. Count, administer and document controlled substances. Administer previously ordered pro re nata (PRN) medication only if authorization is obtained from the facility's licensed nurse on duty or on call. Apply topical medication to minor skin conditions such as dermatitis, scabies, pediculosis, fungal-infection, psoriasis, eczema, first-degree burn, stage one decubitus ulcer. Administer medication via metered dose inhaler. Conduct hemoccult testing and report result to the licensed nurse. Conduct finger stick blood glucose testing (specific to the glucose meter used) reporting result to the licensed nurse. Apply a dressing to a minor skin tear that has been assessed by a licensed nurse.
Provide ordered site care and apply a dressing to a healed G-tube and J-tube site. Empty and change colostomy bag. Instill a commercially prepared disposable enema. Administer a sitz bath, if ordered by the physician and report any unusual observations to the licensed nurse. Apply a cold, dry compress as directed by the physician or by the licensed nurse in emergency situations requiring first-aid treatment. Conduct diabetic urine testing, for example, tablet, dipstick or test tape methods. Collect fecal or urine specimens as ordered by the physician. Document in the clinical record the QMA observations including what the QMA sees, hears or smells and document what is reported to the QMA by the resident.
Provide direct resident care
- Function as a C.N.A. when not assigned to administer medications.
- Assist other nursing staff with other duties when not involved in administering medications and treatments.
- Perform resident care measures as directed by Unit Charge Nurse.
Adhere To Safety and Infection Control Policies and Procedures
- Maintain good personal hygiene and adhere to uniform requirement.
- Participates in orientation training and at least twelve (12) hours of C.N.A. training and eight (8) hours of QMA in-service programs annually.
- Report personal illness or skin lesions.
- Report defective equipment or other potential safety hazards promptly.
- Adheres to Nursing Department policies and procedures.
Promote Positive Public Relations for the Facility
- Display courteous, cooperative, helpful manner with residents, visitors and other staff
- Use proper telephone etiquette.
- Represent the facility in a positive manner.
- Maintain confidentiality of all matters pertaining to resident condition and personal affairs.
- Report concerns/complaints to Unit Charge Nurse.
Perform Other Tasks as Required
- Assist other personnel when assignment completed.
- Knows and follows existing lines of communication and authority.
- Assure medication preparation area and cart are maintained in a clean and orderly manner.
- Other - as designated by Unit Charge Nurse or Nursing Director.
- Assures that resident rights are maintained at all times, reporting suspected deviations to immediate supervisor.
To perform the job successfully, an individual should demonstrate the following competencies: Customer Service - Respond to requests for service and assistance. Interpersonal Skills - Maintain confidentiality. Written Communication - Edit work for spelling and grammar. Professionalism - Approach others in a tactful manner. Attendance/Punctuality - Ensure work responsibilities are covered when absent.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: High School diploma or general education degree (GED), or one to three months' related experience and/or training, or equivalent combination of education and experience. Have current QMA Certificate in good standing on file with the Indiana State Department of Health and have current CNA Certificate in good standing on file with the Indiana Nursing Assistant Registry. One year experience in long-term care setting desired.
The ability to read/write comprehensive English and document observations. Must perform basic math. Equipment used - Geri‑chairs, restraint devices, assistive devices, bathers, bedrails, wheelchairs, feeding devices, razors, nail clippers, stethoscope, gloves, and other protective barrier equipment, telephone, call system, shavers, sterilizers, thermometers (electric/oral), gait belt, timers, wandering notification systems, microwave ovens, water mattresses, air mattresses, positioning devices, lap boards, recliner chairs, weight scales, lifts, toilet, shower, oximeter, glucometer, and hematest solution. Employee must participate in orientation training, attend mandatory in-services and/or other department specified training in-services.
Computer Skills: To perform this job successfully, an individual must be able to use the Community's computerized timeclock system. Perform electronic charting.
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