MEDICATION AIDE-CERTIFIED (MA-C) - LTCC (PRN)

• Medication Administration

• MA-C may provide routine medication administration to LTCC Residents as specified by the State of Wyoming Board of Nursing. MA-C may provide routine medication by the following routes:
• Oral
• Topical
• Instillation into the eyes, ears, and nose
• Rectal
• Vaginal
• Observation/Reporting

• Note any unusual physical or behavioral changes in the residents, such as bruises, abrasions, rashes or reddened areas on the resident's skin; or an increased agitation, confusion, lethargy or other unusual behavior.
• Report the above observations to the charge nurse in a timely manner.
• Obtain vital signs (temperature, pulse, respiration and blood pressure) as requested by the charge nurse and reports/records as appropriate.
• Measure intake and output accurately and record on the appropriate clinical record.
• Observe percent of meal consumed at every meal and records immediately.
• Obtain accurate weights of residents as required.
• Report any changes or unusual observations of the resident's mouth/oral cavity to the licensed nurse.
• Personal Care

• Assist with or perform personal hygiene for the resident, including washing the face, hands and all personal areas.
• Assist with or perform proper grooming for the resident such as combing and styling hair and helping the resident to choose clean and appealing clothes, if necessary.
• Assist the resident with a tub or total bed bath as instructed by the licensed nurse.
• Give back rubs with approved lotions to all residents at night, and more frequently to those who are bedfast or highly immobile.
• Shave the male resident on a daily basis if he is unable to shave himself.
• Assist the resident to wash his/her face and hands after meals when necessary, and to properly dispose of bibs in the laundry hamper.
• Assist or perform oral care for residents including brushing the teeth or dentures, properly labeling and storing dentures, using mouthwash or special procedures as instructed by the licensed nurse.
• Answer call lights for all residents in an expeditious manner.
• Perform active and passive range of motion for residents as requested by the licensed nurse.
• Lifting and Moving Residents

• Assist designated residents to ambulate as instructed by the licensed nurse.
• Transport residents by wheelchair or other means to locations within the LTCC or Hospital.
• Assist residents to transfer from bed to chair, etc., using approved methods.
• Reposition residents who cannot do so satisfactorily themselves, at least every two hours.
• Reposition and properly bridge residents who are in bed at least every two hours.
• Reposition residents who are up in the chair at least every two hours, e.g., assist to lie down or ambulate as instructed by the licensed nurse.
• Always perform lifting using approved methods with safety in mind to prevent injury to resident and/or self.
• Nutrition

• Match the resident with the proper diet before serving the meal.
• Assist the resident at each meal to ensure an adequate nutritional intake; e.g., set up the meal, open cartons, cut food into small pieces if necessary.
• Feed the resident who is unable to feed himself.
• Record the percent of each meal consumed immediately after meals.
• Pass nourishments/snacks to all residents receiving dietary supplements; record on the clinical record the percent of nourishment consumed.
• Report to the charge nurse when poor appetite and/or fluid intake is noted.
• Ensure that fresh water is always available for the resident, unless otherwise instructed; passes juices and water on each shift.
• Always help to create a pleasant and comfortable atmosphere at mealtime.
• Resident's Environment

• Change bed linens at pre-determined intervals and/or when linens are soiled.
• Dispose of soiled linens and clothes promptly and properly to reduce unwanted odors.
• Know and follow policies and procedures related to infection control.
• Immediately dispose of the contents of bedpans, urinals and/or commodes and rinses receptacles with an approved disinfectant prior to reuse.
• Keep resident room neat and clean at all times; keep bedside stand neat and items properly stored inside.
• Clearly mark and properly store resident’s personal belongings.
• Properly mark and promptly launder clothes when soiled; hang clothes neatly in the resident's closet
• Upon admission of a new resident, check to see that a glass and fresh water, clean towels and washcloths, etc., are ready for the resident.
• Always fasten the resident's call light within reach of the resident.
• Know and is able to carry out approved emergency procedures.
• Report all unusual occurrences breakage and damage to equipment immediately and remove broken items from area of use as necessary.
• Bowel and Bladder

• Assist residents to the toilet or commode per assignment and as requested. Toilet residents upon arising in AM, prior to and after meals, and at night.
• Change incontinent residents after every episode; perform adequate perineal hygiene for residents incapable of self-care.
• Record bowel and bladder function after every shift.
• Perform catheter care using approved procedures.
• Complete assigned duties such as maintaining utility areas and other miscellaneous assignments.
• Report all unusual occurrences, breakage and damage.

• Attend in-service meetings.
• May be required to perform other related duties for which the individual is qualified.

Cody Regional Health