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PTI Certified Medication Aide - Tsali Care Center
Job Code:2019-04-028
Department:Tsali Care
FT/PT Status:Part Time Intermittent
Salary Minimum12.22
Salary Midpoint14.36
Position Closes:
Open Until Filled 

Job Responsibilities & Qualifications:

Primarily to assist the nurses in the administration of routine medications to residents 
residing in the nursing facility. The medication administration shall be under the direction 
of the floor nurse and in accordance with the established nursing standards, policies, 
procedures and practices of this facility and the governing regulations of nursing facilities 
established by the federal and state governments. The medication aide will also be 
required to perform the duties in the facility's C.N.A. Job Description on a daily basis.  
Medication Aides may perform the following duties in a skilled nursing facility: 
? Medication Administration through the following routes: oral, eye, ear, nasal, 
inhalant, transdermal, topical, vaginal and rectal 
? Other tasks that may be delegated to a Medication Aide include those which:  
? Frequently recur in the daily care of a client or group of clients; 
? Are performed according to an established sequence of steps; 
? Involve little or no modification from one client-care situation to another; 
? May be performed with a predictable outcome; and 
? Do not inherently involve on-going assessment, interpretation, or decision-making 
which cannot be logically separated from the procedure(s) itself. 
A licensed nurse may not delegate the professional judgment or decision-making 
responsibility to the Medication Aide which includes: 
? Recognizing side effects; 
? Recognizing toxic effects; 
? Recognizing allergic reactions; 
? Recognizing immediate desired effects; 
? Recognizing unusual and unexpected effects; 
? Recognizing changes in resident's condition that contraindicates continued 
administration of the medication; 
? Anticipating those effects which may rapidly endanger a resident's life or well-being;
and making judgments and decisions concerning actions to take in the 
event such untoward effects occur. 
• Administers routine medications to residents as indicated on the Medication 
Administration Record (MAR) and as described in the "authorized" and 
"unauthorized" sections above. 
• Will follow all the requirements and duties in the CNA-I job description, in 
addition to passing medications to residents within regulated time frame and 
within lawful requirements while being respectful of residents. The Medication 
Aide will perform his/her duties with minimal supervision. 
• Completes assignments and/or medication administration in a timely and 
proficient manner giving quality care. Accepts assignments outside of routine 
duties when deemed necessary. 
• Demonstrates capability to perform CNA-I level procedures and treatments. 
• Follows directions of Nurse in charge/RN Supervisor/DON and plan of care. 
• Reports changes in resident condition immediately. 
• Demonstrates ability to deal effectively with older adults. 
• Knows the Six Rights of medication administration and is able to demonstrate 
skills performance at anytime. 
• Implements the ordered plan of care for residents in the assigned caseload and 
• Is required to work on weekends and holidays on a rotating basis. 
• Takes vital signs as specified in CNA Plan of Care, understands normal 
parameters and reports results outside of normal parameters to residents' primary 
RN or PCS supervisor immediately if indicated and otherwise within the working 
• Organizes daily schedule to make good use of time and care of residents. 
• Demonstrates safe practices by using proper body mechanics, following policies 
for sharp/dangerous material handling and disposal, reporting and/or acting to 
correct unsafe or costly conditions. 
• Cleans and restocks CNA supplies monthly and as needed to maintain current and 
complete nursing assistant supplies. 
• Maintains current CPR certification, TB test, driver's license, and CNA 
certification without lapse and provides copies to supervisor. 
• Attends all mandatory agency in-service/education programs as scheduled during 
the evaluation period. 
• Attends at least 12 hours/year of work-related educational programs. 
• Participates in QA and Performance Improvements projects as assigned. 
• Participates in at least two work-related self-development or team activities per 
year (i.e. volunteering for committee assignments, community activities, etc.). 
• Attends monthly staff meetings and scheduled case conferences involving 
assigned residents, unless excused by supervisor. Documents the reading of 
minutes when unable to attend staff meetings. 
• Assists in the office with filing, copying, answering telephones, and special 
projects as needed as schedule allows. 
• Performs other duties assigned by supervisor to promote efficient operation of the 
• Must have a high school diploma or GED; 
• Must already be a Certified Nursing Assistant or have previous medical experience 
with the willingness to obtain CNA certification within 4 months after being hired to 
qualify for this position; 
• Must have successfully completed the 24-hour training course through a state-approved 
program and be listed on the NC Medication Aide Registry with no substantiated findings 
of abuse, neglect or misappropriation of resident property; 
• Must have NA-1 certification from an approved program and be listed on the NC NA-1 
Registry with no substantiated findings of abuse, neglect or misappropriation of resident 
• Must successfully complete a clinical skills validation for those medication 
administration tasks to be performed in the facility. This validation must be conducted by 
an RN; 
• Must be under the immediate supervisor of a licensed nurse at all times; 
• Must renew Medication Aide and NA-1 Certification every 2 years. 
• Three to six months would be necessary to become proficient in most phases of this 
• Experience providing care to ill or elderly would be helpful. 
• Must possess sufficient and legible written and verbal skills in order to communicate with 
residents and health care providers. 
Proficiency rated at 6 weeks. 
Must have thorough knowledge of the policies, procedures, and guidelines of the EBCI 
Health Delivery, standard CNA practices, applicable OSHA mandates, and related 
regulatory controls. Requires the ability to perform various CNA skills using assigned 
clinical equipment. Must have basic clerical skills, including the ability to maintain 
records, files, and logs. Must be able to collate data and prepare reports as required. Must 
have good communication skills, both written and verbal. Must have an understanding of 
the EBCI culture, life styles, and risk factors. 
Applicant must have a valid North Carolina driver’s license. 
The incumbent will be responsible for actively participating with a team of healthcare 
providers to provide and coordinate care. The incumbent will be expected to be positive 
and productive in the medication aide role. The medication aide role requires flexibility 
and the ability to work with team members who possess a variety of personalities. The 
medication aide role necessitates the incumbent to always maintain a high level of 
integrity, poise, and control.  SUPERVISION RECEIVED 
The incumbent plans, schedules, and provides care in coordination with the medical care 
plan with RN guidance. This is done with minimal supervision under the Nurse in charge/ 
RN Supervisor/DON and plan of care.  The work is evaluated for technical soundness 
and adherence to professional standards. 
Requires a high degree of accuracy is reporting health abnormalities to the residents' 
primary RN, and in the documentation of services provided. Undetected errors could 
have minimal or life threatening results. Government regulations, compliance with 
grants, and third party payers require the submitting of accurate patient information to 
allow for appropriate reimbursement for residents. The submission of false or inaccurate 
information would place the facility at risk for fraudulent claims, resulting in loss of 
facility certification, and the nursing assistant's certification would be in jeopardy. 
Review of work following established procedures, protocol and quality audits would 
prevent most errors. 
Has frequent contact with coworkers, other health professionals, residents and their 
families; where tact, courtesy, and diplomacy are required to maintain positive 
relationships. Requires good communication skills, both written and oral. Requires 
sensitivity to others while dealing with residents and their families who may be under 
stress while dealing with issues of disease and poor health. Purpose of contacts is to 
exchange information, gain assistance, and dispense data. 
The incumbent has access to highly confidential patient medical and personal 
information. The Privacy Act of 1974 mandates that the incumbent shall maintain 
complete confidentiality of all administrative, medical and personnel records and all other 
pertinent information that comes to the individual’s attention or knowledge.  The Privacy 
Act carries both civil and criminal penalties for unlawful disclosure of records.  Violation 
of such confidentiality shall be cause for adverse actions. 
Job duties can be mentally /emotionally stressful at times. Close mental concentration 
and attention to detail are required for most nursing assistant duties that can be for short 
or extended periods of time. Physical activities require the ability to walk, sit, reach, 
extensive bending and heavy lifting while assisting residents to walk or turn, and when 
transferring residents. Must have visual acuity, manual dexterity, and the ability to speak 
and hear. 
Works in office and hospital environment and is exposed to biohazard, disease, etc.; 
which requires strict adherence to OSHA guidelines and protocol for maintaining sterile 
conditions and aseptic technique.  
Must demonstrate good observation skills with sufficient knowledge to recognize health 
abnormalities and report them to the patient's primary RN. Requires good organizational 
skills in order to follow a schedule and calendar of visits for resident care, assemble 
needed supplies, prioritize resident needs, and plan visits to make good use of time. 
Consistently demonstrates superior customer service skills to residents/customers by 
displaying behaviors and skills aligned with CIHA’s Guiding Principles. Ensure excellent 
customer service is provided to all residents/customers by seeking out opportunities to be 
of service.