Certified Nursing Assistant (CNA) (Level 1)
Competency-based
ONET: 31-1014.00
129
Skills
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
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