Certified Nursing Assistant (CNA) (Restorative Specialty Level 3)
Competency-based
ONET: 31-1014.00
29
Skills
On-the-job training
- Mobility: Demonstrate use of appropriate mobility, balance and strengthening exercises as well as incorporating these into therapeutic activities
- Demonstrate appropriate usage of adaptive equipment: large motor & small motor muscles- walkers, canes, wheelchairs, prosthesis.
- Incorporate fall prevention strategies in care delivery and verbalize factors contributing to falls and strategies to minimize their effects.
- Demonstrate appropriate turning and repositioning and use of devices to prevent skin breakdown.
- Demonstrate appropriate positioning, transfer techniques, and monitoring of resident.
- Reinforce basic range of motion and demonstrate use of related equipment.
- Discuss complications that arise from improper positioning.
- Demonstrate use of various assistive devices in ambulation.
- Reinforce good body mechanics during all transfers.
- Activities of Daily Living (ADL’S): Demonstrate and use task segmentation in assisting a resident to complete ADL’s and appropriate use of adaptive equipment
- Demonstrate and assist resident with reaching devices and other adaptive equipment.
- Demonstrate how to modify the environment to promote independence in daily living activities.
- Demonstrate understanding of how to monitor fatigue.
- Assists with training/implementation of dressing/undressing programs, grooming, bathing, toileting, exercise/movement programs and eating/ swallowing programs according to plan of care.
- Provides or assists in providing all assigned residents' ordered tasks within appropriate time frame, using appropriate infection control procedures.
- Maintains residents' self esteem, privacy and confidentiality of personal information.
- Assists residents to attain/maintain their individual highest functional level of independence.
- Restorative dining, swallowing deficits
- Demonstrate understanding of resident specific goals related to a restorative dining program.
- Demonstrate proper positioning for meal consumption - table height, distance from table, position of resident's elbows and shoulders.
- Provide alternate food choices as per their plan of care.
- Provide a positive experience for eating
- Document intake and observations per facility policy.
- Demonstrate use of built-up utensils, plate guards, and non-skid
- Demonstrate safe feeding techniques.
- Demonstrate understanding of hazards and/or complications related to swallowing.
- Demonstrate understanding of the different types of diet textures and liquid consistencies.
- Restoring continence: Document response to individualized toileting plans and compile elimination data to determine appropriate toileting plans
- Demonstrate understanding of the different types of incontinence.
- Demonstrate understanding of the role in retraining.
- Documents response to individualized toileting plans
- Compiles elimination data to determine appropriate toileting plans.
- Monitor hydration and its importance related to continence.
- Demonstrates appropriate use of special treatments (heat and cold therapy modalities) according to state-specific regulations
- Demonstrates prosthetic care and assistance
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