Certified Nurse Assistant
Competency-based
ONET: 31-1131.00
1
Years
91
Skills
130h
Related instructions
Classroom instruction topics
- Oregon State Specifics - Introduction Activity
- The Role of the Nurse Aid in Long-Term Care
- Communication and Interpersonal Skills
- Infection Prevention and Control
- Safety and Emergency Activity
- Respecting Residents Rights and Promoting Independence
- Basic Nursing
- Aging and Common Conditions
- Care of the Dying Resident
- Personal Care and Hygiene
- Mental Health and Social Service Needs
- Care of Cognitively Impaired Residents
- Restorative Care and Services
- Introduction and Infection Control
- Vital Signs
- Positioning, Transfers, and Restorative Care
- Basic Nursing- Skill lab
- Personal Care - Skill lab
- Restorative Care - Skill lab
- Oregon State Specifics Skills Lab
- Course Wrap Up and Self Care
- State Exam Preparation
- Clinical Hours - Skills lab
On-the-job training
- Maintain a Clean and Safe Environment
- Hand Washing - Use OSHA and CDC guidelines (such as handling Blood Borne Pathogens)
- Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
- Infection Control Activities - Use of personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
- 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 - Follow isolation procedures in the disposal of soiled linen and clothing
- Physical Environment Maintenance - Make unoccupied bed
- Physical Environment Maintenance - Make occupied bed
- 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 - Maintain and operate back up equipment as needed
- Safety Procedures - Apply and monitor safety devices
- Safety Procedures - Ability to administer the Heimlich Maneuver
- Safety Procedures - Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
- 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
- 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
- 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 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
- 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)
- Use 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
- Positions resident on side in bed
- Transfer resident: one assist, two assist, mechanical lift, transfer belt, and lift sheets
- 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
- Encouraging family and friends as a source of emotional support of resident
- Care of Cognitively Impaired Residents
- 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
- Encourages patient self-care as appropriate and safe
- Assists with ambulation using gait belt
- Easing resident (about to fall) to floor during ambulation
- 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
- Resident's Rights
- Responds to resident's call lights promptly or promptly forward requests if unable to take care of the request
- 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
- Perform Administrative Tasks
- Complete all required reports and documentation
- Understand and implement all policies and procedures, including new ones
- Participate in agency/staff/medical team meetings
- Maintain all professional licensing up to date, including requirements for vaccinations
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