Certified Nursing Assistant

SEIU/AFSCME National Center for Healthcare Apprenticeships

National (OA)

Documents

Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.

Work Process Schedule

Work Process Content

On the Job Training

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Skills

Maintain Clean and Safe Environment

Infection Control Activities
Hand Washing
Use OSHA and CDC guidelines (such as handling Blood Borne Pathogens)
Properly dispose sharps (e.g., razors, needles in sharps container)
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.)
Check resident’s alarm; make sure call light is within resident’s reach; secure patient’s bed
Take care of cleaning needs in resident’s room
Follow isolation procedures in the disposal of soiled linen and clothing
Make unoccupied bed
Make occupied bed
Safety Procedures
Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills)
Properly use safety tools (such as an ABC fire extinguisher)
Maintain and operate back up equipment as needed
Apply and monitor safety devices
Able to administer the Heimlich Maneuver and other lifesaving assistance
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, 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 that they should be aware of
Understand and follow legal requirements on reporting and documentation (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
Measure/record oral temperature (non-digital thermometer)
Measure/record rectal temperature (non-digital thermometer)
Measure/record radial pulse
Measure/record height
Measure/record weight (balance scale/chair scale)
Collect urine specimen
Collect stool specimen
Measure/record food and fluid intake
Measure/record urinary output
Provide post-mortem care
Assist nursing staff with any additional duties as assigned within scope of practice

Personal Care Skills and Activities of Daily Living

Assist resident with bathing or dressing if needed
Give complete bed bath
Give partial bed bath
Provide AM and PM care
Give shower
Give bath/whirlpool bath
Provide hair care including shampooing, grooming, brushing, combing
Provide mouth care for residents with natural teeth
Provide mouth care for residents with no natural teeth
Provide denture care
Shave resident
Provide hand and nail care
Provide foot care
Dress resident, including care of eyeglasses and hearing aides
Perineal care -female
Perineal care - male
Perineal care – incontinent resident
Assist with bedpan (offer/remove/ clean)
Assist with urinal (offer/remove/ clean)
Use bedside commode
Urinary catheter care
Care of / emptying of urinary drainage bag
Provide ostomy care
Feed resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
Provide skin care, including back rub
Position resident in chair
Move resident up in bed
Position 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

Able to effectively and supportively deal with abusive residents
Respect patient privacy (knock before entering)
Promote resident’s social interaction, recreation
Encourage self-advocacy and promote resident’s self-esteem
Demonstrate techniques for communicating effectively to residents
Provide companionship; assists resident with correspondence
Encourage health eating choices
De-escalate disputes between residents
Coordinate resident’s appointments
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
Provide appropriate assistance with Activities of Daily Living to maximize independence and well-being, understanding impairment issues and client preference
Incorporate expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically

Basic Restorative Skills/Services

Encourage patient self-care as appropriate and safe
Assist with ambulation using gait belt
Easing resident (about to fall) to floor during ambulation
Utilize ambulation assistive devices and adaptive equipment correctly and safely
Assist resident with feeding adaptive equipment as needed
Under nurse’s care, assist with improving the resident’s range of motion to upper extremities and to lower extremities
Assist the resident in the use of positioning devices in bed and in chair
Assist residents in the proper use of prosthetic/orthotic devices
Apply hand splint
Use all transfer and other equipment in a manner to make the resident feel safe
Implement turning, repositioning and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
Provide exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
Provide bowel and bladder training as needed

Resident’s Rights

Respond to resident’s call lights promptly and forwards requests if unable to take care of the request
Provide privacy doors or pulling curtain around resident when providing care
Respect resident individuality, preferences as much as safely possible
Respect and maintain the confidentiality of the resident always adhering to HIPAA and other guidelines
Notify nurse, family member or other team members of the resident of needed equipment or personal supplies
Avoid the need for restraints if possible

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

Related Instruction Outline

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