CNA-1 Authorized Duties Competency Validation

[Pages:5]Date Taught Dat e Competency Verified Signature of RN Evaluator

CNA-1 Authorized Duties Competency Validation

CNA 1's Legal Name: _______________________________________________________________________

As of August 1, 2021, there are new CNA 1 authorized duties. It will be incumbent on the CNA 1 to: a) Not assume an assignment, duty, or responsibility unless competency has been established and maintained; b) Not perform duties or tasks for which the CNA 1has not demonstrated; knowledge, skill, and ability to an Oregon RN with at least one year of nursing experience; c) Inform employer of any current CNA 1 authorized duties that were not obtained within his/her original level one training program curriculum; and d) Maintain documentation to support any attained CNA 1 knowledge or skill competency that was not obtained within his/her original level one training program curriculum.

The CNA 1 is expected to keep this form to document the attained CNA 1 knowledge or skill competency that was not obtained within his/her original level one training program curriculum. Only the knowledge and/or skill(s), for which the individual CNA 1 has not previously demonstrated competency, will be documented on this form.

Skills

Tasks associated with collaboration with health care team Accepting assignments and delegations Handing off care to another nursing assistant Coaching and mentoring nursing assistant students Orienting other nursing assistants to workflow and environment Tasks associated with communication and interpersonal skills Answering and placing call signals Communicating with clients, family members, and co-workers Maintaining confidentiality Reporting abuse, mistreatment, and neglect Utilizing de-escalation techniques Tasks associated with person-centered care Following the individual's plan of care and providing feedback to nurse on care plan

Organizing daily routines for a group of people according to the individuals' preferences and the individual care plans Protecting and respecting a person's rights

Tasks associated with infection control and prevention including Standard or Transmission Based Precautions Handwashing and hand hygiene

Utilizing personal protective equipment

Maintaining client hygiene and grooming

Caring for the client's environment

Cleaning shared equipment

Bedmaking and handling of linen

Delivering and handling food and drinks

Implementing precautions associated with communicable and infectious diseases Clipping hair in preparation for surgical procedure Giving Chlorhexidine bath

Executing neutropenic precautions

Assisting with coughing and deep breathing

Handling of contaminated materials

Handling of disposal of hazardous wastes

Changing a wound vacuum canister

Applying a simple dressing to a dry, noninfected wound Tasks associated with safety and emergency procedures Implementing bleeding, cervical, hip, and sternal precautions Moving and transferring a person

Transporting a person in a wheelchair or other specialized chairs Turning and positioning a person

Using lifts and safe client handling devices

Turning oxygen on and off or transferring oxygen between wall, concentrator, and tank at pre-established flow rate for stable individuals Managing hazards in the workplace

Preventing burns

Preventing falls

Performing cardiopulmonary resuscitation

Tasks associated with activities of daily living (ADL) Assisting with nutrition and hydration Measuring and recording height and weight

Measuring and recording intake and output

Positioning a person for nutritional and fluid intake Preventing choking and aspiration

Preventing dehydration

Thickening liquids

Utilizing techniques for assisting with eating

Assisting with elimination

Administering bowel evacuation suppositories that are available without a prescription Administering enemas

Assisting with the use of bedpan and urinal

Assisting with toileting

Providing perineal and incontinence care

Applying external catheters

Connecting external catheters to suction

Providing catheter care

Changing catheter bag

Removing external urinary catheter

Providing ostomy care for established, healthy ostomy including cleaning the ostomy site and emptying the ostomy bag or changing the dressing or ostomy appliance or bag Collecting specimens; sputum, stool, and urine including clean catch urine specimens Assisting with personal care Bathing

Providing comfort care

Dressing and undressing

Grooming to include:

Application and care of eye glasses

Application and care of hearing aids

Nail care for fingernails and toenails on person with no visually compromised skin or compromised circulation Soaking and washing

Trimming with standard clippers with a depth no greater than 6mm Applying lotion

Recognizing risk factors

Oral hygiene

Brushing and flossing teeth; and may include medication mouthwash and toothpaste Inserting, removing, and cleaning dentures

Caring for implants

Performing mouth care on a comatose person Personal care considerations for persons who have tubes or special equipment Shampooing and caring for hair

Shaving

Electric razor

Cartridge or disposable razor

Recognizing safety risks

Skin Care to include:

Pediculicides that can be obtained without a prescription Applying topical barrier creams, ointments, and wipes for skin care Applying anti-fungal ointments and powders

Maintaining skin integrity

Preventing pressure, friction, and shearing

Using pressure relieving devices

Sleep to include:

Applying and removing delivery device and turn continuous positive airway pressure (CPAP) or bi-level positive airway (BiPAP) devices on and off Promoting sleep

Assisting with positioning devices and restraints Assisting with restorative care

Ambulating

Applying, turn on and off, sequential compression devices Assisting a person in and out of continuous passive motion (CPM) machine Assisting with and encouraging the use of self-help devices for ambulation, dressing, eating, grooming, positioning and transferring Assisting with bowel and bladder training

Assisting with ADL programs

Assisting with the use of crutches, walkers, or wheelchairs Assisting with warm and cold therapies

Caring for, applying, and removing antiembolus stockings, braces, orthotic devices, and prosthetic devices Elevating extremities

Maintaining alignment

Performing range of motion exercises

Reinforcing task sequence by breaking down tasks into small, obtainable steps Reinforcing the use of an incentive spirometer Using footboards

Utilizing devices for transferring, ambulation, and alignment Tasks associated with mental health and social service needs Recognizing and reporting relevant observations of domestic violence, mental illness or substance abuse Protecting client, self, and other individuals when in a situation where an individual's behavior is escalating out of control Providing trauma-informed care

Appropriately executing tools for behavior management Utilizing appropriate harmless release techniques Tasks associated with technical skills Changing a suction canister

Measuring, recording, and emptying output from drainage devices and closed drainage systems Performing fingerstick capillary blood test

Removing mask after nebulizer treatment

Scanning glucometer sensor

Tasks associated with observation and reporting

Observing and reporting changes of condition to licensed nurse Measuring and recording

Temperature, apical and radial pulse, respiration and blood pressure (manual and electronic- forearm, lower leg, thigh, upper arm and orthostatic blood pressure readings) Emesis

Liquid stool

Pain level using a facility approved pain scale

Pulse oximetry

Urinary output, both voided and from urinary drainage systems Relieving pain

Assisting with complementary therapies such as aromatherapy and using pre-recorded audio/visuals for guided imagery; deep relaxation Planning activities in relation to pain

Providing comfort measures

Reporting to the nurse

Repositioning

Using touch to massage non-diseased tissue

Tasks associated with documentation Recording care provided

Documenting incidents

Tasks associated with end of life care Providing comfort care for the dying individual and their family Caring for the deceased individual including removing non-surgically inserted tubes Feeding tube

Rectal bag

Foley Catheter

Nasogastric tube

Saline lock

Tasks associated with caregiver self-care

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