Certified Nursing Assistant, Homecare Services (CNA I)

Overview

The Certified Nursing Assistant I provides Activities of Daily Living (ADLs) and Instrumental Activities of daily living (IADLs) as assigned in an individual's care plan. Care is generally provided in the home, however, transportation, errands, and escort services may also be assigned as designated in an individual's care plan. The CNA I may also provided skilled tasks that requires special training and competencies that a Personal Care Attendant cannot provide.

CBH1

Responsibilities

Comply with all policies and procedures set out by the Quality Home Staffing/Community Based Home Care Employee Manual provided at orientation or any additional materials provided during the term of employment.

Position is responsible for providing services as assigned by the RN Field Supervisor in accordance with the individual's approved service plan.

The Certified Nursing Assistant I is required to report any deviations in an individual's functional or medical condition to the appropriate agency personnel.

Services must be provided during the assigned schedule for each individual.

Deviations from the assignment including, but not limited to the following must be reported to the agency

Deviations from the assigned schedule

Individual declining specific tasks or requesting unassigned tasks

Individual expecting to be unavailable for a shift or multiple shifts.

Hospitalizations, Rehab, or Facility placement.

Incidents, accidents or other events that are not aligned with the individual's plan of care.

The Certified Nursing Assistant I must be able to demonstrate competence with assigned ADLs and IADLs or special tasks and perform these tasks in line with the plan of care.

Tasks may include, but are not limited to:

Bathing (assist, bed bath, tub bath, shower, sitz)

Dressing / Undressing

Mouth care

Skin care (non-prescription)

Hair care

Nail care (does not include nail care for clients with Diabetes)

Mobility

Turn and position

Transfer

Use of lift

Assist with ambulation

Range of motion

Toileting

Bedpan/urinal

Bowel/bladder training program

Collect specimens

Perineal / catheter care

Apply/Remove Condom Catheters

Eating

Meal preparation according to client's dietary needs or restrictions, including forcing fluids and restrictions.

Assist, monitor or feed the client, according to level of care.

IADLs may include but are not limited to:

Cooking

Cleaning

Shopping

Transportation

Escort

Special Tasks

Vital signs

Temperature

Pulse

Respirations

Blood Pressure

Height and Weight

Application of heat/cold

Preventative intervention to prevent decubitus ulcers

Apply TED hose, as instructed

Deep breathing/cough techniques

Remove EKG leads

Companion or Sitter services, as assigned in the care plan

In addition to the above tasks, the CNA I may be required to provide other tasks that are required by client's needs and level of care (proof of competence require prior to services rendered. Qualifications

Proof of current CNA I certification.

Eighteen (18) years of age or older.

An individual's criminal history check complying with 6.0 Clinical Coverage Policy 3L.

Do not have a finding on the North Carolina Health Care Registry in accordance with G.S.131E256

Experience in Home and Community Based Services, preferred

Current Tb Skin Test

Have reliable transportation

Proof of current automobile insurance.

Can demonstrate competence providing assigned tasks