Position: Certified Nurse Assistant (CNA)
Supervised By: Administrative Coordinator or Director of Operations
- One or more of the following criteria: One year minimum of continuous experience as a Home Health Aide or Nurse Aide in a health care environment; Completion of a State (or similarly accredited) Home Health Aide or Nurse Aide training program; Completion of one year of classroom and clinical training from an accredited nursing program, medical assistance program, or other applicable direct care training program.
- Satisfactory compliance with ComForcareSM bonding criteria.
- Demonstrated ability to effectively communicate and interact with clients, families, co-workers, and all supervisors in the English language.
- Ability to accurately follow and process written and verbal instructions.
- Satisfactorily demonstrate and perform competency in clinical skills through competency checklist and skills demonstration test.
- Minimum score of 80% on competency exam (NLN Test).
- Eighteen years of age or older.
- Visual and hearing capacities functioning at a level sufficient enough to provide for the supervisory and physical care needs of clients.
The CNA provides specifically defined, non-medical care services under the supervision of a Registered Nurse to enable the client to remain in the home. The CNA is a non-licensed health care employee who provides personal care and homemaking services in a home care setting to clients and families who are unable to perform these activities independently. The CNA conforms to all agency policies and procedures including providing care, compliance with the agency Bill of Rights, observing client/family confidentiality, and adhering to agency dress code.
Routine duties – personal care services:
- Bathing, assistance with dressing, nail and skin care, back care, foot care, shampoo and oral hygiene.
- Assistance with ambulation, transfers, range of motion exercise, safe use of equipment and assistive devices(walker, crutches, cane), change of position, typically with elderly or homebound individuals.
- Assistance with toileting; use of bedpan, commode, or urinal; incontinent care.
- Meal planning, preparation, and assistance with feeding.
- Emotional support and motivation through conversation, encouragement and recreational activities.
- Maintenance of appropriate agency records.
- Present and conduct themselves in a professional manner according to agency policy.
- Adhere to infection control and safety procedures which are in accordance with agency policy.
- Light Housekeeping- including changing of bed linens, vacuuming, sweeping, dusting of client’s environment, emptying client’s wastebaskets and garbage. Refrigerators are defrosted, when necessary, if client is unable to do so. Cleaning of the bathroom includes bathtub, sink, and toilet. The floor should be vacuumed and mopped if it becomes wet. Cleaning of kitchen includes washing dishes, counter tops and the floor.
- Personal laundry- That laundry that is essential to client’s health care. Laundry for any family members or others in the same home is not the responsibility of caregiver.
- Grocery shopping to prepare for proper in-home care.
Services that are not permitted by companions, but are permitted by CNAs
- Catheter Care- Emptying catheter bags and measuring intake/output.
- Monitor/Record vital signs.
- Provide care for any assistive devices/equipment (braces, slings, walker, and/or hoses).
- Monitor intake and/or output.
- Provide diabetic care, including monitoring hypoglycemia or hyperglycemia, urine testing, and preparation of special diet.
- Provide incontinent care- changing briefs, etc…
- Companions can provide assistance in basic patient transfers as long as the patient has been assessed as capable of ambulating without assistance and/or another trained caregiver (including family) is involved.
- Application of warm/cold compresses for any clinical symptoms. A companion can prepare a compress under patient, nurse, or administrator direction in an emergency situation.
- Assistance with Range of Motion exercises.
- Exceptions can only be made at discretion of Director of Operations and RN/SW assigned to case.