Overview:
The Certified Nursing Assistant II 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 II may also provided skilled tasks that requires special training and competencies that a Personal Care Attendant or a Certified Nursing Assistant cannot provide.
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 II 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 II 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
Ostomy Care
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.
Oral/Nasogastric feedings (after placement is verified by RN)
Gastrostomy Feedings
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
Oral or Nasopharyngeal Suction
Companion or Sitter services, as assigned in the care plan
In addition to the above tasks, the CNA II may be required to provide other tasks that are required by client’s needs and level of care.
Assure that the home is safe from obstacles that may cause falls
If additional services are requested, the CNA II must notify the RN Field Supervisor for further instruction.
Accurately report time and attendance by branch office.
Required documenting and reporting as assigned by RN Field Supervisor
Immediately report concerns of Abuse, Neglect or Exploitation to the office
Be an advocate for individuals needing other community services or a high level of care.
Other duties, as assigned.
Qualifications:
High school graduate of equivalent
Proof of current CNA II 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 and proof of current automobile insurance.
Can demonstrate competence providing assigned tasks
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