Certified Nursing Assistant, Restorative Specialty

The Good Samaritan Society

South Dakota (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

Anonymous

Skills

Mobility: Demonstrate use of appropriate mobility, balance and strengthening exercises as well as incorporating these into therapeutic activities

300

Demonstrate appropriate usage of adaptive equipment: large motor & small motor muscles- walkers, canes, wheelchairs, prosthesis.
Incorporate fall prevention strategies in care delivery and verbalize factors contributing to falls and strategies to minimize their effects.
Demonstrate appropriate turning and repositioning and use of devices to prevent skin breakdown.
Demonstrate appropriate positioning, transfer techniques, and monitoring of resident.
Reinforce basic range of motion and demonstrate use of related equipment
Discuss complications that arise from improper positioning.
Demonstrate use of various assistive devices in ambulation.
Reinforce good body mechanics during all transfers.

Activities of Daily Living (ADL’S): Demonstrate and use task segmentation in assisting a resident to complete ADL’s and appropriate use of adaptive equipment

150

Demonstrate and assist resident with reaching devices and other adaptive equipment.
Demonstrate how to modify the environment to promote independence in daily living activities.
Demonstrate understanding of how to monitor fatigue.
Assists with training/implementation of dressing/undressing programs, grooming, bathing, toileting, exercise/movement programs or eating/swallowing programs according to plan of care.
Provides or assists in providing all assigned residents' ordered tasks within appropriate time frame, using appropriate infection control procedures.
Maintains residents' self-esteem, privacy and confidentiality of personal information.
Assists residents to attain/maintain their individual highest functional level of independence.

Restorative dining, swallowing deficits

250

Demonstrate understanding of resident specific goals related to a restorative dining program
Demonstrate proper positioning for meal consumption - table height, distance from table, position of resident's elbows and shoulders.
Provide alternate food choices as per their plan of care.
Provide a positive experience for eating.
Document intake and observations per facility policy.
Demonstrate use of built-up utensils, plate guards, and non-skid material and other accommodations that may be individual to each resident.
Demonstrate safe feeding techniques.
Demonstrate understanding of hazards and/or complications related to swallowing.
Demonstrate understanding of the different types of diet textures and liquid consistencies.

Restoring continence: Document response to individualized toileting plans and compile elimination data to determine appropriate toileting plans

130

Demonstrate understanding of the different types of incontinence.
Demonstrate understanding of the role in retraining.
Documents response to individualized toileting plans.
Compiles elimination data to determine appropriate toileting plans.
Monitor hydration and its importance related to continence.

Demonstrates appropriate use of special treatments (heat and cold therapy modalities) according to state-specific regulations.

Demonstrates prosthetic care and assistance

Demonstrate techniques for working with clients with aphasia, dysarthria, emotional liability and other communication challenges or limitations.

150

Demonstrate understanding of techniques used to manage short and long term memory loss.
Demonstrate strategies for assisting residents with receptive and expressive aphasia.

Plan of care, using restorative concepts and documentation and communication

Report observations of resident's condition or change in functional status.
Accommodates residents' needs through responding appropriately to verbal/nonverbal expressions of need.

Pain management: Incorporates knowledge of care of residents with chronic pain

Safety Issues: Demonstrates the safe use and maintenance of equipment

Related Instruction Outline

Certified Nursing Assistant, Restorative Specialty

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