1. Organizational - Use organizational skills (prepare all equipment and supplies prior to performing a care activity to prevent backtracking)
2. Organizational - Use effective time management skills (completing care timely in an unhurried manner)
3. Organizational - Use and recognize teamwork, leadership, and mentoring
4. Problem Solving - Recognize problems and know when/how to seek assistance, as well as how to reassess the situation in problem resolution
5. Problem Solving - Incorporate customer service skills – respecting differences and perspectives
6. Problem Solving - Recognize and report changes in residents condition promptly
7. Ethics - Perform duties and responsibilities demonstrating respect and cooperation
8. Ethics - Demonstrate good character, is productive during work hours, manage attendance and absences according to policy
9. Ethics - Maintain a professional demeanor and work appearance

1. Infection Control Activities - Hand Washing techniques including the use of sanitizing agents according to standards
2. Infection Control Activities - Use and demonstrate adherence to OSHA and CDC guidelines (such as handling Blood Borne Pathogens and maintaining infection control)
3. Infection Control Activities - Demonstrate knowledge and utilize Exposure Control Plan
4. Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
5. Infection Control Activities - Use and demonstrate personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
6. Infection Control Activities - Describe and use Standard Precautions as determined by the CDC and OSHA
7. Infection Control Activities - Describe clean vs dirty areas
8. Infection Control Activities - Clean and maintain equipment within infection control standards
9. Physical Environment Maintenance - Perform visual check of resident’s living area and resolve potential safety issues (secure hazardous materials, clear pathways, etc.)
10. Physical Environment Maintenance - Check resident’s alarm; make sure call light/signal is within resident’s reach; secure patient’s bed
11. Physical Environment Maintenance - Take care of cleaning needs in resident’s room
12. Physical Environment Maintenance - Handle soiled linen and clothing to prevent contamination, including isolation techniques in accordance with infection control standards
13. Physical Environment Maintenance - Make unoccupied bed
14. Physical Environment Maintenance - Make occupied bed
15. Physical Environment Maintenance - Ensure the resident/client environment does not have hazards for slips, trips, and falls
16. Safety Procedures - Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills, disaster preparedness)
17. Safety Procedures - Properly use safety tools (e.g., ABC fire extinguisher)
18. Safety Procedures - Discuss fire safety, describe and explain RACE and PASS acronyms
19. Safety Procedures - List general safety steps for working in a healthcare environment
20. Safety Procedures - Maintain and operate back up equipment as needed
21. Safety Procedures - Apply and monitor safety devices
22. Safety Procedures - Ability to administer the Heimlich Maneuver and other lifesaving assistance in accordance with organizational policy
23. Safety Procedures - Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
24. Safety Procedures - Demonstrate safe evacuation procedures and role as a part of the facility disaster response team
25. Safety Procedures - Handle oxygen safely

1. Interact with residents in a respectful way regarding their culture, their needs, and preferences, while respecting their privacy
2. Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
3. Describe rules for effective communication with the resident/client and team
4. Utilize appropriate communication methods for working with the sensory impaired and cognitively impaired
5. Write report and document issues and events in clear concise language, within regulatory requirements
6. Report physical changes, mental changes, abuse, any changes to the medical team, or authorized persons of which the team should be aware
7. Understand and follow legal requirements on reporting and documentation (i.e., HIPAA)
8. Understand who is an authorized person and what information is allowed to be provided
9. Maintain resident/client confidentiality and privacy according to organization and HIPAA guidelines
10. Utilize appropriate communication techniques related to ability (communication board, etc.) with resident/client
11. Communicate in non-judgmental manner minimizing bias and assumptions

1. Measure/record respiration and obtain other vital signs
2. Measure/record oral temperature (non-digital thermometer)
3. Measure/record rectal temperature (non-digital thermometer)
4. Measure/record radial pulse
5. Measure/record height accurately
6. Measure/record weight (balance scale/chair scale)
7. Collect urine specimen
8. Collect stool specimen
9. Measure/record food and fluid intake
10. Measure/record urinary output
11. Provide post-mortem care
12. Assist nursing staff with any additional duties as assigned within scope of practice
13. Recognizes and reports changes in resident/client condition including abnormal changes in body function

1. Assist resident with bathing or dressing, if needed
2. Give complete bed bath
3. Give partial bed bath
4. Demonstrate the proper order of bathing
5. Provide AM and PM care
6. Give shower
7. Give bath/whirlpool bath
8. Provide hair care including shampooing, grooming, brushing, combing
9. Provide mouth care for residents with natural teeth
10. Provide mouth care for residents with no natural teeth
11. Provide denture care
12. Shave resident
13. Provide hand and nail care
14. Provide foot care
15. Dress resident, including care of eyeglasses and hearing aides
16. Perineal care – female
17. Perineal care – male
18. Perineal care – incontinent resident
19. Assist with bedpan (offer/remove/ clean)
20. Assist with urinal (offer/remove/ clean)
21. Use bedside commode
22. Urinary catheter care
23. Care of/emptying of urinary drainage bag
24. Provide ostomy care
25. Feed resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
26. Provide skin care, including back rub
27. Position resident in chair
28. Move resident up in bed
29. Position resident on side in bed
30. Transfer resident: one assist, two assist, mechanical lift, transfer belt, and lift sheets
31. Use common nutritional problems of the elderly and chronically ill to assist with proper nutrition and fluid balance
32. Verifies the dietary orders food, type, and consistency for residents/clients
33. Serve and assist with meals according to dietary guidelines
34. Promote optimal level of nutrition/hydration related to use of assistive devices and in accordance

1. Able to effectively and supportively deal with abusive residents
2. Respect patient privacy (knock before entering)
3. Promote resident’s social interaction, recreation
4. Encourage self-advocacy and promote resident’s self-esteem
5. Demonstrate techniques for communicating effectively and respectfully to residents, families, and guests
6. Provide companionship; assist resident with correspondence
7. Encourage health eating choices
8. De-escalate disputes between residents
9. Coordinate resident’s appointments
10. Encourage family and friends as a source of emotional support of resident
11. Recognize developmental tasks associated with the aging process
12. Orient resident/client to facility
13. Recognize signs and symptoms of pain/discomfort and report appropriately
14. Promote the optimal level of wellbeing for residents/clients experiencing loss/grief
15. Promote optimal level of sensory stimulation including visual/auditory and tactile

1. Ability to effectively communicate with cognitively-impaired residents
2. Provide appropriate assistance with ADLs to maximize independence and well-being, understanding impairment issues and client preference
3. Incorporate expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically

1. Encourage and support the highest level of functioning and patient self-care as appropriate and safe, utilizing assistive devices or adaptations
2. Assist with ambulation using gait belt
3. Demonstrate organization’s Universal Fall Precautions and additional standards based on the resident/client
4. Utilize ambulation assistive devices and adaptive equipment correctly and safely
5. Assist resident with feeding adaptive equipment as needed according to plan of care
6. Under nurse’s care, assist with improving the resident’s range of motion to upper extremities and to lower extremities
7. Assist the resident in the use of positioning devices in bed and in chair
8. Assist residents in the proper use of prosthetic/orthotic devices
9. Apply hand splint
10. Use all transfer and other equipment in a manner to make the resident feel safe
11. Implement turning, repositioning, and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
12. Provide exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
13. Provide and reinforce bowel and bladder training as needed according to plan of care
14. Discuss the complications of immobility and importance of exercise to health

1. Respond to resident’s call lights promptly or promptly forward requests if unable to take care of the request
2. Recognize and respect the resident/client’s individuality and preferences for wake, bedtime, dress, time of services/assistance, etc.
3. Recognize, understand and prevent potential abuse/neglect in environment and within self and report promptly to mentor, supervisor, and others according to policy and local regulations
4. Ability to recognize verbal, mental, emotional, neglect, and financial abuse or exploitation
5. Provide privacy doors or pulling curtain around resident when providing care
6. Respect resident individuality and preferences as much as safely possible
7. Respect and maintain the confidentiality of the resident always adhering to HIPAA and other guidelines
8. Notify nurse, family member, or other team members of the resident if the resident needs equipment or personal supplies
9. Respect the privacy of the resident/client demonstrating there are guests in the resident/client’s home
10. Ability to define abuse, neglect, assault, battery, and malpractice
11. Identify organization and professional standards related to the use of restraints
12. Discuss resolving grievances and disputes

1. Complete all required reports and documentation
2. Understand and implement all policies and procedures, including new ones
3. Participate in agency/staff/medical team meetings
4. Maintain all professional licensing up to date, including requirements for vaccinations

• Cardiopulmonary Resuscitation (CPR) • Automated External Defibrillator (AED) • Single Rescuer Life Support Skills • Team Based Life Support Skills

• Character, Attendance, Attitude • Ethics • Organizational Skills, Teamwork, Cooperation • Communication

• Communication and Interpersonal Skills • Infection Control • Safety and Emergency Procedures • Promoting Resident Independence • Clean and Safe Environment

• Mental Health, Social Service, and Holistic Client Needs • Aging Process • Maslow’s Hierarchy • Cultural Diversity • Death and Dying Stages • Mental Health Problems: Anxiety Disorders, Psychotic Disorders, Affective Disorders, Organic/Inorganic Disorders • Developmental Tasks that Occur with the Aging Process • How to Respond to Resident Behaviors • Modifying Aide’s Behavior in Response to Resident’s Behavior • Allowing the Resident to make Personal Choices, Providing and Reinforcing other Behavior Consistent with the Resident’s Dignity • Family as a Source of Emotional Support

• Taking and Recording Vital Signs • Measuring and Recording Height and Weight • Caring for the Resident’s Environment • Recognizing Abnormal Changes in Body Functions and the Importance of Reporting Such Changes • Freedom from Pain • Caring for Patients When Death is Imminent

• Overview of Personal Care • Bathing • Grooming • Dressing • Toileting • Assisting with Eating and Hydration • Proper Feeding Techniques • Skin Care and Alterations in Skin • Transfers, Positioning, and Turning • Ambulation

• Techniques for Addressing the Unique Needs and Behaviors of Individuals with Dementia (Alzheimer’s and Others) • Communicating with Cognitively-Impaired Residents • Understanding Behaviors of Cognitively-Impaired Residents • Appropriate Responses to the Behavior of Cognitively-Impaired Residents • Methods of Reducing the Effects of Cognitive Impairments

• Training the Resident in Self-Care According to the Resident’s Abilities • Use of Assistive Devices in Transferring, Ambulating, Eating, and Dressing • Maintenance of Range of Motion • Proper Turning and Positioning in Bed and Chairs • Bowel and Bladder Training

• Providing Privacy and Maintenance of Confidentiality • Promoting Resident’s Rights • Giving Assistance in Resolving Grievances and Disputes • Providing Needed Assistance in Getting to and Participating in Resident and Family Groups and Other Activities • Maintaining Care and Security of Resident’s Personal Possessions • Promoting the Resident’s Rights to be Free from Abuse, Mistreatment, and Neglect and the Need to Report Any Instance of Such Treatment to Appropriate Facility Staff • Avoiding the Need for Restraints in Accordance with Current Professional Standards

• State and/or Employer Required Additional Classes for CNA • Caring for Specific Populations with Special Needs as a CNA • Clinical Principals • Additional Course Work on Course Topics as Listed Above

• Final Course Topics Review/Examination • Preparation for Certification Exam(s)