Certified Nursing Assistant

Anonymous

Colorado (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

Communication & Interpersonal Skills

Demonstrate techniques for addressing the unique needs and behaviors of individuals with dementia, Alzheimer’s, and other cognitively impaired residents
Communicating with the cognitively impaired Understanding the behavior of cognitively impaired residents
Perform appropriate responses to the behavior of cognitively impaired residents
Implement methods to reduce the effects of cognitive impairments
Display appropriate responses to combative residents
Perform infection control
Perform when necessary, safety/emergency procedures including the Heimlich maneuver
Acknowledge Client Independence
Perform duties in accordance to resident rights
Report abuse, neglect, and misappropriation of Client property when applicable

Medication Administration: Scope of Practice of the C.N.A.-Med

Observe/report to the Supervising Licensed Nurse any and all reactions and side effects to medications that are exhibited by a Client
Measure/document vital signs prior to the administration of medications that could affect or change the vital signs Report any abnormalities to the Supervising Licensed Nurse that would prohibit administration of such a medication prior to administration
Administer regularly prescribed medications that the CNA-Med has been trained to administer only after personally preparing/setting up medications to be administered CNA-Med will document in Client’s Medical Record all medications that the CNA-Med personally administered CNA-Med will not document in a Client’s Medical Record any medication that was administered by another person or not administered at all, or medications that were refused by Client All refused or non-administered medications must be reported to Supervising Licensed Nurse
Initiate oxygen per nasal cannula or non-sealing mask only in an emergency Immediately after the emergency, the CNA-Med must verbally notify the Supervising Licensed Nurse on duty or on call and appropriately document the action and the notification
Obtain oxygen saturation utilizing a calibrated oximeter and report such results to the Supervising Licensed Nurse
Administer Practitioner-ordered oral, buccal, sublingual, ophthalmic, otic, nasal, vaginal, rectal, and transdermal medications as ordered
Oral Medications: Administer medications as tablets, capsules, liquids, powdered and crushed
Crush and administer medications by practitioner order, if such preparation is appropriate per the manufacturer’s instructions and verified by the Supervising Licensed Nurse
Count, administer and document controlled substances
Opthalmic and Otic Medications: Administer eye drops, and eye ointments, ear drops/meds
Nasal Medications: Administer via nasal spray, nasal dropper
Vaginal, Rectal and Penile Medications: Vaginal creams or suppositories, rectal suppositories or enemas, penile creams
Administer medications per Gastrostomy-tube, Jejunostomy-tube, or Naso-Gastric tube
Administer previously ordered pro re nata (PRN) medication only if authorization is obtained from the Supervising Licensed Nurse on duty or on call If authorization is obtained, the CNA-Med must do the following:
Document in the Client’s Clinical Record symptoms indicating the need for the medication and the time the symptoms occurred
Document in the Client’s Clinical Record that the Supervising Licensed Nurse was contacted, symptoms were described, permission was granted to administer the medication including the time of contact
Obtain permission to administer the medication each time the symptoms occur in Client
Document in the Client’s Clinical Record the effectiveness of administering the PRN medication
Apply topical medications to minor skin conditions such as dermatitis, scabies, pediculosis, fungal infection, psoriasis, eczema, first degree burn, or stage one decubitus ulcer
Administer lotions, ointments, creams or liniments
Administer medication via transdermal patch
Administer medication via metered dose inhaler or nebulizer
Conduct hemoccult testing and report result to the Supervising Licensed Nurse
Conduct finger stick blood glucose testing (specific to the glucose meter used) and report result to the Supervising Licensed Nurse
Draw up insulin dose correctly with dose verification by RN Preceptor, and administer subcutaneous insulin via syringe, insulin pen or insulin pump as prescribed by the Practitioner after consulting and clarifying with the Supervising Licensed Nurse the correct dose that the CNA-Med is to administer
Apply dressing to minor skin tear that has been assessed by Supervising Licensed Nurse
Provide ordered site care and apply a dressing to a healed G-tube or J-tube site
Empty and change colostomy bag excluding the colostomy appliance
Instill a commercially prepared disposable enema (approximately milliliters or ounces) after resident has been assessed by Supervising Licensed Nurse (for bowel sounds and potential impaction) & Supervising Licensed Nurse has instructed CNA-Med to instill the enema
Administer a sitz bath, if ordered by a Practitioner, and report any unusual observations to the Supervising Licensed Nurse
Apply a cold, dry compress as directed by the Practitioner or by the Supervising Licensed Nurse in situations requiring first aid treatment
Conduct diabetic urine testing by appropriate method, dipstick
Collect fecal or clean catch urine specimens as ordered by the Practitioner
Document in the Clinical Record CNA-Med’s observations, including what the CNA-Med sees/ hears/ smells and document what is reported to the CNA-Med by the Client

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