Certified Nursing Assistant, Homecare Services (CNA I)

Certified Nursing Assistant I

The Certified Nursing Assistant I 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 I may also provide skilled tasks that require special training and competencies that a Personal Care Attendant cannot provide.

Responsibilities

Comply with all policies and procedures set out by the Quality Home Staffing/Community Based Home Staffing 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 I 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 I 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
• 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.

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

Companion or Sitter services, as assigned in the care plan.

In addition to the above tasks, the CNA I may be required to provide other tasks that are required by client's needs and level of care (proof of competence required prior to services rendered).

Qualifications

• Proof of current CNA I 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.
• Proof of current automobile insurance.
• Can demonstrate competence providing assigned tasks.