Certified Nursing Assistant, Homecare Services (CNA II)

Overview:

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