Certified Nurse Assistant (WA - HHA)
Competency-based
ONET: 31-1014.00
1
Years
97
Skills
103h
Related instructions
Classroom instruction topics
- Care of Cognitively Impaired Residents
- Personal Care Skills
- Residents Rights
- Mental Health and Social Service Needs
- Additional Course Topics
- Basic Restorative Services
- Nurse Assistant Review
On-the-job training
- Maintain Clean and Safe Environment
- Infection Control Activities - Hand Washing
- Infection Control Activities - Use OSHA and CDC guidelines (such as handling Blood Borne Pathogens)
- Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
- Infection Control Activities - Use of personal protective equipment (PPE) and devices including gloves, gown, mask and goggles
- Physical Environment Maintenance - Perform visual check of resident’s living area and resolve potential safety Issues (secure hazardous materials; clear pathways; etc.)
- Physical Environment Maintenance - Check resident’s alarm; make sure call light is within resident’s reach; secure patient’s bed
- Physical Environment Maintenance - Take care of cleaning needs in resident’s room
- Physical Environment Maintenance - Follow isolation procedures in the disposal of soiled linen and clothing
- Physical Environment Maintenance - Make unoccupied bed
- Physical Environment Maintenance - Make occupied bed
- Safety Procedures - Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills)
- Safety Procedures - Properly use safety tools (such as an ABC fire extinguisher)
- Safety Procedures - Maintain and operate back up equipment as needed
- Safety Procedures - Apply and monitor safety devices
- Safety Procedures - Able to administer the Heimlich Maneuver and other lifesaving assistance
- Communicate Effectively, While Following Regulations with Residents, Family, Medical Team and Other Authorized Persons
- Interact with residents in a respectful way regarding their culture, their needs and preferences, while respecting their privacy
- Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
- Write report and document issues and events in clear concise language, within regulatory requirements
- Report physical changes, mental changes, abuse, any changes to the medical team or authorized persons that they should be aware of
- Understand and follow legal requirements on reporting and documentation (HIPAA)
- Basic Nursing Assistant Skills
- Measure/record respiration and obtain other vital signs
- Measure/record oral temperature (non-digital thermometer)
- Measure/record rectal temperature (non-digital thermometer)
- Measure/record radial pulse
- Measure/record height
- Measure/record weight (balance scale/chair scale)
- Collect urine specimen
- Collect stool specimen
- Measure/record food and fluid intake
- Measure/record urinary output
- Provide post-mortem care
- Assist nursing staff with any additional duties as assigned within scope of practice
- Personal Care Skills and Activities of Daily Living
- Assist resident with bathing or dressing if needed
- Give complete bed bath
- Give partial bed bath
- Provide AM and PM care
- Give shower
- Give bath/whirlpool bath
- Provide hair care including shampooing, grooming, brushing, combing
- Provide mouth care for residents with natural teeth
- Provide mouth care for residents with no natural teeth
- Provide denture care
- Shave resident
- Provide hand and nail care
- Provide foot care
- Dress resident, including care of eyeglasses and hearing aides
- Perineal care -female
- Perineal care - male
- Perineal care – incontinent resident
- Assist with bedpan (offer/remove/ clean)
- Assist with urinal (offer/remove/ clean)
- Use bedside commode
- Urinary catheter care
- Care of / emptying of urinary drainage bag
- Provide ostomy care
- Feed resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
- Provide skin care, including back rub
- Position resident in chair
- Move resident up in bed
- Position resident on side in bed
- Transfer resident: one assist, two assist, mechanical lift, transfer belt, and lift sheets
- Promote Resident’s Developmental, Mental Health and Social Service Needs
- Able to effectively and supportively deal with abusive residents
- Respect patient privacy (knock before entering)
- Promote resident’s social interaction, recreation
- Encourage self- advocacy and promote resident’s self-esteem
- Demonstrate techniques for communicating effectively to residents
- Provide companionship; assists resident with correspondence
- Encourage health eating choices
- De-escalate disputes between residents
- Coordinate resident’s appointments
- Encouraging family and friends as a source of emotional support of resident
- Care of Cognitively Impaired Residents
- Able to effectively communicate with cognitively impaired residents
- Provide appropriate assistance with Activities of Daily Living to maximize independence and well-being, understanding impairment issues and client preference
- Incorporate expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically
- Basic Restorative Skills/Services
- Encourage patient self-care as appropriate and safe
- Assist with ambulation using gait belt
- Easing resident (about to fall) to floor during ambulation
- Utilize ambulation assistive devices and adaptive equipment correctly and safely
- Assist resident with feeding adaptive equipment as needed
- Under nurse’s care, assist with improving the resident’s range of motion to upper extremities and to lower extremities
- Assist the resident in the use of positioning devices in bed and in chair
- Assist residents in the proper use of prosthetic/orthotic devices
- Apply hand splint
- Use all transfer and other equipment in a manner to make the resident feel safe
- Implement turning, repositioning and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
- Provide exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
- Provide bowel and bladder training as needed
- Resident’s Rights
- Respond to resident’s call lights promptly and forwards requests if unable to take care of the request
- Provide privacy doors or pulling curtain around resident when providing care
- Respect resident individuality, preferences as much as safely possible
- Respect and maintain the confidentiality of the resident always adhering to HIPAA and other guidelines
- Notify nurse, family member or other team members of the resident of needed equipment or personal supplies
- Avoid the need for restraints if possible
- Perform Administrative Tasks
- Complete all required reports and documentation
- Understand and implement all policies and procedures, including new ones
- Participate in agency/staff/medical team meetings
- Maintain all professional licensing up to date, including requirements for vaccinations
FIND APPRENTICESHIPS BY STATE
AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWashington D.C.West VirginiaWisconsinWyoming
Made in the USA.