Overview:
The Certified Nursing Assistant 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, errands, and escort services may also be assigned as designated in an individual’s care plan. The CNA may also provide skilled tasks that require special training and competencies that a Homemaker cannot provide.
Responsibilities:

• Comply with all policies and procedures set out by the Hope Nursing Home Care

and the CBHomeCare Employee Manual that is 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 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.
o Deviations from the assigned schedule
o Individual declining specific tasks or requesting unassigned tasks
o Individual expecting to be unavailable for a shift or multiple shifts.
o Hospitalizations, Rehab, or Facility placement.
o Incidents, accidents or other events that are not aligned with the
individual’s plan of care.

• The Certified Nursing Assistant 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.
o 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

o IADLs may include but are not limited to:

• Cooking
• Cleaning
• Shopping
• Transportation
• Escort

o Special Tasks

• Vital signs

o Temperature
o Pulse
o Respirations
o 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

o Companion or Sitter services, as assigned in the care plan
o In addition to the above tasks, the CNA 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.

• All tasks must be performed with Infection Control in mind. These precautions

my require mask, gloves, and gown.

• Handwashing and other appropriate precautions should be done before and after

tasks.

• Assure that the home is save from obstacles that may cause falls
• If additional services are requested, the CNA must notify the RN Field Supervisor

for further instruction.

• The Certified Nursing Assistant may not negotiate additional tasks, service

location, or schedule changes with the individual. The office must be notified for
any alterations, failure to do so may result in termination.

• Be present for Supervisory Visits to be performed by RN Field Supervisor as

required.

• Accurately report time and attendance to branch office.
• Time and attendance must be logged in via timesheets, or EVV, as required by

payer or Hope Nursing Home Care.

• Required documenting and reporting as assigned by RN Field Supervisor
• Immediately report concerns of Abuse, Neglect or Exploitation to the office
• Cell phones may not be used during assignment, unless approved for EVV

services, as instructed

• Report planned absences to the office as soon as possible so the scheduled

outage may be reassigned to another CNA.

• Be an advocate for individuals needing other community services or a high level

of care.

• Dress appropriately and professionally.
• Wear nametag at all times during assignment
• For infection control purposes, Personal Protective Equipment should be used

appropriately during assignment.

• Comply with rules and requirements with specific programs, as assigned
• Other duties, as assigned.

Qualifications:

• Proof of current CNA certification.
• Eighteen (18) years of age or older.
• An individual’s BCI check complying with RI state law.
• Experience in Home and Community Based Services, preferred.
• Current Tb Skin Test
• Proof of vaccination
• Punctuality
• Desire to help those at home
• Professional demeanor and appearance.
• Have reliable transportation and proof of current automobile insurance.
• Can demonstrate competence providing assigned tasks