Certified Nurse Aide I

Position: Certified Nurse Aide I

Lead: Registered Nurse Supervisor/Director

Program: In Home Care

Education/Qualifications: High School Diploma or credentials that are equal to a high school diploma. Completion of an accredited Nursing Aide program and registered with the Nurse Aide registry with the NCHHS, Division of Health Service Regulation and/or Board of Nursing.

The licensed nurse maintains accountability and responsibility for the delivery of safe and competent care. Decisions regarding delegation of any of the above activities are made by the licensed nurse on a client-by client basis. ALL of the following criteria must be met before delegation of any task may occur:  Task is performed frequently in the daily care of a client or group of clients; task is performed according to an established sequence of steps; - task involves little to no modification from one client situation to another; - task may be performed with a predictable outcome; - task does not involve on-going assessment, interpretation or decision-making that cannot be logically separated from the task itself; and - task does not endanger the client’s life or well-being.

Personal Care: Duties include Bathing (assist, bed bath, tub bath, shower, sitz) - - Mouth care - Skin care - Hair care Handwashing - Nail care -Bedmaking (modified) p- Dressing and undressing – Body Mechanics: Turn and position - Transfer –Use of lifts - Assist with ambulation - Range of motion exercises. Elimination: Bedpan/urinal-Bowel/bladder retraining-Collect/test specimens-Perineal/catheter care-Apply condom-douches-enemas-insert rectal tubes/flatus bags-empty drainage devices from body cavities wounds-maintain gastric suction. Nutrition: Prepare client for mealtime-feed client-intake and output-and force and restrict fluids. Safety and Special procedures are also duties of the Certified Nurse Aide I.

As part of accountability, the registered nurse must validate the competencies of the NA I prior to delegating tasks. The licensed nurse (RN) must monitor the client’s status and response to care provided on an on-going basis.