Apprentices complete a required number of hours
in on-the-job training and related instruction.
in on-the-job training and related instruction.
Certified Nursing Assistant (CNA)
Brookdale Senior Living
Registered 2019
National (OA)
Documents
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Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.
Work Process Content
On the Job Training
Anonymous
Organizational/Problem Solving and Ethics
9
Organizational/Problem Solving and Ethics
9
- Use organizational skills (prepare all equipment and supplies prior to performing a care activity to prevent backtracking)
- Use effective time management skills (completing care timely in an unhurried manner)
- Use and recognize teamwork, leadership, and mentoring
- Recognize problems and know when/how to seek assistance, as well as how to reassess the situation in problem resolution
- Incorporate customer service skills – respecting differences and perspectives
- Recognize and report changes in residents condition promptly
- Perform duties and responsibilities demonstrating respect and cooperation
- Demonstrate good character, is productive during work hours, manage attendance and absences according to policy
- Maintain a professional demeanor and work appearance
Maintains a Clean and Safe Environment
25
Maintains a Clean and Safe Environment
25
- Hand Washing techniques including the use of sanitizing agents according to standards
- Use and demonstrate adherence to OSHA and CDC guidelines (such as handling Blood Borne Pathogens and maintaining infection control)
- Demonstrate knowledge and utilize Exposure Control Plan
- Properly dispose sharps (e.g., razors, needles in sharps container)
- Use and demonstrate personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
- Describe and use Standard Precautions as determined by the CDC and OSHA
- Describe clean vs dirty areas
- Clean and maintain equipment within infection control standards
- Perform visual check of resident’s living area and resolve potential safety issues (secure hazardous materials, clear pathways, etc.)
- Check resident’s alarm; make sure call light/signal is within resident’s reach; secure patient’s bed
- Take care of cleaning needs in resident’s room
- Handle soiled linen and clothing to prevent contamination, including isolation techniques in accordance with infection control standards
- Make unoccupied bed
- Make occupied bed
- Ensure the resident/client environment does not have hazards for slips, trips, and falls
- Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills, disaster preparedness)
- Properly use safety tools (e.g., ABC fire extinguisher)
- Discuss fire safety, describe and explain RACE and PASS acronyms
- List general safety steps for working in a healthcare environment
- Maintain and operate back up equipment as needed
- Apply and monitor safety devices
- Ability to administer the Heimlich Maneuver and other lifesaving assistance in accordance with organizational policy
- Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
- Demonstrate safe evacuation procedures and role as a part of the facility disaster response team
- Handle oxygen safely
Communicate Effectively while Following Regulations with Residents, Family Members, Medical Team, and Other Authorized Persons
11
Communicate Effectively while Following Regulations with Residents, Family Members, Medical Team, and Other Authorized Persons
11
- 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
- Describe rules for effective communication with the resident/client and team
- Utilize appropriate communication methods for working with the sensory impaired and cognitively impaired
- 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 of which the team should be aware
- Understand and follow legal requirements on reporting and documentation (i.e., HIPAA)
- Understand who is an authorized person and what information is allowed to be provided
- Maintain resident/client confidentiality and privacy according to organization and HIPAA guidelines
- Utilize appropriate communication techniques related to ability (communication board, etc.) with resident/client
- Communicate in non-judgmental manner minimizing bias and assumptions
Basic Nursing Assistant Skills
13
Basic Nursing Assistant Skills
13
- 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 accurately
- 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
- Recognizes and reports changes in resident/client condition including abnormal changes in body function
Personal Care Skills and Activities of Daily Living
34
Personal Care Skills and Activities of Daily Living
34
- Assist resident with bathing or dressing, if needed
- Give complete bed bath
- Give partial bed bath
- Demonstrate the proper order of bathing
- 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
- Use common nutritional problems of the elderly and chronically ill to assist with proper nutrition and fluid balance
- Verifies the dietary orders food, type, and consistency for residents/clients
- Serve and assist with meals according to dietary guidelines
- Promote optimal level of nutrition/hydration related to use of assistive devices and in accordance with the plan of care
Promote Resident’s Developmental, Mental Health, and Social Service Needs
15
Promote Resident’s Developmental, Mental Health, and Social Service Needs
15
- 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 and respectfully to residents, families, and guests
- Provide companionship; assist resident with correspondence
- Encourage health eating choices
- De-escalate disputes between residents
- Coordinate resident’s appointments
- Encourage family and friends as a source of emotional support of resident
- Recognize developmental tasks associated with the aging process
- Orient resident/client to facility
- Recognize signs and symptoms of pain/discomfort and report appropriately
- Promote the optimal level of wellbeing for residents/clients experiencing loss/grief
- Promote optimal level of sensory stimulation including visual/auditory and tactile
Care of Cognitively Impaired Residents
3
Care of Cognitively Impaired Residents
3
- Ability to effectively communicate with cognitively-impaired residents
- Provide appropriate assistance with ADLs 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
14
Basic Restorative Skills/Services
14
- Encourage and support the highest level of functioning and patient self-care as appropriate and safe, utilizing assistive devices or adaptations
- Assist with ambulation using gait belt
- Demonstrate organization’s Universal Fall Precautions and additional standards based on the resident/client
- Utilize ambulation assistive devices and adaptive equipment correctly and safely
- Assist resident with feeding adaptive equipment as needed according to plan of care
- 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 and reinforce bowel and bladder training as needed according to plan of care
- Discuss the complications of immobility and importance of exercise to health
Resident’s Rights
12
Resident’s Rights
12
- Respond to resident’s call lights promptly or promptly forward requests if unable to take care of the request
- Recognize and respect the resident/client’s individuality and preferences for wake, bedtime, dress, time of services/assistance, etc.
- Recognize, understand and prevent potential abuse/neglect in environment and within self and report promptly to mentor, supervisor, and others according to policy and local regulations
- Ability to recognize verbal, mental, emotional, neglect, and financial abuse or exploitation
- Provide privacy doors or pulling curtain around resident when providing care
- Respect resident individuality and 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 if the resident needs equipment or personal supplies
- Respect the privacy of the resident/client demonstrating there are guests in the resident/client’s home
- Ability to define abuse, neglect, assault, battery, and malpractice
- Identify organization and professional standards related to the use of restraints
- Discuss resolving grievances and disputes
Perform Administrative Tasks
4
Perform Administrative Tasks
4
- 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
Related Instruction Content
Training Provider(s):
160
RI hours
Basic Life Support for Pre-Hospital and In-Facility Environment
8
Basic Life Support for Pre-Hospital and In-Facility Environment
8
Worker Characteristics
6
Worker Characteristics
6
Introductory Curriculum (Introduction to Health Care and Safety)
21
Introductory Curriculum (Introduction to Health Care and Safety)
21
Human Body Health Disease
11
Human Body Health Disease
11
Basic Nursing Skills
18
Basic Nursing Skills
18
Personal Care Skills
28
Personal Care Skills
28
Care of Cognitively Impaired Residents
10
Care of Cognitively Impaired Residents
10
Basic Restorative Services
11
Basic Restorative Services
11
Residents Rights
10
Residents Rights
10
Additional Course Topics
25
Additional Course Topics
25
Nurse Assistant Review
10
Nurse Assistant Review
10