Certified Nursing Assistant, Homecare Services (CNA I)

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/or escort services may also be assigned as designated in an individual’s care plan. The CNA may also provide personal care and other tasks that requires special training and competencies that a Homemaker
cannot provide.

Work Performed:
● 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 at orientation and 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, sponge bath)

▪ Dressing / Undressing
▪ Mouth care
▪ Skin care (non-prescription)
▪ Hair care
▪ Nail care, cleaning and filing only. Nails may not be cut.
▪ Mobility
● Turn and position
● Transfer
● Use of lift
● Assist with ambulation with or without assistive devices
● Range of motion
▪ Toileting
● Bedpan/urinal
● Bowel/bladder training program
● Perineal/catheter care
● Apply/remove condom (Texas) catheters
● Assistance with ostomy care as assigned
● Incontinence care, including, adult diapers and bed pads
▪ Eating
● Meal preparation according to client’s dietary needs or
restrictions, including encouraging fluids, avoiding food
allergens and disease based dietary restrictions. Clients on
swallowing or choking precautions may have special needs
to include soft, pureed, or liquid diets.
● Assist, monitor or feed the client by mouth, according to level
of care.

o IADLs may include but are not limited to:

● Cooking
● Cleaning
● Laundry
● Shopping
● Errands
● Escort
o Special Tasks

● Vital signs, as assigned.
● Height and weight
● Application of heat/cold
● Preventative intervention to prevent decubitus ulcers
● Apply TED hose, as instructed
● Deep breathing/cough techniques

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
may require a mask, gloves, and gown.
● Handwashing and other appropriate precautions should be done before and after
tasks.
● Assure that the home is safe 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 of
any alterations, failure to do so may result in disciplinary action up to and
including in termination.
● Be present for Supervisory Visits to be performed by RN Field Supervisor as
required.
● Accurately report time and attendance to the 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 higher
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 of specific programs, as assigned.
● Other duties, as assigned.

● Proof of current CNA/CNA-T license.
● Eighteen (18) years of age or older.
● Must have a current, active, qualifying national BCI check complying with Rhode
Island State Law.
● Experience in Home and Community Based Services, preferred.
● Current Tb Skin Test or Tuberculin titer test. For positive results, a chest x-ray
within the last 5 years will be required.

● Proof of vaccinations or antibody titers for immunity
o Measles, Mumps, Rubella (MMR)
o Varicella (Chicken Pox)
o Tetanus, Diphtheria, Pertussis (Tdap)
o COVID-19 (completed initial series)
● Punctuality.
● Desire to help those at home.
● Professional demeanor and appearance.
● Have reliable transportation complying with all state laws.
● Can demonstrate competence providing assigned tasks.