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.
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
Skin care (non-prescription)
Nail care (does not include nail care for clients with Diabetes)
Turn and position
Use of lift
Assist with ambulation
Range of motion
Bowel/bladder training program
Perineal / catheter care
Apply/Remove Condom Catheters
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)
o IADLs may include but are not limited to:
o Special Tasks
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
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
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
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.
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
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
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