Roles and Responsibilities of CNA

Unit 3

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Roles & Responsibilities of CNAs

• Personal Care of Residents– Bathing and daily personal cleanliness– Choosing clothing for res. if unable– Physically moving, such as walking or

repositioning in bed.– Elimination, such as taking to toilet, or

offering bedpan or urinal.– Cue resident or provide assistance with

eating or drinking.

Roles & Responsibilities of CNAs• Care of resident living space

– Make beds, change sheets when soiled– Maintain an environment that is safe and clean.– Assist resident with laundering personal

clothing when washer and dryer are on the unit (in some facilities).

Communication & teamwork-Listen carefully to resident. Report any incidents

to nurse.-Work cooperatively with other staff

Roles and Responsibilities of CNAs– Read communication books, if utilized by

facility.– Read and follow the resident care plan or care

sheet.– Make recommendations for changes in resident

care.– Participate in resident care conferences.

Roles and Responsibilities of CNAs• Food Service

– Assist in food prep.– Assist in setting up trays

for resident.– Assist resident to eat.– Provide fresh drinking

water.– Provide snacks during

meals

• Record Keeping– Record resident

behaviors or other required charting

– Record resident ability to perform activities of daily living.(ADL’S)

– Record intake and output.

– Assist in admission, transfer and discharge.

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YOU…• Are an important part of the team• Are depended upon by your patients/residents• Are depended upon by your co-workers

– Report to work on time– Keep absences to a minimum– Complete assigned tasks promptly– Keep promises related to resident care – Perform tasks that the CNA is competent

without having to be reminded. • Are an important individual with attributes that

only belong to you

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Who are You?• Healthcare Team

– C.N.A.– C.M.A– R.A.– L.P.N.– R.N.– DR.– Nurse Aide Trainee II– Hospice care providers

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What should I do?• Know your job• Know your scope of practice

– Seek assistance when asked to do a task that the CNA does not do or has not been trained

• Know facility’s policies and procedures• Maintain professionalism

– Be a team member with a cooperative attitude– Honesty

• Provide quality care by communicating clearly• Report situations that are not up to standards.

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Getting a job (Obj. 5)

• Appearance (Obj.6)

• Presentation• Completeness of application• Availability• Honesty• What can I do for your company?

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A New Job!• Punctuality• Professionalism• Honesty• Accountability• Teamwork• Dependability• Professional Growth

On the Job• Don’t Gossip• Professional appearance

– Personal cleanliness– Good health– Neat and clean working clothes– Comfortable shoes– Name badge, watch and pen or pencil.

• Confidentiality• Knowledge and skill

–Attitude!!!05/02/2023 11

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Stress• Affects all of us

– Physically– Emotionally– Spiritually– Socially

• Can lead to burn out• Can be managed

Confidentiality (Obj. 8)

• Confidentiality means keeping resident’s personal information private.

• Breaches include:– One resident about another resident– Relatives or friends of resident– Other staff except when planning resident care

such as in a conference.– Other staff in public a hallway, elevator or in

break room.

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As a C.N.A…• Responsible for own actions in providing competent basic

care• Perform only duties for which you’ve received training• Maintain a safe & clean environment• Responsible for helping to safeguard resident’s belongings.• Report any changes in mental or physical condition to

supervisor in a timely manner• Maintaining an environment that respects the resident

privacy• Support the resident to exercise their rights

CNAs CANNOT…• Administer Medications

• Take Physician’s Orders

• Reveal the contents of a resident’s chart

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A Good Employee (Obj. 7)

• Speech and Language• Courtesies• Personal Matters• Meals and Breaks• Job Safety• Planning your work• Managing stress• Harassment

Communication and Teamwork• If there is a problem with a resident or another

staff member talk with the nurse about the problem.

• It is possible that no one took the time to see if there could be an alternate solution to make the situation more acceptable to everyone involved.

• If you have a complaint also have a resolution!!!

Legal Responsibilities R/T neglect• Negligence-failure to

use the care that a reasonable, prudent and careful person would in a similar situation.

• Neglect-failure to provide care of services that are reasonably necessary to ensure safety and well being and to avoid physical or mental harm or illness.

EXAMPLES• Resident falls because call light was not left

accessible for use.• Resident has an infection because the CNA failed

to wash hand and use precautions after caring for another resident with a infectious condition.

• Resident is harmed when care plan interventions are not followed.

• Resident develops pressure sore because the soiled brief is not changed or the resident is not repositioned.

Legal Responsibilities R/T Abuse• Abuse is an act or failure to act that intentionally

or recklessly causes harm (or is likely to cause harm) to a resident.

• Examples– Striking, slapping, hitting or kicking a resident– Throwing a resident into bed– Handling resident roughly while repositioning– Calling a resident degrading names– Threatening physical abuse– Fondling genitals or breasts of a resident– Rape

Legal Resp. R/T exploitation• Exploitation means the misappropriation of

resident property or taking unfair advantage of the resident’s physical or financial resources.

Examples• Caretaker takes items such as magazines, candy,

perfume, jewelry, credit cards or money from resident.

Implications for CNA• CNA should immediately report suspicions of

abuse, neglect or exploitation to the nurse.• Adult care abuse hotline 1-800-842-0078• Finding abuse, neglect or exploitation against a

CNA will bar the CNA from employment in an adult care home.

• Abuse, neglect, or exploitation can also result in criminal conviction.