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Certified Nurse Assistant

Competency-Based Apprenticeship
Sponsoring Company:
National Center for Healthcare Apprenticeships (NCHA)
O*Net Code
Rapids Code
Req. Hours
Jul 16, 2021
Jul 16, 2021

Competency-Based Skills

8 skill sets | 94 total skills
Maintain Clean and Safe Environment
Infection Control Activities - Hand Washing
Infection Control Activities - Use OSHA and CDC guidelines (such as handling Blood Borne Pathogens)
Infection Control Activities - Properly dispose sharps (e.g., razors, needles in sharps container)
Infection Control Activities - Use of personal protective equipment (PPE) and devices including gloves, gown, mask and goggles
Physical Environment Maintenance - Perform visual check of resident's living area and resolve potential safety Issues (secure hazardous materials; clear pathways; etc.)
Physical Environment Maintenance - Check resident's alarm; make sure call light is within resident's reach; secure patient's bed
Physical Environment Maintenance - Take care of cleaning needs in resident's room
Physical Environment Maintenance - Follow isolation procedures in the disposal of soiled linen and clothing
Physical Environment Maintenance - Make unoccupied bed
Physical Environment Maintenance - Make occupied bed
Safety Procedures - Understand organization's safety and emergency protocol and procedures (e.g., how to respond to safety drills)
Safety Procedures - Properly use safety tools (such as an ABC fire extinguisher)
Safety Procedures - Maintain and operate back up equipment as needed
Safety Procedures - Apply and monitor safety devices
Safety Procedures - Able to administer the Heimlich Maneuver and other lifesaving assistance
Safety Procedures - Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
Communicate Effectively, While Following Regulations with Residents, Family, Medical Team and Other Authorized Persons
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
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 that they should be aware of
Understand and follow legal requirements on reporting and documentation (HIPAA)
Basic Nursing Assistant Skills
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
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
Personal Care Skills and Activities of Daily Living
Assist resident with bathing or dressing if needed
Give complete bed bath
Give partial bed bath
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
Promote Resident's Developmental, Mental Health and Social Service Needs
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 to residents
Provide companionship; assists resident with correspondence
Encourage health eating choices
De-escalate disputes between residents
Coordinate resident's appointments
Encouraging family and friends as a source of emotional support of resident
Care of Cognitively Impaired Residents
Able to effectively communicate with cognitively impaired residents
Provide appropriate assistance with Activities of Daily Living 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
Encourage patient self-care as appropriate and safe
Assist with ambulation using gait belt
Easing resident (about to fall) to floor during ambulation
Utilize ambulation assistive devices and adaptive equipment correctly and safely
Assist resident with feeding adaptive equipment as needed
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 bowel and bladder training as needed
Resident's Rights
Respond to resident's call lights promptly and forwards requests if unable to take care of the request
Provide privacy doors or pulling curtain around resident when providing care
Respect resident individuality, 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 of needed equipment or personal supplies
Avoid the need for restraints if possible

Technical Instruction

Basic Life Support for Pre-Hospital and In-Facility Environment - 8 req. hrs
Cardiopulmonary Resuscitation (CPR)
Automated External Defibrillator (AED)
Single Rescuer Life Support Skills
Team Based Life Support Skills
Introductory Curriculum - 16 req. hrs
Communication and Interpersonal Skills
Infection Control
Safety and Emergency Procedures
Promoting Residence Independence
Clean and Safe Environment
Basic Nursing Skills - 18 req. hrs
Taking and Recording Vital Signs
Measuring and Recording Height and Weight
Caring for the Resident’s Environment
Recognizing Abnormal Changes in Body Functions and the Importance of
Reporting Such Changes
Freedom from Pain
Caring for Patients When Death is Imminent
Personal Care Skills - 28 req. hrs
Overview of Personal Care
Assisting with Eating and Hydration
Proper Feeding Techniques
Skin Care and Alterations in Skin
Transfers, Positioning, and Turning
Mental Health and Social Service Needs - 10 req. hrs
Developmental Tasks that Occur with the Aging Process
How to Respond to Resident Behaviors
Modifying Aid’s Behavior in Response to Resident’s Behavior
Allowing the Resident to make Personal Choices, Providing and
Reinforcing other Behavior Consistent with the Resident’s Dignity
Family as a Source of Emotional Support
Care of Cognitively Impaired Residents - 10 req. hrs
Techniques for Addressing the Unique Needs and Behaviors of
Individuals with Dementia (Alzheimer’s and Others)
Communicating with Cognitively Impaired Residents
Understanding Behaviors of Cognitively Impaired Residents
Appropriate Responses to the Behavior of Cognitively Impaired
Methods of Reducing the Effects of Cognitive Impairments
Basic Restorative Services - 10 req. hrs
Training the Resident in Self-Care According to the Resident’s Abilities
Use of Assistive Devices in Transferring, Ambulating, Eating and Dressing
Maintenance of Range of Motion
Proper Turning and Positioning in Bed and Chairs
Bowel and Bladder Training
Care and Use of Prosthetic and Orthotic Devices
Residents Rights - 10 req. hrs
Providing Privacy and Maintenance of Confidentiality
Promoting Resident’s Rights
Giving Assistance in Resolving Grievances and Disputes
Providing needed assistance in getting to and participating in Resident
and Family Groups and Other Activities
Maintaining Care and Security of Resident’s Personal Possessions
Promoting the Resident’s Rights to be Free from Abuse, Mistreatment,
and Neglect and the Need to Report Any Instance of Such Treatment to
Appropriate Facility Staff
Avoiding the Need for Restraints in Accordance with Current
Professional Standards
Additional Course Topics - 24 req. hrs
State and/or Employer Required Additional Classes for CNA
Caring for Specific Populations with Special Needs as a CNA
Additional Course Work on Course Topics as Listed Above

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