The Home Care Aide/Certified Nursing Assistant is a member of the Nurse Next Door team and works under the supervision of the Care Designer or a nurse and performs personal care services contained in a care plan written by a licensed health professional, employed or contracted by the agency. The Home Care Aide/Certified Nursing Assistant is responsible for observing clients, reporting these observations and documenting observations and care performed.

The Home Care Aide/Certified Nursing Assistant will be assigned in a manner that promotes quality, continuity and safety of a client’s care.

Responsibilities of the Certified Nursing Assistant include, are to, but are not limited to the following:

1. Provide client care as directed by the Care Designer or Nurse.
2. Personal care: a. Bathing b. Grooming, including oral care
3. Assist the client with dressing and undressing
4. Assist the client with toileting activities, including the use of the bedpan and urinal
5. Provide catheter care including changing the urinary catheter bag
6. Empty ostomy bags, or changing bags that do not adhere to the skin
7. Assist in feeding the client, if necessary
8. Feed clients who are unable to feed themselves
9. Take and record vital signs (temperature, pulse, respirations and blood pressure)
10. Measure and record height and weight, if necessary.

Support good skin care to prevent skin breakdown (i.e. turn and reposition client, actively

encourage movement)

1. Assist client with active and passive range of motions as defined by the plan of care
2. Provide client with help walking and transferring; assist with the use of devices for aid to daily living such as a wheelchair or walker;
3. Observe client’s physical, mental and emotional conditions

i. Report any change to the Care Designer Certified Nursing Assistant Job Description

ii. Document observed changes

1. Measure and document intake and output, if necessary
2. Assist client in the self-administration of medication
3. Verbally remind clients to take their medications

Perform light housekeeping; maintains a clean, safe and healthy environment, which may

include light cleaning and straightening of the bathroom, straightening the sleeping and living areas, washing the client's or client's dishes or laundry, and such tasks to maintain cleanliness and safety for the client;

1. Perform meal preparation and clean up
2. Change bed linens and make up the client’s bed
3. Maintain an orderly client environment.
4. Follow principles of infection control and Universal Precautions.
5. Identifies and participates in performance improvement activities.
6. Provide transport to doctor appointments, outside activities and shopping.
7. Participates in client teaching according to the client’s plan of care.

Assist in providing a safe environment and promote quality client care through adherence to

established policies, procedures and standards.

1. Ensure client’s rights are adhered to. These include but are not limited to:
   1. the right to privacy and dignity while care is being provided
   2. the right to accept or refuse care
   3. the right to confidentiality of their information
2. Respond rapidly and appropriately in an emergency situation
3. Use equipment properly and in a safe manner.
4. Perform other tasks as determined and instructed by the licensed professional and as permissible under Idaho law.