OAR 851-063-0030: Authorized Duties for Certified Nursing Assistants (CNA)

As directed and supervised by a licensed nurse, the CNA may perform the following duties: (1) Duties associated with collaboration with the health care team: (a) Accepting assignments ; (b) Giving report to another team member ; and (c) Orienting other nursing assistants to workflow and environment. (2) Duties associated with communication and interpersonal skills: (a) Answering and placing call signals; (b) Communicating with clients, clients’ family members, and co- workers; and (c) Maintaining confidentiality. (3) Duties associated with client-centered care: (a) Following the client’s plan of care and providing feedback to a nurse on the plan of care ; (b) Organizing daily routines for a group of people according to each client’s preferences and the individual plan of care; (c) Protecting and respecting a client’s rights; (d) Promoting a client’s independence utilizing strength-based care approaches; (e) Providing holistic care and reporting any observed changes to the licensed nurse; and (f) Assisting with complementary therapies such as aromatherapy and using pre-recorded media for guided imagery. (4) Duties associated with infection prevention: (a) Handwashing and hand hygiene; (b) Utilizing personal protective equipment; (c) Caring for the client’s environment; (d) Cleaning shared equipment; (e) Bedmaking and handling of linen; (f) Delivering and handling food and drinks; (g) Implementing precautions designed to prevent or limit the transmission of communicable and infectious diseases; (h) Handling of contaminated materials; (i) Handling of disposal of hazardous wastes; and (j) Applying a simple dressing to a dry, non-infected wound . (5) Duties associated with safety and emergency procedures: (a) Applying fall prevention techniques; (b) Applying and removing restraints; (c) Applying techniques to prevent harm to the client; (d) Applying techniques helpful in preventing escalations in behaviors; (e) Avoiding and managing hazards in the workplace; (f) Implementing bleeding, cervical, hip, and sternal precautions; (g) Moving and transferring a client; (h) Transporting a client in a wheelchair, specialized chair, stretcher, or bed; (i) Turning and positioning a client in bed, chair, or wheelchair; and (j) Using lifts and safe handling devices. (6) Duties associated with activities of daily living (ADL): (a) Assisting with nutrition and hydration by: (A) Assisting with eating and drinking; (B) Following aspiration precautions; and (C) Positioning a client for nutritional and fluid intake. (b) Assisting with elimination by: (A) Administering bowel evacuation suppositories that are available without a prescription; (B) Applying and removing external urinary catheters; (C) Assisting with toileting including the use of bedpan and urinal; (D) Changing a catheter bag; (E) Connecting and disconnecting external urinary catheters to suction; (F) Providing catheter care; (G) Providing ostomy care for established, healthy ostomy: (i) Emptying ostomy bag; (ii) Changing ostomy dressing, appliance or bag; and (H) Providing perineal and incontinence care. (c) Assisting with personal care and grooming for clients including individuals with tubes and special equipment by: (A) Bathing; (B) Dressing and undressing; (C) For clients with no visually compromised skin or compromised circulation, soaking, washing, clipping, or filing fingernails and toenails; (D) Implementing routines to promote sleep; (E) Performing the following oral hygiene duties for responsive and non-responsive client: (i) Brushing and flossing teeth and implants; and (ii) Inserting, removing, and cleaning dentures. (F) Providing the following skin care duties: (i) Applying lotion; (ii) Applying topical barrier creams and ointments ; (iii) Applying anti-fungal ointments and powders; (iv) Preventing pressure, friction, and shearing; and (v) Using pressure relieving devices. (G) Removing, applying and caring for eyeglasses; (H) Removing, applying, and caring for hearing aids; (I) Shampooing and caring for hair; and (J) Shaving with an electric or disposable razor. (d) Assisting with following restorative care duties: (A) Ambulating; (B) Applying techniques for good body alignment and positioning including extremity elevation; (C) Assisting with bowel and bladder training; (D) Performing range of motion exercises; and (E) Using assistive devices for ambulating, dressing, eating, grooming, positioning, and transferring . (7) Duties associated with technical skills: (a) Applying and removing anti-embolism elastic stockings, braces, orthotic or prosthetic devices; (b) Applying oxygen therapy at a prescribed rate, discontinuing oxygen therapy, and transferring oxygen tubing from one oxygen source to another; (c) Applying pediculicides; (d) Applying, removing, and turning on and off sequential compression devices; (e) Applying warm and cold therapy; (f) Applying, removing, and turning on and off continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP) devices; (g) Assisting with coughing and deep breathing; (h) Changing a suction canister; (i) Collecting specimens (sputum, nasal swab, rectal swab, feces, urine, including clean catch); (j) Emptying output from drainage devices and closed drainage systems; (k) Manually and electronically measuring and recording temperature, apical and radial pulse, respiration, and blood pressure; (l) Measuring and recording height and weight; (m) Measuring and recording a blood pressure from the forearm; (n) Measuring and recording an orthostatic blood pressure reading; (o) Measuring and recording pulse oximetry reading; (p) Performing fingerstick capillary blood glucose (CBG) test; (q) Reinforcing the use of an incentive spirometer; and (r) Turning off, removing, and rinsing nebulizer treatment equipment. (8) Duties associated with documentation including documentation of care provided, observations, and unusual occurrences. (9) Duties associated with end-of-life care: (a) Providing comfort care; and (b) Providing care for the deceased.