OAR 851-063-0035: Additional Authorized Duties for Certified Nursing Assistants

(1) A CNA may add a duty listed in section (2) of this rule as an individual authorized duty when an RN representing the CNA employment site teaches performance of the authorized duty and validates that the CNA is competent to perform the duty. Once authorized, the CNA may be assigned to perform the additional authorized duty by nurses in the employing organization. (2) The following duties are eligible to be added as an individual CNA’s authorized duties as permitted in section (1) of this rule: (a) Duties associated with infection prevention: (A) Obtaining urine specimen from port of catheter; (B) Assisting with a chlorhexidine bath; (C) Clipping hair in preparation for surgical procedure; (D) Changing a wound VAC canister; and (E) Performing clean intermittent straight urinary catheterization for chronic condition. (b) Duties associated with ADL: (A) Administering enemas; (B) Assisting with nutrition and hydration of infants and children: (i) Assisting with breastfeeding by supporting and reinforcing instructions; (ii) Assisting with human breast milk pumping; (iii) Handling, storing, and transporting breast milk; (iv) Preparing infant formula or breast milk for feeding; and (v) Assisting with and feeding infants by bottle. (C) Assisting with established post pyloric, jejunostomy, and gastrostomy (i) Adding fluid to tube feedings; (ii) Changing feeding bags; and (iii) Pausing and resuming tube feedings to provide personal care; (D) Discontinuing a urethrally inserted catheter; (E) Applying moisture barrier cream or ointment to treat topical skin irritation or non-intact skin due to incontinence or excess moisture; (F) Established traction equipment: removing and re-applying; and (G) Applying and removing continuous passive motion (CPM) machine. (c) Duties associated with technical skills: (A) Adjusting oxygen rate of flow; (B) Attaining transcutaneous bilirubin meter reading; (C) Discontinuing a saline lock; (D) Interrupting and re-establishing nasogastric (NG) suction; (E) Irrigating ears; (F) Measuring arm and leg circumference; (G) Measuring blood pressure with a Doppler; (H) Measuring and recording: blood pressure (lower leg, thigh); (I) Obtaining a throat swab specimen; (J) Performing fecal occult blood test; (K) Performing urine dipstick test; (L) Performing newborn critical congenital heart disease screening utilizing pulse oximetry; (M) Placing electrodes or leads and run electrocardiogram (EKG); (N) Placing electrodes or leads for telemetry; (O) Removing casts in non-emergent situations; (P) Scanning bladder; (Q) Scanning glucometer sensor; (R) Screening newborn hearing; (S) Setting up traction equipment; and (T) Suctioning nose or oral pharynx. (3) A CNA may add phlebotomy as an individual authorized duty when the CNA has a current phlebotomy certification from a nationally recognized certifying organization, or successful completion of phlebotomy specific military education program, demonstrated ongoing competency, and assigned the duty by nurses in the employing organization. (4) A CNA may add child safety seat check as an individual authorized duty when the CNA has successfully completed a national child passenger safety certification program, demonstrated ongoing competency, and assigned the duty by nurses in the employing organization. (5) A CNA may add telemetry monitoring as an individual authorized duty when the CNA has successfully completed a dysrhythmia recognition course, demonstrated ongoing competency, and assigned the duty by nurses in the employing organization.