OAR 851-063-0035
Authorized Duties and Standards for Certified Nursing Assistant 2 (CNA 2)
(1)
Under the supervision and at the direction of a licensed nurse, a CNA 2 may provide care and assist clients with the following:(a)
Tasks associated with communication and interpersonal skills including:(A)
Coaching and mentoring peers; and(B)
Crisis intervention.(b)
Tasks associated with observation and reporting:(A)
Observing and collecting pain responses; and(B)
Relieving pain:(i)
Assisting with complementary therapies such as using pre-recorded audio/visuals for guided imagery; deep relaxation.(ii)
Planning activities in relation to pain;(iii)
Providing comfort measures;(iv)
Reporting to the nurse;(v)
Repositioning; and(vi)
Using touch to massage non-diseased tissue.(C)
Understanding the concept of Situation, Background, Assessment (Observation), Recommendation, and Read-back/Review (SBARR).(c)
Tasks associated with person-centered care:(A)
Embracing the friendship philosophy of care;(B)
Positively impacting the environment for person with dementia; and(C)
Cultural responsiveness.(d)
Tasks associated with technical skills:(A)
Adjusting oxygen rate of flow;(B)
Applying and removing delivery device and turning continuous positive airway pressure (CPAP) or bilevel positive airway (BiPAP) devices on and off;(C)
Bladder scanning;(D)
Clipping hair in preparation for surgical procedure;(E)
Discontinuing saline lock;(F)
Fingerstick capillary blood testing;(G)
Interrupting and re-establishing nasogastric (NG) suction;(H)
Obtaining nasal or rectal swab;(I)
Placing electrodes/leads and run electrocardiogram (EKG);(J)
Placing electrodes/leads for telemetry;(K)
Removing casts in non-emergent situations;(L)
Screening newborn hearing;(M)
Setting up traction equipment;(N)
Suctioning nose or oral pharynx;(O)
Testing stool for occult blood; and(P)
Urine dip stick testing.(e)
Tasks associated with infection prevention and control:(A)
Establishing and maintaining a sterile field;(B)
Obtaining urine specimen from port of catheter;(C)
Discontinuing Foley catheters;(D)
Measuring, recording and emptying output from drainage devices and closed drainage systems; and(E)
Changing wound vac canisters.(f)
Tasks associated with safety:(A)
Implementing preventive/protective strategies; and(B)
Minimizing safety risks.(g)
Tasks associated with promoting nutrition and hydration.(A)
Adding fluid to established post pyloric, jejunostomy and gastrostomy tube feedings;(B)
Changing established tube feeding bags; and(C)
Pausing and resuming established post pyloric, jejunostomy and gastrostomy tube feedings to provide personal care;(h)
Tasks associated with promoting functional abilities:(A)
Assisting persons in and out of continuous passive motion (CPM) machines;(B)
Performing range of motion on persons with complex medical problems: fragile skin, at risk for pathological fractures, spascity, and contractures;(C)
Therapeutic positioning in a variety of situations and considering a person’s condition including but not limited to bridging and proning; and(D)
Use of adaptive, assistive and therapeutic equipment:(i)
Ankle and foot orthotics;(ii)
Braces;(iii)
Established traction equipment: remove and re-apply;(iv)
Foot lifter; and(v)
Splints.(i)
Tasks associated with end-of-life care:(A)
Comfort care; and(B)
Removal of non-surgically inserted tubes and devices from post-mortem persons.(j)
Tasks associated with documentation.(2)
Standards of Care for CNA 2. In the process of client care the CNA 2 shall consistently apply standards set for CNA 1s and:(a)
Establish competency as a CNA 2;(b)
Maintain competency as a CNA 2;(c)
Perform only authorized duties for which the CNA 2 has established competency.
Source:
Rule 851-063-0035 — Authorized Duties and Standards for Certified Nursing Assistant 2 (CNA 2), https://secure.sos.state.or.us/oard/view.action?ruleNumber=851-063-0035.