PCC CNA Unit 3

1. Roles and Responsibilities of CNA
Unit 3

2. 5/4/16 2
Roles & Responsibilities of CNAs
• Personal Care of Residents
– Bathing and daily personal cleanliness
– Choosing clothing for res. if unable
– Physically moving, such as walking or
repositioning in bed.
– Elimination, such as taking to toilet, or
offering bedpan or urinal.
– Cue resident or provide assistance with
eating or drinking.

3. Roles & Responsibilities of CNAs
• Care of resident living space
– Make beds, change sheets when soiled
– Maintain an environment that is safe and clean.
– Assist resident with laundering personal
clothing when washer and dryer are on the unit
(in some facilities).
Communication & teamwork
-Listen carefully to resident. Report any incidents to
nurse.
-Work cooperatively with other staff

4. Roles and Responsibilities of CNAs
– Read communication books, if utilized by
facility.
– Read and follow the resident care plan or care
sheet.
– Make recommendations for changes in resident
care.
– Participate in resident care conferences.

5. Roles and Responsibilities of CNAs
• Food Service
– Assist in food prep.
– Assist in setting up trays
for resident.
– Assist resident to eat.
– Provide fresh drinking
water.
– Provide snacks during
meals
• Record Keeping
– Record resident
behaviors or other
required charting
– Record resident ability to
perform activities of daily
living.(ADL’S)
– Record intake and
output.
– Assist in admission,
transfer and discharge.

6. 5/4/16 6
YOU…
• Are an important part of the team
• Are depended upon by your patients/residents
• Are depended upon by your co-workers
– Report to work on time
– Keep absences to a minimum
– Complete assigned tasks promptly
– Keep promises related to resident care
– Perform tasks that the CNA is competent
without having to be reminded.
• Are an important individual with attributes that
only belong to you

7. 5/4/16 7
Who are You?
• Healthcare Team
– C.N.A.
– C.M.A
– R.A.
– L.P.N.
– R.N.
– DR.
– Nurse Aide Trainee II
– Hospice care providers

8. 5/4/16 8
What should I do?
• Know your job
• Know your scope of practice
– Seek assistance when asked to do a task that
the CNA does not do or has not been trained
• Know facility’s policies and procedures
• Maintain professionalism
– Be a team member with a cooperative attitude
– Honesty
• Provide quality care by communicating clearly
• Report situations that are not up to standards.

9. Getting a job(Obj. 5)
• Appearance (Obj.6)
• Presentation
• Completeness of application
• Availability
• Honesty
• What can I do for your company?

10. A New Job!
• Punctuality
• Professionalism
• Honesty
• Accountability
• Teamwork
• Dependability
• Professional Growth

11. On the Job
• Don’t Gossip
• Professional appearance
– Personal cleanliness
– Good health
– Neat and clean working clothes
– Comfortable shoes
– Name badge, watch and pen or pencil.
• Confidentiality
• Knowledge and skill
●
Attitude!!!

12. Stress
• Affects all of us
– Physically
– Emotionally
– Spiritually
– Socially
• Can lead to burn out
• Can be managed

13. Confidentiality (Obj. 8)
• Confidentiality means keeping resident’s personal
information private.
• Breaches include:
– One resident about another resident
– Relatives or friends of resident
– Other staff except when planning resident care
such as in a conference.
– Other staff in public a hallway, elevator or in
break room.

14. 5/4/16 14
As a C.N.A…
• Responsible for own actions in providing competent basic
care
• Perform only duties for which you’ve received training
• Maintain a safe & clean environment
• Responsible for helping to safeguard resident’s belongings.
• Report any changes in mental or physical condition to
supervisor in a timely manner
• Maintaining an environment that respects the resident
privacy
• Support the resident to exercise their rights

15. CNAs CANNOT…
• Administer Medications
• Take Physician’s Orders
• Reveal the contents of a resident’s chart

16. A Good Employee (Obj. 7)
• Speech and Language
• Courtesies
• Personal Matters
• Meals and Breaks
• Job Safety
• Planning your work
• Managing stress
• Harassment

17. Communication and Teamwork
• If there is a problem with a resident or another
staff member talk with the nurse about the
problem.
• It is possible that no one took the time to see if
there could be an alternate solution to make the
situation more acceptable to everyone involved.
• If you have a complaint also have a resolution!!!

18. Legal Responsibilities R/T neglect
• Negligence-failure to
use the care that a
reasonable, prudent
and careful person
would in a similar
situation.
• Neglect-failure to
provide care of
services that are
reasonably necessary
to ensure safety and
well being and to avoid
physical or mental
harm or illness.

19. EXAMPLES
• Resident falls because call light was not left
accessible for use.
• Resident has an infection because the CNA failed
to wash hand and use precautions after caring for
another resident with a infectious condition.
• Resident is harmed when care plan interventions
are not followed.
• Resident develops pressure sore because the
soiled brief is not changed or the resident is not
repositioned.

20. Legal Responsibilities R/T Abuse
• Abuse is an act or failure to act that intentionally or
recklessly causes harm (or is likely to cause harm)
to a resident.
• Examples
●
Striking, slapping, hitting or kicking a resident
●
Throwing a resident into bed
●
Handling resident roughly while repositioning
●
Calling a resident degrading names
●
Threatening physical abuse
●
Fondling genitals or breasts of a resident
●
Rape

21. Legal Resp. R/T exploitation
• Exploitation means the misappropriation of
resident property or taking unfair advantage of the
resident’s physical or financial resources.
Examples
• Caretaker takes items such as magazines, candy,
perfume, jewelry, credit cards or money from
resident.

22. Implications for CNA
• CNA should immediately report suspicions of
abuse, neglect or exploitation to the nurse.
• Adult care abuse hotline 1-800-842-0078
• Finding abuse, neglect or exploitation against a
CNA will bar the CNA from employment in an
adult care home.
• Abuse, neglect, or exploitation can also result in
criminal conviction.