Oregon Administrative Rules
Chapter 851 - BOARD OF NURSING
Division 63 - STANDARDS AND AUTHORIZED DUTIES FOR THE CERTIFIED NURSING ASSISTANT AND CERTIFIED MEDICATION AIDE
Section 851-063-0035 - Authorized Duties and Standards for Certified Nursing Assistant 2 (CNA 2)
Universal Citation: OR Admin Rules 851-063-0035
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Under the supervision and at the direction of a licensed nurse, a CNA 2, in addition to the CNA 1 authorized duties, may provide care and assist clients with the following:
(a) Tasks associated with
collaboration with health care team:
(A)
Receiving report from outgoing staff;
(B) Giving report to oncoming
staff;
(C) Helping clients navigate
the acute care system; and
(D)
Working with medical translators.
(b) Tasks associated with communication and
interpersonal skills including crisis intervention.
(c) Tasks associated with person-centered
care;
(A) Meeting individual person's needs,
preference, and abilities; and
(B)
Providing culturally competent care.
(d) Tasks associated with infection control
and prevention including Standard or Transmission-Based Precautions:
(A) Obtaining a throat swab;
(B) Obtaining urine specimen from port of
catheter; and
(C) Working in
positive and negative airflow rooms.
(e) Tasks associated with safety and
emergency procedures:
(A) Implementing
preventive/protection strategies;
(B) Minimizing safety risks; and
(C) Transporting a person.
(f) Tasks associated with
activities of daily living:
(A) 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.
(B) Adding fluid
to established post pyloric, jejunostomy and gastrostomy tube
feedings;
(C) Changing established
post pyloric, jejunostomy and gastrostomy tube feeding bags;
(D) Pausing and resuming established post
pyloric, jejunostomy and gastrostomy tube feedings to provide personal
care;
(E) Discontinuing a
urethrally inserted catheter;
(F)
Performing range of motion on persons with complex medical problems: fragile
skin, at risk for pathological fractures, spasticity, and
contractures;
(G) Therapeutic
positioning in a variety of situations and considering a person's condition
including but not limited to bridging and proning; and
(H) Using 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.
(g) Tasks associated
with mental health and social service needs.
(h) Tasks 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)
Performing newborn critical congenital heart disease screening utilizing pulse
oximetry;
(I) Performing dipstick
urine test;
(J) Placing
electrodes/leads and run electrocardiogram (EKG);
(K) Placing electrodes/leads for
telemetry;
(L) Removing casts in
non-emergent situations;
(M)
Scanning bladder;
(N) Screening
newborn hearing;
(O) Setting up
traction equipment;
(P) Suctioning
nose or oral pharynx; and
(Q)
Testing stool for occult blood.
(i) Tasks associated with observation and
reporting:
(A) Recognizing and reporting
changes that deviate from an individual's norm;
(B) Observing and collecting pain responses;
and
(C) Performing comfort and pain
relief measures;
(D) Providing
input on an individual's response to interventions and care plan
approaches.
(j) Tasks
associated with documentation.
(k)
Tasks associated with end-of-life care:
(A)
Supporting palliative and hospice care; and
(B) Caring for organ and tissue
donor.
(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.
Statutory/Other Authority: ORS 678.440 & ORS 678.442
Statutes/Other Implemented: ORS 678.440 & ORS 678.442
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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