Or. Admin. R. 851-063-0035

Current through Register Vol. 63, No. 8, August 1, 2024

Section 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, 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.

Or. Admin. R. 851-063-0035

BN10-2007, f. & cert. ef. 10-1-07; BN 2-2009, f. & cert. ef. 5-15-09; BN 11-2009, f. & cert. ef. 12-17-09; BN 11-2010, f. & cert. ef. 6-25-10; BN 7-2014, f. 12-3-14, cert. ef. 1/1/2015; BN 16-2021, amend filed 07/21/2021, effective 8/1/2021

Statutory/Other Authority: ORS 678.440 & ORS 678.442

Statutes/Other Implemented: ORS 678.440 & ORS 678.442