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;(iii) Established traction equipment: remove and re-apply;(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;(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;(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 8/1/2021Statutory/Other Authority: ORS 678.440 & ORS 678.442
Statutes/Other Implemented: ORS 678.440 & ORS 678.442