What does a certified nursing assistant do?

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What is a Certified Nursing Assistant?

A certified nursing assistant (CNA) provides basic patient care under the supervision of a registered nurse or licensed practical nurse. CNAs are responsible for assisting patients with daily living activities such as bathing, dressing, feeding, and grooming. They also take vital signs, help patients move around, and maintain their hygiene. CNAs may work in hospitals, nursing homes, rehabilitation centers, or private homes.

Being a CNA requires physical and emotional stamina, as the job can be physically demanding and emotionally taxing. CNAs must be compassionate and patient, as they often work with patients who are elderly, chronically ill, or disabled. They must also be able to communicate effectively with patients, their families, and other healthcare professionals. CNAs play an important role in the healthcare industry and are crucial members of the healthcare team.

What does a Certified Nursing Assistant do?

A certified nursing assistant pushing a senior man in a wheelchair.

Certified nursing assistants provide essential patient care such as bathing, dressing, feeding, and monitoring vital signs. CNAs are often the frontline healthcare providers who spend the most time with patients, providing emotional support, and helping to maintain their comfort and dignity. Their work is essential in long-term care facilities, hospitals, and home health care settings. Additionally, CNAs are responsible for reporting any changes in patients' conditions to RNs or physicians, which is critical for ensuring timely and effective care.

Duties and Responsibilities
Some of the duties and responsibilities of certified nursing assistants include:

  • Assisting with Activities of Daily Living (ADLs): CNAs help patients with tasks such as bathing, dressing, grooming, toileting, and feeding. They may also assist with transferring patients to and from beds, wheelchairs, and other equipment.
  • Monitoring Vital Signs: CNAs are responsible for taking and recording patients' vital signs, including blood pressure, pulse rate, temperature, and respiration rate. They may also measure and record fluid intake and output.
  • Reporting Changes in Patients' Conditions: CNAs are trained to recognize and report any changes in patients' conditions to the supervising nurse. This includes changes in vital signs, skin condition, and mental status.
  • Assisting with Medical Procedures: CNAs may assist with simple medical procedures, such as applying dressings, performing enemas, and administering medications under the supervision of a licensed nurse.
  • Providing Emotional Support: CNAs provide emotional support to patients by listening to their concerns, offering comfort and encouragement, and providing companionship.
  • Maintaining a Clean and Safe Environment: CNAs are responsible for keeping the patient's environment clean and safe. This includes changing bed linens, tidying up rooms, and ensuring that patients are in a safe environment free from hazards.
  • Documenting Patient Care: CNAs are responsible for accurately documenting the care they provide to patients. This includes recording vital signs, fluid intake and output, and any changes in patients' conditions.
  • Communicating with Patients and Family Members: CNAs may communicate with patients and their family members about their care and provide them with information about their condition.
  • Collaborating with Healthcare Team: CNAs work as part of a healthcare team, and they may collaborate with other healthcare professionals such as nurses, physicians, and therapists to provide comprehensive care to patients.
  • Adhering to Legal and Ethical Standards: CNAs must adhere to legal and ethical standards while providing care to patients. They must maintain patient confidentiality, follow established protocols and procedures, and report any suspected abuse or neglect.

Types of Certified Nursing Assistants
Certified nursing assistants can specialize in different areas of healthcare, such as:

  • Acute Care Certified Nursing Assistant: These CNAs typically work in hospitals, providing care to patients who have acute illnesses or injuries. They may assist with tasks such as taking vital signs, assisting with mobility, and providing basic care such as bathing and grooming. Acute care CNAs may work in various departments of the hospital, including the emergency department, intensive care unit, or surgical unit.
  • Long-Term Care Certified Nursing Assistant: Long-term care CNAs work in nursing homes, assisted living facilities, and other long-term care settings. They provide assistance with daily activities such as dressing, bathing, and eating, and may also help with medication management and other healthcare tasks. Long-term care CNAs often work with elderly patients or individuals with disabilities who require ongoing care.
  • Home Health Certified Nursing Assistant: Home health CNAs provide care to patients in their homes. They may help with tasks such as meal preparation, medication management, and assistance with mobility. Home health CNAs often work with patients who have chronic illnesses or disabilities, and may work independently or as part of a home healthcare team.
  • Hospice Certified Nursing Assistant: Hospice CNAs work with terminally ill patients, providing comfort and support in their final days. They may assist with tasks such as bathing and grooming, providing emotional support to patients and their families, and ensuring that patients are comfortable and pain-free.
  • Pediatric Certified Nursing Assistant: Pediatric CNAs work with children in hospitals, clinics, or home settings. They may assist with tasks such as feeding, bathing, and dressing, and may also help with medication management and other healthcare tasks. Pediatric CNAs may work with children who have a wide range of medical conditions and may need to be skilled in working with children who have developmental or behavioral challenges.
  • Psychiatric Certified Nursing Assistant: Psychiatric CNAs work in mental health facilities, providing care and support to patients with mental illnesses. They may assist with tasks such as medication management, behavior management, and providing emotional support to patients. Psychiatric CNAs may work with patients who have a wide range of mental health conditions and may need to be skilled in working with patients who are agitated or have challenging behaviors.
  • Rehabilitation Certified Nursing Assistant: Rehabilitation CNAs work in rehabilitation centers or hospitals, helping patients recover from injuries, surgeries, or illnesses. They may assist with tasks such as mobility exercises, range-of-motion exercises, and assisting with daily activities such as bathing and dressing. Rehabilitation CNAs may work with patients who have a wide range of medical conditions and may need to be skilled in working with patients who have physical disabilities or limitations.

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What is the workplace of a Certified Nursing Assistant like?

Certified nursing assistants work in a variety of healthcare settings, including hospitals, nursing homes, assisted living facilities, and home healthcare agencies. The specific workplace of a CNA can vary depending on their area of specialization, the employer, and the geographic location.

In a hospital setting, CNAs may work in various departments such as emergency, medical-surgical, or intensive care units. They may assist with tasks such as taking vital signs, providing basic care such as bathing and grooming, and helping patients with mobility. CNAs may also assist with patient transport and may work closely with other healthcare professionals such as nurses, physicians, and physical therapists.

In a long-term care setting such as a nursing home or assisted living facility, CNAs may work with elderly or disabled patients who require ongoing care. They may assist with tasks such as feeding, dressing, and toileting, and may also help with medication management and other healthcare tasks. CNAs in long-term care settings often work closely with other healthcare professionals such as nurses, social workers, and occupational therapists.

In a home healthcare setting, CNAs may work independently or as part of a team to provide care to patients in their homes. They may assist with tasks such as meal preparation, medication management, and providing basic care such as bathing and grooming. CNAs in home healthcare settings may work with patients who have chronic illnesses or disabilities, and may need to be skilled in working with patients who have limited mobility or require specialized care.

Regardless of the specific workplace, CNAs play a critical role in providing care and support to patients. They work closely with other healthcare professionals to ensure that patients receive the highest quality care possible. CNAs may work full-time or part-time, and may work a variety of shifts including nights, weekends, and holidays. They may also need to be prepared to work in high-stress environments and to respond quickly to emergencies or unexpected situations.

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Certified Nursing Assistants are also known as:
CNA